Cardiac
Which valves close with S1?
Mitral and Tricuspid
Vitaligo is caused by _________
lack of melanin in that area of the skin
describe the 3 cranial nerves that are assessed with Extra Ocular Muscle Movements (nerve and direction of movement of the eyeball)
4: in and toward the nose
6: horizontal laterally toward the ear
3: all the rest
During the FPE will .25 be deducted for touching your hair or breaking clean technique and not re-hand sanitizing?
yes
Raise brows, Puff cheeks and smile tests which cranial nerve
Facial Nerve, CN VII, motor component
Describe the auscultation technique to assess for Carotid Bruits
Bell of stethoscope. "Don't breathe" or "Hold your breath"
Describe where to palpate the posterior tibialis pulse.
Behind the medial malleolus.
Your patient has 20/40 vision. This means your patient can see at _______ feet what a typical person can see at ________ feet.
your patient can see at 20 feet what a typical person can see at 40 feet. (20/40 vision is worse than 20/20 vision)
The medical term for nosebleeds.
What is epistaxis?
your patient has acute tonsillitis and a lot of enlarged lymph nodes in the anterior neck. This is known as
lymphadenopathy
describe afterload
the opposing pressure that the LV must overcome
State the ABCDEs of Malignant Melanoma
Asymmetry, Border is irregular, Color is varied, Diameter is > 6 mm, Evolution
Type of hearing loss that occurs gradually and is common in older adults.
What is Presbycusis?
CO = HR x SV The heart rate is 40 in a patient with a weakened heart so the SV can't compensate or change much) What happens to the CO and what would you expect to see on physical exam
Decreased CO; Decreased blood pressure and decreased perfusion to the extremities and vital organs
A lymph node that is firm and non tender is concerning for
Cancer nearby
Your patient has an S3, when would that occur? How would you best listen to hear an S3?
early diastole; left lateral position 5th ICS L MCL
Describe where to palpate for lower extremity edema in a patient with heart failure?
pre tibial area
Name at least 5 physical examination tests used to assess the eyes.
What are corneal light reflex, accomodation, cover/uncover test, convergence, EOMs, corneal light reflex.
List 2 symptoms of each: Right sided heart failure and Left sided heart failure
Right: JVD, peripheral edema
Left: SOB, crackles, orthopnea, PND
The cartilage commonly known as the Adam's Apple?
Thyroid Cartilage. Is this where the Thyroid gland is? NO.
Which answers are not a possible cause of a murmur: 1. High Velocity State 2. Blood Clot 3. Valve Stenosis 4. JVD 5. Regurgitation of blood flow through a valve 6. Incompetent Valve 7. Fluid Overload
Answer: Blood Clot, JVD, Fluid Overload
These situations can cause a murmur: High Velocity State, Valve Stenosis, Regurgitation of blood flow through a valve, Incompetent Valve
What should you do if you can't palpate your patient's pulse?
All correct: Compare to other side, use a doppler, check cap refill, check temperature
Describe the Webber and Rinne Tests and normal findings of each
Webber: bone conduction = bilaterally Rinne: Air Conduction is > Bone Conduction
Describe the normal / expected percussion sounds to hear with assessment of the abdomen and lungs
Abd: tympanic with air and dull with solid organ or stool. Lungs: resonant
Why is lymphedema associated with cancer?
It can occur secondarily to lymph node removal as part of cancer treatment. OR other damage to lymphatic vessels or nodes in the area affected.