You have been unable to hear normal S2 splitting in children up to this point. What
technique will maximize your chances of hearing this phenomenon?
a). Listen with the bell over the apex.
b). Listen with the diaphragm over the left lower sternal border.
c). Listen with the diaphragm in the axilla.
d). Listen with the bell over the 2nd left intercostal space.
Give this one a try later!
, d). Listen with the bell over the 2nd left intercostal space.
S2 is made of aortic and pulmonic components. Of these, the pulmonic
component is much softer and heard best over the pulmonic area. Even in
the proper location, the pulmonic component may be difficult to hear with
the diaphragm because it is a soft, low-pitched sound. For this reason, the
bell should be used to listen for S2 splitting over the pulmonic area during
inspiration, when splitting should be maximized. Breathing also changes
heart rate more rapidly in children. One may think an arrhythmia is present
until she notices that this rate change is related to the respiratory cycle.
Mrs. Glynn is 90 years old and lives alone. She is able to bathe, dress, prepare her
food, and transfer from bed to chair independently. She has children in the area who
help her with her medications and transportation needs. Which of the following is
considered an instrumental activity of daily living?
a). Preparing food
b). Transferring from bed to chair
c). Bathing
d). Dressing
Give this one a try later!
a). Preparing food
Instrumental activities of daily living involve higher thought processes such
as preparing food, whereas bathing, dressing, and transferring are
considered physical activities of daily living.
Abby is a newly married woman who is unable to have intercourse because of
vaginismus. Which of the following is true?
a). This is most likely due to lack of lubrication.
b). This is most likely due to atrophic vaginitis.
, c). Psychosocial reasons may cause this condition.
d). This is most likely due to pressure on an ovary.
Give this one a try later!
c). Psychosocial reasons may cause this condition.
You are beginning the examination of the skin on a 25-year-old teacher. You have
previously elicited that she came to the office for evaluation of fatigue, weight gain,
and hair loss. You strongly suspect that she has hypothyroidism. What is the expected
moisture and texture of the skin of a patient with hypothyroidism?
a). Dry and smooth
b). Moist and rough
c). Moist and smooth
d). Dry and rough
Give this one a try later!
d). Dry and rough
A 20-year-old part-time college student comes to your clinic, complaining of growths
on his penile shaft. They have been there for about 6 weeks and haven't gone away. In
fact, he thinks there may be more now. He denies any pain with intercourse or
urination. He has had three former partners and has been with his current girlfriend
for 6 months. He says that because she is on the pill they don't use condoms. He
denies any fever, weight loss, or night sweats. His past medical history is
unremarkable. In addition to college, he works part-time for his father in construction.
He is engaged to be married and has no children. His father is healthy and his mother
has hypothyroidism. On examination the young man appears healthy. His vital signs
are unremarkable. On visualization of his penis you see several moist papules along
all sides of his penile shaft and even two on the corona. He has been circumcised. On
palpation of his inguinal region there is no inguinal lymphadenopathy.
Which abnormality of the penis does this patient most likely have?
technique will maximize your chances of hearing this phenomenon?
a). Listen with the bell over the apex.
b). Listen with the diaphragm over the left lower sternal border.
c). Listen with the diaphragm in the axilla.
d). Listen with the bell over the 2nd left intercostal space.
Give this one a try later!
, d). Listen with the bell over the 2nd left intercostal space.
S2 is made of aortic and pulmonic components. Of these, the pulmonic
component is much softer and heard best over the pulmonic area. Even in
the proper location, the pulmonic component may be difficult to hear with
the diaphragm because it is a soft, low-pitched sound. For this reason, the
bell should be used to listen for S2 splitting over the pulmonic area during
inspiration, when splitting should be maximized. Breathing also changes
heart rate more rapidly in children. One may think an arrhythmia is present
until she notices that this rate change is related to the respiratory cycle.
Mrs. Glynn is 90 years old and lives alone. She is able to bathe, dress, prepare her
food, and transfer from bed to chair independently. She has children in the area who
help her with her medications and transportation needs. Which of the following is
considered an instrumental activity of daily living?
a). Preparing food
b). Transferring from bed to chair
c). Bathing
d). Dressing
Give this one a try later!
a). Preparing food
Instrumental activities of daily living involve higher thought processes such
as preparing food, whereas bathing, dressing, and transferring are
considered physical activities of daily living.
Abby is a newly married woman who is unable to have intercourse because of
vaginismus. Which of the following is true?
a). This is most likely due to lack of lubrication.
b). This is most likely due to atrophic vaginitis.
, c). Psychosocial reasons may cause this condition.
d). This is most likely due to pressure on an ovary.
Give this one a try later!
c). Psychosocial reasons may cause this condition.
You are beginning the examination of the skin on a 25-year-old teacher. You have
previously elicited that she came to the office for evaluation of fatigue, weight gain,
and hair loss. You strongly suspect that she has hypothyroidism. What is the expected
moisture and texture of the skin of a patient with hypothyroidism?
a). Dry and smooth
b). Moist and rough
c). Moist and smooth
d). Dry and rough
Give this one a try later!
d). Dry and rough
A 20-year-old part-time college student comes to your clinic, complaining of growths
on his penile shaft. They have been there for about 6 weeks and haven't gone away. In
fact, he thinks there may be more now. He denies any pain with intercourse or
urination. He has had three former partners and has been with his current girlfriend
for 6 months. He says that because she is on the pill they don't use condoms. He
denies any fever, weight loss, or night sweats. His past medical history is
unremarkable. In addition to college, he works part-time for his father in construction.
He is engaged to be married and has no children. His father is healthy and his mother
has hypothyroidism. On examination the young man appears healthy. His vital signs
are unremarkable. On visualization of his penis you see several moist papules along
all sides of his penile shaft and even two on the corona. He has been circumcised. On
palpation of his inguinal region there is no inguinal lymphadenopathy.
Which abnormality of the penis does this patient most likely have?
