NBCE Part 2 - General Diagnosis Questions And Correct
Answers
A case history includes
Chief complaint
Present illness
Past History
Family,
occupational,
social,
review of systems
Answers given from a chief complaint should be..
Own words, open ended.
Temperature can be taken where?
Anal, oral, otic, axilary, vaginal, testicular
What is the difference in temperatures between a bacterial infection and viral
infection?
Bacterial is sustained.
Viral has spikes, where they will have combination of fevvers and chills.
What is the average blood pressure?
90/60 over 140/110 S/D
_____ is the difference between the systolic and diastolic readings. What is the
average?
Pulse pressure. 30-40
Orthostatic hypotension that can cause syncope is a result of para or
sympathetic nervous system?
Parasympathetic
What time of day are bacterial fevers the worst?
At night
Medical term for jaundice in eyes
,Icterus
Absent red light reflex, lens opacity worsens.
Cataracts
Retinal detachment risks increase after surgery for?
Cataracts
MC cause of vision loss for people over 40
Cataracts
Optic disc swelling that causes increased intracranial pressure
Papilledema
Blurred vision, with halos around lights, leading to increased intraocular pressure
Glaucoma
Insignificant eye probem caused by buildup of fat around the deep edges of the
cornea
Arcus senilis
Waxy exudates in the eye with microaneurysms.
Diabetic retinopathy
Flame hemorrhage, cotton wool spots in the eye, copper wire arterioles
Hypertension
Yellow deposits under the retina, the light-sensitive tissue at the back of the eye
Drusen (normal)
a hole in one of the structures of the eye, such as the iris, retina, choroid, or optic
disc.
Coloboma (normal)
Crusty discharge of ear
Otitis externa, swimmers ear
Bulging tympanium
Otitis media
Retracted tympanum can be caused by?
Altitude
Redness from acute infection of ear
Myringitis
, Ear infections can lead to this common complication
Meningitis
A rupture in the ear drum, causing a perforation, can have this appearance
Black appearance
What color is normal for eardrum?
Pearly gray
Which ear should you perform rhinne on?
The ear that Weber lateralize to (The louder side)
What tuning fork do you use for hearing tests?
512 tuning fork.
Sensorineural hearing loss can be caused by
Presbycusis
Neuroma
Meniere's
Conduction hearing loss can be caused by
Infections, cerumen, otosclerosis
A ___ nose is indicative of acute rhinitis
Red
___ discharge from the nose can be caused by a foreign object
Foul
___ discharge from the nose can be caused by ____
CSF or viral infection
Non-mobile and non-tender lymph node
Malignant
Mobile and tender lymph node
Benign
Supraclavicular lymph node draining pattern.
Right supraclavicular drains everything above the diaphragm on right.
Left supraclavicular drains everything else.
Pancreatitis can activate nociceptors in what level of spine?
T10, or epigastric level.
Answers
A case history includes
Chief complaint
Present illness
Past History
Family,
occupational,
social,
review of systems
Answers given from a chief complaint should be..
Own words, open ended.
Temperature can be taken where?
Anal, oral, otic, axilary, vaginal, testicular
What is the difference in temperatures between a bacterial infection and viral
infection?
Bacterial is sustained.
Viral has spikes, where they will have combination of fevvers and chills.
What is the average blood pressure?
90/60 over 140/110 S/D
_____ is the difference between the systolic and diastolic readings. What is the
average?
Pulse pressure. 30-40
Orthostatic hypotension that can cause syncope is a result of para or
sympathetic nervous system?
Parasympathetic
What time of day are bacterial fevers the worst?
At night
Medical term for jaundice in eyes
,Icterus
Absent red light reflex, lens opacity worsens.
Cataracts
Retinal detachment risks increase after surgery for?
Cataracts
MC cause of vision loss for people over 40
Cataracts
Optic disc swelling that causes increased intracranial pressure
Papilledema
Blurred vision, with halos around lights, leading to increased intraocular pressure
Glaucoma
Insignificant eye probem caused by buildup of fat around the deep edges of the
cornea
Arcus senilis
Waxy exudates in the eye with microaneurysms.
Diabetic retinopathy
Flame hemorrhage, cotton wool spots in the eye, copper wire arterioles
Hypertension
Yellow deposits under the retina, the light-sensitive tissue at the back of the eye
Drusen (normal)
a hole in one of the structures of the eye, such as the iris, retina, choroid, or optic
disc.
Coloboma (normal)
Crusty discharge of ear
Otitis externa, swimmers ear
Bulging tympanium
Otitis media
Retracted tympanum can be caused by?
Altitude
Redness from acute infection of ear
Myringitis
, Ear infections can lead to this common complication
Meningitis
A rupture in the ear drum, causing a perforation, can have this appearance
Black appearance
What color is normal for eardrum?
Pearly gray
Which ear should you perform rhinne on?
The ear that Weber lateralize to (The louder side)
What tuning fork do you use for hearing tests?
512 tuning fork.
Sensorineural hearing loss can be caused by
Presbycusis
Neuroma
Meniere's
Conduction hearing loss can be caused by
Infections, cerumen, otosclerosis
A ___ nose is indicative of acute rhinitis
Red
___ discharge from the nose can be caused by a foreign object
Foul
___ discharge from the nose can be caused by ____
CSF or viral infection
Non-mobile and non-tender lymph node
Malignant
Mobile and tender lymph node
Benign
Supraclavicular lymph node draining pattern.
Right supraclavicular drains everything above the diaphragm on right.
Left supraclavicular drains everything else.
Pancreatitis can activate nociceptors in what level of spine?
T10, or epigastric level.
