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What is the order of
inspection for breast lymph nodes?
- Central to Lateral to
- Pectoral to Sub Scapular
Are the testicals and breast perfectly round?
) No they are not often oval
What causes gynoclamastia?
- ) hormonal change of
- estrogen, common in young boys (check for distention)
What are different positions to examine breast?
- Hands up, Hands on
- hips, hands reinforcing each other.
) What is nocturnal
- Heart failure causing
- pt to wake up after two hours of sleep out of breath from being supine.
What is tactile fermitus?
- a palpable vibration that decreases upon
- obstructions like pneumothorax and increases with compression or consolidation
- like lobar pneumonia
What part of stethoscope is used for auscultating the chest?
What sac holds the heart?
Blood flow thru heart goes?
- ) to right atrium to
- right ventricle to pulmonary artery to lungs to pulmonary vein to left atrium
- to left ventricle
What are risk factors for heart attack?
- HTN, Cholesterol, Smoking, Diabetes, Family
Where is the Apical pulse?
5th I.C mid clavicular
Where is herbs point?
- 3rd I.C.
- immediate left sternum
When assessing the carotid what side of stethoscope is used?
) the bell
What are the pulses in the foot?
) Dorsal pedialus and posterial tibius
Infection in the foot would effect what lymph node?
Types of sounds heard with stehoscope?
- Tymphany over
- abdomen, Resonance over Lungs, hyper resonance over abnormal lungs, Dullnes
- over solid organ, Flatness over
) Organ not located in RUQ?
- stomach, pancreases, appendix, colon, most of
Order of abdominal
- auscultation, percussion, palpation
) CVA tenderness is a sign
) kidney infection
In a end stage alcoholic what can be expected?
What is loridosis
- ) correction by
- pregnant woman to counter balance child
Know the anatomy of the joints? TMJ
Temporal mandibular joint
What does dexiscan do?
Show if a pt has osteoperosis
What are the number of the strength scale?
- 1-5 5 is full ROM against resistance and
What are the numbers to a murmur?
- 1-6 with 6 being
- heard without stethoscope
What is the reflex arc controlled
the Spinal cord
What does rapid motion
What are the cranial nerves of the eye?
II and III and VII controls eye lids
How do you check Cranial nerve XI?
) Spinal accessory is checked by shrugging of the shoulder
When to do a full neuro?
- Head trauma, weakness in one side, altered
What to do when you cant
get response on DTR’s
The anatomy of the external genitalia?
- Corona, Corpus
- cavernosum, corpus spongiosum, Urethra, bulbourethral gland, prostate scrotum ,
- testis, epididymis, bladder, seminal vesicle, rectum, prostate, vas deferens
What is a Direct Hernia?
- Direct inguinal behind and through external
- inguinal ring. Painless and round brought on by heavy lifting , easily reduced
- when supine
What to ask older male during GI inspection?
- difficulty peeing, waking up often to pee,
- pain when peeing, inciontinence
What causes Large Prostate?
- Hormonal changes
- (BPH) and cancer
What can you notice on pt’s when performing a valsalva?
Rectal prolapse or hemroids
) What organ is located at the end of the vagina?
What changes happen during menopause?
- atrophy of vaginal
- wall, uterus, an ovaries
What does Grava, Para and Abortion mean?
- grava is times been pregnant, Para is live
- births and abortions are normal, therapeutic and spontaneous
When assessing a teenager for Sexual Hx what is it important
to check for?
What is a irritated white
discharge from vaginal tract?
- Yeast infection or
) What is a major hormone
made during pregnanacy and what does it do?
- ) Pregesterone, helps
- protect uterine wall to carry child
Where is it best to assess daily living of the elderly?
At their home
Most common sense lost in elderly?
) What are individuals with disabilities called?
Best position of pat to examine head and neck?
When they are sitting?
When do you see plantar flexion of toes?
How to differentiate
between rheumatoid arthritis and osteoarthritis?
- Rheumatoid is
- inflammation and symmetry of joints, Osteo is calcification of joints
What is eggophony?
a long EEEE sound, abnormal is long AAA sound
what is whispered Tranquilily?
- a clear ABC sound is
- abnormal, normal should be muffeled?
What is Bronchophony?
- should hear muffeled
- 99, abnormal is clear 99 sound
) What is the pace maker of
- SA node, 60 -100
- impulses per minutes
What is spinal bifida?
) Non closure back spine
What is the hearing nerve and what may cause hearing
CN VIII and caused by acoustic neuroma
What is Pigeon chest?
- ) pronounced point of chest called Pectus Carinatum
What are the muscles of the eyes?
- ) superior rectus,
- inferior rectus,Lateral rectus, Medial rectus,inferior oblique, superior
What is epispadius?
- ) Urethra opening on
- dorsal side of Penis
What is Hypospadius?
- Urethra opening in
- ventral side of penius