Breast and Abdominal Health Quiz

Which of the following is not a modifiable risk factor for breast cancer? (More than one answer is possible)

For palpation of the axilla the following technique is required:

You assess the patient using postural color changes test. Normally color returns to the legs in

62 year old man presents with ulceration around his calf, he has pain (8/10). Pedal pulse is absent, no swelling. Patient has

Which of the listed below are true about popliteal pulse? (more than one answer is possible)

You are having a patient who presents with jaundice, telangiectasia, dilated veins on the abdominal wall and palmar erythema. What is the possible disorder?

Lymph from a breast is drained into (more than one answer is possible)

What are the modifiable risk factors for breast cancer?

Which of the following are the risk factors for abdominal aortic aneurysm? (More than one answer is possible)

Which of the listed below statements are true about dorsalis pedis pulse? (More than one answer is possible)

In patients above 50 year old normally diameter of abdominal aorta must not exceed:

Bladder distension can be caused by the following except:

Parietal pain originates from inflammation in the parietal peritoneum. It varies in quality and may be gnawing, burning or cramping. When it becomes severe, it may be associated with sweating, pallor, nausea, vomiting, and restlessness. (Steady, aching pain)

Which of the following statements is true?

Traube’s space is

Which of the following normally can be palpable in the right upper quadrant of the abdomen?

Visceral pain occurs when hollow abdominal organs contract unusually forcefully or are distended or stretched. Character of visceral pain is steady and aching and aggravated by movement or coughing. (Visceral pain varies in quality, may be gnawing, burning, cramping, or aching)

32 years old female is admitted with the right lower quadrant pain which she rates 9/10. On palpation you note abdominal wall rigidity. Which from the listed below is possible she has?

Unusually intense and immediate desire to void is called

€�Hooking technique” may be helpful during palpation of

Describe location for the sternal angle or angle of Louis

Crackles are:

Nocturia is one of the following:

Generalized hyperresonance is common over the hyperinflated lungs:

Normal breath sound in the base of the lung is:

Adventitious Sounds are:

A 76-year-old woman with severe aortic stenosis presents with dyspnea and worsening functional class in the setting of new-onset atrial fibrillation. Which of the following auscultatory findings would not be expected?

When inspiratory sounds last longer than expiratory sounds, it is:

Percussion is resonant in:

Follows opening snap delayed rumbling late diastolic murmur

Wheezes arise:

Caput medusa is one of the following:

Jaundice is one of the following:

Types of jaundice are all of the following EXCEPT:

A 63-year-old woman develops exertional angina and has had two episodes of syncope. Examination shows a systolic ejection fraction murmur with radiation to the carotids and a soft S2. Which of the following is the most likely diagnosis?

A 23-year-old man is referred to cardiology after an episode of syncope while playing basketball. He has no recollection of the event, but he was told that he collapsed while running. He awakened lying on the ground and suffered multiple contusions as a result of the fall. He has always been an active individual by recently has developed some chest pain with exertion that has caused him to restrict his activity. His father died at age 44 while rock climbing. He believes his father’s cause of death was sudden cardiac death and recalls being told his father had an enlarged heart. On examination, the patient has a III/VI mid-systolic crescendo-decrescendo murmur. His electrocardiogram shows evidence of left ventricular hypertrophy. You suspect hypertrophic cardiomyopathy as the cause of the patient’s heart disease. Which of the following maneuvers would be expected to cause an increase in the loudness of the murmur?

Landmark for thoracentesis with needle is?

A 18-year-old man notices occasional light-headedness when standing up quickly. He also has difficulty playing sports because of easy fatigue and SOB. Examination shows normal heart sounds, but a loud systolic ejection murmur at the right sternal border. The murmur decreases with elevating the legs and increases in the standing position. Your clinical diagnosis is hypertrophic cardiomyopathy (HOCM). Select answer regarding to HOCM.

Immediate high-pitched diastolic murmur. Wide pulse pressure when chronic. Can present with bounding pulses and head bobbing (De Musset’s sign).

Unilateral hyperresonance suggests:

In case of ascites the percussion reveals one of the following:

A 22-year-old woman with no past medical history is found to have a systolic ejection murmur on routine physical examination. She has no symptoms and feels well. The murmur is heard along the right and left sternal borders and it decreases after rapid squatting. What could be the underlying disease?

