Question 1:
III first time audible, IV first time thrill
Answer:
All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III- clearly audible. IV- first time
thrill V-Steth edge VI-entire steth. EXAM
Fundal Height 12 weeks above symphysis pubis. EXAM
Fundus 16 weeks between symphysis pubis and umbilicus. Fundus at 20 weeks is at umbilicus.
Question 2:
2 cm more of less from # of wk gestation is normal if more or less order US
Answer:
Fundal height 12 weeks
Question 3:
3 month old infant with down syndrome, due to milk intolerance, mom started on goats milk; now has
pale conjunctiva but otherwise healthy. Low HCT. What additional test would you order?
Answer:
Iron, TIBC
Question 4:
3 months of synthroid, TSH increased, T4 normal, what do you do?
Answer:
Increase Medication
Question 5:
Mini mental exam
Answer:
3 ways to assess cognitive function in patient with signs/symptoms of memory loss
Question 6:
tell her it is normal.
Answer:
4 month old with strabismus, mom is worried......
Question 7:
4 month old wont keep anything down, what is the main thing you look at?
Answer:
Growth chart
,Question 8:
XRAY
Answer:
6 month old closed anterior fontanel.
Question 9:
Abnormal cells on PAP, what do you do next?
Cut down
Annoyed by criticism Guilty about drinking
Answer:
Refer for Colposcopy
Question 10:
Eye opener drink
Answer:
CAGE ACRONYM
Fever Anemia
Question 11:
Hypotension
Answer:
Causes of tachycardia
Question 12:
CN 3,4,6
Answer:
Cranial nerves responsible for extraocular eye movements
Question 13:
cluster of conditions that increase risk of heart disease, stroke, diabetes.
Answer:
Definition of metabolic syndrome
Question 14:
wet prep
Answer:
diagnose trichomoniasis
,Question 15:
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you do next?
Answer:
Pelvic US
Question 16:
Epistaxis is most common in the area of the nose known as kiesselbachs triangle, where is this located?
Answer:
Anterior septum
Question 17:
urinalysis and culture
Answer:
Definitive diagnosis of acute bacterial prostatitis
Question 18:
H2 is first line, give hs
Answer:
GERD treatment
LEEP
Question 19:
Grade 3 cells on Pap, treatment?
Answer:
excision
Question 20:
drill hole and drain blood?
Answer:
Fingernail hematoma treatment?
Question 21:
Salpingitis, or history of abortion, PID,
Answer:
Increased risk of ectopic pregnancy
Question 22:
Measles (rubeola). Grains of salt lesions inside mouth in Measles
Answer:
Koplick spots
, Question 23:
Measles (rubeola). Grains of salt lesions inside mouth in Measles
Answer:
Koplick spots
Question 24:
Avascular necrosis of the proximal femoral head
Answer:
Legg-Calve-Perthes Disease
Question 25:
Lipid level of 1500, increased risk for?
Answer:
Pancreatitis
Question 26:
Low HGB, Low HCT, High MCV indicates what?
Answer:
Macrocytic anemia, B12 Def
Question 27:
Man with BPH, prostate feels on digital exam?
Answer:
Enlarged, symmetrical, smooth
Question 28:
Arterial Insufficiency
Answer:
Man with HTN, CAD, present femoral pulses but absent pedal
Question 29:
Meniscus tears
Answer:
McMurray's Sign
(+) palpable or audible click while extending with varus stress
Question 30:
pivot shift test (ACL tear)
Answer:
Lachman's Test