AMLS Questions and Answers 100% correct 2023

AMLS Questions and Answers 100% correct 2023 Left should pain Diaphragm irrition, ruptured spleen, myocardial jnfart Right should pain Liver irritation, gallbladder pain, diaphragm irrational Right scapular pin Liver and gallbladder Epigastric Stomach, lung, cardiac Umbilical Small intestine, appendix Back Aorta, stomach, pancreas Flanks to groin Kidney, uriter Perineal Bladder Suprapubic Bladder, colon Secondary survey Physical exam Rhonchi Coarse low pitched, may clear with cough Wheeze Whistling high pitch Bronchial Coarse, loud, heard with consolidation Rub Scratchy, high-pitched Crackles Fine crackling, high pitched Bronchovesicular Combination bronchial and vesicular normal on some areas Vesicular High pitched breezy Blood pressure Flow*resistance McBurney point Area over R side of ABD that is 3rd of the distance from anterior superior iliac spine to umbilicus. Tenderness acute appendicitis Rovsing sign Palp LLQ makes pain in RLQ indicates appendicitis Upper ABD T7, T8 and T9 Lower ABD T10 and T11 Cremasteric T12, L1 and L2 Planter L4, L5 S1 and S2 Babinski Check Nero in conscious pt. run pen along bottom of foot and toes move toward nose is a positive Neurogenic shock vasodilation Neurogenic shock Warm, dry, pink skin, Hypotension, Bradycardia and bradypnea, May have normal cap refill Septic Shock vasodilation Septic Shock Hypotension, Altered mental status, Hyper or hypothermic Anaphylaxis Shock vasodilation Anaphylaxis Shock Hypotension, Tachycardia, Anxiety, Urticaria, angioedema, Wheezing Hypovolemic Shock loss of plasma or blood Hypovolemic Shock Cool, pale, clammy skin, Hypotension - late sign, Altered mental status, Delayed cap refill Cardiogenic shock loss of pump function Cardiogenic shock Cool, clammy, pale skin. May also be cyanotic, Increased or decreased heart rate or dysrhythmia, Hypotension, Altered mental status, Decreased cap refill, May have pulmonary edema - crackles Obstructive shock tamponade, tension pneumo, pulmonary embolus Obstructive shock JVD, Tracheal deviation in pneumothorax, Muffled heart tones in tamponade, Pulsus pardoxus Compensated shock the renin-angiotension-aldosterone system is activated when the blood pressure drops. This causes an increase in preload through reabsorption of water and sodium. Increased preload will also increase afterload. COPD patients acute onset of SOB may have a pulmonary embolism