with Correctly Analyzed Answers Graded A+
All diastolic murmurs are pathological. Murmurs Grades I-barely II-audible III- clearly
audible. IV- first time thrill V-Steth edge VI-entire steth. EXAM ANSWER >> III first time
audible, IV first time thrill
Fundal height 12 weeks ANSWER >> Fundal Height 12 weeks above symphysis pubis.
EXAM
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,Fundus 16 weeks between symphysis pubis and umbilicus.
Fundus at 20 weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more or less order US
3 month old infant with down syndrome, due to milk intolerance, mom started on goats
milk; now has pale conjunctiva but otherwise healthy. Low HCT. What additional test
would you order? ANSWER >> Iron, TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? ANSWER >>
Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms of memory loss
ANSWER >> Mini mental exam
4 month old with strabismus, mom is worried...... ANSWER >> tell her it is normal.
4 month old wont keep anything down, what is the main thing you look at? ANSWER >>
Growth chart
6 month old closed anterior fontanel. ANSWER >> XRAY
Abnormal cells on PAP, what do you do next? ANSWER >> Refer for Colposcopy
CAGE ACRONYM ANSWER >> Cut down
Annoyed by criticism
Guilty about drinking
Eye opener drink
Causes of tachycardia ANSWER >> Fever
Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements ANSWER >> CN 3,4,6
Definition of metabolic syndrome ANSWER >> cluster of conditions that increase risk of
heart disease, stroke, diabetes.
diagnose trichomoniasis ANSWER >> wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary, what do you
do next? ANSWER >> Pelvic US
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, Epistaxis is most common in the area of the nose known as kiesselbachs triangle,
where is this located? ANSWER >> Anterior septum
Definitive diagnosis of acute bacterial prostatitis ANSWER >> urinalysis and culture
GERD treatment ANSWER >> H2 is first line, give hs
Grade 3 cells on Pap, treatment? ANSWER >> LEEP
excision
Fingernail hematoma treatment? ANSWER >> drill hole and drain blood?
Increased risk of ectopic pregnancy ANSWER >> Salpingitis, or history of abortion, PID,
Koplick spots ANSWER >> Measles (rubeola). Grains of salt lesions inside mouth in
Measles
Koplick spots ANSWER >> Measles (rubeola). Grains of salt lesions inside mouth in
Measles
Legg-Calve-Perthes Disease ANSWER >> Avascular necrosis of the proximal femoral
head
Lipid level of 1500, increased risk for? ANSWER >> Pancreatitis
Low HGB, Low HCT, High MCV indicates what? ANSWER >> Macrocytic anemia, B12
Def
Man with BPH, prostate feels on digital exam? ANSWER >> Enlarged, symmetrical,
smooth
Man with HTN, CAD, present femoral pulses but absent pedal ANSWER >> Arterial
Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus stress ANSWER >> Meniscus
tears
Lachman's Test ANSWER >> pivot shift test (ACL tear)
Newborn with foot turned in, what do you do? ANSWER >> refer to orthopedist
Osgood-Schlatter disease ANSWER >> Knee pain.
inflammation or irritation of the tibia at its point of attachment with the patellar tendon
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