PE mcq's and form for final

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PE

Post  Betty on Sun Oct 17, 2010 7:35 am

Presentation for test 1
mediafire.com ?qow3ndk2znm

Helpful materials
Dr. Smolej gave us these sites to listen to:

1. http://www.texasheart.org/education/cme/explore/events/eventdetail_5469.cfm
2. http://www.wilkes.med.ucla.edu/inex.htm


MCQ's for the final
1) Allens test - art distal from wrist
2) Heberdens Nodes - changes on the distal interphalangeal joint
3) Deaxation - not in the middle but still a movable joint
4) Splenomegaly - Gaucher disease, liver cirrhosis, leukemia (all options were correct)
5) Portal hypertension -portal vein block- Prehepatic
6) Jaundice - learn the table
7) Pnemonia - learn signs ( increase fremitus + dull percussion )
Thomayers percussory distribution
9) Thomayers test - dist test less that 5 cm
10) Angina Pectoris -learn signs
11) Pain during cardiac infarction
12) Lymphoma
13) Atrial septal defect - splitting of 2nd heart sound
14) Decreased fremitus is found in - atelectasis, pneumothorax, emphysema
15) Heaving
16) Barrel Chest
17) Emphysema

1) Regurgitant decrescendo murmer is found in:
a)Pulmonary Hypertention
b) aortic and pulmonary insuff.

2) Hemoptysis is found in patients with:
a)pulmonary congestion+embolism+hypertention
b)TB+ lung cancer+ bronchiectasis+lung abscess

3) Macroglossia is a symptom of:
a)acromegaly
b)myxedema

4) Protuding supraorbital ridges are symptoms of:
a) Acromegaly

5) Prolonged Expiration is found in:
a) asthma
b) Emphysema
c) Bronchitis

6) Homan Sign
a) DVT

7) Allens test
a)art. distal from the wrist


1. Pulsus alternans – chronic left ventricular dysfunction, long-standing hypertension
2. Mitral insufficiency -
3. Eisenmenger’s syndrome – large ventricular septal defect
4. Aortic stenosis – best heard in 2nd right interspace parasternal, systolic ejection murmur
5. What causes the 2nd heart sound – sudden closure of aortic and pulmonary valves
6. Fixed splitting of 2nd heart sound – atrial septal defect
7. Systolic venous pulsation into jugular vein – tricuspidal insufficiency
8. Systolic pulsation of the liver – tricuspidal insufficiency
9. Weakening of vesicular breathing – obesity, pleuropulmonary adhesion, effusion, penumothorax
10. Amphoric breathing – tubular breathing heard over a large pulmonary cavity that communicates with a bronchus
11. Bronchial breathing – over larynx & trachea, Th4 vertebra to the right, axilla in small children, area of C7
12. Asthma – prolonged expiration, wheezes
13. Prolonged expiration – asthma, bronchiolitis, emphysema
14. Hemoptysis is found in -
15. Pressure inside pleural cavity : –ve pressure (0.4-0.7kPa/-4cm to -8cm)
16. Budd-Chiari syndrome (occlusion of the hepatic veins) – posthepatic portal hypertension
17. Murphy’s sign – acute cholecystitis
18. Signs of acute deep vein thrombosis – plantar sign, Homans’ sign, Loewenberg’s sign
19. Costoclavicular syndrome – compression between clavicle and the 1st rib
20. Petechiae – flat, pretibially distributed
21. Which is not true about Ratschow’s test –
22. Protruding supraorbital ridge – acromegaly
23. Macroglossia – acromegaly, myxedema



1. petachiae - pretibial, flat
2. most frequent disease of vein - primary varicose vein
3. claudicatory pain - after walking
4. malena - tarry black, sweetish odor
5. dysphagia - difficulty in swallowing
6. fixed splitting of 2nd heart sound
7. what causes 2nd heart sound - sudden closure of aortic and pulmonary valves
8. 2nd heart sound-sudden distension n vibration of aortic n pulmonary valve, splitting of those 2 components increases during inspiration
9. percussion of the abdomen - differential tympanitic percussion
10.Pel-ebstein type of fever - Hodgkin disease
11.rupture of bakers cyst imitate...- phlebitis
12.Lasegue manaeuver
13.Amphoric breathing
14.hemoptysis
15.Eisenmengers syndrome
16.ventricular septal defect
17.DVT

Betty

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PE mcq's and form for final

Post  Betty on Tue Jan 18, 2011 5:35 am

Personal Data
First name, Last name:

Gender:

Address:

Age:

Date of birth:

Marital status:

Occupation (in retirees all prior occupations):

Nest of kin:

Date of interview:


Current (or chief) complaints:


Family history:


Personal history:


Physical Examination


General condition
consciousness:

position:

gait:

vital signs:
  • pulse rate:
    pulse regular?
    if irregular:
    type of irregularity:
    • extrasystoles

    • completely irregular

    • peripheral deficit


    respiration rate:

    blood pressure:

    body temperature:


skin: color, rashes, scars, hemorrhages, skin moisture, turgor, sin appendages

Head:
Face:
motor innervation

sensory innervation


Eyes:
supraorbital ridges, eyebrows, eyelids

eyeballs:
  • exophthalmos

  • endophthalmos

  • movement (strabism?, nystagmus?)


conjunctiva:

sclera:

cornea:

pupils:
  • reaction to light

  • reaction to accomodation


Lips, mouth:
tongue

protrusions of oral mucosa, gums, teeth, tonsils


Ears:
discharge

urate tophi


Nose:


Neck:
arteries

veins

thyroid gland


Chest:
inspection: chest shape, respiratory movements

palpation: tactile fremitus

percussion: inferior percussion border

auscultation: breath sounds and their changes, adventitious breath sounds, bronchophony


Examination of the heart:
Inspection:
configuration of the heart region:
  • normal

  • bulge of the precordium (voussure)

  • other abnormality

pulsation and heaving of the precordium ( if present)


Palpation:
the impulse of the apex ( evaluation of the left ventricle)
  • location

  • character:
    • apical thrust ( hypertrophy of the left ventricle)

    • systolic thrust of the sternum (lift) (hypertrophy of the right ventricle)

    • palpation of the tactile equivalents of sounds and murmurs (thrills)


Auscultation:
Heat sounds
  • location: aortic, pulmonary, tricuspid, mitral valve

  • Describe changes of the 1st and 2nd HS if present
    • accentuation

    • weakening

    • splitting

    • the presence of the 3rd HS and gallop

    • additional abnormal sounds


Heart murmurs
describe:
  • if systolic (ejection, regurgitation)

  • if diastolic (inflow-related, regurgitant-decrescendo)

  • if contimuous

intensity

radiation

maneuvers during auscultation

Examination of the abdomen:
inspection

palpation

percussion

auscultation

Liver:
upper border by percussion

lower boerder

and breadth

Spleen:

Kidneys and urinary bladder:
tapotement:


Locomotor system:
joints: shape, swelling, deformities, mobility

spine:

soft parts:

Palpation of arteries:

Venous system:
varices

Lymph nodes:
if enlarged:
  • location
    • single? group? generalized

    • size

    • consistency

    • tenderness

    • relationship to the neighboring tissues


Conclusion:





Betty

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Registration date : 2008-11-01

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