Interview questions and exams Flashcards
1
Q
What should you ask a patient with dysphagia?
A
Solids, liquids, or both? How did it progress? Is it constant or intermittent? Where does it get stuck? How long after the swallow does it get stuck? Is it painful? Does the neck bulge or gurgle? Weight loss? Hoarseness? Drooling? Nausea? Vomiting? Regurgitation? Drooling?
2
Q
What should you ask a patient with abdominal pain?
A
Normal oldcarts+ Timing in relation to meals? Timing in relation to defication? Nausea or vomiting? Diarrhea or constipation? Melena? Hematochezia? Steatorrhea?
3
Q
What should you ask a patient with diarrhea or constipation?
A
How long has it been going on? - acute < 3 wks < chronic Frequency? Color? Odor? Volume? Blood? Mucus? Pus? Flatulence? Float? Thyroid symptoms? Sick contacts? Animal contact? Travel? Camping? Swimming? Diet? unpasteurized diary, under cooked poultry or hamburger Medications? HIV risk factors? Surgical Hx? Diabetes? Pancreatitis? FHx of colon cancer?
4
Q
What are the ADLs and IADLs?
A
ADLs: bathing, grooming, and oral care picking out clothes and dressing feeding oneself using the restroom without help getting out of bed or standing from a chair
IADLs: managing finances driving or riding public transit shopping preparing meals using the telephone or other communication devices managing medications housework
5
Q
Psoas sign?
A
pt lying supine flex right hip against resistance
or pt lying left lateral decubitus passively extend hip
pain is positive
6
Q
Obturator sign?
A
pt lying supine flex the right hip and knee then internally rotate the right hip
pain is positive
7
Q
Murphy’s sign?
A
pressure at right costal margin just lateral to rectus muscles then ask pt to breath deep.
pain is positive
8
Q
Rosving’s sign?
A
LLQ pressure elicits RLQ pain
9
Q
Homan’s test?
A
Dorsiflexion of ankle causes calf pain. +DVT