Anorexia is one of the following:

Each lung is divided roughly in half by:

Pain as a symptom can be is one of the following types EXCEPT:

When inspiratory and expiratory sounds are almost equal, it is:

Describe location for the lower margin of an endotracheal tube on a chest x-ray

A 45-year-old woman is referred for a murmur. Which finding on a physical examination would be suggestive of a diagnosis of hypertrophic obstructive cardiomyopathy?

Hematochezia is one of the following:

A 25-year-old woman is referred for a murmur. Transthoracic echocardiography demonstrates mitral valve prolapse. Which of the following is true about the click accompanying mitral valve prolapse?

Many clinicians use this term to describe sounds from secretions in large airways that may change with coughing. It is:

Wheezies are:

The echocardiogram of a 22-year-old woman reveals mitral valve prolapse. Which of the following is the most common physical finding in this condition?

Melena or melaena is the sign of:

Crackles are:

Describe location for needle insertion for tension pneumothorax.

Rovsing sign is one of the following:

Crackles can arise from:

A 28-year-old woman has been told she has rheumatic heart disease, specifically mitral stenosis. Which of the following murmurs is most likely present?

An elderly patient presents with a diastolic murmur that gets louder during inspiration. Which of the following are the most likely?

Polyuria is one of the following:

A 45-year-old woman has developed increasing SOB on exertion and fatigue. She has a loud systolic ejection murmur heard best at the left sternal border (erbs point), and the murmur increases with standing. A double apical impulse (bisferiens pulse) is also felt. What could be the underlying disease?

Costovertebral angle tenderness is one of the following symptoms:

What is the Austin-Flint murmur?

Rebound tenderness is one of the following:

During the ear examination of 53-year-old male there are the following findings: positive whispered test on the right side, Rinne test – BC>AC on the right side, AC>BC on the left side, Webber test shows lateralization on the right side. There is:

Increased JVP correlates with:

For which of the following conditions clubbing nails are not characteristic?

Which one of the following best describes the role of history taking in patient assessment?

Auscultation with the bell of the stethoscope in the left decubitus position prevents from missing of which of them?

Which of the following is right about a grade IV-intensity murmur?

Examples of empathic responses are:

You are concerned that a patient has an aortic regurgitation murmur. Which is the best position to accentuate the murmur?

Which of the following statements is not true about consolidation?

Which of the following waves of the jugular venous pulsations is a systolic phenomenon?

Which of the following is not true about fatigue?

Patient complains about generalized itching, although there is no apparent rash on the skin. Which of the following cannot be the reason of itching in this case?

All of the following are true about focused assessment, except:

Patient presents with the voice hoarseness that started 3 weeks ago. Which of the following cannot be the reason for this complaint?

Causes of weight loss are the following, except:

A 46 years old male, businessman, heavy smoker and mild alcohol consumer without personal or familial history of cardiovascular disease, presented to the emergency department complaining for worsening shortness of breath in the last week with an episode of paroxysmal nocturnal dyspnea during the last night. He denied chest pain, palpitations or syncope. On physical examination. HR 110 bpm, BP 120/90 mmHg, RR 25 br/min, SpO2 90% in room air, Jugular vein distension, crackles over the lower third of both lung fields, S3 gallop and an apical murmur of grade III were present, no peripheral edema was appreciable. The most likely diagnosis is:

Which of the following is not characteristic for the normal air-filled lung?

Which of the following statements is true about wheezes?

During the assessment of the patient with heart failure you check the radial pulse which has regular rhythm, but its force changes from beat to beat. Which of the following is described?

Which of the following is a “red flag” regarding patients presenting with headache

What is the optimal technique to better auscultate of the S1 sound?

Which of the following valve disorders does produce a holosystolic murmur?

A 48-year-old civil engineer comes to your office with the complain of a headache. He describes it as a throbbing sensation, located in the right temporal region and with intensity 8 on a scale of 1 to 10. It started a few hours ago, and he has noted nausea with sensitivity to light, he has had headaches like this in the past, usually less than one per month, but less severe. He does not know of any triggering factors. There has been no change in the frequency of her headaches. She usually takes an over-the-counter pain killer and helps with her headache. What is the most likely diagnosis of the type of headache?

