What are you inspecting and palpating the precordium for?
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To detect heaves and lifts
A new patient presents with dyspnea and your preceptor asks about a history of
eczema or atopic dermatitis. Why did your preceptor do this?
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Patients with asthma often have other signs of atopy
Obesity I BMI
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30.0-34.9
When is S3 heard?
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Early diastole after S2
A woman brings her 12 year old grandson in for evaluation. She noticed last week
when he took off his shirt that his breastbone seemed collapsed. Embarrassed, he
says that it has been that way for quite awhile. He denies symptoms from it and he
states that he just tries not to take off his shirt in front of anyone. He denies any
shortness of breath, chest pain, or lightheadedness on exertion. His past medical
history is unremarkable. He is in fifth grade and just moved in with his grandmother
because his father is deployed to the overseas. His mother died several years ago in a
car accident. He states that he does not smoke and has never touched alcohol. On
examination you see a teenage boy appearing his stated age. On visual examination
of his chest you see that the lower portion of the sternum is depressed. Auscultation
of the lungs and heart are unremarkable. What disorder of the thorax best describes
your findings?
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Funnel Chest (pectus excavatum)
What does palpation of a thrill usually mean?
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the patient most likely has a murmur, turbulence, damaged valves
Is afterload venous or arterial?
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Arterial
A 23-y.o. graduate student comes to your clinic for evaluation of a urethral discharge.
Due to the nature of the complaint you need to get a sexual history. Which one of the
following question provides the least amount of useful information?
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Are you sexually active:
What is a decrescendo murmur?
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becomes softer at the end of diastole
A patient presents to your office for a complaint of a rash on his chest associated with
a burning pain. Even a light touch causes this burning sensation to worsen. On
, examination, you note a rash with small blisters (vesicles) on a background of
reddened skin. The rash overlies an entire rib on his right side. What type of pain is
this?
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Neuropathic pain
You are completing visual confrontation testing and record some deficits in your
patient with a recent stroke. You note that the patient is unable to see your fingers on
his entire right side with either eye covered. Which of the following terms would
describe this finding?
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right homonymous hemianopsia
A 24 y.o. comes to your clinic for evaluation of fatigue. During your physical
examination, you listen to her heart and notice a murmur at the cardiac apex only.
Based upon the location of the murmur, you suspect that which valve is most likely
involved?
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Mitral
typically unilateral with multi-symptoms that last 4-72 hours; throbbing to aching pain
with moderate intensity, may be preceded by an aura, frequently has n/v,
photophobia, phonophobia, and visual and motor dysfunction
Give this one a try later!
To detect heaves and lifts
A new patient presents with dyspnea and your preceptor asks about a history of
eczema or atopic dermatitis. Why did your preceptor do this?
Give this one a try later!
Patients with asthma often have other signs of atopy
Obesity I BMI
,Give this one a try later!
30.0-34.9
When is S3 heard?
Give this one a try later!
Early diastole after S2
A woman brings her 12 year old grandson in for evaluation. She noticed last week
when he took off his shirt that his breastbone seemed collapsed. Embarrassed, he
says that it has been that way for quite awhile. He denies symptoms from it and he
states that he just tries not to take off his shirt in front of anyone. He denies any
shortness of breath, chest pain, or lightheadedness on exertion. His past medical
history is unremarkable. He is in fifth grade and just moved in with his grandmother
because his father is deployed to the overseas. His mother died several years ago in a
car accident. He states that he does not smoke and has never touched alcohol. On
examination you see a teenage boy appearing his stated age. On visual examination
of his chest you see that the lower portion of the sternum is depressed. Auscultation
of the lungs and heart are unremarkable. What disorder of the thorax best describes
your findings?
Give this one a try later!
Funnel Chest (pectus excavatum)
What does palpation of a thrill usually mean?
,Give this one a try later!
the patient most likely has a murmur, turbulence, damaged valves
Is afterload venous or arterial?
Give this one a try later!
Arterial
A 23-y.o. graduate student comes to your clinic for evaluation of a urethral discharge.
Due to the nature of the complaint you need to get a sexual history. Which one of the
following question provides the least amount of useful information?
Give this one a try later!
Are you sexually active:
What is a decrescendo murmur?
Give this one a try later!
becomes softer at the end of diastole
A patient presents to your office for a complaint of a rash on his chest associated with
a burning pain. Even a light touch causes this burning sensation to worsen. On
, examination, you note a rash with small blisters (vesicles) on a background of
reddened skin. The rash overlies an entire rib on his right side. What type of pain is
this?
Give this one a try later!
Neuropathic pain
You are completing visual confrontation testing and record some deficits in your
patient with a recent stroke. You note that the patient is unable to see your fingers on
his entire right side with either eye covered. Which of the following terms would
describe this finding?
Give this one a try later!
right homonymous hemianopsia
A 24 y.o. comes to your clinic for evaluation of fatigue. During your physical
examination, you listen to her heart and notice a murmur at the cardiac apex only.
Based upon the location of the murmur, you suspect that which valve is most likely
involved?
Give this one a try later!
Mitral
typically unilateral with multi-symptoms that last 4-72 hours; throbbing to aching pain
with moderate intensity, may be preceded by an aura, frequently has n/v,
photophobia, phonophobia, and visual and motor dysfunction
