2nd Year 1st Bimonthly LQ01.txt

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elvinlouie
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2nd Year 1st Bimonthly LQ01.txt
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2013-06-22 09:36:24
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2nd Year 1st Bimonthly LQ01
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2nd Year 1st Bimonthly LQ01.
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    • author "Maharlika"
    • tags "Physical Diagnosis"
    • description "Physical Diagnosis and Physical Exam"
    • fileName "2nd Year 1st Bimonthly LQ01"
    • freezingBlueDBID -1.0
    • Which of the following is not part of a patient's profile?
  1. a. Personal and Family History
    • b. Review of Systems
    • c. Identifying Data
    • d. History of Present Illness
    • b.
  2. Which of the following is an objective observation?

    A. Cheyne-Stokes Breathing
    B. Vertigo
    C. Palpitations
    D. Anorexia
    A.
    (this multiple choice question has been scrambled)
  3. How do you assess for vocal resonance?

    A. Inspection
    B. Palpation
    C. Percussion
    D. Auscultation
    D.
    (this multiple choice question has been scrambled)
  4. Palpation is used to assess the following, except?

    A. Heaves
    B. Thrills
    C. Pulsation
    D. Bruits
    D.
    (this multiple choice question has been scrambled)
  5. The best way in detecting ascites is through:

    A. Inspection
    B. Palpation
    C. Percussion
    D. Auscultation
    C.
    (this multiple choice question has been scrambled)
  6. In urinary retention, a distended bladder is best detected by?

    A. Percussion
    B. Inspection
    C. Palpation
    D. Auscultation
    A.
    (this multiple choice question has been scrambled)
  7. Patient complained of "tearing pain" in the abdominal area. What is your impression?

    A. Acute cholecystitis
    B. Acute myocardial infarction
    C. Ureteral stone
    D. Dissecting aortic aneurysm
    D.
    (this multiple choice question has been scrambled)
  8. Important information when pointing to the location of pain?

    A. Medical or surgical intervventions to be used
    B. Severity of the illness
    C. Pattern of illness
    D. Organ involved
    D.
    (this multiple choice question has been scrambled)
  9. Which of the following is an aggravating factor?

    A. PPI
    B. Valsalva maneuver in brain tumor and migraine headache
    C. Alcohol consumption in acute pancreatitis
    D. Doubling up in acute cholecystitis
    B.
    (this multiple choice question has been scrambled)
  10. Cataract is the opacity in the?

    A. Lens
    B. Retina
    C. Sclera
    D. Conjunctiva
    A.
    (this multiple choice question has been scrambled)
  11. In Finger Following Test, inability to look left and up denotes paralysis of which extraocular muscle?

    A. Left Superior Rectus and Right Inferior Oblique
    B. Left Lateral Rectus and Left Superior Rectus
    C. Left Superior Rectus and Right Superior Oblique
    D. Right Medial Rectus and Left Lateral Rectus
    A.
    (this multiple choice question has been scrambled)
  12. Eye signs of vitamin A deficiency include the following, except:

    A. Xerophthalmia
    B. Pterygium
    C. Bitot
    D. Keratomalacia
    B.
    (this multiple choice question has been scrambled)
  13. Painful swelling and redness of lid margin due to inflammation of gland of Zeis?

    A. Chalazion
    B. Hordeolum
    C. Blepharitis
    D. Angioneurotic edema
    B.
    (this multiple choice question has been scrambled)
  14. The following eye signs are cues of General Systemic Diseases, except:

    A. Papilledema
    B. Keratomalacia
    C. Hard eyeball
    D. Proptosis
    C.
    (this multiple choice question has been scrambled)
  15. Which of the following is the best site to assess for anemia?

    A. Palpebral conjunctiva
    B. Lips
    C. Nail
    D. Palms and soles
    A.
    (this multiple choice question has been scrambled)
  16. What type of facie is described as having ashen face, sunken eyes and a sense of impending doom?

    A. Nephrotic facie
    B. Lionine facie
    C. Hippocratic facie
    D. Moon facie
    C.
    (this multiple choice question has been scrambled)
  17. Which is an abnormal finding in a 16 year old athlete?

    A. Temperature = 37 Celsius
    B. Blood pressure = 90/60 mmHg
    C. Respiratory rate = 14 cpm
    D. Pulse rate = 120 bpm
    D.
    (this multiple choice question has been scrambled)
  18. The first evidence of shock is?

