Exam Questions and CORRECT Answers
left lateral decubitus - CORRECT ANSWER -listen for mitral stenosis (diastolic rumble)
with bell at PMI
PMI - CORRECT ANSWER -5th ICS, midclavicular line
bell of stethoscope
absent red reflex - CORRECT ANSWER -children: retinoblastoma, cataracts
adults: cataracts, retinal detachement
peritonsillar abscess (quinsy) - CORRECT ANSWER -causes uvula deviation away from
affected side/abscess
hot potato voice, drooling, trismus, severe unilaterla sore throat
drain and treat with ABX
transilluminated sinuses - CORRECT ANSWER -clear sinuses/air filled = light travels
mass, congestion = fluid, mucus, mass
cover-uncover test - CORRECT ANSWER -detects strabismus
differentiates phorias from tropias
phoria - CORRECT ANSWER -temporary/latent strabismus
occurs when you disrupt fixation
tropia - CORRECT ANSWER -persistent/manifest strabismus
present without interruption
, serous OM/OME - CORRECT ANSWER -fluid behind eardrum in allergies, cold (no
infection), with fluid-air level visible
muffled sound, no systemic effects
squatting - CORRECT ANSWER -increases venous return, stroke volume, and cardiac
output, snd SVR;
intensifies aortic stenosis murmur - increases LV volume and pressure, turbulence across valve
aortic stenosis - CORRECT ANSWER -best heard sitting up and leaning forward
intensified by squatting
relieved by valsalva and standing
HOCM - CORRECT ANSWER -harsh systolic murmur
louder stand standing or valsalva (decreases return)
relieved by squatting/hand grip, leg raises (increase return)
tactile fremitus - CORRECT ANSWER -felt over consolidated lung (lobular pneumonia)
pleural effusion - CORRECT ANSWER -percussion is dull/flat - not resonant
pneumothorax - CORRECT ANSWER -hyperresonant
valsalva - CORRECT ANSWER -decreases venous return
standing
squatting
hand grip