Introduction to Clinical Skills- Wilson

Question 1

Medicine and Society

Radiology

Answer 1

getting history (collecting data) 
learning about lab tests

Question 2

What are the steps of the scientific method?

Answer 2

1. Observations
2. Formulation
3. Prediction
4. Experimental Test (Treatment plan)
5. Modify Hypothesis then repeat 3 and 4

Question 3

What treatment plan is best for the patient?

Answer 3

evidence based medicine

Question 4

Medical education trains the mind to see reality through what type of lens?

Answer 4

scientific lens

Question 5

Every disease has a character face that a well-trained diagnostician can recognize, like a friend, in crowd of diseases. True or false?

Answer 5

True

Question 6

• distension of the external jugular vein

- pink pallor to skin lips

Answer 6

advanced age of emphysema

Question 7

What is the doctor looking for as a sign of disease or injury most of the time?

Answer 7

asymmetry

Question 8

A physical examination, when properly conducted, is a __________dissection of the body.

Answer 8

non-invasive

For a scalpel, a physician uses his/her sense of sight, touch, hearing, and smell.

Question 9

What is an important sign of disease or pathology most if the time ?

Answer 9

asymmetry

except for a few normal exceptions, the identification of asymmetrical structure suggest pathology

(3 branches off the aorta, not 2)

Question 10

Patient serves as his/her own control. What areas do you look at?

Answer 10

• structure
• sensory sensitivity
• muscular strength

do them bilaterally on the body

Question 11

An imbalance in muscle tone results in an abnormal posture of the upper limb. What is this condition?

Answer 11

Erb-Duchenne Palsy

Question 12

The external jugular vein is a large vessel found immediately beneath the skin.

Normally, it is not seen unless its pressure is elevated.

Answer 12

• superior vena cava syndrome

- tumor of right lung

Question 13

During a physical examination, the pulse is often taken at several locations, bilaterally. A weak pulse on one side may be a sign of what?

Answer 13

vascular disease or obstruction (peripheral artery disease)

Question 14

What spot in the back can you listen for the lung?

Answer 14

triangle of auscultation

• can ask patient to hunch forward to make the triangle bigger
• not covered with either muscle or bone

Question 15

The pulse is taken where arteries are?

Answer 15

large

near the surface

Question 16

Normally, lymph nodes cannot be seen during dissection or palpated unless diseased or infected. True or false?

Answer 16

True

Question 17

What is the anatomical landmark for the 4th intercostal space?

Answer 17

nipple

Question 18

What is the anatomical landmark for the L4-L5?

Answer 18

umbilicus

Question 19

A thorough understanding of__________ provides the clinician with a system of landmarks for mapping the examination.

Answer 19

osteology

Question 20

• respiratory disease
• cyanosis
• tracheal deviation
• chest pain
• hyperresonance sounds

Answer 20

pneumothorax possibly

Question 21

What is the osteological landmark for parts of the heart?

Answer 21

aortic valve: 2nd right intercostal space

pulmonary valve: 2nd left intercostal space

tricupsid valve: 5th intercostal space, left sternal border

mitral valve: 5th intercostal space, mid-clavicular line