29-year-old male having years of insidious chronic low back pain, no structural fault identifiable. Pain distribution is rarely anatomically plausible. Initial past medical history includes ankle fractures apparently followed by CRPS complex regional pain syndrome that has resolved, multiple general anesthetics, a concussion. Now complains of “showers of fizzing” in arms and legs with no particular aggravating / easing factors. Develops extreme levels of pain when incurs any acute injury (such as a recent laceration injury in which a slim piece of steel was shot into his arm, and subsequently a fractured finger, both work accidents). Works full time in a manufacturing plant. Very fatigued by the end of the day and complains of having “weed in my head”. “I can’t describe it”. Poor sleep due to “my brain can’t calm down”. NSAID medication does not help. Regularly attends local gym and self-reports as being competitive. Has attended pain clinics in the past. Which type of pain does the patient have?

Which one from the following cannot lead to a rapid change in weight over a few days?

Which from the following statements is true about abdominal pain:

Which of the following is not the maneuver for examining of the shoulder joint?

Which from the following statements is not correct?

Which of the following statement is correct about fatigue?

Syncope may be resulted from the following except:

Which one from the listed below can be a reason for a subacute progressive weakness of lower extremities

Which of the following is correct about somatic type of pain? Same as

A 71-year-old woman presents to your office complaining of unilateral hearing loss. She denies vertigo and tinnitus. A weber test lateralizes to the deaf ear, and a Rinne test is negative. The tympanic membranes are bilaterally normal. Which of the following best explains her hearing loss?

A 66-year-old male presented to an urgent care clinic with a 4-day history of dry cough, progressing to rusty colored sputum, sudden onset of chills the previous evening, subjective fever, and malaise. Originally, the man thought he had a cold, but symptoms had worsened and he “barely slept last night with all this coughing.” He denied experiencing shortness of breath by suggested he may be breathing “a little faster than normal.” He felt some sharp left-sided chest pain after a particularly long bout of coughing. He denied any leg swelling, orthopnea, or left-sided/substernal chest pain. He also denied any gastrointestinal symptoms. His vital signs were as follows: temperature: 38.5ᴼC, BP: 128/76 mmHg, HR: 102 bpm, RR: 24 bpm, SpO2: 94%; mild tachycardia with a regular rhythm, mild tachypnea, dullness to percussion, increased tactile fremitus over the lower-right lung, in the same area a few crackles. There was no jugular venous distension or pedal edema. The most likely diagnosis is:

Liver dullness may be displaced downward because of:

To which category of the abdominal masses does the distended bladder belong to?

Overflow incontinence is caused by:

A 50-year-old patient’s examination has found out that inversion with plantar flexion of the foot cause pain, whereas eversion with plantar flexion are relatively pain free. Patient denies the similar condition having in past. These findings sugges

Which of the following is not correct about GI symptoms?

Listening to the articulation of patient’s words you are assessing the following cranial nerves:

Which of the following is correct?

The reasons of monocular diplopia may be the following except:

A 19-year-old woman presents with severe right-sided flank pain accompanied by fever, shaking, chills, dysuria, and frequency. She is sexually active with one partner and always uses condoms. On physical examination, her temperature is 39.9ᴼC (103.8ᴼF) and heart rate is 120 beats per minute. Blood pressure and respirations are normal. Abdominal examination reveals suprapubic tenderness with palpation. Costovertebral tenderness is positive. Pelvic examination is normal. Which of the following is the most likely diagnosis?

A 36-year-old female with no history of disease was admitted to the hospital after she suddenly collapsed while standing and lost consciousness for approximately five minutes. She recovered spontaneously but was extremely weak and dyspneic. On admission patient had sharp chest pain increasing with inhalation and cough, physical examination revealed a diaphoretic and dyspneic patient without focal neurologic findings. HR 129 bpm regular, BP 126/72 mmHg without orthostatic changes, RR 32 bpm. The room air oxygen saturation was 90%. Examination of the head and neck was normal. The results of chest wall examination reveled reduced breath sounds bilaterally at the lung bases. Diaphragm excursion of the left hemithorax was reduced. The findings of heart and abdominal examinations were unremarkable, on examination of her legs, left leg and oedema with the left calf measured 3 cm more than the right one. Patient said that she took birth control pills. The most likely diagnosis is:

Which one of the following is true for asthma?

Odynophagia can be resulted from the following causes, except:

Which of the following can not be the reason of rapid gain of the weight?

