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CLET > Lec Final > Flashcards

Lec Final Flashcards

1
Q

which vitamin is needed for DNA synthesis

A

B12

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2
Q

Which of the following tests/signs is LEAST likely to be positive for shoulder tendonitis

A

Dawbarn

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3
Q

the ___muscle externally rotates the femur

A

piriformis

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4
Q

upper motor neuron lesion would result in dysfunction of

A

corticospinal

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5
Q

construction worker who wears heavy belt notices tingling on anterolateral surface of thigh this is ____

A

meralgia paresthetica

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6
Q

in injuries of the knee, the medial meniscus is frequently torn because it is firmly attached to?

A

tibial collateral

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7
Q

what muscle is innervated by branches of both the median and ulnar nerves

A

flexor digitorum profundus

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8
Q

doc tells football player he has pulled a hamstring muscle. this results from tearing of the origin of a hamstring muscle from the

A

ischial tuberosity

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9
Q

19 year old female presents with neck pain, nausea and vomiting of 6 hours duration. brudzinskis sign is present upon cervical flexion

A

meningitis

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10
Q

while performing Allis sign you notice that the height of the right leg is lower than the left. there is no translation AP. what is the most likely indication?

A

right anatomical short leg

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11
Q

which of the following is the most common factor for pancreatitis?

A

alcohol abuse

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12
Q

what will occur if the right lateral spinothalamic tract is severed

A

pain impulses from the left side of the body will be blocked

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13
Q

a 42 year old male patient presents with sudden excruciating chest pain. he denies dyspnea or a cough and tells you he has been on bed rest for 3 weeks following knee injury. what is the most likely diagnosis?

A

pulmonary embolism

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14
Q

while falling on an outstretched hand (FOOSH) the most commonly dislocated carpal bone is _____

A

lunate

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15
Q

a patients left pupil does not respond to direct light reflex, though indirect light reflex (on the right) causes the left pupil to constrict. this is most likely due to a lesion in ___

A

CN II on the left

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16
Q

in a patient with an infection, you would expect to find a ____ and ____ lymph node

A

moveable and tender

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17
Q

52 yr old male is sitting in office. complaints of sudden onset of sharp chest pain that began a few min ago. he denies any radiating pain, sweating or dizziness. he does note fairly severe calf pain that past 2 days that has since disappeared. what diagnosis should you be most concerned about

A

pulmonary emboli

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18
Q

shingles if associated with what antigen

A

varicella virus

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19
Q

which of the following findings would you expect to be present with pneumonia

A

increased tactile fremitis

decreased respiratory excursion

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20
Q

a 45 yr old presents with cough, hemoptysis night sweats and weight loss. you suspect which condition

A

oat cell carcinoma

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21
Q

with signs symptoms will be present with cervical myleopathy and not with cervical radiculopathy

A

increased deep tendon reflex

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22
Q

optic neuritis is associated with

A

MS

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23
Q

huntingtons chorea is a hypokinetic disorder of the basal ganglia

A

false

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24
Q

patient presents to your office after ice skating injury. what component of the case history would best describe how the tissue was injured

A

mechanism of injury

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25
Q

patient has high iliac crest on the right leg with the left knee and hip flexed due to pelvic unleveling. this would indicate a weak

A

gluteus medius on the right

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26
Q

A 35 year-old male patient presents with knee pain, right sided leg pain on the lateral aspect of the leg, dorsum of the foot and numbness and tingling is noted between the 1st and 2nd toes of 3 days duration. He denies any low back pain. Examination findings include: hypoesthesia between the 1st and 2nd digits of the foot; resisted dorsiflexion and extension of great toe is graded 3/5, hip abduction is graded 5/5. Deep tendon reflexes of the lower extremity are WNL. The SLR and Kemp’s are negative.

the ability to abduct the hip is due to functioning of the ___ nerve

A

superior gluteal

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27
Q

A 35 year-old male patient presents with knee pain, right sided leg pain on the lateral aspect of the leg, dorsum of the foot and numbness and tingling is noted between the 1st and 2nd toes of 3 days duration. He denies any low back pain. Examination findings include: hypoesthesia between the 1st and 2nd digits of the foot; resisted dorsiflexion and extension of great toe is graded 3/5, hip abduction is graded 5/5. Deep tendon reflexes of the lower extremity are WNL. The SLR and Kemp’s are negative.

which of the following is the most likely source of these findings?

A

peroneal neuropathy

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28
Q

A 68 year-old male patient presents with neck pain, an altered gait, unsteadiness on his feet and he seems to slaps his feet on the ground as he walks. He notes this problem is worse at night when he gets up to go the bathroom or when his eyes are shut. He denies pain or any other symptoms.

What is the most likely diagnosis of this condition?

A

cervical myleopathy

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29
Q

A 68 year-old male patient presents with neck pain, an altered gait, unsteadiness on his feet and he seems to slaps his feet on the ground as he walks. He notes this problem is worse at night when he gets up to go the bathroom or when his eyes are shut. He denies pain or any other symptoms.

