Internal Med EOR Exam (A+ GRADED) Complete answers

A 42-year-old woman presents complaining of shortness of breath, three days of fever as high as 103F, and a cough productive of green sputum. On physical examination, you hear crackles in her lungs. A chest radiograph reveals a consolidation in the left lower lobe. What tactile fremitus findings do you expect to observe in the left lower lobe region? A Absent B Decreased C Hyperresonant D Increased E Normal correct answers The Correct Answer is: D Tactile fremitus is increased (D) by processes that cause consolidation within the lung parenchyma and decreased (B) by processes that insulate the lung parenchyma from transmitting vibration (e.g., pneumothorax, hemothorax) or airway obstruction. A 54-year-old female presents complaining of decreased visual acuity to her right eye over the past few hours. She denies pain, and describes having wavy vision and seeing flashes of light. Her visual acuity in the affected eye is 20/200. What condition best describes the following physical finding? A Retinal detachment B Central retinal artery occlusion C Open angle glaucoma D Angle closure glaucoma E Optic neuritis correct answers The Correct Answer is: A The image demonstrates a detached retina. The superior aspect of the retina appears wavy and flowing. A central retinal artery occlusion is characterized by a pale retina, as well as a cherry red spot on the macula. Open angle glaucoma does not cause acute vision loss. Angle closure glaucoma causes painful acute vision loss. Optic neuritis is characterized by painful visual loss and a swollen optic disc.