MEDICINE

MEDICINE

Cardio & Physical Diagnosis

The brainstem includes the following

a. pons

b. thalamus

c. medulla oblongata

d. all

e. A and C

Nerve impulse on DTRs

a. spinal

b. peripheral

c. cranial

d. A and B

e. All

Meningismus

a. Chaddocks

b. Kernigs

c. Brudzinski

d. All

e. B and C

Inability to complete a task or instruction not related to paralysis

a. aphasia

b. apraxia

c. ataxia

d. astereognosia

Headache that is one sided is most of the time due to

a. vascular

b. muscular contraction

c. space occupying lesion

d. metabolic dysfunction

Facial palsy will present with any of the following except

a. facial asymmetry

b.

c. Shallow nasociliary fold

d. Tongue deviation

Lateralization is seen in

a. Rinnes

b. Swabach

c. Webers test

d. All

Use to assess visual acuity except

a. Snellens

b. Jaegers

c. Counting finger

d. Perimetry

Loss of hair on scalp or face in seen --- alopecia areata

Unilateral nasal discharge --- foreign bodyWhich of the following indicates melena

a. UGIB

b. Hemorrhoids

c. LGIB

d. Portal hypertension

Which cause hypoactive bowel sounds

a. LBM

b.

c. Vomiting

d. Pancreatitis

Melena --- UGIB

Abnormal abdominal finding --- everted umbilicus

Diagnostic test for biliary --- cholangiography

Clubbing of finger is associated with --- COPD

Sounds on the area of trachea --- tubular breath sounds

Decrease breath sounds

a. foreign body obstruction

b. pleural effusion

c. .

d. All of the above

Increase fremitus --- pneumonia

Increase jugular vein distention --- right side heart failure

S2 is produced by --- closure of the aortic and pulmonic valve

Sagging of unsupported buttock when leg is raised --- Trendelenburg test

Gentle test of the hip that should be done first --- rotation of thigh

A holosystolic murmur in a loud inspiration --- aortic stenosis

Murmur in mitral valve prolapse --- mid systolic click

Not a characteristic of aortic stenosis except

a. chest pain on rest

b. systolic ejection murmur

c. syncope on exertion

d. hypertension

38 years old, male (+) history of marfan syndrome (+) diastolic murmur (+) chest pain probable diagnosis --- aortic regurgitation

27 year old, female (+) history of penodar (?) infection monthly (+) chest pain with diastolic murmur --- mitral stenosis

Drug has (-) chronotropic (+) inotropic effect --- digoxin

Increase enzyme in myocardial infarction --- LDH

Additional antagonist --- spironolactone

50 years old hypertensive diabetic, with chest pain not < 20 minutes --- unstable angina

Enzyme that last for 24 hours after MI --- CPK-MB and Troponin

Aspirin is indicated to patients with --- acute myocardial infarction and acute pericarditis

Most common primary malignant tumor --- sarcoma

Male, patient had MI compared to acute pericarditis, results of ECG --- wide ST segment with upward concavity

Cardiac tamponade include

a. neck vein engorgement

b. pulsus paradoxicus

c. low voltage ECG

d. all

Hypertension cant controlled, flank bruit, < 50 years --- renovascular disease

Hypokalemia --- Primary aldosteronism

Paroxysmal hypertension --- pheochromocytoma

Ca channel blocker.. Nifedipine, Verapamil except --- Ventricular tachycardia

Cerebellar testing except --- memory loss

Ability to recognize object by touch with the eye close --- astereognosis

Ability to move the arm sideways without gravity --- 2/5