Where is the most likely location of the lesion?

A

dorsal column

30
Q

Jeff is a 42 year-old male who presents to your office complaining of right-sided lower back pain that began 3 days ago after working on his car. He describes the pain as a dull ache in his lower back as well as a sharp shooting pain that travels down the back of leg to his little toe (5th digit).

Which of the following muscles would you expect to be weak?

A

peroneus longus

31
Q

Jeff is a 42 year-old male who presents to your office complaining of right-sided lower back pain that began 3 days ago after working on his car. He describes the pain as a dull ache in his lower back as well as a sharp shooting pain that travels down the back of leg to his little toe (5th digit).

Which of the following tests would you expect to be positive?

A

Elys heel to buttock

32
Q

42 yr old male, right sided lower back and leg pain. presents with left antalgic lean (lean to the left) this is consistent with a ___ herniation on the ___side

A

lateral, right

33
Q

which of the following muscles is a supinator of the forearm that is NOT innervated by radial nerve

A

biceps brachii

34
Q

athetoid movements are rapid, abrupt, highly complex jerky movements that appear to be well coordinated but are performed involuntarily

A

false

35
Q

62 yr old female presents with complaints of a right sided throbbing headache which is increased when she combs her hair. this is most consistent with ___

A

temporal arteritis

36
Q

intermittant claudication is due to which of the following conditions

A

athersclerosis

37
Q

ape hand is associated with a lesion to ___ nerve

A

median

38
Q

the fast component of nystagmus will be in the direction of the spin in whirling chair test

A

true

39
Q

muscular dystrophy generally affects the ___

A

larger and proximal muscle groups

40
Q

although myofascial pain and fibromyalgia have some overlapping features. fibromyalgia is considered to be a regional pain pattern and not a widespread pain problem as seen with myofascial pain

A

false

41
Q

35 yr old male presents with repeated episodes of ulilateral severe headaches which are increased by alcohol consumption. other findings include lacrimation and rhinorrhea. what type of headache is it?

A

cluster

42
Q

loss of patellar reflex could be due to a lesion in the _____ nerve

A

femoral

43
Q

the first heart sound is created by the closure of the _____ valves

A

mitral and tricuspid

44
Q

lack of response (toes do not curl) while performing the plantar reflex would indicate

A

tibial nerve lesion

45
Q

which of the following is considered a red flag sign that is seen with cauda equina syndrome

A

urinary retention

46
Q

kidney stones are most commonly caused by excessive intake of

A

calcium

47
Q

which question would be best to ask a patient to help identify a spinal cord lesion

A

any changes to bathroom habits

48
Q

the pitch of vesicular breath sounds are

A

low

49
Q

which of the following is NOT a positive finding for Roos test

A

decreased or absent pulse

50
Q

the cubital tunnel is formed by the

A

flexor carpi ulnaris muscle

51
Q

patient presents with localized chest pain that is aggrevated by lying on thier side and side bending. history includes recent pneumonia without trauma. the most appropriate diagnosis is ____

A

pleurisy

52
Q

which of the following is not a cause of carpal tunnel syndrome

A

posterior lunate subluxation

53
Q

abdominal reflex reveals deviation of the umbilicus to superiorly this indicates

A

spinal cord lesion at T11

54
Q

which procedure is not part of the clinical evaluation of cranial nerve III

A

testing visual acuity

55
Q

inability to internally rotate the shoulder could indicate a tear in the ____ tendon

A

subscapularis

56
Q

upon general auscultation of the heart you hear an additional sound at Erbs point, the next appropriate procedure would be to have the patient

A

seated and listen with the diaphragm while having them flex forward at the waist

57
Q

emphysema would most likely demonstrate a positive finding on one side with ___

A

diaphragmatic excursion

58
Q

diastole is defined as the period of

A

ventricular relaxation

59
Q

increased amylase levels will most likely be seen in ____

A

pancreatitis

60
Q

a 25 yr old male presents with foot pain and tingling on the inside and bottom of his foot, without the presence of low back pain. this would inidcate

A

tibial neuropathy

61
Q

21 yr old male presents with peri umbilical pain with nausea and vomiting for 2 days. examination reveals muscle guarding and pain in the RLQ on palpation, she is febrile and pain worsens on hip flexion

A

appendicitis

62
Q

in lower crossed syndrome which of the following muscle are expected to be weakened

A

gluteal

63
Q

a shortened anterior scalene muscle would most likely present with a positive ____

A

halstead

64
Q

which of the following tests would not test positive for a pt with SI sprain

A

patrick

65
Q

nerve to serratus anterior

A

long thoracic

66
Q

nerve to pectoralis minor

A

medial pectoral

67
Q

nerve to teres minor

A

axillary

68
Q

nerve to levator scapula

A

dorsal scapular

69
Q 
integrating center for:
corneal
gag
accomodation
direct light
A

pons
medulla
occiptal cortex
midbrain

70
Q

Pallesthesia
crude touch
light touch

A

dorsal column
anterior spinothalamic
dorsal column

CLET (9 decks)

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