During heart auscultation you ask the patient to roll partly on the left side into the left lateral decubitus position. This will help you to identify:

You get the patient with a delirium, this means he/she is a

Which from the following statements is not correct about muscle bulk?

A neurologic examination pertaining to the sensations of body movements and awareness of posture is

The positive Brudzinski sign is

Which of the following is correct about liver spans?

From the listed below choose indications for mental health screening:

A 30-year-old woman presents for routine check-up. She has no complaints and denies previous medical problems. On heart examination, the patient has a loud S1. She has a grade 2 low-pitched mid-to-late diastolic murmur that is best heard at the apex. Immediately preceding the murmur is a loud extra sound. Which of the following is the most likely diagnosis?

All is true about visceral pain except:

You have a patient who complains about diplopia, which is present with one eye covered. What can be a reason of the following problem?

Which of the following are not general concerning symptoms?

Which of the following diagnoses is not common or concerning symptoms of respiratory disease?

Stress incontinence is caused by:

Which of the following statements is correct about weakness?

Which of the following is correct about the timing of Murmurs?

Which of the following is correct about primary lesions of skin?

Which of the following is correct about lung auscultation?

Which of the following statements is correct?

Which one from the following is true about jaundice?

Which of the following statements is not true about abdominal pain?

The positive Kernig’s sign is

Which from the listed below cannot be a cause of binocular diplopia?

Which of the following is causes systolic murmurs?

The causes of weight loss include the following list, except:

A 30-year-old woman with a history of diabetes mellitus presents with a three-week history of hand numbness that often awakens if she shakes her hands for a few minutes. On physical examination, there is no sensory or motor deficit of her hands but …. Which of the following is the most likely diagnosis?

The blood pressure difference of more than 10 to 15 mmHg during measurement in both arms can be associated with the following except:

Patient complains about persisting abdominal pain, “food fear,” and weight loss. Which from the following cannot be the reason for the

The recommended walking time for physical activity per week is:

When considering a person’s past medical / surgical history which one of the following is an important consideration?

33 year old male, has chronic low back pain, no structural changes are found on MRI. Pain distribution is not corresponding to dermatomal distribution. Past medical history includes ankle fracture, followed by complex regional pain syndrome that has resolved, multiple general anaesthetics and a concussion. Now patient complains of “showers of fizzing” in arms and legs with no particular aggravating / easing factors. Patient admits that he develops extreme levels of pain with any acute injury. He works full time in a manufacturing plant. Very fatigued by the end of the day, though his job is not physically exhausting, he has sleep disturbances, because as he says: “my brain can’t calm down.” NSAID medication does not help. He maintains active lifestyle, regularly exercises at a local gym and self-reports as being competitive. He has attended pain clinics in the past. Which type of the pain does the patient have?

Lateral displacement of PMI towards the axillar line can be caused by the following, except:

Which one from the listed below are not part of the personal and social history?

Making the anthropometric assessment of patient you note the short stature of patient. Which from the following cannot lead to this?

In supine position PMI diameter can be:

Which of the following situations warrant a comprehensive assessment of the patient?

Which of the following is true about weakness?

Pulse that varies with respirations, found during asthma, pulmonary obstructive disease, cardiac tamponade is:

Which one of the following needs to be specifically asked about and standardized when enquiring about a person’s social history?

On the auscultation of the patient, you find a murmur, which has a following description. Location at the apex, harsh, radiation to the left axilla, pitch medium, holosystolic, better heard with the diaphragm of the stethoscope, on inspiration murmur does not become louder. Additionally, S3 auscultated. Which of the following condition may lead to such a murmur?

Which one from the listed below do require ambulatory 24-hours blood pressure monitoring?

Which of the following is true about heart murmurs?

Which of the following cannot be caused by overweight and obesity?

A 76-year-old woman has deviation of her tongue to the left. Which of the following lesions of cranial nerve is the most likely cause for these findings?

During the skin inspection you find a primary lesion which is raised. >1 cm, and fluid filled. Which one from the following is corresponding lesion?

Dullness identified by the percussion of lungs may not be caused by

In terms of history taking which one of the following best describes the role of the social history?

