PCM 3 Test 1 (Fall 26) Questions with Verified
Correct Answers
Head to Toe Exam
Gen appearance: Sickness, distress, BMI, age
Vitals: T, HR (60-100), RR (12-20), BP (120/80), spO2 (95+)
HEENT
- Head: skull shape, hair, lesions, trachea, thyroid, JVD
- Eyes: PERRLA, acuity, conjunctiva, extraocular movement, fundoscope
- Ears: Otoscopic, Hearing (Rinne and Weber)
- Nose: septum, mucosa
- Oral cavity: mucosa, gingivae, tonsils, palate
Cardio: chest, palpation (PMI), auscultate (a,p,t,m), S1/S2, gallops, murmurs, timing,
radiation, S3 (volume), S4 (stiff ventricle)
Peripheral vascular: pulses, edema
Respiratory: inspection, palpation, percussion, auscultation (crackles, wheezes, rhonchi,
stridor)
Abdomen: auscultate, palpate (guarding, rebound)
MSK: ROM, Strength, Special tests, asymmetry. cervical: spurling, lumbosacral: straight leg
raise, leg: lachman, mcmurray, straight leg raise
Renal Exam Findings
Volume loss
Volume change (polyuria, frequency, anuria etc)
Urine quality
Flank pain
, FH of renal disease, HTN, DM
Meds: NSAIDS
Physical: pulm/peripheral edema, abdominal distension, CVA tenderness, DM fundoscopic
exam, encephalopathy, enlarged prostate
Urinalysis
Proteinuria
Spot urine protein/creatinine ratio can estimate proteinuria
Also look for low C3/4 (deposition in glomeruli)
ANA + anti-dsDNA (lupus)
Nephritic syndrome
group of clinical signs and symptoms, present in some disorders, that cause
glomerulonephritis; marked by blood and protein in the urine and by edema in various parts
of the body
RBC casts + proteinuria + WBC
Renal biomarkers
BUN: blood urea nitrogen. increased shows possible liver/kidney damage, dehydration, or
high protein diet.
Correct Answers
Head to Toe Exam
Gen appearance: Sickness, distress, BMI, age
Vitals: T, HR (60-100), RR (12-20), BP (120/80), spO2 (95+)
HEENT
- Head: skull shape, hair, lesions, trachea, thyroid, JVD
- Eyes: PERRLA, acuity, conjunctiva, extraocular movement, fundoscope
- Ears: Otoscopic, Hearing (Rinne and Weber)
- Nose: septum, mucosa
- Oral cavity: mucosa, gingivae, tonsils, palate
Cardio: chest, palpation (PMI), auscultate (a,p,t,m), S1/S2, gallops, murmurs, timing,
radiation, S3 (volume), S4 (stiff ventricle)
Peripheral vascular: pulses, edema
Respiratory: inspection, palpation, percussion, auscultation (crackles, wheezes, rhonchi,
stridor)
Abdomen: auscultate, palpate (guarding, rebound)
MSK: ROM, Strength, Special tests, asymmetry. cervical: spurling, lumbosacral: straight leg
raise, leg: lachman, mcmurray, straight leg raise
Renal Exam Findings
Volume loss
Volume change (polyuria, frequency, anuria etc)
Urine quality
Flank pain
, FH of renal disease, HTN, DM
Meds: NSAIDS
Physical: pulm/peripheral edema, abdominal distension, CVA tenderness, DM fundoscopic
exam, encephalopathy, enlarged prostate
Urinalysis
Proteinuria
Spot urine protein/creatinine ratio can estimate proteinuria
Also look for low C3/4 (deposition in glomeruli)
ANA + anti-dsDNA (lupus)
Nephritic syndrome
group of clinical signs and symptoms, present in some disorders, that cause
glomerulonephritis; marked by blood and protein in the urine and by edema in various parts
of the body
RBC casts + proteinuria + WBC
Renal biomarkers
BUN: blood urea nitrogen. increased shows possible liver/kidney damage, dehydration, or
high protein diet.
