CORRECTLY TO PASS!!
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A patient comes to you because she is experiencing a tremor only
when she reaches for things. This becomes worse as she nears
the "target." When you ask her to hold out her hands, no tremor
is
apparent. What type of tremor does this most likely represent?
• Intention tremor
• Postural tremor
• Resting tremor
• Nervous tremor
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Posterior Cervical Heart Failure
Consensual reaction Intention tremor
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2 of 36
Term
When palpating joints in a musculoskeletal exam, crepitus indicates:
• Roughened articular cartilages
• An effusion in the joint
, • Articular injury
• Supporting muscles are contracted
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Arterial blood flow is sufficient
(Capillary refill is a measure of arterial blood supply to the extremities. Capillary
refill of less than 2 to 3 seconds is indicative of adequate and healthy arterial
blood return.)
Murphy's sign
(Positive Murphy's sign is indicative of cholecystitis. To perform the test, palpate
the inferior liver border while asking the patient to take a deep breath. During
inspiration, the descending liver pushes against the inflamed gallbladder onto the
examining hand. The patient feels sharp pain and abruptly stops breathing.)
Roughened articular cartilages
(Crepitus is the sound of two rough surfaces inside the body rubbing
together. This is commonly found in rheumatoid arthritis and osteoarthritis
when the cartilage of joints is eroded, and the bones rub against one
another. Crepitus may be a sign of bone fracture.)
Arterial hemoglobin saturation = 97%
(Pulse oximetry measures the percent of hemoglobin molecules that are filled
with oxygen. Oxygen-saturated hemoglobin absorbs light wavelengths
differently than unsaturated hemoglobin. The oximeter emits a light and reads
the extent of wavelength absorption.)
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, 3 of 36
Term
Imagine that Tina has hard painless bumps on the dorsolateral
aspects of the distal interphalangeal joints that had limit flexion
during a range of motion test. How would you have documented
these abnormalities?
• Heberden's node
• Bouchard's node
• Swan neck deformity
• Boutonniere deformity
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A serious pathology
(Malignancies originating in the pelvis or abdomen are likely to metastasize to
the left supraclavicular lymph node, also known as Virchow's node.)
Percuss in the left anterior axillary line
(The most accurate assessment for splenomegaly is percussion of the left
anterior axillary line. The percussion of dullness, especially a change from
tympany to dullness when a patient takes a deep breath, is indicative of splenic
enlargement.)
Heberden's node
(Heberden's nodes are often associated with osteoarthritic changes in
joints of middle aged or older adults. They are found on the dorsolateral
aspects of the distal interphalangeal joints.)