A 60-year-old man with a history of appendectomy 30 years ago presents to the emergency room complaining of abdominal pain. He describes the pain as colicky and crampy and feels it builds up, then it improves on its own. He has vomited at least 10 times since the pain started this morning. He states that he has not had a bowel movement for two days and cannot recall the last time he passed flatus. The abdomen is slightly distended. Abdominal auscultation reveals high-pitched bowel sounds and peristaltic rushes. Percussion reveals a tympanic abdomen. The patient is diffusely tender with palpation but has no rebound tenderness. Rectal examination reveals the absence of stool. Which of the following is the most likely diagnosis?

From the listed below choose the symptom/sign that is not warning in peripheral arterial disease

36 year old male presents with proximal asymmetric weakness that gets worse with effort (fatigability), with associated diplopia, ptosis, dysarthria and dysphagia. Past medical history is nonremarkable. The most likely diagnosis is

Pain with walking or prolonged standing radiating from the spinal area into the buttocks, legs and feet suggests

Pain from the biliary tree may be referred to the

From patient history you identify he has anhedonia. This means:

Movement of the auricle up and down, pressing of tragus is painful in

You are called to evaluate a 57-year-old man with pressure-like chest pain that occurred while he was shovelling snow. The pain radiates to the jaw and medial aspect of the left arm. The patient denies dizziness, nausea, vomiting, or palpitations. He has a past medical history of hypertension and he smokes two packs of cigarettes per day. He has a brother who had a myocardial infarction that required balloon angioplasty when he was is his forties. On physical examination the patient appears pale and diaphoretic. Blood pressure is 160/100 mmHg and pulse is 108 beats per minute. His extremities are cool. Heart examination reveals an S4 gallop. Lungs are normal. Peripheral pulses are palpable and bilaterally equal. He has no peripheral edema. Which of the following is the most likely diagnosis?

A 16-year-old girl, the star on her high-school basketball team, sustains a knee injury after pivoting on her right knee during a game. She collapses to the floor in severe pain and immediately taken to the hospital. She arrives at the emergency department approximately 45 minutes after the injury, and her right knee is already very swollen. Laxity is noted with the anterior drawer test and Lachman test. What structures could be involved?

Abduction (or valgus) stress test produces pain in the knee during patient’s examination, what is caused by

A 30-year-old man comes to the emergency department with acute onset of severe right-sided flank pain. The pain radiates down into the groin and testicle and is associated with hematuria, urinary frequency, urgency, and dysuria. On examination, the patient is in acute distress. The patient has a low-grade fever at a temperature of 37.2ᴼC, Pulse is 96 beats per minute, Respirations are 20 breaths per minute, and blood pressure is 140/90 mm Hg. He has significant right costovertebral angle tenderness. The rest of the examination is normal. There is 2+ blood on the urine dipstick test, no casts are seen on microscopic examination. What is the most likely diagnosis in this patient?

45 year old patient with history of COPD presents to the clinic with suspected pneumonia. He is struggling, talking in sentences. Clinical findings support right-sided pneumonia. On physical examination would probably show:

Which of them is not risk factor for melanoma?

Soft and low-pitched breath sounds normally heard over most of both lungs through inspiration and without pause expiration are

Which of the following does not require mental health screening?

A 29-year-old woman comes to your office with a 1-day history of nausea, mild vomiting, and vague central abdominal pain. The pain has begun to move down and to the right. She also describes mild dysuria. Anorexia began 24 hours ago, and the patient has “felt warm.” Her last menstrual period was 2 weeks ago. Her health has been excellent. She has no drug allergies and is not taking any medications. On physical examination, she appears ill. Her temperature is 38.1ᴼC. She has tenderness in both the right lower quadrant and left lower quadrant, but tenderness is the greatest in the right lower quadrant. Rebound tenderness is present. The rectal examination discloses tenderness on the right side. There is no costovertebral angle tenderness.

Which of the following maneuvers of examining the shoulder is pain provocation test for rotator cuff disorder?

An 80-year-old woman presents with a 6-month history of pain accompanied by a short period of morning stiffness. She also notices mild pain in her lower back, hips, and knees. On examination, the patient is obese. She has significant swelling in both the proximal interphalangeal (PIP) joints and the distal interphalangeal (DIP) joints. There is also deformity of both knees on examination. The rest of her examination is normal. Which of the following statements regarding this patient’s condition is true? O

The Rinne test indicates equal of better bone conduction in which of the following?

You are asking patient about his/her full name, date and place of birth and the place of their being at the moment. You are assessing

By the following description, grade the heart murmur: loud with palpable thrill. Cannot be heard when stethoscope is partly off the chest:

Which of the following is correct about cranial nerve examination?

