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PCM II Exam II > Random PCM II Exam 1 > Flashcards

Random PCM II Exam 1 Flashcards

1
Q

Correct order for physical exam of the abdomen?

A

1) Inspection
2) Auscultation
3) Percussion
4) Palpation

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2
Q

Grey Turner’s Sign vs. Cullen’s sign?

A

Grey Turner’s Sign: ecchymosis of the flanks (pancreatitis)

Cullen’s Sign: ecchymosis around the umbilicus (ectopic pregnancy; pancreatits)

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3
Q

What is the predominate sound heard during percussion of the abdomen?

Over organs?

A
  • Typmany
  • Dullness over solid organs or masses
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4
Q

Rovsing’s Sign?

A
  • Pain in the RLQ during Left-sided pressure
  • Referred rebound tenderness seen in appendicitis
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5
Q

Murphy’s Sign?

A
  • Tests for acute cholecystitis or cholelithiasis.
  • Palpate deeply during inspiration and observe for pain
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6
Q

Wright’s Hyperabduction test for?

Specifically what muscle?

A

Thoracic outlet syndrome, specifically neurovascular entrapment by pectoralis minor muscle

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7
Q

Gaenslen Test?

A
  • Pt supine. Flex one hip and knee to chest while simultaneously extending opposite hip (off side of table)
  • (+) test = posterior pelvic pain
  • Indicates: SI joint dysfunction or pathology
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8
Q

Stork test?

A
  • Pt standing and have them flex hip and knee of one leg. Stabilize pt’s iliac crests, if needed, and have them lean back extending lower back
  • (+) test = pain in lower back as it stress the posterior elements of the spine on the ipsilateral side
  • Indicates: Possible pars defect/stress fracture
  • If bilateral, increased risk of spondylolisthesis
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9
Q

Straight Leg Raise Test for lower back?

Sensitive or specific?

A
  • Pt supine. Passively flex patients ipsilateral hip with knee extended
  • (+) test = presence or worsening of radicular pain radiating into the ipsilateral leg, especially between 30-60° and worse w/ dorsiflexion

- Indicates: lumbosacral radiculopathy (usually herniated disc) and or sciatic neuropathy

  • High sensitivity, but LOW specificity
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10
Q

Top 3 leading causes of death in US?

A

1) Heart disease
2) Cancer
3) Chronic lower respiratory disease

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11
Q

Leading cause of injury death in US?

A

Unintentional poisoning

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12
Q

Leading cause of injury death in the US for people ages 5-24?

A

Unintentional MV traffic accident

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13
Q

Who gets PCV13 and PPSV23 vaccines?

A

PCV13 = all children younger than 2 yo, all adults > 65 yo

PPSV23 = all adults 65+, people 2-64 w/ certain conditions, and adults 19-64 yo who smoke

*A smoker during lifetime will get 2 PPSV23 shots, one before age 65 and then one thereafter.

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14
Q

HPV vaccine for boys and girls?

A
  • 3 doses for all girls at age 11 thru 26
  • 3 doses for all boys at age 11 thu 21
  • 3 doses recommended for MSM or who have other risk factor to age 26!
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15
Q

What does hyperparathyroidsim lead to?

Mneminic for symptoms?

A
  • Hypercalcemia
  • Stones, bones, groans, thrones, psychiatric overtones
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16
Q

Most common cause of hypothyroidism?

Hyperthyroidism?

A

Hashimoto’s thyroiditis = autoimmune disease

Grave’s Disease = hyperthyroidism = autoimmune

17
Q

Classic Graves’ disease sign?

A

Exophthalmos

18
Q

Addison’s disease?

Causes?

A
  • Adrenal insufficiency (cortisol underproduction)
  • Primary: not making cortisol
  • Secondary: due to lack of ACTH
19
Q

Common signs of Addison’s Disease?

A

Skin and oral mucosa hyperpigmentation

20
Q

Commonly seen with what disease?

A
  • Acanthosis nigracans
  • Diabetes
21
Q

Scapular elevation strength testing for what nerve roots?

A

C2-4

22
Q

Most common cause of acute or chronic neck pain?

A

Cervical spondylosis (degenerative changes)

23
Q

What is Courvoisier’s Sign?

A

Enlarged non-tender gallbladder due to cancer or 2° pancreatic disease

24
Q

Cushing’s Syndrome vs. Cushing’s disease?

A

Cushing’s syndrome: refers to the condition caused by excess cortisol in the body regardless of the cause

Cushing’s disease: pituitary tumor secreting excess ACTH

25
Q

Acute vs. Subacute vs. Chronic LBP?

A

Acute: less than 4 weeks

Subacute: >4-12 weeks

Chronic: >12 weeks

26
Q

What are the dermatomes for superior shoulder/lateral neck?

Medial elbow/upper arm?

A

C4

T1

27
Q

Performing Adson test and patient extends and rotates head towards the dysfunctional side, which elicits pain, telling you what is causing this?

What if the pain was reproduced after rotating head away from the dysfunctional side?

A
  • 1st rib (toward dysfunctional side)
  • Tight scalenes (away from dysfunctional side)
28
Q

What is normal Ferguson’s angle (lumbosacral)?

A

30-40

29
Q

Heel walking tests what nerve root?

A

L5 - dorsiflexion - tibialis anterior

PCM II Exam II (6 decks)

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