imp

Question 1

epigastric region is in the lower. chest area, midline, deep to ribs. what structures are there

Answer 1

pancreas
gallbladder
liver
stomach 
SB
LB

Question 2

Firm and hard livers

Answer 2

cirrhotic
hemachromatosis
amyloidosis
lymphoma

Question 3

3 hepatocellular carcinoma livers

Answer 3

irregular edges

Question 4

cirrhosis livers

Answer 4

shrunken w nodules

Question 5

Absent bowel sounds

Answer 5

long lasting intestinal obstruction

; intestinal perforation;

mesenteric ischemia

Question 6

Irritable bowel syndrom

Answer 6

iagnosis of exclusion that typically presents with chronic
abdominal pain and changes in bowel habits so you have to rule out all other possible causes of her symptoms first before making this diagnosi

Question 7

IBD is subdivided into

Answer 7

chrohns
UC

present more with diarhhea

Question 8

hyperprolactinemia

workup

Answer 8

brain mri

Question 9

You are speaking with a concerned mother during a doctor’s appointment. She is worried that her child might have scoliosis since she has it as well. What is the most common age and cause of scoliosis?

a. Juvenile , idiopathic
 O
b. Juvenile, congenital
c. Adolescent , neuromuscular
d. Adolescent, congenital
e. Adolescent, idiopathic

Answer 9

e. Adolescent, idiopathic → Adolescent Idiopathic Scoliosis (AIS)

Question 10

hat same concerned mother also asked if her child should be screened for scoliosis? Your response is…

Answer 10

b. Yes, since her child presents with back pain

Question 11

red flags for back pain

Answer 11

TUNA FISH

trauma
unexplained weight loss
neuro
age >50

fever
IDVU
Steriods
Hx of cancer

Question 12

Beer’s criteria

Answer 12

a. Medications that you should always avoid
b. Medications that you should avoid in certain conditions
c. Medications that you can use but with caution

Question 13

Presbycusis

Answer 13

age related sensorineural hearing loss = most common cause of hearing loss in older patients. Progressive symmetric loss of high frequency hearing.

Question 14

Overflow incontinence:

Answer 14

Urine leakage due to incomplete bladde emptying

Question 15

Which of the following recommendations should be made with regards to osteoporosis?

a. You should have DEXA on all patients age 65+
b. DEXA on all women age 65+
c. DEXA on all men 65+
d. DEXA on all patients age 50+
e. DEXA on all women 50+
f. DEXA on all men 50+

Answer 15

b. DEXA on all women age 65+

Question 16

7). USPSTF states to start pap smears at _____ years

old!!!

Answer 16

21

Question 17

f Cullen’s Sign

Answer 17

ecchymosis around the umbilicus secondary to hemorrhage. This can be indicative of pancreatic necrosis with internal bleeding.

Question 18

Courvoiser’s sign

Answer 18

enlarged contender GB that can indicated pancreatic dz/ancer

Question 19

mcbruneys point

Answer 19

1/3 from asis to umbilicius

2/3 from umbilicus to asis

Question 20

w most herniated discs occur _____ because that is where the annulus is thinner

Answer 20

posteriorly

Question 21

And that all number nerves exit _____ the vertebral disc of that level and since the medial malleolus is responsible for sensation of the medial malleolus, this makes below L4 the right answer.

Answer 21

below

Question 22

he patient is a marathon runner so it is very likely they would have a

Answer 22

strained muscle

Question 23

+ straight leg raise test past 70 degrees 0

15->

30-60

Answer 23

muscle strain

ITB: 15

Radiculipathy/sciatica: 30-60

Question 24

thomas test

+ test

Answer 24

result. from hypertonic iliopsoas, which is a HIP FLEXOR. and would limit your ability. fully extend

Question 25

Cauda Equina Syndrome

w/u

Answer 25

get MRI ASAP

Question 26

heart sounds

Answer 26

L 2nd ICS: pulmonary
R 2nd ICS: aorta
L4th ICS: tricupsid
L5th ICS: mitral

Question 27

this is loud and the highest grade without a palpable thrill

Answer 27

3/6

Question 28

hyperresonant

Answer 28

Very loud intensity, lower pitch, longer duratio

COPD

Question 29

Vesicular

Answer 29

soft, low pitch

over most of lung

Question 30

Bronchovesicular

Answer 30

Intermediate intensity/pitch

1st/2nd intercostal spaces anteriorly, b/w scapulae

Question 31

Bronchial

Answer 31

manubrium
loud, high pitch
ex>in

Question 32

Tracheal

Answer 32

Neck

very loud, high pitch
ex=in

Question 33

stridor

Answer 33

a. Inspiratory wheeze, indicates partial obstruction of

larynx/trachea. Pt probably accidentally swallowed a toy.

Question 34

rhonchi

Answer 34

loud pitch, snore like

Question 35

nexus crieria

Answer 35

absence of posterior midline cervical tenderness