A 57-year-old man comes to the ED with “a headache like I’ve never had before.” He is brought to the ED by his wife. The patient had been completely well, healthy, and active before this episode (which began last night). Nausea and vomiting began soon after the headache onset. The patient and his family report no history of trauma. There is no family history of migraine or cluster headache. On examination, there us significant neck stiffness. The patient is unable to move his neck without extreme pain. At this time, with the information you have to this point, what is the most likely diagnosis?

71 year old male during his office visit complains about pain in his legs during rest and very soon upon any physical activity. He smokes 1 package per day. On inspection legs look pale, there is obvious hair loss on the anterior surface of the tibias. In order to screen the peripheral artery disease there is necessary to conduct

Which of the following are associated with upper motor neuron lesions?

A thin 35-year-old woman presents with a two-day history of cough. She complains of some mild dyspnea and chest pain. On physical examination, her temperature is 38.5ᴼC (101.4ᴼF) and respiratory rate is 26 breaths per minute. Her blood pressure is 110/65 mmHg and her heart rate is 125 beats per minute. Examination of the lungs reveals increased fremitus and bronchial breath sounds at the right base. There are no crackles, egophony, or pectoriloquy. Which of the following is the most likely diagnosis?

A man is stabbed and arrives at the emergency room within 30 minutes. You notice that the trachea is deviated away from the side of the chest with the puncture. The most likely lung finding on physical examination of the traumatized side is which of the following?

Which of the following cannot be heard with the diaphragm of stethoscope?

Which of the following is not a peritoneal sign?

30 years old male presents to the clinic with right side flank pain, nausea, dysuria and fever. Which of the following is appropriate to treat

A 23-year-old medical student presents with the chief complaint of palpitations while playing basketball. The episode lasted 15 minutes. He denies dizziness, syncope, chest pain, and shortness of breath. He admits to a sedentary lifestyle but tries to eat three quality meals per day. He is adopted, and a family history of heart disease is unknown. Physical examination is remarkable for a reverse pulsus paradoxus. Which of the following is the most likely diagnosis?

What causes S4 sound?

Which of the following is not a component of the cerebellar examination?

Which of the following cannot be in patient with increased JVP?

Examiners hand is placed on the patient’s right anterior thigh and the patient is asked to raise his/her right leg against the examiner’s hand. This test is called

A 45-year-old woman presents with a three-day history of cough. She complains of some mild dyspnea and chest pain. On physical examination, her temperature is 38.8ᴼC and her respiratory rate is 29 breaths per minute. Her blood pressure is 110/65 mmHg and her heart rate is 125 beats per minute. Examination of the lungs reveals increased fremitus and bronchial breath sounds at the right base. There are no crackles, egophony, or pectoriloquy in the area. Which of the following is the most likely diagnosis?

Epigastric pain without radiation, with heartburn, sometimes regurgitation, especially after spicy food, that worsens when lies down, more probably is

A 44-year-old man presents with facial asymmetry. On physical examination, touching the cornea of either eye with a cotton swab results in blinking of only the left eye. The patient states that he feels the cotton swab touch in both eyes. Which of the following is the most likely diagnosis?

A 34-year-old nursing student is referred to your office because of the onset of a recent cough productive of dark-colored sputum. She is febrile but does not appear ill. She has been able to continue working with her symptoms. Examinations of the posterior thorax is normal, but there is dullness at the anterior right hemithorax below the fifth rib and on midaxillary line. Crackles, as well as localized pectoriloquy, are audible over the same area. Which of the following is the most likely diagnosis?

You are performing a thorough cardiac examination. Which of the following chambers of the heart can you assess by palpation

Which of the following is correct about transmitted voice sounds?

When assessing cranial nerves IX and X, which of the following would the doctor consider as a normal finding?

A Weber teat that lateralizes to the deaf ear with a Rinne test that is negative detects which kind of hearing loss?

To distinguish voluntary guarding from involuntary muscular spasm we ask the patient to relax, to exhale, to mouth-breathe with the jaw dropped …..maneuvers:

Which from the following is not true about Babinski reflex?

Which of the following describes is not common or concerning symptoms of Respiratory disease?

Which of the following is true about lymph nodes examination?

