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
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.