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PCM 1 Midterm > Practice test 1 Extra > Flashcards

Practice test 1 Extra Flashcards

1
Q

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

A

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

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2
Q

Chronic otitis media with effusion increases risk for what

A

hearing problems in the future

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3
Q

Menieres dz

A

sensorineural loss in inner ear

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4
Q

BPPV

A

spinning sensation worse with position of the head

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5
Q

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

A
  1. Sensorineural loss in opposite ear(AC>BC)
  2. Conduction loss in the same ear (BC>AC or AC=BC)
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6
Q

a normal rhinne test is

A

AC>BC

–> sensorineural loss in opposite ear

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7
Q

external landmarks of lips

A
  1. lips
  2. vermillion border
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8
Q

how to palpate frontal sinuses

A

pressed under bony brows

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9
Q

buccal mucosa

A

lip and cheek lining

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10
Q

collumella

A

near tip of nose

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11
Q

vestibule

A

most anterior part of nasal cavity

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12
Q

soft palate controlled by CN

A

9 and 10

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13
Q

hear post op fever; think

A

ATELECTASIS

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14
Q

what can u see with marfans

A

pectus cainatum

pextus excavatum

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15
Q

bronchovesicular sounds are heard where

bronchial sounds are best heard where

A

1st and 2ns intercostal spaces and between scapula

-manubrium

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16
Q

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

A

bronchial breath sounds

egophony

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17
Q

_____ likely in pt with marfans

A

aortic dissection

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18
Q

A wave–>

C wave –>

V wave–>

A

A wave–> atrial contraction

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

V–> atria filling with venous bllod

19
Q

CENTOR grading

A

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

20
Q

Cauze of Croup

A
  1. parinfluenza virus
  2. respirtory syncitial virus
  3. influenze
21
Q

Conductive hearing loss

A

external or middler ear problems

cerumen = ear wax (external ear problem)

22
Q

sensorineural hearing loss

A

inner ear

cochlear nerve

central brain cnxn

23
Q

whisper test normal and abnormal

A

normal: correctly identifies 3/6

24
Q

allergic rhinitis

A

pale, bluish rhinitis

25
Q

viral rhinitis

A

erythematous, edamatous nasal mucosa

26
Q

hyperresonant sound

A

very loud

low pitched

last for a longer duration

—d/t hyperinflated lungs; COPD, asthma, pheumorthax

27
Q

dull sound

A

medium intensity, pitch and duration-

  • dullness d/t fluid or solid-tissue
  • emphysema or effusion-
28
Q

tympanic

A

loud and high pitched musical noise

29
Q

flat

A

soft, high pitched of short duration

30
Q

needle thoracentesis - 2nd intercostal space at the _____ line

A

MIDCLAVICULAR

31
Q

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

A

wheezes

32
Q

Diastolic murmurs

A

MS. P/ARTS

mitral stenosis

Pulmonic regurigictation

aortic regurg

tricuspid stenosis

33
Q

systolic murmurs

A

MR. TRA/PS

Mitral regurg

Tricuspis regurg

Aortic stenosis

Pulmonic stenosis

34
Q

Carotid bruits

A

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)

35
Q

JVD is d/t

A

right-sided heart failure

36
Q

PMI indicates _______

A

cardiomegaly

37
Q

Pulses

A

0- absent

1- barely palpable

2- average intensity

3- stronger than average

4- bounding

38
Q

ascending and cresendo

A

aortic stenosis

39
Q

allen test

A

???

40
Q

flank pain and a sicker pt than one with cystitis

A

pyelonephritis

41
Q

key sx to renal cancer

A

painless hematuria (urine discoloration)

42
Q

order of kidney diagonostics

A
  1. blood work
  2. ultrasound—if mass–>

.3 CT (potential renal toxicity:)

  1. evetually to a renal biospy
43
Q
A

PCM 1 Midterm (11 decks)

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