Exam 1

Question 1

What are the 5 P’s of sexual history?

Answer 1

Partners, practices, protection, prevention, past history

Question 2

Intimate partner violence screening

Answer 2

HITS
Hurt you physically?
Insult or talk down to you?
Threaten you with physical harm?
Scream or curse at you?

Question 3

What side do you examine a patient from?

Answer 3

Right side

Question 4

Use palmar surface of finger/finger pads for…

Answer 4

Palpating position, texture, size, consistency, fluid, form of a mass

Question 5

Use ulnar surfaces of hand and fingers for…

Answer 5

Palpating vibration

Question 6

Use dorsal surface of hand for…

Answer 6

Palpating for temperature

Question 7

Tympani

Answer 7

Loud, high, drum like

Question 8

Hyper resonance

Answer 8

Very loud, low, booming

Question 9

Resonance

Answer 9

Loud, low, hollow

Question 10

Dullness

Answer 10

Soft, moderate, thud like

Question 11

Flatness

Answer 11

Soft, high, dull

Question 12

Averag oral temperature

Answer 12

37 degrees Celsius (98.6 F)

Question 13

Rectal is … Compared to oral

Answer 13

1 degree F greater than oral

Question 14

Axillary temperature is … Compared to oral

Answer 14

1 degree less than oral

Question 15

Tympanic temperature is… Compared to oral

Answer 15

1.5 degrees greater than oral

Question 16

Tachycardia is…

Answer 16

Greater than 100 bpm

Question 17

Bradycardia is …

Answer 17

Less than 60 beats per minute

Question 18

Carotid pulse points

Answer 18

60-70

Question 19

Radial pulse point

Answer 19

Greater than 80

Question 20

Femoral pulse point

Answer 20

70-80

Question 21

Pulsus paradoxus

Answer 21

Decrease in SBP and pulse amplified with inspiration

Question 22

Pulsus biferiens

Answer 22

Biphasic pulse

Double peak

Question 23

Pulsus parvus et tardus

Answer 23

Pulse is weaker and slower than expected

Question 24

Pulsus alternans

Answer 24

Alternating strong and weak beats

Question 25

Expected pulse

Answer 25

60-100 bpm

Question 26

Expected respiration rate

Answer 26

12-20 breaths per minutes

Question 27

Blood pressure normals

Answer 27

Less than 120 systolic and less than 80 diastolic

Question 28

Pre hypertension

Answer 28

120-139 systolic and 80-89 diastolic

Question 29

Hypertension stage 1

Answer 29

140-159 systolic and 90-99 diastolic

Question 30

Hypertension stage 2

Answer 30

160 or higher systolic and 100 or higher diastolicb

Question 31

BMI for a child

Answer 31

18.5-24.9

Question 32

Width and length of the inflatable bladder for taking blood pressure

Answer 32

Width- 40% of upper arm circumference Length- 80% of upper arm circumference

Question 33

Why do older adults often not report pain?

Answer 33

They do not want to lose their independence

Question 34

A digoxin toxicity can cause...

Answer 34

Yellow vision

Question 35

Do you assess visual acuity with or without corrective lenses?

Answer 35

Both, but always without correction first

Question 36

If vision is less than 20/20...

Answer 36

Conduct a pinhole test to see if lack of vision is related to refraction

Question 37

Myopia

Answer 37

Nearsightedness

Question 38

Hyperopia

Answer 38

Farsightedness

Question 39

Presbyopia

Answer 39

From old age, reading up close is difficult

Question 40

Astigmatism

Answer 40

Corneal asymmetric curvature = burriness

Question 41

Unilateral field loss is a lesion on...

Answer 41

The optic nerve

Question 42

Bitemporal field loss is a lesion of...

Answer 42

Chiasmal compression from pituitary tumor

Question 43

Homonymous hemianopia is a lesion....

Answer 43

From a cerebrovascular event on one hemisphere of the brain

Question 44

Common causes of exophthalmos?

Answer 44

Grave's disease Tumor Trauma

Question 45

Ptosis

Answer 45

Drooping eyelid

Question 46

Corneal arcus senilis

Answer 46

Lipids deposited in the periphery of the cornea, it is on the iris, looks like a cataract

Question 47

Miosis

Answer 47

Pupillary constriction less than .2 mm

Question 48

Mydriasis

Answer 48

Pupillary dilation greater than 6 mm

Question 49

Argyll Robertson pupil

Answer 49

Associated with neurosyphilis, fail to constrict with light but constrict with convergence

Question 50

Myelinated retinal nerve fibers

Answer 50

White area, will defined margins continuous with optic disc Absence of pigment and feathery margins with full visual field

Question 51

Papilledema

Answer 51

Increased cranial pressure Loss of definition of optic disc margin, venous pulsation and possible hemorrhage

Question 52

Cupping

Answer 52

Disc margins are raised with a lowered central area, can't see blood vessels Glaucoma

Question 53

Drusen bodies

Answer 53

Spots slightly more yellow than retina, signaling start of macular degeneration (age related)

Question 54

Cotton wool spot

Answer 54

Ill defined, yellow area caused by infarction of nerve layer of the retina Caused by elevated blood pressure

Question 55

Cataracts

Answer 55

Opacity in lens Usually aging, but steroids can cause them

Question 56

Diabetic retinopathy

Answer 56

Cotton wool spots, flame and dot hemorrhages **neovascularization

Question 57

Hypertensive retinopathy

Answer 57

Can have AV nicking, hemorrhage, cotton wool spots, and even optic disc edema Papilledema

Question 58

Three Down syndrome features of eyes

Answer 58

Epicanthal fold Upslant palpebral fissures Brush field spots on iris

Question 59

Horner syndrome

Answer 59

Ipsilateral miosis, mild Ptosis, and loss of hemifacial sweating

Question 60

Weber test

Answer 60

Top of head, sound heard louder in impaired ear with unilateral CONDUCTIVE hearing loss

Question 61

Rinne test

Answer 61

Mastoid and air Normal- longer in air than in bone Conductive hearing loss- bone conduction heard longer than air conduction Sensorineural hearing loss- air conduction heard longer, but less than 2:1 ratio

Question 62

CN I special test

Answer 62

Sense of smell with various odor recognition

Question 63

Sniff test

Answer 63

Patency of nares

Question 64

In children, maxillary sinuses are developed by...

Answer 64

4 years of age

Question 65

In children frontal sinuses are developed by...

Answer 65

5 to 6 years of age

Question 66

CN XII test

Answer 66

Stick out tongue, hypoglossal nerve

Question 67

CN IX and X tests

Answer 67

Palate and uvula deviation (X) Gag reflex (IX)

Question 68

Boggy turbinates indicate...

Answer 68

Allergies

Question 69

Kopliks spots

Answer 69

Measles!!

Question 70

If greater than or equal to 60 years old, what is the blood pressure goal?

Answer 70

Less than 150/90