Practice test 1 Extra

Question 1

In the centor criteria management of a sore thrat, a score of 4 of more indicates what?

Answer 1

empiric tx with antibiotics given the increased risk for group A.

Question 2

Chronic otitis media with effusion increases risk for what

Answer 2

hearing problems in the future

Question 3

Menieres dz

Answer 3

sensorineural loss in inner ear

Question 4

BPPV

Answer 4

spinning sensation worse with position of the head

Question 5

In webers test, if sound lateralized to one ear, you either have

Answer 5

1. Sensorineural loss in opposite ear(AC>BC)
2. Conduction loss in the same ear (BC>AC or AC=BC)

Question 6

a normal rhinne test is

Answer 6

AC>BC

–> sensorineural loss in opposite ear

Question 7

external landmarks of lips

Answer 7

1. lips
2. vermillion border

Question 8

how to palpate frontal sinuses

Answer 8

pressed under bony brows

Question 9

buccal mucosa

Answer 9

lip and cheek lining

Question 10

collumella

Answer 10

near tip of nose

Question 11

vestibule

Answer 11

most anterior part of nasal cavity

Question 12

soft palate controlled by CN

Answer 12

9 and 10

Question 13

hear post op fever; think

Answer 13

ATELECTASIS

Question 14

what can u see with marfans

Answer 14

pectus cainatum

pextus excavatum

Question 15

bronchovesicular sounds are heard where

bronchial sounds are best heard where

Answer 15

1st and 2ns intercostal spaces and between scapula

-manubrium

Question 16

in pts with fever and cough, the presence of ______ and ____ more than TRIPLES the likihood of pneumonia

Answer 16

bronchial breath sounds

egophony

Question 17

_____ likely in pt with marfans

Answer 17

aortic dissection

Question 18

A wave–>

C wave –>

V wave–>

Answer 18

A wave–> atrial contraction

C–> pressure from ventricule during isovolumetric contraction on tripcuspid valve, bulging int o atrium

V–> atria filling with venous bllod

Question 19

CENTOR grading

Answer 19

C- absence of a cough (1 point)

E- tonsillar exudatage (1 point)

N- anterior cervical nodes (1 point)

T- temp >100.4F (1 point)

Young or old- 3-14 yo (1 point)

15-44 (0 points)

>45 (-1 points)

0-1 no testing or abx

2-3- thoat culture or RADT

>4 empirix abx

Question 20

Cauze of Croup

Answer 20

1. parinfluenza virus
2. respirtory syncitial virus
3. influenze

Question 21

Conductive hearing loss

Answer 21

external or middler ear problems

cerumen = ear wax (external ear problem)

Question 22

sensorineural hearing loss

Answer 22

inner ear

cochlear nerve

central brain cnxn

Question 23

whisper test normal and abnormal

Answer 23

normal: correctly identifies 3/6

Question 24

allergic rhinitis

Answer 24

pale, bluish rhinitis

Question 25

viral rhinitis

Answer 25

erythematous, edamatous nasal mucosa

Question 26

hyperresonant sound

Answer 26

very loud low pitched last for a longer duration ---d/t hyperinflated lungs; COPD, asthma, pheumorthax

Question 27

dull sound

Answer 27

medium intensity, pitch and duration- - dullness d/t fluid or solid-tissue - emphysema or effusion-

Question 28

tympanic

Answer 28

loud and high pitched musical noise

Question 29

flat

Answer 29

soft, high pitched of short duration

Question 30

needle thoracentesis - 2nd intercostal space at the _____ line

Answer 30

MIDCLAVICULAR

Question 31

sounds heard in narrow airways (asthma, COPD, bronchitis)

Answer 31

wheezes

Question 32

Diastolic murmurs

Answer 32

MS. P/ARTS mitral stenosis Pulmonic regurigictation aortic regurg tricuspid stenosis

Question 33

systolic murmurs

Answer 33

MR. TRA/PS Mitral regurg Tricuspis regurg Aortic stenosis Pulmonic stenosis

Question 34

Carotid bruits

Answer 34

turbulence is heard when listening to the carotids with the bell of the stethoscrop. have patients hold their breahtes when listening d/t plaues (arthersclerosis)

Question 35

JVD is d/t

Answer 35

right-sided heart failure

Question 36

PMI indicates \_\_\_\_\_\_\_

Answer 36

cardiomegaly

Question 37

Pulses

Answer 37

0- absent 1- barely palpable 2- average intensity 3- stronger than average 4- bounding

Question 38

ascending and cresendo

Answer 38

aortic stenosis

Question 39

allen test

Answer 39

???

Question 40

flank pain and a sicker pt than one with cystitis

Answer 40

pyelonephritis

Question 41

key sx to renal cancer

Answer 41

painless hematuria (urine discoloration)

Question 42

order of kidney diagonostics

Answer 42

1. blood work 2. ultrasound---if mass--\> .3 CT (potential renal toxicity:) 4. evetually to a renal biospy