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Clinical Pearls Test 2
  • Two Clean Queens

  • 問題数 76 • 7/26/2024

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    問題一覧

  • 1

    Name the quadrants of the breast

    Upper inner, upper outer w/ Tail of Spence, lower inner, and lower outer

  • 2

    What does the Bartholin gland do?

    Lubricate the vagina

  • 3

    What does the Lachman test assess?

    Anterior cruciate ligament integrity

  • 4

    Transitional stool: thin, slimy, brown to green

    3-6 days old

  • 5

    Draw a letter or number on the body (without actually marking the skin) and ask the patient to identify it.

    Graphesthesia

  • 6

    What is the anticipatory guidance for parents of a newborn with breast tissue?

    It is likely caused by maternal estrogen and will resolve in about 2 weeks

  • 7

    Painless lesions, internal or external, and may report burning or pain with urination

    Genital Herpes

  • 8

    DTR why does it matter?

    Absent reflexes may indicate neuropathy or lower extremity neuron disorder. Hyperactive reflexes suggest an upper neuron disorder.

  • 9

    Organs: liver and gallbladder, pylorus, duodenum, head of pancreas, right adrenal gland, portion of right kidney, hepatic flexure of colon, and portions of ascending and transverse colon

    RUQ

  • 10

    A tender, fluctuant, soft prostate may indicate?

    Prostatic abcess

  • 11

    What does straight leg raising test for?

    L4, L5, S1 nerve root irritation

  • 12

    Infection of this glad is usually filled with pus (staph or gonococcal), but a non-tender mass here may indicate a cyst

    Bartholin gland

  • 13

    How to use speculum? How do you insert it?

    Insert finger inside the vaginal introitus and apply downward pressure, and wait until you feel the patient relax. Spread the labia minora then slowly insert the speculum at an oblique angle along the path of least resistance slightly downward the length of the vaginal canal.

  • 14

    Organs: lower pole of left kidney, sigmoid colon, portion of descending colon, bladder, ovary and salpinx, uterus, left spermatic cord, left ureter

    LLQ

  • 15

    Painless lesions with central umbillication from which a thick creamy core can be expressed

    Molluscum Contagiosum

  • 16

    Baseball, boxing, cheerleading, diving, extreme sports, field hockey, football tackle, gymnastics, ice hockey, lacrosse, martial arts, rodeo, rugby, skiing downhill and jumping, snowboarding, soccer, team handball, ultimate frisbee, water polo, wrestling.

    Contact sport

  • 17

    Discharge from these glands may indicate and infection (gonococcal)

    Skene and urethral glands

  • 18

    What is the initial position for a breast exam?

    Sitting

  • 19

    A hard, stony, nodular prostate may indicate?

    Carcinoma, prostatic calculi, or chronic fibrosis

  • 20

    Healed lesions that are flat, round, or oval papules covered by gray exudate

    Condyloma Latum

  • 21

    How would you test for vaginal tone, uterine prolapse, and urinary incontinence?

    Ask the patient to squeeze the vaginal opening around your finger to assess tone, and then ask them to bear down to assess prolapse and incontinence

  • 22

    Brisk, hyperactive, with intermittent or transient clonus

    +4 DTR

  • 23

    Cause: twisting of testis Age: newborn to adolescence Onset of pain: acute Vomiting: common Anorexia: common Fever: uncommon Dysuria: uncommon Suppporting fidings: absence of cremasteric reflex on side of acute swelling and scrotal discoloration

    Testicluar torsion

  • 24

    -To identify conditions that may interfere with a person's ability to participate in a sport. -To identify health problems that increase the risk of injury or death during sports participation. -To help select an appropriate sport for a person's particular abilities and physical status.

    Goals of preparticipation physical evaluation (PPE)

  • 25

    Cause: bacterial (STI or UTI) Age: adolescence to adulthood Onset of pain: gradual Vomiting: uncommon Anorexia: uncommon Fever: possible Dysuria: possible Suppporting fidings: recent sexual activity, fever, pyuria, thickened nodular epididymis

    Epididymitis

  • 26

    What does the Anterior and Posterior Drawer Test assess?

    Anterior and posterior cruciate ligament integrity

  • 27

    Differentials you consider if CVA tenderness is positive?

    Renal calculi vs pyelonephritis vs renal abcess

  • 28

    #1 reasons for sports injury

    Not warming up

  • 29

    Using two sterile needles or two points of a paper clip, alternatively place one or two points simultaneously on the skin 2 to 8 mm apart, and ask the patient to determine whether one or two sensations are felt.

    Two-point discrimination

  • 30

    Spinal nerve level C5 and C6

    DTR Brachioradial

  • 31

    Organs: lower pole of right kidney, cecum and appendix, portion of ascending colon, bladder, ovary and salpinx, uterus, right spermatic cord, right ureter

    RLQ

  • 32

    Motor: jaw opening and clenching, chewing, and mastication Sensory: sensation to cornea, iris, lacrimal glands, conjunctiva, eyelids, forehead, nose, nasal and mouth mucosa, tongue, ear, facial skin

    Trigeminal CN

  • 33

    What is the #1 objective finding for testicular cancer?