You are assessing a patient with joint pain and are trying to decide whether it is inflammatory or noninflammatory in nature. Which one of the following symptoms are consistent with an inflammatory process

Labored breathing manifestations include (Select all that apply)

An 80-year-old woman who was healthy and active until the last 2-3 years presented for evaluation and treatment when she developed severe back pain that exacerbated with walking, bending, or lifting. She has a stooped posture that appears to have worsened over the last several months based on reports from family members. A magnetic resonance imaging scan of her spine reveals 80% loss of height of the bodies of the T7 and T8 vertebrae. She was diagnosed to have a compression fracture. What type of pain does patient have?

Which of the following is not characteristic for the ascetic fluid in abdomen?

You palpate anatomical snuff box what elicit the tenderness. Patient might have

Intermittent claudication means

Which of the following statements is true?

Which of the following are the signs of peritonitis?

A 38 year old white woman, she presents to the physician experiencing intermittent low back and right sided hip joint pain with difficulty bending over when picking up her kids or cleaning around the house. Patient notes the pain began about six months ago without injury and comes and goes without any obvious trigger, although the pain seems to be worse when she gets up in the morning. She says she needs about 30-40 min to "unlock" her joints, On the examination physician notes pitted nails. The most likely diagnosis is

Positive Tinel's sign helps in diagnostics of

51-year-old woman employed as an administrator was present with chief complain in the right groin area, radiating into the right anterior thigh and sometimes knee. She also complained of right posterior low back pain. The pain was of a variable, intermittent-type ache, aggravated by walking and eased by rest in the supine position. During the day, the patient's job involved standing, walking, and sitting. As the day progressed, the patient's symptoms worsened. The patient reported sleeping well. There were no complaints of paranesthesia’s or anesthesia’s. The patient denied any neurological symptoms related to cauda equina or spinal cord involvement. On observation, the patient walked with Trendelenburg gait. Inspection revealed a slight shift in the lumbar spine toward the left. There appeared to be a flattening of the right gluteal musculature. Objectively, strength of musculus gluteus minimus and medius both graded 4. On palpation of the pelvic levels in standing, the right posterior inferior iliac spine was lower than the left. The right anterior superior iliac spine was higher than the left and the pelvis appeared to be in a right posterior ilial rotation. The levels of the greater trochanters, gluteal folds, and posterior knee creases appeared symmetrical. The most likely diagnosis is

You are having a patient male, 50 years old, with history of diabetes type 2, smoking 10 cigarettes per day. He says that 4-5 days per week he intensively exercises in gym. Which of the above listed parameters is not a risk factor for peripheral artery disease?

Which of the following are the risk factors for abdominal aortic aneurism?

A 74-year-old retired man, with history of smoking one pack within 40 years and hypertension, overweight, consulted a doctor of chiropractic for chronic low back pain. The history and physical examination confirmed chronic sacroiliac and a lumbar facet dysfunction. After 5 weeks, the patient stated he had stomach cramps. Physical examination revealed pulsatile mass in the abdomen. The most likely diagnosis is:

Heberden's nodes are inspected in which of the following joints

47-year-old male construction foreman who has noticed worsening medial and posterior knee pain, joint stiffness, weakness, and the feeling of instability in his right knee over the last 10 days beginning after playing in a soccer game. The patient has not seen a physician regarding the pain until 1 day ago, On the examination he expresses that the worse pain (8/10) is felt during squatting motions, getting up from a chair, ambulating, and descending stairs. ROM was limited and presented decreased strength of muscles. There were signs of Inflammation in the Joint line and moderate swelling in the medial joint line. The patient also claims a locking sensation during deeper flexion. MCL stress testing has not reveal laxity and/or pain. McMurray test revealed tenderness in the medial joint line. The most likely diagnosis is

63 year old female complains of shoulder pain and limited ROM due to it. Assessing patient, you ask her to scratch her neck and touch the opposite shoulder. She shows difficulties producing this motion. Patient might have joint

Unequal heights of the iliac crests, or pelvic tilt, can be produced from the following, except

22-year-old female presents to hospital with lower abdominal pain, fever 38.2 C, nausea, urinary frequency and urgency. She said first symptoms appeared one week ago with pressure like discomfort in the suprapubic area and burning sensation during urination. On the examination costovertebral angle tenderness is present. The most likely diagnosis is

A 22-year-old male presents to the emergency department with abdominal pain, anorexia, nausea, and feverish. Pain started in the mid-abdominal region 6 hours ago and is now in the right lower quadrant of the abdomen. The pain was steady in nature and aggravated by crouching, Physical examination reveals fever 38°C: HR 100 b/min. RR 20, BP 110/70, Spo2 98 on room air. Pain on palpation at right lower quadrant, rebound tenderness, positive Rovsing's sign. The most likely diagnosis is

Which of the listed below statements is not true about dorsalis pedis pulse?

