Examinations

Question 1

Visual Acuity - Optic

Answer 1

Snellen Chart

Question 2

Occulomotor, Trochlear and Abducens

Answer 2

Eye movements

Question 3

Sensory Trigeminal

Answer 3

Light touch in each division

Question 4

Motor Trigeminal

Answer 4

Clench teeth and feel bulk of masseter and open jaw against resistance

Question 5

Trigeminal Reflexes

Answer 5

Jaw Jerk and Corneal

Question 6

Facial

Answer 6

Range of facial expressions

Question 7

Rinnes test

Answer 7

Tuning fork on mastoid process and then move away

Question 8

Webers Test

Answer 8

Tuning fork on midline of forehead

Question 9

Vestibular test

Answer 9

Turning test - Patient turns towards side of the lesion

Question 10

Glossopharyngeal + Vagus

Answer 10

Gag reflex

Question 11

Accessory Nerve

Answer 11

Shrug shoulders and turn head to one side against resistance

Question 12

Hypoglossal

Answer 12

Protrude tongue - deviations towards side of lesion

Question 13

Janeway Lesions, Oslers Nodes or Splinter Haemorrhages

Answer 13

Infective Endocarditis

Question 14

Xanthoma

Answer 14

Hyperlipidaemia

Question 15

Radial-Radial Delay

Answer 15

Aortic Coarctation

Question 16

Collapsing Pulse

Answer 16

Aortic Regurg

Question 17

Irregularly Irregular pulse

Answer 17

AF

Question 18

Regularly Irregular pulse

Answer 18

Sinus arrhythmia

Question 19

Corneal Arcus/ Xanthelasma

Answer 19

Hypercholesterolaemia

Question 20

Angular stomatis

Answer 20

Inflammation of corners of mouth - Iron deficiency

Question 21

Pectus Excavatum/Carinatum

Answer 21

Inward/outward sternum

Question 22

Laterally displaced apex beat

Answer 22

Cardiomegaly

Question 23

Heaves

Answer 23

Precordial impulse that can be palpated

Question 24

Thrills

Answer 24

Palpable vibration caused by turbulent blood flow

Question 25

Valve Auscultation Point

Answer 25

``` A = 2nd on the right sternal edge P = 2nd on the left sternal edge T = 5th on left sternal edge M = 5th midclavicular line ```

Question 26

Barrell Cheste

Answer 26

COPD

Question 27

Productive cough

Answer 27

Bronchiectasis, COPD, CF

Question 28

Dry cough

Answer 28

Asthma, ILD

Question 29

Wheeze

Answer 29

Expiratory - Asthma. COPD, Bronchiectasis

Question 30

Stridor

Answer 30

Inspiratory - Upper airway obstruction

Question 31

Pulsus Paradoxus

Answer 31

Pulse wave decreases with inspiration - Asthma, COPD

Question 32

Fine tremor

Answer 32

Side effect of Beta-2 agonist

Question 33

Flapping tremor

Answer 33

Co2 retention- T2 resp failure

Question 34

Horners Syndrome

Answer 34

Ptosis, Contricted pupil, Anhidrosis, Enopthalmos

Question 35

Dull percussion

Answer 35

Density - Consolidation, Fluid, Tumour, Collapse

Question 36

Stony dullness

Answer 36

Pleural Effusion

Question 37

Hyper-resonance

Answer 37

Pneumothorax

Question 38

Coarse Crackles

Answer 38

Pneumonia, Bronchiectasis, Fluid overload

Question 39

Fine crackles

Answer 39

Pulmonary fibrosis

Question 40

Koilonychia

Answer 40

Spooning of nails - Chronic iron def

Question 41

Leukonychia

Answer 41

Whitened nail bed - Hypoalbuminaemia

Question 42

Palmar erythema

Answer 42

Liver disease

Question 43

Dupuytrens Contracture

Answer 43

Thickening of palmar fascia - Excess Alcohol

Question 44

Hepatic flap

Answer 44

Flapping when hand outstretched - hepatic encephalopathy

Question 45

Petechiae

Answer 45

Low platelets - splenomegaly

Question 46

Virchow's Node

Answer 46

Gastric Malignancy

Question 47

Spider Naevia

Answer 47

Chronic Liver disease

Question 48

Gynaecomastia

Answer 48

Liver cirrhosis

Question 49

Upward v Outward movement on AAA palpation

Answer 49

Pulsatile v Expansile

Question 50

Shifting Dullness

Answer 50

Ascites

Question 51

Tinkling bowel sounds

Answer 51

Obstruction

Question 52

Absent

Answer 52

Peritonitis

Question 53

Sweating

Answer 53

Hyperthyroidism

Question 54

Dry skin

Answer 54

Hypothyroidism

Question 55

Thyroid acropachy

Answer 55

Graves

Question 56

Peripheral Tremor (Thyroid)

Answer 56

Graves

Question 57

Tachy/Bradycardia

Answer 57

``` T = Hyper B= Hypo ```

Question 58

Loss of outer 1/3 eyebrow

Answer 58

Hypothroidism

Question 59

Exopthalmos (Thyroid)

Answer 59

Graves

Question 60

Hyporeflexia (Thyroid)

Answer 60

Hypothyroidism

Question 61

Pretibial Myxoedema

Answer 61

Graves

Question 62

Proximal Myopathy (Thyroid)

Answer 62

Hyperthyroidism