    Testicular pain

  • 34

    Subjective: mild or absent symptoms, foul vaginal discharge, painful intercourse and urination, irregular menses, and upper abdominal pain Objective: Acute - very tender, bilateral guarding and cannot tolerate exam; Chronic - bilateral, tender, irregular, and fairly fixed adnexal areas

    PID

  • 35

    Proprioception what does it mean?

    Body awareness

  • 36

    Low energy with or without disordered eating, menstrual dysfunction, and low bone density is know as? What causes it?

    A trio of conditions and is caused by insufficient calorie intake and/or excessive enery expenditure

  • 37

    Light yellow, characteristic odor; irritating to skin

    Formula-fed

  • 38

    Areola is part of the general breast contour and is strongly pigmented. Nipple projects.

    Tanner 5

  • 39

    Organs: left lobe of liver, spleen, body of pancreas, left adrenal gland, portion of left kidney, splenic flexure of colon, portions of transverse and descending colon

    LUQ

  • 40

    Soft, painless, wartlike lesions that may form cauliflower-like masses

    Condyloma Acuminatum

  • 41

    Tremors that disappear with intended movement or sleep that progressess to pin-rolling of fingers and head tremor. Freezing of voluntary movements, and numbness, tingling, and muscle soreness may occur. Difficulty swallowing; drooling.

    Parkinson's disease

  • 42

    Badmiton, bodybuilding, bowling, canoeing or kayaking, crew or rowing, curling, dance, field events, discus, javelin, shot-put, golf, orienteering, power lifting, race walking, riflery, rope jumping, running, sailing, scuba diving, swimming, table tennis, tennis, track.

    Non-contact sport

  • 43

    Intense flank pain extending to groin and genitals. Also fever, hematuria, and + Kehr sign (left shoulder pain)

    Renal calculi

  • 44

    After asking the patient to empty their bladder and having them lay supine what else would help to relax their abdomen?

    Placing a pillow under their head and having them flex their knees

  • 45

    Mushy, loose, seedy, golden (mustard) yellow; frequency varies from after each feeding to every few days; non-irritating to skin

    Breast-fed

  • 46

    Two conditions that are considered absolute contraindicaitons to sports participation.

    Carditis and fever

  • 47

    Breasts and areola enlarged. No contour seperation.

    Tanner 3

  • 48

    Frequent BM what is baby eating?

    Mother's milk

  • 49

    A male teen with bilateral subareolar masses or enlargment may need special patient education such as?

    Reassure parents it will likely resolve on its own or could be caused by alcohol or marijuana consumption

  • 50

    What is the nerve level of the patellar reflex?

    L2, L3, and L4

  • 51

    What age group has the highest risk of developing testicular cancer?

    20 to 34 years old

  • 52

    The patient's posture is stooped, and the body is held rigid; steps are short and shuffling, with hesitation on starting and difficulty stopping.

    Parkinsonian gait

  • 53

    Wnat does the Skene glad do?

    Lubricate the urethra

  • 54

    If you hear no bowel sounds for more than 5 minutes what is the next step?

    Abdominal CT and referral to GI

  • 55

    Patient identifies a familiar object by touch.

    Stereognosis

  • 56

    What should your prostate feel like?

    Pencil eraser

  • 57

    A rubbery, boggy prostate indicates?

    Benign hypertrophy

  • 58

    How do you assess for cervical tenderness or pain?

    Grasp the cervix gently between your fingers and move it from side to side 1 to 2 cm in each direction

  • 59

    Motor: turn head, shrug shoulders, some actions on phonation

    Spinal accessory CN

  • 60

    What condition would cause diarrhea with someone who is actually constipated?

    Fecal impaction

  • 61

    Ask the patient to close their eyes. While holding the great toe or finger by the lateral aspects, from a neutral position raise or lower the digit and ask the patient which direction you are moving it. This is an example of?

    Proprioception

  • 62

    What physical findings would you notice on a breast exam in a patient with suspected breast cancer?

    Skin dimpling and flattening of the nipple

  • 63

    Stool isi greenish black, viscous, contains occult blood; first stool is sterile

    Newborn meconium

  • 64

    If tenderness or pain is noted while moving the cervix what could that indicate?

    Pelvic inflammatory disease or ruptured tubal pregnancy

  • 65

    What position should a pelvic exam be peformed in?

    Lithotomy

  • 66

    If there is no passage of stool in an infant within 24 hrs of birth suspect?

    Rectal atresia

  • 67

    Bleeding is most common and often asymptomatic. Patients may report change in bowel habits, abdominal pain or tenderness, and family hx of colon polyps and cancer.

    Colorectal cancer

  • 68

    What is the nerve level of the plantar reflex?

    L5, S1, and S2

  • 69

    Spinal nerve level C5 and C6

    DTR Biceps

  • 70

    A consistently empty rectum in the presence of constipation in an infant

    Hirschsprung disease

  • 71

    Solitary, painless lesion; firm, round, small ulcer with indurated borders with a clear base

    Syphilitic Chancre

  • 72

    Spinal level S1 and S2

    DTR Achilles

  • 73

    Increasing fat deposits. The areola forms a secondary elevation above the breast.

    Tanner 4

  • 74

    Spinal nerve level C6, C7, and C8

    DTR Triceps

  • 75

    During pregnancy the stool may be dark green or black, and pregnant patients may also have diarrhea or constipation as a result of?

    Iron supplements

  • 76

    Always do this on a older adult

    Functional assessment noting their ADLs