Answers
1.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
Answer III first time audible, IV first time thrill
2.Fundal height 12 weeks
Answer Fundal Height 12 weeks above symphysis pubis. EXAM
Fundus 16 weeks between symphysis pubis and
umbilicus. Fundus at 20 weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more or less order
US
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
4.3 months of synthroid, TSH increased, T4 normal, what do you do?
Answer Increase Medication
5.3 ways to assess cognitive function in patient with signs/symptoms
,of memory loss
Answer Mini mental exam
6.4 month old with strabismus, mom is worried......
Answer tell her it is normal.
7.4 month old wont keep anything down, what is the main thing you
look at?
Answer Growth chart
8.6 month old closed anterior fontanel.
Answer XRAY
9.Abnormal cells on PAP, what do you do next?
Answer Refer for Colposcopy
10.CAGE ACRONYM
Answer Cut down
Annoyed by
criticism Guilty
about drinking
Eye opener drink
11.Causes of tachycardia
Answer Fever Anemia
,Hypotension
12.Cranial nerves responsible for extraocular eye movements
Answer CN 3,4,6
13.Definition of metabolic syndrome
Answer cluster of conditions that increase risk of heart disease, stroke,
diabetes.
14.diagnose trichomoniasis
Answer wet prep
15.Elderly presents with atrophic vaginitis, small uterus, palpable 4x5
ovary, what do you do next?
Answer Pelvic US
16.Epistaxis is most common in the area of the nose known as
kiesselbachs triangle, where is this located?
Answer Anterior septum
17.Definitive diagnosis of acute bacterial prostatitis
Answer urinalysis and culture
18.GERD treatment
Answer H2 is first line, give hs
, 19.Grade 3 cells on Pap, treatment?
Answer LEEP excision
20.Fingernail hematoma treatment?
Answer drill hole and drain blood?
21.Increased risk of ectopic pregnancy
Answer Salpingitis, or history of abortion, PID,
22.Koplick spots
Answer Measles (rubeola). Grains of salt lesions inside mouth in
Measles
23.Legg-Calve-Perthes Disease
Answer Avascular necrosis of the proximal femoral head
24.Lipid level of 1500, increased risk for?
Answer Pancreatitis
25.Low HGB, Low HCT, High MCV indicates what?
Answer Macrocytic anemia, B12 Def
26.Man with BPH, prostate feels on digital exam?