Practice questions from DianNe's tutor

Question 1

During whisper test, which has a higher frequency, consonants or vowels?

Answer 1

Consonants

Question 2

What is a cause of higher frequency loss?

Answer 2

Presbycusis

-common in elderly

Question 3

What contributes to a normal whisper test and what is abnormal?

Answer 3

Repeating the correct initial sequence or at least 3 of 6

Abnormal: 4 of the 6 wrong

Question 4

Pt has a positive Weber test on R side and a Rinne test shows BC > AC on the right side. What issue does this pt have?

Answer 4

Bone conduction loss on R side

Question 5

Pt has positive Weber test on R side. Rinne test shows AC > BC. What issue does pt have?

Answer 5

A sensorineural loss on the L side

Question 6

What does a Weber test do?

Answer 6

Lateralize sound

-need to follow up positive test with Rinne

Question 7

A pt has a tonsil that is 65% the normal size. What grade is it?

Answer 7

3+ (>50% <75% - think of quarters making up a dollar)

Question 8

Difference between bacterial and infectious mononucleosis tonsillitis?

Answer 8

Mono has posterior cervical and diffuse lymphadenopathy and fatigue/malaise
Bacterial has anterior and tonsilar lymphadenopathy and pain with swallowing

Question 9

Pt comes in with pain R ear and flu like sxs. States she is having difficulty hearing. What caused this?

Answer 9

Otitis media due to obstruction of the Eustachian tube and fluid build up in middle ear

Question 10

When pt sticks out tongue and it deviates to L. Cause?

Answer 10

CN12 lesion

-tongue deviates to the side of the lesion **lick your wounds

Question 11

Picture of fucked up corner of mouth. Looks dry and cracked. What causes this?

Answer 11

Chelitis

Caused by B12 def, anemia/iron def, thrush

Question 12

What are the steps in the cardiovascular exam?

Answer 12

Inspect
Palpate
Percuss
Auscultate

Question 13

What is pigeon chest called?

Answer 13

Pectus carinatum

Question 14

What shape chest does COPD pt have and how is it different than normal?

Answer 14

Barrel chest

Increased AP diameter

Question 15

Where is the Point of Maximal Impulse (IMP) located?

Answer 15

4th-5th intercostal space at mid-clavicular line

Question 16

What are 4 listening posts of the heart and location

Answer 16

Aortic - R 2nd
Pulmonary - L 2nd
Tricuspid - L 4th
Mitral - L 5th at midclavicular

Question 17

Where are 3 places you can palpate to find a lower extremity pulse?

Answer 17

Popliteal pulse
Posterior tibial pulse
Dorsalis pedis pulse

Question 18

Normal capillary refill time?

Answer 18

2 seconds

Question 19

What is normal angle between nail and proximal nail fold?

Answer 19

180 degrees

Question 20

Causes of clubbing?

Answer 20

Congenital heart dz
Interstitial lung dz
Lung CA
CF

Question 21

What are some causes which would increase tactile fremitis?

Answer 21

Pneumonia,

Question 22

Some causes which would decrease tactile fremitis?

Answer 22

COPD, pleural effusion, fibrosis, pneumothorax, infiltrating tumor

Question 23

Explain how percussion would be done in a resp exam and what the 5 percussion notes are

Answer 23

Arms crossed in front of chest and percuss thorax on each side from apex to base
5 sounds: flat, dull, resonant, hyper resonant, tympmanic

Question 24

What breath is equally heard in inspiration and expiration

Answer 24

Tracheal

-see diagram

Question 25

Order of GI exam?

Answer 25

Inspect
Auscultate
Percuss
Palpate
*I Always Picture Penis* (you are welcome)

Question 26

What is ecchymosis around umbilicus called and what is cause?

Answer 26

Cullen’s sign

Hemoperitoneum due to pancreatitis, ectopic prego

Question 27

What does a high pitched tinkling sound indicate? Absent sounds indicate?

Answer 27

High pitch - early intestinal obstruction

Absent - intestinal perforation/ischemia/infarction

Question 28

Normal gut sounds?

Answer 28

5-35 clicks or gurgles per minute

Question 29

What are audible gut sounds called?

Answer 29

Borborygmi

Question 30

What side stethoscope for auscultation of the GI and what are you listening for?

Answer 30

Bell

Looking for Bruits suggestive of vascular occlusive disease

Question 31

Normal size of liver?

Answer 31

6-12 cm

Question 32

Tests for appendicitis?

Answer 32

Rovsing’s sign, McBurney’s point, Heel strike, iliopsoas muscle test/obturator muscle test

Question 33

What test can be done for pyelonephritis

Answer 33

Lloyd punch