EM No. 4 Flashcards

(26 cards)

1
Q

what are the two most common sites for supernumarerary or extra nipples?

A

thorax and abdomen in the mammary line

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2
Q

i say dull to percussion, bronchial breath sounds with crackles you say?

A

pneumonia

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3
Q

what happens to voice sounds in pneumonia?

A

increase

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4
Q

what is the percussion sound for pleural effusion?

A

dull to flat

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5
Q

what is the percussion note in atelectasis?

A

dull

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6
Q

which pulmonary disorder has normal voice and breath sounds and even has resonant percussion (normal) but has the presence of crackles and wheezing?

A

pulmonary edema

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7
Q

which sense of taste diminishes the most with age?

A

sweet

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8
Q

blanch or no blanch: spider angioma

A

blanch

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9
Q

blanch or no blanch: venous star

A

no

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10
Q

blanch or no blanch: petichiae

A

no

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11
Q

carotid or jugular pulse: palpable

A

carotid

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12
Q

carotid or jugular pulse: a, c, and v waves

A

jugular

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13
Q

carotid or jugular pulse: decreases with inspiration

A

jugular

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14
Q

carotid or jugular pulse: not affected by positioning

A

carotid

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15
Q

carotid or jugular pulse: eliminated by light pressure

A

jugular

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16
Q

i say split s1, s2 with varying intensity of s1. also no response to vagal stimulation, you say?

17
Q

T or F: sinus tach responds to vagal stimulation with smooth slowing

18
Q

what is the chief determinant of diastolic BP?

A

peripheral resistance

19
Q

when lung tissue is consolidated, what happens to whispered sounds? regular voice sounds?

A

they are increased (louder and clearer)

20
Q

what is the abnormal process by which “ee” sounds like “ay” when heard over abnormal lung tissue?

21
Q

what sounds are heard near the large airways in normal lungs?

A

bronchial sounds (high pitched and loud)

22
Q

which sound indicates the least dense surface: tympany or hyperresonance?

23
Q

i say draining finger nodule, you say?

A

gouty arthritis

24
Q

what are the two MAIN muscles used in respiration (normal)?

A

ITC and diaphragm

25
for pts with orthostatic hypotension, what is the expected change in systolic, diastolic and pulse?
drop by 20 mmHg drop by 10 mmHg and increase by 20 bpm
26
the medical term for the subjective symptom of dryness in the mouth
xerostomia