TEST 2 WTFS Flashcards

1
Q

closure of mitral and tricuspid

A

S1

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2
Q

closure of aortic and pulmonic valves

A

S2

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3
Q

resistance to filling of ventricles

A

S3

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4
Q

atrial gallop

A

S4

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5
Q

Ten-nes-see

A

S4

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6
Q

Ken-TUCK-y

A

S3

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7
Q

extra heart sounds

A
  • pericardial friction rub

- prosthetic valve click

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8
Q

signs of arterial occlusion or insufficiency

A
  • pain
  • pallor
  • paralysis
  • pulselessness
  • parasthesias
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9
Q

signs of venous obstruction

A
  • homan sign
  • edema
  • thrombosis
  • varicose veins
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10
Q

tests extra ocular eye movements

A

-6 cardinal fields of gaze
nystagmus
-cover-uncover

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11
Q

near sighted

A

myopia

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12
Q

far sighted

A

hyperopia

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13
Q

both eyes don’t focus simultaneously

A

strabismus

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14
Q

double vision

A

diplopia

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15
Q

response of the other eye

A

consensual

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16
Q

inflammation of eyelash follicle

A

recurrent hordeola (stye)

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17
Q

lazy eye

A

amblyopia

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18
Q

loss of accommodation with age and lenses become rigid

A

presbyopia

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19
Q

exposure to wind

A

ptergium

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20
Q

involuntary movements

A

nystagmus

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21
Q

thoracic landmarks

A
  • clavicle
  • supersternal notch
  • manibrosternal junction
  • intercostal spaces
  • sternal borders
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22
Q

look for when palpating arteries

A
  • rhythm
  • amplitude
  • symmetry
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23
Q

look for when checking murmurs

A
  • timing/duration
  • intensity
  • location
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24
Q

which arteries to palpate

A
  • temporal
  • carotid
  • brachial
  • radial
  • femoral
  • popliteal
  • dorsalis pedis
  • posterior tibial
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25
which scale are arteries measure on
0-4
26
0
absent
27
1
diminished
28
2
expected
29
3
full, increased
30
4
bounding
31
which scale are the intensity of murmurs measured by
I-VI
32
turbulent blood flow through a valve
murmor
33
opening between the 2 atria in the fetus
foramen ovale
34
channel between main pulmonary artery and aorta in fetus
ductus arteriosis
35
where are superficial nodes located
sub Q tissue
36
where are deep nodes
beneath fascia of muscles and in body cavity
37
lymph is composed of
- WBCs - RBCs - clear fluid - proteins
38
types of hernias
- hiatal - umbilical - inguinal - ventral
39
increased bowel sounds may occur if
- gastroenteritis - hunger - early intestinal obstruction
40
high pitched tinkling abdomen sounds
- intestinal fluid | - air under pressure
41
decreased bowel sounds
- peritonitis | - paralytic ileum
42
where do you listen for bruits in abdomen
- femoral arteries - renal arteries - iliac arteries - epigastric region - aortic region
43
s/s of AAA
- n/v - abdominal mass - bruits
44
what does lymph system do?
- filters - produces lymphocytes - produces antibodies - phagocytosis
45
when checking tympanic membrane
- light reflex | - malleus
46
what is heard over organs and solid masses
dullness
47
vision difficulties
halos - floaters - diploid - color vison
48
what to check for on external ear
- deformities | - drainage
49
lymph nodes warm to touch
bacterial infection
50
edema without pitting
arterial insufficiency or lymphedema
51
tympanic sounds indicate
air
52
fine, palpable, rushing vibration
thrill
53
tonsils are graded on a scale of
1-4
54
tonsils - 1
visible
55
tonsils - 2
halfway between tonsillar pillars and uvula
56
tonsils - 3
nearly touching the uvula
57
tonsils - 4
touching each other
58
cardiac - HPI
``` chest pain fatigue cough dyspnea LOC ```
59
cardiac - PMH
surgery increased BP diabetes
60
cardiac - FH
early onset heart disease | sudden death
61
cardiac - PSH
tobacco use diet drugs
62
head and neck - HPI
head injury headache stiff neck thyroid probs
63
head and neck - PMH
``` head trauma lumbar puncture radiation treatment headaches seizures thyroid dysfunction ```
64
head and neck - FH
headaches - type and character | thyroid dysfunction
65
head and neck - PSH
``` employment risk stress injury risks recent weight gain/loss food intolerances use of alcohol/drugs ```
66
breasts and axillae - HPI
breast discomfort breast mass/lumps nipple discharge
67
breasts and axillae - PMH
``` previous breast disease BRCA1 or BRCA2 mutation changes in breast characteristics mammogram history menstrual history preg and location meds ```
68
male genitalla - HPI
``` difficulty achieving and maintaining an erection difficulty with ejaculation discharge lesions infertility hernia testicular mass ```
69
male genitalla - PMH
surgery sex history chronic illness
70
male genitalla - FH
hernia cancer infertility
71
male genitalla - PSH
high risk sex behavior
72
abdomen - HPI
pain character location
73
abdomen - PMH
GI disorders
74
abdomen - PSH
nutrition exposures alcohol and drug use
75
abdomen - FH
``` liver cancer colon cancer gallbladder disease kidney disease polys ```
76
lymph - HPI
enlarged nodes | swelling of extremity
77
lymph - PMH
``` allergies chronic illness tuberculosis blood transfusions surgery autoimmune ```
78
lymph - FH
malignancy tuberculosis immune disorders hemophilia
79
lymph - PSH
recent travel illicit drugs sex history
80
blood vessels - HPI
``` leg pain/ cramps dizziness fatigue headaches swollen ankles ```
81
blood vessels - PMH
heart disease bleeding disorders stroke
82
blood vessels - FH
diabetes hypertension heart disease AAA surgery
83
blood vessels - PSH
tobacco use | cocaine
84
what to inspect during otoscopic exam
``` external canal tympanic membrane contour color perforations ```
85
what to inspect/palpate head and face
``` scalp lesions size expressions symmetry involuntary movements head position shape ```
86
inspection and palpation of neck
``` muscle symmetry ROM trachea alignment thyroid carotid artery ```
87
questions about stool
color | pain/discomfort
88
how to palpate breasts and axillae while seated
chest wall sweep bimanual digital palpation lymph node palpation
89
listen for bruits where
``` temporal carotid aorta renal illiac femoral ```