SOLUTIONS
+ obturator Correct Answers represents possible appendicitis
+ psoas Correct Answers can represent peritoneal inflammation
0 Correct Answers absent, unable to palpate
1+ Correct Answers diminished, weaker than expected
2+ Correct Answers Brisk, expected (normal)
3 positions to listen to on a kid for sports physical Correct
Answers listen lying down, sitting, and while they squat ( puts
stress on heart) may help find murmur
3+ Correct Answers bounding
50 yr old loses breath w/ activity, what would you ask? Correct
Answers do you have dyspnea
57 yr old smokes 2 packs per day since 16 --> 41 yrs x 2 = 82
pack burden --> pain in lower extremities Correct Answers
peripheral vascular dz --> issue = intermittent clotication --> leg
pain w/ exertion relieved w/ rest
60 y/o african american man, stressful job, BP 130/88 --> AA
men have higher incidence of HTN. denies headaches, vision
changes, etc. what would you do> Correct Answers recheck BP
, --> too soon to medicate, BP isnt that high --> 1st try lifestyle
change
70 y.o afraid she has peripheral vascular disease --> what dz
process is a risk Correct Answers coronary artery dz
(circulation/heart issues)
99 on back Correct Answers bronchophony
99 on front Correct Answers tactile fremitus
a 13 y/o boy presents in your office. He denies any sx, SOB, CP,
or lightheadedness on exertion. Yet his grandmother thinks his
chest "looks funny." Upon visual examination of the chest, you
note that the lower portion of the sternum is depressed. what
disorder of the thorax would best describe this? Correct
Answers funnel chest (precuts excavatum)
a 32 y/o warehouse worker presents with low back pain, noting a
sudden onset of pain after lifting a set of boxes that were heavier
than usual. he states he has numbness and tingling in the left leg.
what test should you perform to assess for a herniated disc?
Correct Answers straight leg raise
a 38 year old woman is complaining of pain in multiple small
joints; she is also experiencing swelling and stiffness. which of
the following is the most likely explanation? Correct Answers
rheumatoid arthritis
a 7 year old boy is performing poorly in school. his teacher is
frustrated bc he is frequently seen "staring off into space" and