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If a geriatric patient that you are able to palpate an abdominal
mass, midline, in
the suprapubic region; he does say that it's tender...what
do you think? -
ANSWER -Urinary retention/full
bladder
A seizure that is common in younger kids where they just stare
off into space;
what is that called? - ANSWER -
Absent seizure
What do I do to a patient to confirm a diagnosis of
claudication? - ANSWER -
Raise their leg for 2 minutes and if their foot displays
pallor, then that is
consistent with claudication (think pain, pallor,
and pulses)
,Patient has painful ulcerations of the ankle, and the patient also
has a lot of discoloration; what do you suspect is happening? -
ANSWER -Venous stasis
Patient presents with a tremor that gets worse as they get closer
to their target;
what is this called? - ANSWER -
Intention tremor
If you have a patient who has a full thickness area on the sacrum
that is 5 cm in
diameter; you will stage this ulcer as? - ANSWER -Stage 3
(< 6 cm and no
mention of
bone)
The patient presents with a thickening of their conjunctiva on
the outer surface
of the cornea; what do you suspect? - ANSWER
-Pterygium
What happens to the cup to disc ratio in glaucoma patients? -
ANSWER -The
cupping gets
larger/deeper
What kind of percussion would you expect to hear over
the abdomen? -
, ANSWER -
Tympany
Pain and drainage in the left ear, pain especially when we go to
move around the tragus, what do you suspect? - ANSWER -
Otitis externa/Swimmer's ear
If a patient presents with a bulging tympanic membrane, what do
you suspect? -
ANSWER -Otitis
media
If a patient has numbness and tingling with the Tinel's or
Phalen's test, which
nerve is affected? - ANSWER -
Median nerve
You are palpating pulses and it's going from weak to strong,
from weak to strong, over and over; what do you suspect? -
ANSWER -Severe left sided heart failure - pulsus paradoxus
Where do you palpate if you think a patient has
appendicitis? - ANSWER -
McBurney's point (2/3 between the umbilicus and ileac
crest of the hip)
If a patient admits to smoking; what is your next question? -
ANSWER -How