Lecture Exam 1 Review Flashcards
A 35-year-old man, who is working outside in the heat, has a body temperature of 101.5 degrees Fahrenheit. He is also sweating heavily and feels dizzy. This man is suffering from heat stroke.(T/F)
False
A 25-year-old male presents with severe substernal chest pain that started one day ago. Laying down is provocative, and you note a rub that is present when the patient holds his breath. What is the most likely diagnosis?
Pericarditis
A blood pressure reading of 120 mmHg / 80 mmHg is considered normal. (T/F)
False
Anauscultatorygapoccurs duringphase _______ of theKorotkovsounds.
2
Acute myocardial infarction is most commonly the direct result of __________________ formation
Thrombus
A thrombus is a fibrinous clot that acutely forms in and obstructs a blood vessel, or that forms in one of the chambers of the heart. (T/F)
True
A pulse described as pulsus parvus would be graded as a ___________.
1
140/90 mm Hg is considered a hypertensive crisis.
(T/F)
False
Upon examination you note decreased right-sided fremitus, percussive dullness on the right side and right -sided tracheal deviation. Which of the following pathologies is the most likely cause of these findings?
Atelectasis
What does the term “orthostatic” mean
Upright posture
Tracheal tug that subsides when a patient holds his/her breath commonly indicates ____________________.
Emphysema
This patient is demonstrating __________________ sign.
(Bent over w/ hand on chest)
Cullen Sign
When audible, phase 2 Korotkoff sounds resemble a _______________________
Murmur
Virchow nodes are often a sentinel sign of gastrointestinal cancer because the right lymphatic duct drains most lymph from the abdomen.(T/F)
False
Which heart valve is open during diastole?
Mitral
Which of the following pathologies are considered obstructive lung diseases? (MACA)
Bronchiectasis, Emphysema & Asthma
Which of the following pain patterns is most consistent with myocardial infarction?
Severe Cruching substernal chest pain
Please click on the quadrant in which Crohn’s disease most commonly first appears.
RLQ
Ventricular hypertrophy is a common cause of which pathological sound?
S4 Gallop
The normal percussion note heard over the abdomen is ________________
Tympani
Which of the following is the most common precursor of a pulmonary embolism?
Deep Vein Thrombosis
Which of the following pathologies are causes of emergent/emergencypleuriticchest pain? (MACA)
Pulmonary embolism & Pnemonia
Which of the following is NOT considered a deep vein thrombosis (DVT)warning sign?
Diminished pulse amplitude
Please click the center of the quadrant in which one would most commonly experience parietal diverticulitis pain.
LLQ
A patient presents with recurring episodes of severe vertigo that last approximately 1 minute. Said patient notes that head movement seems to elicit the vertigo, but she denies tinnitus. What is the most likely diagnosis?
BPPV
Cervicogenic dizziness typically presents as ____________________.
Disequillibrium
Air passing through narrowed bronchioles produces which of the following lung sounds?
Wheezes
A 30-year-old female with a history of heart valve problems states that she has been “very tired.” She has started waking up at night and feels like her “heart is pounding.” During the examination, you auscultate a blowing, swishing sound right after S1 (in the systolic space) at the left fifth intercostal space at the midclavicular line. These findings are most consistent with?
Mitral Regurgitation
Which of the following is considered a normal breath sounds?
Vesicular & Tubular
During auscultation of the heart, you note an expiratory S2 split. Is this pathological? If so, what is the most likely cause?
Yes, slow pulmonary valve closure
During an August football practice, a football player complaints of dizziness and leg cramps. He is also noted to have a weak pulse, clammy skin and is sweating profusely. You suspect his core body temperature will measure about ________ degrees Fahrenheit.
102
A patient with a history of heart disease presents with slight cyanosis and labored breathing. The percussive note of the lungs is dull bilaterally, and fremitus is increased on both sides of the thorax. Bilateral crackles are heard during lung auscultation. Which of the following is the most likely diagnosis?
Pulmonary Edema
A pulse is palpated and found to be irregularly irregular. Which of the following is most likely the cause?
Atrial Fibrilation
A patient presents with recurring episodes of severe vertigo that start suddenly and last two to three hours. The patient notes that her vertigo is accompanied by a ringing sensation in an ear. As such, this patient is expected to respond favorably to the Epley Maneuver.
False
A palpatory thrill indicates the presence of underlying turbulent blood flow in the heart
True
A 64-year-old female patient with a history of migraines reports to your office at 1:00 pm for evaluation of a headache. Approximately two and a half hours ago, the patient developed a generalized headache and began experiencing vision changes. At the same time, she noted weakness and a pins and needles feeling in her right upper extremity. These symptoms are unchanged. Based on the above presentation, this patient is suffering from a classic migraine. (T/F)
False
A 57-year-old male patient complains of ear pain, but his ear examination is within normal limits. What pathology must be ruled out?
Temporal Arteritis
A patient whose abdominal aorta is 3.5 cm in diameter requires a vascular surgeon consult. (T/F)
False
A common migraine is precededby an aura (T/F)
False (classic)
A patient presents with decreased right-sided tactile fremitus, dullness on right-sided percussion, and diminished right-sided breath sounds. What is the most likely cause of the patient’s symptoms?
Pleural Effusion
Your patient presents with slow chest expansion on the right,decreasedfremituson the right, tracheal deviation to the right, and dullness upon right-sidedpercussion. What is the most likely cause of said findings?
Atelecstasis
Accommodation refers to:
A change in shape/thickness of the lens
Your 65-year-old diabetic patient is experiencing diffuse edema. Urinalysis reveals proteinuria and fat oval bodies. You suspect your patient is suffering from __________________.
Nephrotic Syndrome
________________ are typically inspiratory, and ________________ are typically expiratory.
Rates; Wheezes
Your patient reports a throbbing headache on the right side of his head. He reports that the headache goes away after several hours if he takes over the counter medication and rests. He is also afraid that he may have an ulcer because he feels sick to his stomach during the headaches. What is the most likely diagnosis?
Migraine headache
_______________________ is considered an inflammatory bowel disease.
Ulcerative Colitis
Your patient’s systolic blood pressure decreases by 25 mm Hg upon standing. You would expect this patient to complain of _______________________.
Presyncope
Your patient is examined using an ultrasound showing each heart chamber and valve. This imaging technique would be used to confirm which pathology?
Valvular disease
