Physical Exam Findings

Question 1

Pulsus alternans

Answer 1

Alternating strong & weak

Left Ventricular systolic dysfunction

Question 2

Pulsus bigeminus

Answer 2

2 close beats followed by a pause

Hypertrophic Obstructive Cardiomyopathy

Question 3

Pulsus bisferiens

Answer 3

radial pulse > carotid

Aortic regurgitation

Question 4

Pulsus tardus et parvus

Answer 4

Aortic Stenosis

Question 5

Pulsus paradoxus

Answer 5

Cardiac tamponade & Tension pneumothorax

Question 6

Irregular irregular

Answer 6

Atrial fibrillation

Question 7

What is the common presentation of Rubella (German Measles)?

Answer 7

Prodrome begins with fever and occipital/posterior lymphadenopathy followed by a rash that is characterized to begin at the face, then generalizes over body but spares palms and soles. Rash progresses rapidly over 24 hour period.

Question 8

How does the presentation of Rubeola differ from Rubella?

Answer 8

Measles presents similar with initial fever lymphadenopathy, rash that begins on the face, generalizes towards the body sparing palms and soles. Fever is usually greater than 104 F, and rash spread progresses slower over days.

Question 9

What can occur with rubella infections in females different than males?

Answer 9

After initial symptoms disappear, women and female adolescents may present with polyarthralgias and or arthritis that may persist for up to a month.

Question 10

What are the classic findings of Appendicitis?

Answer 10

Fever, increased WBC, rebound, gaurding and RLQ pain. Diffuse abdominal pain that progresses to RLQ.

Question 11

Describe Erythema nodosum?

Answer 11

Pre-tibial nodules. Painful subcutaneous nodules no anterior surface of lower legs.

Question 12

What is Erythema nodosum a sign of?

Answer 12

Strong association with sarcoidosis and young AA F. TB Histoplasmosis, recent strep infection and anti inflammatory bowel disease.