Info From Practice Probelms Flashcards
Most likely virus for croup
Parainfluenxa virus
Worsening dizziness with a specific position is indicative of what
BPPV
How to check ear for kid and adult
Kid - grasp auricle, pull down and out
Adult - grasp auricle, pull up and out
What is considered a normal whisper test
Repeating 3/6
When does the frontal sinus begin to open
After 7 years
Hyperresonance is indicative of what
COPD, ashthma
Unilateral - pneumothorax
Hyporesonance
Fluid in lungs - dullness
Normal resonance
Loud, low pitched long sound
Define vesicular sounds
Soft and low pitched
Heard on inspiration and 1/2 of expiration
Heard over lungs
Define bronchovesicular sounds
Intermediate in intensity and pitch
Best heard in 1st and 2nd ICS anteriorly
Define bronchial sounds
Loud and high pitched
Expiratory longer than inspiratory
Heard best over manubrium
Define bronchophony
Spoken words become louder and clearer
Indicates consolidation
Define a normal 99 sound
Normal are muffled in indistinct
Define egophony
The sound ee sounds like an A
Define whispered pectoriloguy
Whispers are heard louder and clearer during auscultation
Where to look for PMI
5th ICS, 1cm medial to midclavicular line
What are the diastolic murmurs?
Ms. PARTS
Mitral stenosis
Pulmonic regurge.
Ao. Regurge.
Tricuspid stenosis
What are the systolic murmurs
MR. TRAPS
Mitral regurge.
Tricuspid regurge.
Ao. Stenosis
Pulmonic stenosis
What does painless hematuria indicate
Renal cancer
Where will renal cell carcinoma likely metastasize to
Bone
Define the labial frenulum
Connects lip with gingiva
Define the lingual frenulum
Connects tongue with floor of mouth
Define sublingual caruncle
Opening to the sublingual ducts on either side of the lingual frenulum
Define lesser sublingual ducts
At the base of the tongue
Rheumatic heart disease is associated with what
Strep
What direction will the uvula deviate with a lesion
To the opposite side
Post-op lung issues is usually what
Atelectasis
What is the normal diaphragm excursion
3 - 5cm
What is S3 caused by
Due to high pressures and aburpt deceleration of inflow across the MV
What is S4 caused by
Forceful; contraction of the atria against a stiffened ventricle
What does dullness at a level higher than the expected diaphragmatic excursion indicate
Pleural effusion or a high diaphragm (paralysis)
What is the 5 finger method to normal heart testing
History Physical EKG Imaging Lab
Define and draw each ACXVY
A - atrial contraction
C - ventricular isovolumentric contraction against closed TV
X - atrium relaxing then filling against closed TV
V - atrium tense and full against closed TV
Y - atrium emptying, TV open
What can cause epiglottitis
H type B influenza
Vertigo with no hearing changes
Vestibular neuritis
Vertigo with hearing changes
Labryinthitis
Vertigo with changes in position
the PPV one
Vertigo with tinitis
Meunieres disease