    A. Hyperthermia
    B. Tachycardia
    C. Tachypnea
    D. Hyperpnea
    B.
    (this multiple choice question has been scrambled)
  19. In a patient with dengue hemorrhagic fever, which of the following vital signs is indicative of intravascular volume depletion?

    A. Respiratory rate = 22 cpm
    B. Pulse Pressure = 40
    C. Blood pressure = 90/70 mmHg
    D. Heart rate = 90 bpm
    C.
    (this multiple choice question has been scrambled)
  20. Which of the following is an abnormal vital sign finding?

    A. Person with temperature 37.8C from aerobic exercise
    B. A newborn sleeping with a heart rate of 80 bpm
    C. A resting athlete with a heart rate of 56 bpm
    D. Axillary temperature of 36.0C of a neonate
    D.
    (this multiple choice question has been scrambled)
  21. Which of the following is a pathologic splitting?

    A. Localized splitting
    B. Splitting on inspiration
    C. Splitting on expiration
    D. splitting on supine
    C.
    (this multiple choice question has been scrambled)
  22. Type of murmur heard between S2 and the following S1?

    a. Systole
    b. Diastole
    c. Continuous
    d. Pre-systolic
    Note: Choices B and D are acceptable answers.
  23. True about early diastole?

    A. Pressure in ventricle is lower than atrium.
    B. Pressure in atrium causes mitral valve to close.
    C. Pressure in ventricle causes mitral valve to close.
    D. Pressure in ventricle is higher than atrium.
    A.
    (this multiple choice question has been scrambled)
  24. Splitting of heart sounds occur due to the following reasons except?

    A. Heart pressures affect closure of heart valves.
    B. Movement of air to the lungs alters pressure in the heart.
    C. Right sided contraction is stronger than the left.
    D. Left sided contraction is stronger than the left.
    C.
    (this multiple choice question has been scrambled)
  25. True of jugular vein pressure?

    A. Normal value is 9 m from sternal angle.
    B. Normal value is 4 cm from sternal angle.
    C. Directly measures right ventricle pressure.
    D. Abnormality signifies left-sided pathology.
    B.
    (this multiple choice question has been scrambled)
  26. A patient comes in with severe chest pain associated with cold, cammy extremities. Which of the following PE exam is temporarily skipped?

    A. Palpation
    B. Auscultation
    C. Inspection
    D. Percussion
    D.
    (this multiple choice question has been scrambled)
  27. A 5-year-old girl with high grade fever, grade 2 murmur, no history of dyspnea on exertion or cyanotic episodes. What health maintenance measure is appropriate for this patient?

    A. Refer to cardiologist
    B. Wait for fever to subside and see patient again
    C. Chest X-ray to visualize heart enlargement
    D. ECG and 2D echocardiogram to diagnose source of murmur
    B.
    (this multiple choice question has been scrambled)
  28. Which of the following signs is used to validate pneumonia?

    A. Tachypnea
    B. Bradypnea
    C. Tachycardia
    D. Bradycardia
    A.
    (this multiple choice question has been scrambled)
  29. Which of the following cardiac events characterizes systole in the cardiac cycle?

    A. Ventricular pressure is greater than atrial pressure.
    B. Ventricular pressure is equal to atrial pressure.
    C. Ventricular pressure is lower than atrial pressure.
    d. None of the above.
    A.
    (this multiple choice question has been scrambled)
  30. To better visualize the ear canal, you have to:

    A. Pull auricle upward and forward.
    B. Choose a long ear speculum.
    C. Pull auricle upward and backward.
    d. None of the above.
    C.
    (this multiple choice question has been scrambled)
  31. Which ear would sound lateralize to with the Webber's test in a patient with sensorineural hearing loss?

    A. Neither ear
    B. Affected ear
    C. Both ears
    D. Unaffected ear
    D.
    (this multiple choice question has been scrambled)
  32. What do you call the triangle formed by the anterior belly of the digastric muscle, midline and hyoid bone?

    A. Koch's triangle
    B. Triangle of auscultation
    C. Submandibular triangle
    D. Submental triangle
    D.
    (this multiple choice question has been scrambled)
  33. In palpating lymph nodes, whihch of the following does not fit the technique?

