FCM Final ALREADY PASSED
AV nicking - what does it indicate? - =HTN - artherosclerotic changes in the retinal vasculature, (not
acute HTN)
Blurred lateral optic disc - what does it indicate? - =increased intercranial pressure (acute)
Cotton wool spots - what does it indicate? - =Diabetic neuropathy or HTN. Indicative of chronic increases
in intercranial pressure.
Fixed lymph nodes indicate what? - =Malignancy
Enlarged, tender lymph nodes - =Inflammation
What might generalized lymphadenopathy indicate? - =HIV, mono, lymphoma, leukemia, sarcoidosis
What findings do you expect with percussion of the thorax in pneumothorax? - =Increased resonance on
the affected side
What are characteristic lung findings in a pneumothorax? - =less breath sounds on affected side,
decreased tactile fremitus, increased resonance to percussion
What is a pneumothorax? - =Abnormal collection of air or gas in the pleural space that separates the
lung from the chest wall
Percussion - dull sound - =solid mass
Percussion - resonant sound - =hollow, air containing structures
Emphysema - percussion sounds - =hyperresonant
, What do crackles on pulmonary exam indicate? - =pneumonia, pulmonary edema, interstitial lung
disease
What is the PMI like (characteristics) in a person with CHF? - =Diffused (softened and broadened)
Where is PMI normally located? - =5th interspace, 7-9cm lateral to midsternal line (in midclavicular line)
When is tactile fremitus increased? - =Over areas of consolidation (pneumonia)
When is tactile fremitus decreased? - =Over areas of increased air (pleural effusion or pneumothorax)
Where do you best hear mitral stenosis murmurs? - =LLD
Where do you best hear an S3 gallop? - =LLD
Chronic pruritis rash - =psoriasis
Abdomen exam order - =Inspection, auscultation, percussion, palpation
Peritoneal signs include: - =Rebound tenderness, involuntary guarding, rigidity of the abdomen
PE signs of ascites - =On shifting dullness test, boundary between tympani and dullness will move away
from you as patient rolls toward you
What is Murphy's sign and what does a positive Murhpy's indicate? - =patient halts inspiration due to
tenderness in RUQ - indicates Cholecystitis
Hepatomegaly, how many cm is liver? - =>12cm
CVA tenderness strongly indicates: - =pyelonephritis
AV nicking - what does it indicate? - =HTN - artherosclerotic changes in the retinal vasculature, (not
acute HTN)
Blurred lateral optic disc - what does it indicate? - =increased intercranial pressure (acute)
Cotton wool spots - what does it indicate? - =Diabetic neuropathy or HTN. Indicative of chronic increases
in intercranial pressure.
Fixed lymph nodes indicate what? - =Malignancy
Enlarged, tender lymph nodes - =Inflammation
What might generalized lymphadenopathy indicate? - =HIV, mono, lymphoma, leukemia, sarcoidosis
What findings do you expect with percussion of the thorax in pneumothorax? - =Increased resonance on
the affected side
What are characteristic lung findings in a pneumothorax? - =less breath sounds on affected side,
decreased tactile fremitus, increased resonance to percussion
What is a pneumothorax? - =Abnormal collection of air or gas in the pleural space that separates the
lung from the chest wall
Percussion - dull sound - =solid mass
Percussion - resonant sound - =hollow, air containing structures
Emphysema - percussion sounds - =hyperresonant
, What do crackles on pulmonary exam indicate? - =pneumonia, pulmonary edema, interstitial lung
disease
What is the PMI like (characteristics) in a person with CHF? - =Diffused (softened and broadened)
Where is PMI normally located? - =5th interspace, 7-9cm lateral to midsternal line (in midclavicular line)
When is tactile fremitus increased? - =Over areas of consolidation (pneumonia)
When is tactile fremitus decreased? - =Over areas of increased air (pleural effusion or pneumothorax)
Where do you best hear mitral stenosis murmurs? - =LLD
Where do you best hear an S3 gallop? - =LLD
Chronic pruritis rash - =psoriasis
Abdomen exam order - =Inspection, auscultation, percussion, palpation
Peritoneal signs include: - =Rebound tenderness, involuntary guarding, rigidity of the abdomen
PE signs of ascites - =On shifting dullness test, boundary between tympani and dullness will move away
from you as patient rolls toward you
What is Murphy's sign and what does a positive Murhpy's indicate? - =patient halts inspiration due to
tenderness in RUQ - indicates Cholecystitis
Hepatomegaly, how many cm is liver? - =>12cm
CVA tenderness strongly indicates: - =pyelonephritis
