MEDICINE

Cardio & Physical Diagnosis

The brainstem includes the following
a. pons
b. thalamus
c. medulla oblongata
d. all
e. A and C
Nerve impulse on DTRs
a. spinal
b. peripheral
c. cranial
d. A and B
e. All
Meningismus
a. Chaddocks
b. Kernigs
c. Brudzinski
d. All
e. B and C
Inability to complete a task or instruction not related to paralysis
a. aphasia
b. apraxia
c. ataxia
d. astereognosia
Headache that is one sided is most of the time due to
a. vascular
b. muscular contraction
c. space occupying lesion
d. metabolic dysfunction
Facial palsy will present with any of the following except
a. facial asymmetry
b.
c. Shallow nasociliary fold
d. Tongue deviation
Lateralization is seen in
a. Rinnes
b. Swabach
c. Webers test
d. All
Use to assess visual acuity except
a. Snellens
b. Jaegers
c. Counting finger
d. Perimetry
Loss of hair on scalp or face in seen --- alopecia areata
Unilateral nasal discharge --- foreign body
Which of the following indicates melena
a. UGIB
b. Hemorrhoids

c.
d.

LGIB
Portal hypertension

Which cause hypoactive bowel sounds

a. LBM
b.
c. Vomiting
d. Pancreatitis
Melena --- UGIB
Abnormal abdominal finding --- everted umbilicus
Diagnostic test for biliary --- cholangiography
Clubbing of finger is associated with --- COPD
Sounds on the area of trachea --- tubular breath sounds
Decrease breath sounds
a. foreign body obstruction
b. pleural effusion
c. .
d. All of the above
Increase fremitus --- pneumonia
Increase jugular vein distention --- right side heart failure
S2 is produced by --- closure of the aortic and pulmonic valve
Sagging of unsupported buttock when leg is raised --- Trendelenburg test
Gentle test of the hip that should be done first --- rotation of thigh
A holosystolic murmur in a loud inspiration --- aortic stenosis
Murmur in mitral valve prolapse --- mid systolic click
Not a characteristic of aortic stenosis except
a. chest pain on rest
b. systolic ejection murmur
c. syncope on exertion
d. hypertension
38 years old, male (+) history of marfan syndrome (+) diastolic murmur (+) chest pain probable diagnosis --- aortic
regurgitation
27 year old, female (+) history of penodar (?) infection monthly (+) chest pain with diastolic murmur --- mitral stenosis
Drug has (-) chronotropic (+) inotropic effect --- digoxin
Increase enzyme in myocardial infarction --- LDH
Additional antagonist --- spironolactone
50 years old hypertensive diabetic, with chest pain not < 20 minutes --- unstable angina
Enzyme that last for 24 hours after MI --- CPK-MB and Troponin
Aspirin is indicated to patients with --- acute myocardial infarction and acute pericarditis

Most common primary malignant tumor --- sarcoma

Male, patient had MI compared to acute pericarditis, results of ECG --- wide ST segment with upward concavity
Cardiac tamponade include
a. neck vein engorgement
b. pulsus paradoxicus
c. low voltage ECG
d. all
Hypertension cant controlled, flank bruit, < 50 years --- renovascular disease
Hypokalemia --- Primary aldosteronism
Paroxysmal hypertension --- pheochromocytoma
Ca channel blocker.. Nifedipine, Verapamil except --- Ventricular tachycardia
Cerebellar testing except --- memory loss
Ability to recognize object by touch with the eye close --- astereognosis
Ability to move the arm sideways without gravity --- 2/5