TEST 2 WTFS Flashcards

1
Q

closure of mitral and tricuspid

A

S1

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2
Q

closure of aortic and pulmonic valves

A

S2

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3
Q

resistance to filling of ventricles

A

S3

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4
Q

atrial gallop

A

S4

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5
Q

Ten-nes-see

A

S4

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6
Q

Ken-TUCK-y

A

S3

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7
Q

extra heart sounds

A
  • pericardial friction rub

- prosthetic valve click

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8
Q

signs of arterial occlusion or insufficiency

A
  • pain
  • pallor
  • paralysis
  • pulselessness
  • parasthesias
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9
Q

signs of venous obstruction

A
  • homan sign
  • edema
  • thrombosis
  • varicose veins
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10
Q

tests extra ocular eye movements

A

-6 cardinal fields of gaze
nystagmus
-cover-uncover

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11
Q

near sighted

A

myopia

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12
Q

far sighted

A

hyperopia

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13
Q

both eyes don’t focus simultaneously

A

strabismus

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14
Q

double vision

A

diplopia

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15
Q

response of the other eye

A

consensual

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16
Q

inflammation of eyelash follicle

A

recurrent hordeola (stye)

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17
Q

lazy eye

A

amblyopia

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18
Q

loss of accommodation with age and lenses become rigid

A

presbyopia

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19
Q

exposure to wind

A

ptergium

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20
Q

involuntary movements

A

nystagmus

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21
Q

thoracic landmarks

A
  • clavicle
  • supersternal notch
  • manibrosternal junction
  • intercostal spaces
  • sternal borders
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22
Q

look for when palpating arteries

A
  • rhythm
  • amplitude
  • symmetry
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23
Q

look for when checking murmurs

A
  • timing/duration
  • intensity
  • location
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24
Q

which arteries to palpate

A
  • temporal
  • carotid
  • brachial
  • radial
  • femoral
  • popliteal
  • dorsalis pedis
  • posterior tibial
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25
Q

which scale are arteries measure on

A

0-4

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26
Q

0

A

absent

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27
Q

1

A

diminished

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28
Q

2

A

expected

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29
Q

3

A

full, increased

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30
Q

4

A

bounding

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31
Q

which scale are the intensity of murmurs measured by

A

I-VI

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32
Q

turbulent blood flow through a valve

A

murmor

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33
Q

opening between the 2 atria in the fetus

A

foramen ovale

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34
Q

channel between main pulmonary artery and aorta in fetus

A

ductus arteriosis

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35
Q

where are superficial nodes located

A

sub Q tissue

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36
Q

where are deep nodes

A

beneath fascia of muscles and in body cavity

37
Q

lymph is composed of

A
  • WBCs
  • RBCs
  • clear fluid
  • proteins
38
Q

types of hernias

A
  • hiatal
  • umbilical
  • inguinal
  • ventral
39
Q

increased bowel sounds may occur if

A
  • gastroenteritis
  • hunger
  • early intestinal obstruction
40
Q

high pitched tinkling abdomen sounds

A
  • intestinal fluid

- air under pressure

41
Q

decreased bowel sounds

A
  • peritonitis

- paralytic ileum

42
Q

where do you listen for bruits in abdomen

A
  • femoral arteries
  • renal arteries
  • iliac arteries
  • epigastric region
  • aortic region
43
Q

s/s of AAA

A
  • n/v
  • abdominal mass
  • bruits
44
Q

what does lymph system do?

A
  • filters
  • produces lymphocytes
  • produces antibodies
  • phagocytosis
45
Q

when checking tympanic membrane

A
  • light reflex

- malleus

46
Q

what is heard over organs and solid masses

A

dullness

47
Q

vision difficulties

A

halos

  • floaters
  • diploid
  • color vison
48
Q

what to check for on external ear

A
  • deformities

- drainage

49
Q

lymph nodes warm to touch

A

bacterial infection

50
Q

edema without pitting

A

arterial insufficiency or lymphedema

51
Q

tympanic sounds indicate

A

air

52
Q

fine, palpable, rushing vibration

A

thrill

53
Q

tonsils are graded on a scale of

A

1-4

54
Q

tonsils - 1

A

visible

55
Q

tonsils - 2

A

halfway between tonsillar pillars and uvula

56
Q

tonsils - 3

A

nearly touching the uvula

57
Q

tonsils - 4

A

touching each other

58
Q

cardiac - HPI

A
chest pain
fatigue
cough
dyspnea
LOC
59
Q

cardiac - PMH

A

surgery
increased BP
diabetes

60
Q

cardiac - FH

A

early onset heart disease

sudden death

61
Q

cardiac - PSH

A

tobacco use
diet
drugs

62
Q

head and neck - HPI

A

head injury
headache
stiff neck
thyroid probs

63
Q

head and neck - PMH

A
head trauma
lumbar puncture
radiation treatment
headaches
seizures
thyroid dysfunction
64
Q

head and neck - FH

A

headaches - type and character

thyroid dysfunction

65
Q

head and neck - PSH

A
employment risk
stress
injury risks
recent weight gain/loss
food intolerances
use of alcohol/drugs
66
Q

breasts and axillae - HPI

A

breast discomfort
breast mass/lumps
nipple discharge

67
Q

breasts and axillae - PMH

A
previous breast disease
BRCA1 or BRCA2 mutation
changes in breast characteristics
mammogram history
menstrual history
preg and location
meds
68
Q

male genitalla - HPI

A
difficulty achieving and maintaining an erection
difficulty with ejaculation
discharge
lesions
infertility
hernia
testicular mass
69
Q

male genitalla - PMH

A

surgery
sex history
chronic illness

70
Q

male genitalla - FH

A

hernia
cancer
infertility

71
Q

male genitalla - PSH

A

high risk sex behavior

72
Q

abdomen - HPI

A

pain
character
location

73
Q

abdomen - PMH

A

GI disorders

74
Q

abdomen - PSH

A

nutrition
exposures
alcohol and drug use

75
Q

abdomen - FH

A
liver cancer
colon cancer
gallbladder disease
kidney disease
polys
76
Q

lymph - HPI

A

enlarged nodes

swelling of extremity

77
Q

lymph - PMH

A
allergies
chronic illness
tuberculosis
blood transfusions
surgery
autoimmune
78
Q

lymph - FH

A

malignancy
tuberculosis
immune disorders
hemophilia

79
Q

lymph - PSH

A

recent travel
illicit drugs
sex history

80
Q

blood vessels - HPI

A
leg pain/ cramps
dizziness
fatigue
headaches
swollen ankles
81
Q

blood vessels - PMH

A

heart disease
bleeding disorders
stroke

82
Q

blood vessels - FH

A

diabetes
hypertension
heart disease
AAA surgery

83
Q

blood vessels - PSH

A

tobacco use

cocaine

84
Q

what to inspect during otoscopic exam

A
external canal
tympanic membrane
contour
color
perforations
85
Q

what to inspect/palpate head and face

A
scalp
lesions
size
expressions
symmetry
involuntary movements
head position
shape
86
Q

inspection and palpation of neck

A
muscle symmetry
ROM
trachea alignment
thyroid
carotid artery
87
Q

questions about stool

A

color

pain/discomfort

88
Q

how to palpate breasts and axillae while seated

A

chest wall sweep
bimanual digital palpation
lymph node palpation

89
Q

listen for bruits where

A
temporal
carotid
aorta
renal
illiac
femoral