    A. Neck flexed forward to relax the sternocleidomastoid muscle.
    B. One hand placed behind the occiput.
    C. Gentle rotatory motion of finger tips.
    D. Patient relaxed either sitting or standing.
    C.
    (this multiple choice question has been scrambled)
  34. In palpation of the thyroid gland using the anterior approach, the examiner's finger are usually located over which landmark?

    A. Cricohyoid cartilage
    B. Thyroid cartilage
    C. Cricoid cartilage
    D. Hyoid
    C.
    (this multiple choice question has been scrambled)
  35. Which of the following is an important characteristic of thyroid gland?

    A. Mobile during swallowing
    B. Normally palpable
    C. Stationary during swallowing
    D. Presence of bruits is normal
    A.
    (this multiple choice question has been scrambled)
  36. Lateral border of breast:

    A. anterior axillary line
    B. midclavicular line
    C. midaxillary line
    D. posterior axillary line
    C.
    (this multiple choice question has been scrambled)
  37. A 25-year-old patient with a solitary nodule and ill-defined mass. What is the possible diagnosis?

    A. Cancer until proven otherwise
    B.Fibroadenoma
    C. Physiologic nodule
    D. Fibrocystic change
    A.
    (this multiple choice question has been scrambled)
  38. Which area of the chest is commonly the site for breast cancer?

    A. Upper inner quadrant
    B. Lower outer quadrant
    C. Lower inner quadrant
    D. Upper outer quadrant
    D.
    (this multiple choice question has been scrambled)
  39. Which of the following is a correct procedure for breast assessment?

    a. Divide breast into four quadrants
    b. Localize findings as the time on the face of the clock
    c. Measure the distance in centimeters from the nipple
    d. All of the above
    d.
  40. All of the following are retractive signs of breast cancer, except?

    A. mass attached to the chest wall
    B. orange peel skin
    C. dimpling
    D. inverted nipple
    B.
    (this multiple choice question has been scrambled)
  41. Which is the appropriate method for palpation of the breast?

    A. Place hand over forehead when assessing the medial aspect of the breast.
    B. Uncover both breast while palpating the breast.
    C. Place hand on the side of the neck when assessing the lateral aspect.
    D.Palpate the breast against the chest wall.
    D.
    (this multiple choice question has been scrambled)
  42. Which of the following is a symptom most likely associated with Herpes Zoster?

    A. dyspnea
    B. hemoptysis
    C. chest pain
    D. cough
    C.
    (this multiple choice question has been scrambled)
  43. Boundary between the lung and the heart can be best assessed by?

    A. Palpation
    B. Percussion
    C. Inspection
    D. Auscultation
    B.
    (this multiple choice question has been scrambled)
  44. An ICU patient with metabolic acidosis suddenly develops slow, deep breathing. This type of breathing is consistent with?

    A. Kaussmaul's breathing
    B. Hyperpnea
    C. Hyperventilation
    d. All of the above
    A.
    (this multiple choice question has been scrambled)
  45. Which particularl percussion sound presents with a loud intensity, low pitch and long duration?

    A. Tympany
    B. Dull
    C. Flat
    D. Resonance
    D.
    (this multiple choice question has been scrambled)
  46. Which breath sound has a long inspiratory phase and a soft, low-pitched expiratory phase?

    A. Vesicular
    B. Bronchovesicular
    C. Bronchial
    D. Tracheal
    A.
    (this multiple choice question has been scrambled)
  47. In normal adults, which best describe the extent of diaphragmatic excursion?

    A. level of tympany on expiration and inspiration
    B. level of flatness on expiration and inspiration
    C. level of resonance on expiration and inspiration
    D. level of dullness on full expiration and inspiration
    D.
    (this multiple choice question has been scrambled)
  48. On auscultation of a normal adult lung, voice sounds are heard on stethoscope as:

    A. Distinct sounds
    B. Muffled sounds
    C. Intelligible sounds
    D. Higher pitch
    B.
    (this multiple choice question has been scrambled)
  49. In performing a proper chest percussion which among the following steps typifies the proper maneuver?

    A. Left pleximeter flexed and ready to strike
    B. Right plexor finger firmly on the surface
    C. Quick sharp motion of the wrist
    d. All of the above
    C.
    (this multiple choice question has been scrambled)
  50. What landmark is best used as a guide for counting the ribs and ICS?

    A. Angle of Louis
    B. Suprasternal notch
    C. Surface projection of clavicle
    D. Xiphoid process
    A.
    (this multiple choice question has been scrambled)

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