More Lab Material

Question 1

Where is pain from rib dysfunction usually experienced?

Answer 1

Anterior intercostal spaces associated with intercostal spasm

Question 2

Typical size of PMI

Answer 2

2.5cm, size of a quarter

Question 3

When is systolic vs diastolic between heart sounds?

Answer 3

S1 -> systole -> S2 -> diastole -> S1

Question 4

Anterior vs posterior rib tenderpoint is typically indicative of what?

Answer 4

Anterior rib tenderpoint: exhaled rib

Posterior rib tenderpoint: inhaled rib

Question 5

AR1 tenderpoint

Answer 5

Below clavicle on rib 1, just lateral to manubrium

Question 6

AR2 tenderpoint

Answer 6

Superior aspect of rib 2 at midclavicular line

Question 7

AR3-10 tenderpoint

Answer 7

Anterior axillary line on rib 3-10

Question 8

PR1 tenderpoint

Answer 8

Posterosuperior aspect of rib 1, just lateral to Costcotransverse articulation

Question 9

PR 2-10 tenderpoint

Answer 9

On posterosuperior angle of rib, at medial border of scapula

Question 10

Pars flaccida vs pars tensa in ear

Answer 10

Pars flaccida: loose TM

Pars tensa: tight TM

Question 11

Papilledema

Answer 11

Increased intracranial pressure resulting in intra-axonal edema along optic nerve

Question 12

Glaucomatous cupping

Answer 12

Increased intraocular pressure leads to increased cupping (backward depression) of the optic disc and atrophy

Question 13

What conditions show cotton wool spots?

Answer 13

HTN, DM, HIV, others

Question 14

What condition is drusen bodies seen in?

Answer 14

Macular degeneration

Question 15

Common causes of stridor vs wheezes vs crackles (rales)

Answer 15

Stridor: croup, epiglottitis, upper airway FB, anaphylaxis
Wheezes: RAD, COPD, asthma
Crackles: PNA, CHF, atelectasis, bronchiectasis, asthma, COPD

Question 16

What sensation level are patellar and Achilles reflexes testing?

Answer 16

Patellar: L4
Achilles: S1

Question 17

Muscle strength scale

Answer 17

0: none
1: tiny movement
2: active movement with gravity eliminated
3: active movement against gravity
4: active movement against some resistance
5: full movement

Question 18

What level are biceps, triceps,and brachioradialis reflexes testing?

Answer 18

Biceps: C5-6
Triceps: C6-7
Brachioradialis: C5-6

Question 19

Proptosis/exophthalmos

Answer 19

Bulging eyes, concern for hyperthyroid

Question 20

Chalazion vs hordeolum

Answer 20

Chalazion: blocked Meibomian gland in lid, non tender and not painful
Hordeolum: bacterial infection of Meibomian gland (on the lash line), stye

Question 21

Pterygium

Answer 21

Tissue growth on eye in reaction to UV radiation or dust

Question 22

Arcus senilis

Answer 22

White deposits around cornea common with age

Question 23

Acute angle-closure glaucoma

Answer 23

Acute, severe pain associated with decreased vision, fixed/dialted pupil

Question 24

anterior rib tenderpoint counterstrain treatment

Answer 24

F SRT

Question 25

posterior rib 1 vs 2-10 tenderpoint counterstrain treatment

Answer 25

Rib 1: eSaRt

Rib 2-10: FSARA