Final

Question 1

what is chadwick sign

Answer 1

bluish discoloration of cervix, vagina and labia resulting from increased blood flow
***pregnant

Question 2

fundal height for 20 weeks

Answer 2

umbilicus

Question 3

neurologic exam is divided into?

Answer 3

ALL THE ABOVE

• mental status
• motor
• sensory

Question 4

patient is unable to close his right eye tight and there is a droop to the right when smiling

• neuro exam of upper and lower extremities are normal
• what does the patient have?

Answer 4

Bell’s Palsy

***a stroke would only affect the lips

Question 5

+ romberg test would look like?

Answer 5

swaying when eyes are closed
feet together, arms at the side

**patient is fine when they open eyes

Question 6

cerebelar ataxia–what would the patient be doing?

Answer 6

patient sways when eyes are open or closed

Question 7

how do you test for nystagmus

Answer 7

extraocular with six fields of gaze

“H” test

Question 8

inability to detect cotton whisps over maseter and or jaw is a sign of what?

Answer 8

trigeminal nerve CN5 deficit

Question 9

how to hold the reflex hammer

Answer 9

loosely

Question 10

pronation drift–what a positive sign look like

Answer 10

if they pronate and drift the arm down when eyes are closed

Question 11

finger to nose test–what are we testing for?

Answer 11

coordination and fine motor function

Question 12

a hyperactive reflex response at the ankle describes which term?

Answer 12

clonus

Question 13

patient has a shuffling gait and cogwheel rigidity– what does this patient have

-list some other PE findings they might have

Answer 13

Parkinsons

• pill rolling tremor
• bradykinesia

Question 14

26 weeks pregnant, which of the following is most concerning

1. generalized hair loss
2. hyperpigmentation rash over maxillary region
3. nose bleeds
4. facial edema

Answer 14

facial edema

Question 15

pregnant midline swelling is called

Answer 15

diastasis recti

*when the muscles separate and when it heals theres an indentation

Question 16

what is part of the normal aging process for vision

Answer 16

blurring of near vision–presbyopia

**cannot see close up

Question 17

89 year old coming in for a colonoscopy–which of the following should be considered when doing a screening test?

Answer 17

current age of the patient is not considered

**we do not take into account life expectancy

Question 18

which vaccine is recc in older people?

Answer 18

pneumococcal

Question 19

mini mental screening exam–which of the following is useful to assess memory?

Answer 19

3 word/item recall

Question 20

82 YO brought in from home after seeing her PCP two days ago. she was started on ABX–and now she does not know what year it is or where she is–>what is causing this?

Answer 20

Delirium

*infection

Question 21

what happens to lungs with age related changes?

Answer 21

decrease chest wall compliance

Question 22

while performing a physical exam, you flex the patients leg and knee, then straighten it—they have +pain–> what is this sign

Answer 22

kernig sign

+meningeal sign

Question 23

with peripheral neuropathy, what is the first sensation that is lost?

Answer 23

vibration

*MC in DM

Question 24

assessing level of consciousness in patient, arousal from sleep only ocurs after painful stimuli and verbal responses slow or almost absent. which of the following would you use to describe the patients LOC

Answer 24

Stupor

Question 25

what kind of gait would be staggering, unsteady, wide-base and exaggerated difficulty on turns?

Answer 25

Cerebellar ataxia

Question 26

what PE finding suggest a pathologic lesion at C5 and C6

Answer 26

abnormal biceps reflex

Question 27

PT experiencing right gluteal pain, radiating dwon the posterior leg, in S1 distribution with tingling. Which of the following tests would help confirm the diagnosis?

Answer 27

straight leg raise | **sciatica

Question 28

PT complains of not feeling well. he has a 4/4 CAGE questions. what test is most likely positive?

Answer 28

asterisks

Question 29

``` 78 YO pt with PMH of CAD and HTN +HA +left face and arm droop BP= 200/130 Exam he is confused and speech is slurred what does PT have ```

Answer 29

stroke

Question 30

eliciting a 2+ reflex is?

Answer 30

normal

Question 31

PT is a 56YO with impaired pain sensation, what additional testing is needed

Answer 31

deep pressure sensation and check temperature

Question 32

patient is able to touch each finger to the thumb and back---what does this signify?

Answer 32

normal cerebellar function

Question 33

DM patient has diminished sensation to sharp touch bilaterally in distal feet--which test finding would you find?

Answer 33

diminished vibration

Question 34

progressive subacute onset of lower extremity weakness, hypotonia in each leg--diagnosis?

Answer 34

GB | *associated with campylobacter infections

Question 35

tremor that gets worse as you try to get near the object

Answer 35

intention tremor

Question 36

brown line down stomach when preg?

Answer 36

Linea Nigara

Question 37

normal finding in older patietns?

Answer 37

incr in SBP

Question 38

Clara's daughter brings her in cause she fell at home---which of the following assessments is indicated at this time?

Answer 38

all the above * vitals * review of meds * etc

Question 39

what is used for a PT with head trauma?

Answer 39

GCS

Question 40

loss of immediate and recent memory with retention of remote memory suggests

Answer 40

dementia

Question 41

while assessing a PT, clinicians notices the PT cannot touch their finger to nose and they lose balance when eyes are closed---- this suggests?

Answer 41

cerebellar dysfunction

Question 42

CN3 dysfunction would appear how on PE?

Answer 42

eyelid ptosis

Question 43

81YO pt comes in for geriatric assessment. daughter notices sudden functional decline and is concerned her dad may have Alzheimer's. which of the following statements might you tell his daughter?

Answer 43

sudden functional decline is often a result of another medical problem--such as an infection

Question 44

ataxia, diplopia and dysarthria are suspicious for ?

Answer 44

TIA/stroke

Question 45

Ptosis, myosis and anhidrosis

Answer 45

Horner's syndrome

Question 46

which of the following correctly describes screening recommendations for osteoporosis

Answer 46

women age 65 should be screened with a DEXA scan | **bone density scan for women post-menopausal

Question 47

pregnant woman has a healthy BMI, how much weight should she gain?

Answer 47

25-35 pounds

Question 48

Which of the following vaccine is unsafe to give during pregnancy

Answer 48

varicella

Question 49

fetal movement can be felt by examiner by?

Answer 49

24 weeks | mom can start feeling fetal movement by 18-24 weeks

Question 50

which of the following heart murmurs would you hear in old PT

Answer 50

aortic stenosis