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Clinical Assessment Exam 1 > Exam 1a > Flashcards

Exam 1a Flashcards

1
Q
A
  1. (D) abdominal girth
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2
Q
A
  1. (A) Sitting Up
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3
Q
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  1. (A) Sitting up and leaning forward with arms braced
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4
Q
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  1. (B) He drank a cup of hot coffee just prior to having his temperature taken
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5
Q
A
  1. (D) Umbilicus
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6
Q

Patient presents with truncal fat

A

Cushing’s syndrome

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7
Q

Patient presents with long limbs in proportion to trunk

A

Marfan’s syndrome

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8
Q

Patient presents with generalized fat

A

obesity

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9
Q

Patient presents with very short stature

A

Turner’s syndrome

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10
Q

Patient presents with an exaggerated stare

A

Hyperthyroidism

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11
Q

Patient presents with masked facies

A

Parkinson’s

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12
Q
A
  1. (A) central cyanosis
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13
Q
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  1. (C) Jaundice
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14
Q
A
  1. (A) Cool
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15
Q
A
  1. (D) Diameter smaller than 6 mm
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16
Q
A
  1. (A) basal cell carcinoma
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17
Q

Patient presents with a small spot on the skin

A

macule

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18
Q

Patient presents with a palpable mass on the skin. Mass is elevated, solid, and measures up to 0.5cm in diameter.

A

Papule

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19
Q

Patient presents with a circumscribed superficial elevation of the skin, up to 0.5 cm in diameter. It is filled with serous fluid.

A

Vesicle

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20
Q

Patient presents with an initially translucent nodule on the skin. The nodule has spread and leaves a depressed center with a firm, elevated border.

A

basal cell carcinoma

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21
Q

Patient presents with a firm, red lesion on the skin. In addition, patient is presenting with actinic keratosis. Most likely, what is the lesion?

A

squamous cell carcinoma

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22
Q

Patient is presenting with a fiery red; central body on the skin that is surrounded by erythema and radiating legs.

A

spider angioma

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23
Q
A
  1. (A) fine texture
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24
Q
  1. A 25 year-old swim instructor presents to your clinic complaining of an itchy scalp. You diagnose seborrheic dermatitis. What physical findings are most consistent with this diagnosis?

(A) Erythema of the scalp

(B) Pustules on the scalp

(C) Dry, flaking areas on the scalp

(D) Ecchymoses on the scalp

A
  1. (C) Dry, flaking areas on the scalp
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25
Q
A
  1. (C) coarsening of the facial features
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26
Q
A
  1. (B) Protrusion
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27
Q
A
  1. (D) Bitemporal hemianopsia
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28
Q
A
  1. (A) Absence of red reflex
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29
Q
A
  1. (B) Arteriovenous (AV) nicking
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30
Q
A
  1. (B) Anisocoria
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31
Q
A
  1. (A) Horner’s syndrome
32
Q
A
  1. (A) Umbo
33
Q
A
  1. (A) Erythematous, bulging typanic membrane
34
Q
A
  1. (D) Otitis externa
35
Q
  1. A 15 year-old member of the high school marching band comes to your office for evaluation of hearing loss. He had multiple ear infections as an infant and toddler, and he had to have myringotomy tubes inserted in his ears. Additionally, he suffers from many allergies. His hearing is diminished in the right ear. When you place a vibrating tuning fork on the top of his head, the sound lateralizes to the right ear. The name of this test is:

(A) Weber’s test

(B) Rinne’s test

(C) Whisper test

(D) Romberg test

A
  1. (A) Weber’s test
36
Q
A
  1. (B) Rinne’s test
37
Q
A
  1. (B) Pale to bluish boggy mucosa
38
Q
A
  1. (B) White plaques
39
Q
A
  1. (A) Exudates on the tonsils
40
Q

A 28-year-old housewife presents to your office for a 6-week postpartum check-up. She complains of fatigue grater than expected and palpitations. Her hair is falling out as well. She denies sadness or depression symptoms. Before this, she had not had any medical problems. She is breast feeding her child and is not on any birth control. She had her first period since giving birth last week. A pregnancy test done in the office is negative. What is your most likely diagnosis?

