Exam Two - Think Tank

Question 1

criterion for myocarditis

Answer 1

endomyocardial biopsy

Question 2

Grade 3 murmur is what level of loud ?

Answer 2

moderate

Question 3

Pleural pain is precipitated by

Answer 3

breathing

Question 4

symptoms of claudication where does pain derive from?

Answer 4

pain from muscle ischemia

Question 5

Hairy tongue (black, yellow, brown) is caused by

Answer 5

antibiotics

Question 6

Which S sound correlates to our carotid pulse?

Answer 6

S1

Question 7

4 month old, normal expected findings of posterior fontanelles

Answer 7

closed

Question 8

Importance and steps of Homan’s sign

Answer 8

Rules out DVT
flex knee, abruptly dorsiflex foot - there will be pain in the popliteal region

Question 9

Cloudy and colored discharge from a Pedi pt will indicate

Answer 9

foreign object in the nose

Question 10

Normal breathing pattern for a pregnant patient

Answer 10

more deep respirations but not more frequent

Question 11

S/S Kawasaki’s disease

Answer 11

strawberry tongue
high fever
swollen lips/extremities
swollen, unilateral cervical lymph nodes
red, swollen tonsils

Question 12

S/S tonsillitis

Answer 12

erythema & white exudate

Question 13

Sinus arrythmias in a pedi pt are …..

Answer 13

expected/normal findings

Question 14

Age-related heart murmur factors due to hypertension

Answer 14

sclerotic and fibrosed heart valves

Question 15

Weber tests normal findings :

Answer 15

equally & bilaterally

Question 16

Epstein Barre Virus (EBV) lymph nodes will present as

Answer 16

firm, tender & discrete (anterior/posterior cervical)

Question 17

MI statistics men & women

Answer 17

men are 70% higher incidence

Question 18

tempanic membrane color if blood is present in middle ear

Answer 18

bluish

Question 19

Assessment findings in malignant hypertension

Answer 19

papilaedema

Question 20

Normal findings in supraclavicular lymph nodes

Answer 20

not palpable

Question 21

What should you expect in these findings “irregular, dry, brassy cough that won’t go away, 60-90 days”

Answer 21

tumor

Question 22

Primary function of the lymphatic system

Answer 22

fat absorption and immunologic defense

Question 23

What age/stage does lymphoid tissue in a child regress to adult size?

Answer 23

puberty

Question 24

Which sinuses are accessible for physical exam?

Answer 24

frontal & maxillary

Question 25

What is the most appropriate technique for tactile fremitus ?

Answer 25

Systematically palpate posterior chest with ulnar aspect of hand & have pt recite 99

Question 26

mobile, tender lymph nodes indicate

Answer 26

inflammation

Question 27

mild 2+ pitting edema should take how long to get back to normal ?

Answer 27

10-15 seconds

Question 28

symptoms of otitis media

Answer 28

tympanic membrane will be bulging and erythematous. cone of light will be displaced. pain, headache, fever, drainage

Question 29

77 year old presents with flushed skin, c/o CP, high fever, productive cough for 2-3 days. Exam - crackles, rhonchi, lungs are dull to percussion. Nasal flairing.

Answer 29

Thinking should go straight towards pneumonia

Question 30

Acute onset of moist cough

Answer 30

could be indicative of infection

Question 31

Causes of otalgia when otoscope exam is negative

Answer 31

TMJ, tooth infections

Question 32

How do we position pts arms when percussing posterior lung fields

Answer 32

crossed & leaned forward

Question 33

Unilateral pitting edema is suspicious for

Answer 33

blood clot, DVT in major vein

Question 34

9 y/o, high fever, sore throat x3 days, difficulty swallowing, R tonsil swelling, & exudate. Pushed uvula to 1 side.

Answer 34

peritonsillar abscess

Question 35

How do we classify bronchovesicular breath sounds?

Answer 35

moderate in pitch and intensity and auscultated over major bronchi

Question 36

Biot breathing pattern indicates

Answer 36

increased ICP

Question 37

tachypnic respirations

Answer 37

foreign body aspiration

Question 38

Ventricles of pregnant population – what are some cardiac changes to Left ventricle ?

Answer 38

hypertrophy, increased thickness

Question 39

What practice in US causes oral cancer?

Answer 39

tobacco use

Question 40

What test do you order if you find if throat is erythematous

Answer 40

throat culture and rapid strep antigen

Question 41

Chronic sniffling, nasal congestion, mucosal scabs, nose bleeds, perforated septum

Answer 41

cocaine abuse BOBBBBAAAAYYYYYY !!!!

Question 42

Pulmonary symptoms that are strongest indicators for a cardiac work up

Answer 42

chest pain & dyspnea

Question 43

Examining ears – when yawn, their ears crack

Answer 43

is indicative of serous otitis media

Question 44

What is the most appropriate diagnostic to confirm oral candida?

Answer 44

Culture of Scraping, gram stain smear

Question 45

3 y/o 100-120 HR

Answer 45

this is normal/expected

Question 46

How is Peutz Jeghers syndrome manifested?

Answer 46

oral dark spots/ melanonin deposits around oral cavity.