Midterm Flashcards
(38 cards)
A 14-year-old male presents with shortness of breath, wheezing and a cough productive of small amounts of thick, stringy, viscous sputum. These symptoms are exacerbated by exertion, such as climbing the stairs. Examination reveals prolonged expiration.
Entry data: Pulse: 90 bpm Blood pressure: 130/85 Temp: 99.6°F
Respiration: 26/min
Which of the following is the most likely cause of the symptoms? A. Emphysema B. Chronic tuberculosis C. Bronchiogenic carcinoma D. Asthmatic bronchitis
D. Asthmatic bronchitis
(Using previous case study)... Which of the following screening tests is the most appropriate initial screening procedure? A. Chest x-ray B. Blood chemistry screen C. Thoracic thermography D. Lung biopsy
A. Chest x-ray
(Using previous case study)... Which of the following is the most likely level of a reflex spinal involvement? A. Upper cervical B. Upper thoracic C. Lower thoracic D. Upper lumbar
C. Lower thoracic
(Using previous case study)... What is the possible nature of this condition? A. Metabolic B. Autoimmune C. Neoplastic (tumor) D. Degenerative
B. Autoimmune
Splinter hemorrhage of the nail is associated with... A. Iron deficiency anemia B. Psoriasis C. Subacute bacterial endocarditis D. Zinc deficiency
C. Subacute bacterial endocarditis
OPQRST falls under which major patient history category? A. Family history B. Past medical history C. Present problem D. Social history
C. Present problem
The classic sequence of a case history is…
A. Chief complaint, past medical history, present illness
B. Chief complaint, present illness, past medical history
C. Present illness, chief complaint, past medical history
D. Present illness, past medical history, chief complaint
B. Chief complaint, present illness, past medical history
The third heart sound occurs physiologically due to…
A. Mitral and tricuspid valve closure
B. Aortic and pulmonary valve closure
C. Active blood flow from the atria to the ventricles
D. Passive blood flow from the atria to the ventricles
D. Passive blood flow from the atria to the ventricles
Cor pulmonale is…
A. Pulmonary pathology due to right-sided heart failure
B. Left ventricular failure
C. Right ventricular enlargement due to pulmonary pathology
D. Bilateral ventricular enlargement
C. Right ventricular enlargement due to pulmonary pathology
Structural abnormalities of the chest may be associated with... A. Pneumonia B. Asthma C. Bronchial asthma D. TB
D. TB
Patient presented with barrel chest, tachypnea and clubbing of the fingernails. Which of the following percussive notes will be heard over the lung? A. Resonant B. Flat C. Tympanic D. Hyperresonant
D. Hyperresonant
Which of the following valvular lesions can cause drop attacks (blackouts)? A. Mitral stenosis B. Aortic stenosis C. Tricuspid stenosis D. Pulmonic stenosis
B. Aortic stenosis
Start at the superior vena cava a drop of blood will follow the following valvular sequence: A. Mitral, tricuspid, aortic, pulmonic B. Tricuspid, pulmonic, mitral, aortic C. Tricuspid, aortic, pulmonic, mitral D. Tricuspid, pulmonic, aortic, mitral
B. Tricuspid, pulmonic, mitral, aortic
Constant low back pain which is unrelieved by position, activity or rest is most likely the result of which of the following? A. Muscular strain B. Visceral disease C. Disc herniation D. Osteoarthritis
B. Visceral disease
A condition most commonly caused by systemic hypertension is... A. Right ventricular hypertrophy B. Pericarditis C. Bacterial endocarditis D. Left ventricular hypertrophy
D. Left ventricular hypertrophy
Aortic valve stenosis may produce which of the following?
A. Systolic murmur
B. Diastolic murmur
C. Both
A. Systolic murmur
All are true with regard to percussion except…
A. The heart and liver are flat
B. The normal lung tissue is resonant
C. The gastric air bubble will be tympanic
D. All statements are true
A. The heart and liver are flat
Heart and liver are actually “dull”
All the following usually accompany emphysema except... A. Spooning of the fingernails B. Hyperresonant note upon percussion C. Increased red blood cells D. Decreased respiratory excursions
A. Spooning of the fingernails
Spooning occurs with iron deficiency anemia
While taking x-ray, which of the following pathologies necessitates an increase in exposure technique? A. Acromegaly B. TB C. Hyperthyroidism D. Emphysema
A. Acromegaly
Which of the following questions would help substantiate a diagnosis of a rib fracture?
A. Is there a family history of fragile ribs?
B. Do you smoke?
C. Do you also have back pain?
D. Does deep breathing or coughing aggravate the pain?
E. Have you broken ribs before?
D. Does deep breathing or coughing aggravate the pain?
Which of the following chest conditions is associated with hemoptysis (coughing of blood)? A. Bronchial asthma B. Acute bronchitis C. Bronchogenic carcinoma D. Pneumonia
C. Bronchogenic carcinoma
Butterfly rash of the face without any other lab findings may suggest... A. Lupus B. Subacute bacterial endocarditis C. Systemic lupus erythematosis D. Acromegaly
A. Lupus
Giovanni is a 25-year-old male complaining of acute abdominal discomfort for the last several days. Initial evaluation revealed that he has a tinge of yellowish discoloration in his sclera. Examination reveals tenderness in the right upper quadrant. Which of the following systems may be suspected as a cause of jaundice in Giovanni's case? A. Hemopoietic system B. Gastrointestinal system C. Genitourinary system D. Cardiovascular system
A. Hemopoietic system
The apex beat is normally located at... A. Mid scapular line B. Mid clavicular line C. Interior axillary line D. Midaxillary line
B. Mid clavicular line
At 5th intercostal space
