midsystolic murmur that radiates to left sternal border with a medium pitch; a coarse
thrill is palpated as well? - Aortic stenosis
During percussion, the patient holds his or her arms in front in order to? - Expose
maximum lung area
List 2 HPI questions for Chest pain - 1. does the pain radiate to the arm or jaw
2. Are there associated symptoms such as SOB, sweating or N/V
List 2 patient educations regarding sun exposure - 1. Apply SPF of 30 or after and
reapply every 30 min to an hour
2. wear long sleeves and hat and avoid peak sun hours
When looking for skin cancer what does 'ABCDE' stand for - A - Asymmetry - halves do
not match and not equal
B - Borders - are they irregular, ragged, blurred
C - Color - is it the same throughout or varying in shades across area
D - Diameter - is it > 6mm
E - evolving/elavation
What is a skin lesion that resembles a lipoma and is > 1.5 mm considered? - Nodule
What would you ask a young woman with possible thyroid issues? - Have you been
fatigued or had a change in your sleep patterns
Pt c/o allergies and wheezing what would you suspect? - Asthma
How do you assess for epitrochlear nodes - palpated the groove between the tricep and
bicep found proximal and slightly anterior to the medial epicondyle of the humerous
What type of headache starts in the morning and eases up throughout the day? -
Hypertension HA
18 y/o with skin irritation that just started shaving? - folliculitis
List 2 normal findings of when palpating the precordium - 1. No heaves or thrills
2. Apical pulse is at midclavicular line and 5th IC space <1cm
If the patient has a history of asthma and is exposed to allergens, what would you
expect if the patient comes in with wheezing? diagnosis? - SOB, coughing, chest
tightness; Acute asthma exacerbation;
, patient says I was exposed to allergens and now I have a fever, what would the
diagnosis be - pnuemonia
What are some physical findings of a patient that is SOB? - use of accessory muscles,
are they able to perform ADLs, tripoding
What are you looking for if murmur is heard - T-DIPQ-LRV (timing, duration, intensity,
pitch, quality, location, radiation, variation with resp phase
HA with rapid and sudden onset, what are some of the differential diagnoses that you
would think of - Intracranial bleed or subarachnoid hemorrhage
HA with rapid and sudden onset in patient with cardiac issues what differential diagnosis
- CVA
What cranial nerves should always be assessed with HA - 2 (optic) & 12 (Hypoglossal)
HA with fever, chills, and neck pain could indicate what - meningitis
Important HPI questions for HA - Onset and location
A 26 y/o female presents with complaints of fatigue and hair falling out what lab would
you check - TSH
A 16 y/o female comes in saying that her periods are irregular what is one thing to
check - TSH
An older patient asks the examiner, "Is this spot on my
chin a cancer?" Which of the following would indicate
a need for further medical investigation? - bleeds easily when touched
While examining the skin of an 87-year-old woman,
the examiner observes significant tenting. What age-associated changes best explains
this finding - loss of adipose tissue and elasticity
Which of the following may be associated with neurofibromatosis or pulmonary stenosis
- Café au lait spots
Which lesion is an expected finding on the skin of
healthy older adults - cherry angioma
Hyperkeratosis is noted on a patient's palms and
soles. The examiner recognizes that this - normal finding
Which of the following findings suggests that a patient
has a fungal infection of the nail beds - The nail plate is yellow and crumbling.
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