Lecture Exam 1 Review

Question 1

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)

Answer 1

False

Question 2

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?

Answer 2

Pericarditis

Question 3

A blood pressure reading of 120 mmHg / 80 mmHg is considered normal. (T/F)

Answer 3

False

Question 4

Anauscultatorygapoccurs duringphase _______ of theKorotkovsounds.

Answer 4

2

Question 5

Acute myocardial infarction is most commonly the direct result of __________________ formation

Answer 5

Thrombus

Question 6

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)

Answer 6

True

Question 7

A pulse described as pulsus parvus would be graded as a ___________.

Answer 7

1

Question 8

140/90 mm Hg is considered a hypertensive crisis.
(T/F)

Answer 8

False

Question 9

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?

Answer 9

Atelectasis

Question 10

What does the term “orthostatic” mean

Answer 10

Upright posture

Question 11

Tracheal tug that subsides when a patient holds his/her breath commonly indicates ____________________.

Answer 11

Emphysema

Question 12

This patient is demonstrating __________________ sign.
(Bent over w/ hand on chest)

Answer 12

Cullen Sign

Question 13

When audible, phase 2 Korotkoff sounds resemble a _______________________

Answer 13

Murmur

Question 14

Virchow nodes are often a sentinel sign of gastrointestinal cancer because the right lymphatic duct drains most lymph from the abdomen.(T/F)

Answer 14

False

Question 15

Which heart valve is open during diastole?

Answer 15

Mitral

Question 16

Which of the following pathologies are considered obstructive lung diseases? (MACA)

Answer 16

Bronchiectasis, Emphysema & Asthma

Question 17

Which of the following pain patterns is most consistent with myocardial infarction?

Answer 17

Severe Cruching substernal chest pain

Question 18

Please click on the quadrant in which Crohn’s disease most commonly first appears.

Answer 18

RLQ

Question 19

Ventricular hypertrophy is a common cause of which pathological sound?

Answer 19

S4 Gallop

Question 20

The normal percussion note heard over the abdomen is ________________

Answer 20

Tympani

Question 21

Which of the following is the most common precursor of a pulmonary embolism?

Answer 21

Deep Vein Thrombosis

Question 22

Which of the following pathologies are causes of emergent/emergencypleuriticchest pain? (MACA)

Answer 22

Pulmonary embolism & Pnemonia

Question 23

Which of the following is NOT considered a deep vein thrombosis (DVT)warning sign?

Answer 23

Diminished pulse amplitude

Question 24

Please click the center of the quadrant in which one would most commonly experience parietal diverticulitis pain.

Answer 24

LLQ

Question 25

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?

Answer 25

BPPV

Question 26

Cervicogenic dizziness typically presents as ____________________.

Answer 26

Disequillibrium

Question 27

Air passing through narrowed bronchioles produces which of the following lung sounds?

Answer 27

Wheezes

Question 28

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?

Answer 28

Mitral Regurgitation

Question 29

Which of the following is considered a normal breath sounds?

Answer 29

Vesicular & Tubular

Question 30

During auscultation of the heart, you note an expiratory S2 split. Is this pathological? If so, what is the most likely cause?

Answer 30

Yes, slow pulmonary valve closure

Question 31

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.

Answer 31

102

Question 32

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?

Answer 32

Pulmonary Edema

Question 33

A pulse is palpated and found to be irregularly irregular. Which of the following is most likely the cause?

Answer 33

Atrial Fibrilation

Question 34

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.

Answer 34

False

Question 35

A palpatory thrill indicates the presence of underlying turbulent blood flow in the heart

Answer 35

True

Question 36

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)

Answer 36

False

Question 37

A 57-year-old male patient complains of ear pain, but his ear examination is within normal limits. What pathology must be ruled out?

Answer 37

Temporal Arteritis

Question 38

A patient whose abdominal aorta is 3.5 cm in diameter requires a vascular surgeon consult. (T/F)

Answer 38

False

Question 39

A common migraine is precededby an aura (T/F)

Answer 39

False (classic)

Question 40

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?

Answer 40

Pleural Effusion

Question 41

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?

Answer 41

Atelecstasis

Question 42

Accommodation refers to:

Answer 42

A change in shape/thickness of the lens

Question 43

Your 65-year-old diabetic patient is experiencing diffuse edema. Urinalysis reveals proteinuria and fat oval bodies. You suspect your patient is suffering from __________________.

Answer 43

Nephrotic Syndrome

Question 44

________________ are typically inspiratory, and ________________ are typically expiratory.

Answer 44

Rates; Wheezes

Question 45

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?

Answer 45

Migraine headache

Question 46

_______________________ is considered an inflammatory bowel disease.

Answer 46

Ulcerative Colitis

Question 47

Your patient’s systolic blood pressure decreases by 25 mm Hg upon standing. You would expect this patient to complain of _______________________.

Answer 47

Presyncope

Question 48

Your patient is examined using an ultrasound showing each heart chamber and valve. This imaging technique would be used to confirm which pathology?

Answer 48

Valvular disease