Helpful Practice Q's Flashcards
You have a baseball player in your clinic that reports pain in his shoulder. You perform an empty can tes and the test is negative. Lift off test is positive. What muscle injury is most likely? A) Supraspinatus B) Biceps brachii C) Triceps surae D) Subscapularis E) Subclavius
D) Subscapularis
When determining the strength of an arterial pulse, what grade is considered bounding?
4/4
A 45 yo female comes into your office to establish care. You notice cuts and bruises on her arm. Through interviewing you find that she has recently separated from her husband of 10 yrs and is frank about emotional and physical abuse she has sustained throughout the marriage. She admits to being stressed and fearing for her own safety. What should your next statement/action be?
A) Are you afraid of your husband?
B) For how long has been abusing you?
C) Do you have family close by that can support you through this?
D) Refer her to a counselor who specializes in counseling battered women
C) Do you have family close by that can support you through this?
Knoww the SAFE acronym for pts who are dealing with domestic abuse. She has already admitted to fearing for her safety and that she has been abused. You should next ask about family/friends
A pt presents with numbness and tingling in their hand/wrist. You suspect they might have carpal tunnel syndrome. What would you have the pt do to test that theory?
A) Place the ventral aspects of pts hands together and force into wrist extension
B) Place dorsal aspects of pts hands together and force into wrist flexion. hold for 60 sec
C) Tap over the transverse metatarsal ligament
D) Ask pt to make a fist encompassing their thumb and ulnar deviate the wrist
B) Place dorsal aspects of the pts hands together and force into wrist flexion. Hold for 60 sec
This is the Phalen’s test -> used for median nerve entrapment
What is the proper setup for reverse lachman’s test?
Pt supine. Place cephalad hand on the distal thigh, superior to patella. Caudad hand on proximal tibia. Flexing the knee 15-30 degrees. Proximal hand stabilizes the femur while the distal hand pushes the tibia posterior
A 13 yo female presents with heel pain. She has been training for a marathon and runs 6 days/week. She characterizes the pain as sharp in the morning and after runs, but improves to a dull ache after stretching her foot. X-ray imaging of her foot reports a 0.3 inch protrusion from her calcaneus bone. Which law describes the mechanism by which her injury developed? A) Wolff’s law B) Hilton’s law C) Sherrington’s law D) Boyle’s law
A) Wolff’s law
She has developed a heel spur from the repetitive sttress placed on her calcaneus from long distance running
While performing a PE you notice that you pt has loud heart murmur with palpable thrill. What grade do you classify this murmur?
4
- 5 would be very loud, anything below 3 is not palpable
In what order do you complete a cardiac exam? A) Inspect, palpate, percuss, auscultate B) Inspect, auscultate, percuss, palpate C) Auscultate, percuss, palpate, inspect D) Palpate, percuss, inspect, auscultate
A) Inspect, palpate, percuss, auscultate
Which of the following is best associated with the positioning of a pt when trying to measure JVP?
A) Pt prone at 30-45 degrees
B) The left external jugular vein is whats used
C) The veins is between the heads of the SCM
D) The lowest oscillation point in the neck is whats looked for
C) The vein is between the heads of the SCM
An 88 yo female presents with a primary complaint of knee pain. You notice she is walking with a cane, which she previously didn’t use. When interviewed, she explains tthat her knee has been hurting for several years, but recently the pain has increased such that she cannot bear weight on that leg. Two weeks later upon follow-up to review her knee imaaging results and explain that her knee showed eburnation joint degeneration, she asks you is the damage is permanent. You reply:
A) No, arthritis secondary to her autoimmune disease can be treated successfully with anti-inflammatory and corticosteroid medications
B) Yes, the knee showed complete ulceration of articular cartilage accompanied by a thickening of the subchondral bone
C) No, the knee showed early degenerative change of the articular cartilage due to loss of proteoglycans
D) Yes, the knee showed fragments of cartilage and bone free floating in synovial fluid
B) Yes, the knee showed complete ulceration of articular cartilage accompanied by a thickening of the subchondral bone
Which of the following findings would help confirm your clinical suspicion of pyelonephritis?
A) A positive piriformis test
B) Costovertebral angle tenderness
C) RLQ pain 2/3 of the way from the umbilicus and ASIS
D) A positive murphy’s sign
B) Costovertebral angle tenderness
**Found in lloyds punch
You aare a third year med student and your attending asks you to interview a pt and appropriately document your findings. As you are starting to enter the info into the HPI section, you would begin with:
A) Name, address, gender, age
B) Blood pressure, respiration rate, temperature, pulse
C) Blood pressure, name, age, temperature
D) Name, age, gender, race
D) Name, age, gender, race
When performing the FABER test to evaluate the central compartment of the hip, the dr aims to induce further external rotation by applying what type of force to the knee? A) anterior force B) posterior force C) lateral force D) medial force
B) posterior force
The loss of proteoglycans can result in degeneration of the articular cartilage. This erosion is said to have a ____________ appearance.
Ground glass
This describes fibrillation
A 35 yo woman is found to have an arthritis secondary to an autoimmune disease. Which form of arthritis can her condition be categorized in? A) Osteoarthritis B) Inflammatory C) Uknown D) Traumatic E) Osteochandromatosis
B) Inflammatory -> many inflammatory forms of arthritis are autoimmune diseases.
A 30 yo pt presents to the ER following a motor vehicle accident. You suspect a left-sided tension pneumothorax and wish to decompress with a needle. Where is the correct placement? A) Inferior to 5th rib L side, MAL B) Superior to 3rd rib L side, AAL C) Inferior to 2nd rib L side, AAL D) Superior to 1st rib L side, MCL
B) Superior to 3rd rib L side, MCL
An overweight male in his 50’s complains of severe calf pain on right side. He justt got off a 8 hour flight during which time he started to feel the calf pain. Upon PE you find his R calf to be edematous, erythematous, tender to palpation and warm to touch. Which of the following diagnostic tests would be most beneficial in the scenario?
A) Homan’s sign, Moses sign, and venous doppler to confirm
B) Talar tilt test, squeeze test
C) Monofilament test, plantarflexion with knee flexed
D) Ankle eversion test, anterior drawer
A) Homan’s sign, Moses sign, and venous doppler to confirm
On PE of a pt you note edema on the dorm of the feet and anterior shins bilaterally. When palpating the edema, you measure about 6mm of deep indentation that takes about 1 minute to return to normal. How do you grade the edema?
+3/4
You are monitoring a pt’s gait for evaluation. You are measuring the pts heel strike to toe off. What stance is the pt in and approximately how much of the cycle does this stance account for? A) Swing phase - 40% B) Swing phase - 60% C) Stance phase - 40% D) Stance phase - 60%
D) Stance phase - 60%
While examining a pts posture, which of tthe following is NOT an appropriate landmark? A) Eyes B) Patella C) Medial malleolus D) Iliac crestts E) Midclavicular line
E) Midclavicular line
