Irene Gold: General Diagnosis Exam
Questions And Answers | Verified
CAGE Questionaire.
*C*- Cutting down (have you ever felt you need to cut down
*A*- Annoyed by others criticisms
*G*- Guilty feelings
*E*- Eye openers (have you felt the need for a morning eye-opener drink) CORRECT
ANSWERS What questions should we ask for a patient we suspect of unhealthy alcohol
intake?
*Adults*: 60-100
*Newborn*: 120-160
*Elderly*: 70-80 CORRECT ANSWERS Give normal pulse values
*Adults*:
*Newborn*:
*Elderly*:
*Adults*: 14-18 (In class we were taught 12-20)
*Newborn*: 44 CORRECT ANSWERS Give normal respiratory rates
*Adults*:
*Newborn*:
Low pitched sounds produced by turbulent blood flow in arteries. CORRECT
ANSWERS What are Korotkoff sounds?
20% CORRECT ANSWERS Blood pressure readings are _____% higher in lower
extremities
Tests for vertebrobasilar artery insufficiency.
Patient seated. Examiner instructs patient to rotate head maximally from side to side.
Done slowly then accelerated to patient tolerance. CORRECT ANSWERS Barre-Lieu
Tests for vertebrobasilar artery insufficiency.
Patinet supine and rotates and extends head off table. Then turns head to each side for
15-45 seconds. Doc can lend minimal support. CORRECT ANSWERS DeKleyn's
Tests for vertebrobasilar artery insufficiency.
,Enhanced Dekleyn's. Patient supine and head extended off table. Examiner brings head
into extension, rotation, and lateral flexion. CORRECT ANSWERS Hallpike
Tests for vertebrobasilar artery insufficiency.
Patient seated. Arms extended forward to shoulder level with hands supinated. Maintain
position for a few seconds. Patient then closes the eyes, rotates, and hyperextends the
neck to one side. Repeated to opposite side. CORRECT ANSWERS Hautant's
Tests for vertebrobasilar artery insufficiency
Patient stands with eyes open, arms at side, feet close together. Patient closes eyes,
extends arms and supinates hands, then patient extends and rotates head to one side.
Then in this position patient is instructed to march in place. CORRECT ANSWERS
Underberg
Tests for vertebrobasilar artery insufficiency.
Patient is seated, examiner brings head extension and rotation. CORRECT ANSWERS
Maigne's
Sluggish pupillary reaction to light that is unilateral and caused by a parasympathetic
lesion of CN III CORRECT ANSWERS What is an Adie's pupil? What causes it?
Sluggish pupillary reaction due to hypo-adrenalism (addison's disease) CORRECT
ANSWERS Arroyo sign
Infection of Meibomian gland CORRECT ANSWERS A chalazion is an infection of what
gland?
More than 1:2 CORRECT ANSWERS Glaucoma is present when the cup to disc ratio
is...
Sebaceous gland. CORRECT ANSWERS A hordoleum is an infection of what gland?
Interruption of cervical sympathetic. The syndrome (meiosis, anhydrosis, and pitosis) is
seen on the same side as the issue. CORRECT ANSWERS Horner's syndrome is
caused by what?
Dilated pupil with ptosis and lateral deviation. Doesn't react to light or accommodation.
Multiple sclerosis. CORRECT ANSWERS Internal Ophthalmoplegia
ankylosing spondylitis (uveitis is also seen here) CORRECT ANSWERS Iritis is typically
seen in what condition?
, Macular drusen (Drusen bodies, yellow deposits under the retina) CORRECT
ANSWERS An early sign of macular degeneration seen during Ophthalmoscope exam
is what?
Fixed and constricted pupils that do not react to light or accommodate. Seen with
severe brain damage, pilocarpine medications, and narcotic use. CORRECT
ANSWERS What is Miosis?
True. Whereas optic neuritis would cause vision loss. CORRECT ANSWERS TF:
Papilledema causes no visual loss.
Dilated and fixed pupils seen with anticholinergic drugs (atropine, mushrooms, death)
CORRECT ANSWERS Mydriasis
Horners (unilateral), myasthenia gravis (bilateral), Eaten Lambert Syndrome (bilateral),
and Multiple sclerosis. CORRECT ANSWERS What conditions can cause ptosis?
*White*: Normal vision
*Yellow*: Jaundice (icterus)
*Blue*: Osteogenesis imperfecta CORRECT ANSWERS What do these colors mean for
the sclera?
*White*:
*Yellow*:
*Blue*:
Normal vision CORRECT ANSWERS Emmetropia
Nearsighted CORRECT ANSWERS Myopia
Farsighted CORRECT ANSWERS Hyperopia
Loss of lens elasticity; aging eyes CORRECT ANSWERS Presbyoptia
CN II and III CORRECT ANSWERS Direct light reflex tests what?
CN II and III CORRECT ANSWERS Consensual light reflex tests what?
CN II and III and eye pathology CORRECT ANSWERS Swinging light test tests what?
CN II and III CORRECT ANSWERS Accommodation tests what?
CN III, IV, and VI CORRECT ANSWERS Cardinal fields of gaze tests what?
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