Dermatology
HEENT
Thorax & Lungs
Cardiac
Neuro
100
Your pt has pitting of nails. The FNP understands that this is associated with:
Psoriasis
100
You place a vibrating tuning fork on the pt's right mastoid process asking him to let you know when the sound is gone, and then you immediately place the same tuning fork near his right ear. He hears the sound equally in air as against bone. The name of this test is:
Rinne's test
100
What is the reference point/landmark to start counting ribs and intercostal spaces?
manubriosternal junction
100
a common symptom of cardiovascular disorders in the older adult?
Fatigue
100
What condition is depicted in this picture?
Bell's palsy, CN VII dysfunction
200
What is displayed in this picture?
acanthosis nigricans
200
What CNs controls extraocular movements?
CN III (oculomotor), CN IV (trochlear), CN VI (abducens)
200
The FNP is auscultating a patient's chest and ask the pt to say "ninety-nine." With the stethoscope, a clear transmission of the words transmission of the words is heard indicating increased lung density. This describes which voice sound?
Bronchophony
200
Complaints of pain on walking, relieved by sitting down, these symptoms mostly likely indicates a pt experiencing what?
intermittent claudication
200
Which part of the brain deals with balance and coordination?
List two (2) test that you can have pt perform on physical exam to test balance and coordination?
cerebellum
rapid alternating movements, Romberg
300
A 58 y.o. teacher presents to you clinic for evaluation of a bump on his face. It appeared 1 month ago and is growing. Denies fever, chills, or itching. PE reveals a 0.4 cm nodule w/ a depressed center and a firm elevated border that is flesh-colored. Based on this info., what is your most likely dx?
Basal cell carcinoma
300
A 40 y.o. warehouse worker presents to your clinic c/o a headache. He has had these headaches intermittently for several yrs, but they have been increasing in frequency. In your clinic today, this BP is 170/110 mm Hg. His UA is positive for proteinuria, and his finger stick glucose is 100 mg/dL. You dx him with uncontrolled HTN. What finding on fundoscopic exam would support this dx.
Arteriovenous (AV) nicking
300
A 65 y.o. w/ know hx of COPD presents to your clinic for evaluation of progressive SOB. He had an URI 2 weeks ago, and the symptoms have gotten worse. On PE, you find that he is having an acute exacerbation of his COPD. On GENERAL SURVEY of this pt, you would expect to see him in what position:
Sitting up and leaning forward w/ arms braced (Tripod)
300
The FNP is examining a woman with a known hx of mitral valve disease. What type of murmur heard on auscultation supports a history of mitral stenosis?
Diastolic murmur
300
Describe what would be a positive Romberg test?
The inability to maintain an erect posture (moving feet apart) over 60 seconds with eyes closed.
400
The most common form of skin cancer.
basal cell carcinoma
400
Turbinates that appear bluish gray or pale pink with a swollen, boggy consistency may indicate _________
allergies
400
With chronic emphysema the lungs are hyper-inflated, what type of percussion note might you find on physical exam
Hyperresonance
400
What could you ask a pt to do to accentutate the findings of MITRAL VALVE PROLAPSE?
Perform a Valsalva maneuver
400
You flex the patient's neck and his hips and knees flex in response, indicating meningeal irritation. The name of this positive sign is:
Brudzinski's sign
500
impetigo
500
What is the expected finding for the Webber test?
No lateralization, but will lateralize to ear occluded by patient
500
pectus carinatum
500
The FNP is performing a PE on a healthy adult male. On auscultation, the stethoscope would be placed in what areas to BEST hear the characteristic heart sounds S1 and S2
S1 is best heard at the apex and S2 at the base of the heart
500
If your patient is in a coma due to opiate overdose, what type of pupillary response/type of reaction would you expect
Pupils equal and reactive to light, pinpoint