(A) Thyroiditis

(B) Iron-deficiency anemia

(C) Addison’s disease

(D) Sheehan’s syndrome

A
  1. (A) Thyroiditis
41
Q
A
  1. (B) Place your index fingers above the cricoid cartilage
42
Q

Name the cranial nerve association: Pupillary reaction to light

A
  • CN II (optic)
  • CN III (oculomotor)
43
Q

Name the cranial nerve association: Extraocular motion

A
  • CN III (oculomotor)
  • CN IV (trochlear)
  • CN VI (abducens)
44
Q

Patient presents in clinic and on the eye exam, it is found that there is pupillary inequality of less than 0.5 mm. How would you describe this?

A

Anisocoria

45
Q

You are performing an eye exam. You hold an object 15 degrees temporal to the line of gaze. What do you expect?

A

Blind spot

46
Q

Define normal visual acuity

A

20/20

47
Q

Which test is the lateralization of sound with a tuning fork?

A

Weber’s test

48
Q

Which test compares air conduction to bone conduction. What is the expected ratio?

A

Rinne’s test

Normally air conduction is 2x longer than bone conduction

49
Q

You are examining a patient’s ear. You have the patient’s external ear pulled downward, backward, and slightly away from the head. What can you visualize?

A

Enables optimal examination of adult’s tympanic membrane

50
Q

You are examining a patient’s nose. Which turbinates are visible on inspection?

A
  1. Middle turbinate
  2. Inferior turbinate
51
Q

You are palpating a patient’s sinuses. Which sinuses are palpable?

A
  1. Maxillary sinus
  2. Frontal sinus
52
Q

Normal number of adult teeth

A

32

53
Q

Name the cranial nerve association: Raises soft palate

A

CN X (vagus)

54
Q

Name the cranial nerve association: enables tongue protrusion

A

CN XII (hypoglossal)

55
Q

You are examining a patient. Where would you expect their trachea to be located? (Normal position of the trachea)

A

Midline

56
Q

You are examining a patient. Where do you palpate for the thyroid gland?

A

Below the cricoid cartilage

57
Q

You are palpating a patient’s thyroid gland and the thyroid gland is enlarged.

A

Presence of a bruit

58
Q

Name the anterior triangle boundaries of the neck

A
  1. Mandible
  2. Sternomastoid muscle
  3. Midline of neck
59
Q

Name the posterior triangle boundaries of the neck

A
  1. Sternomastoid muslce
  2. Trapezius muscle
  3. Clavicle
60
Q
A
61
Q
A
62
Q
A
63
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A
64
Q
A
65
Q
A
66
Q
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67
Q
A
68
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69
Q
A
70
Q

You are examining a patient. Where will you find the parotids?

A

(Salivary glands) Parotids: superficial to the mandible

71
Q

You are examining a patient. You want to view the submandibular glands. How?

A

(Salivary glands): Deep to the mandible. Must lift tongue to see.

72
Q

You are examining a patient and ask them to clench their jaw while your hands are over their temples. Which cranial nerve are you testing. Which muscle are you testing?

A

CN V Trigeminal

Temporal muscle

73
Q

What are the 3 branches of the trigeminal nerve (CN V)?

A

(1) Opthalmic
(2) Maxillary
(3) Mandibular

74
Q

You wish to assess CN V Trigeminal-Masseter muscle. What assessments do you perform?

A

(1) Have patient clench jaw, palpate masseter muscle
(2) Have patient open mouth and move jaw side/side

75
Q

Which nerve innervates:

sensory of face and eye

How is it assessed?

A

CN V (trigeminal nerve)

Cotton ball bilaterally on forehead, cheekbones, mandible

76
Q

A patient presents in clinic and is unable to taste salty, sweet, sour, or bitter on the anterior 2/3 of their tongue. What is the most likely diagnosis?

A

Lesion in CN VII (facial nerve)

77
Q
A

Clinical Assessment Exam 1 (2 decks)

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