57-year-old man who reports to the clinic complaining of frequent cramping pain in his left leg induced by walking, Because of this he cannot accomplish his dally walking plan. On his visit to a physician, resting ankle-brachial index (ABI) test was performed and showed result <0.90. Patient has a past medical history of hypertension, which is well managed. He does not take any other prescription medications. Smokes 1 pack per day. The most likely diagnosis is

Tenderness and spasm of paravertebral muscles can be caused by

To examine the patient's abdomen the requirements are following

Decreased strength during hand grip tests helps to identify which of the following?

You are having a female patient who presents with jaundice, telangiectasia, dilated veins on the abdominal wall and palmar erythema. What could be the possible disorder?

A 55-year-old man presents because of chest pain, breathlessness, and headache. This patient had uncontrolled systemic arterial hypertension for 15 years and had been treated with B-blockers, diuretic and angiotensin receptor-blocker and calcium channel blockers. Despite this therapy, on physical examination, his blood pressure was 185/120 mm Hg with no difference between the two arms and leg. He had no history of diabetes, but he is a smoker. The most likely diagnosis is

Dullness replaces resonance when:

Physical examination of the patient is the part of the:

We know that the nurse knows the right time to do a physical assessment when she says:

For most elective (nonemergency) cases the correct sequence of patient management is:

The echocardiogram of a 22-year-old woman reveals mitral valve prolapse. Which of the following is the most common physical finding in this condition?

Melena or melaena means:

Screening is one of the following:

A 20-year-old basketball player is seen for evaluation prior to beginning another season of competitive sports. A harsh systolic murmur of HOCM is heard at the left lower sternal border. Which of the following maneuvers will enhance this murmur if

All of the following findings would suggest a diagnosis of hypertrophic cardiomyopathy except:

A 24-year-old man is referred to cardiology after an episode of syncope while playing basketball. He has no recollection of the event, but he was told that he collapsed while running. He awakened lying on the ground and suffered multiple contusions as a result of the fall. He has always been an active individual but recently has developed some chest pain with exertion that has caused him to restrict his activity. His father died at age 44 while rock climbing. He believes his father's cause of death was sudden cardiac death and recalls being told his father had an enlarged heart. On examination, the patient has a III/VI mid systolic crescendo-decrescendo murmur. His electrocardiogram shows evidence of left ventricular hypertrophy. You suspect hypertrophic cardiomyopathy as the cause of the patient's heart disease. Which of the following maneuvers would be expected to cause an increase in the loudness of the murmur?

Which of the following valve disorders does produce a holosystolic murmur?

A patient with new-onset syncope has a blood pressure of 110/95 mm Hg and a harsh systolic ejection murmur at the base, radiating to both carotids. Auscultation of the second heart sound at the base might reveal which of the following findings?

A 59-year-old woman presents complaining of a cough productive of sputum for nearly 10 years. Her cough occurs during the day, and she produces sputum daily. The woman states that as a pneumonia requiring hospital admissions and antibiotics. Several times a year, her sputum becomes purulent and she requires antibiotic therapy. She denies smoking cigarettes and has worked physical examination, the lungs are clear without wheezes, rhonchi, or crackles. Which of the following is the most likely diagnosis?

All of them can be a reason for vertigo, except:

Which of the following is correct about chest inspection?

Which of the following is correct about gastrointestinal disease symptoms?

Which of the following statement is correct?

Which of the following terms refers to difficulty breathing in supine position?

What level should the examiner's thumbs be placed while assessing symmetric expansion?

Which of the following fremitus occurs with compression or consolidation of lung tissue like lobar pmeumonia

Ventilator Induced Lung Injury is caused by

The left lung is made up of how many lobes?

The first heart sound is due to

Baroreceptors are found where?

What percentage of circulating blood volume needs to be lost to produce progressive shock?

Which are not acute coronary syndromes?

Which one of the following statements is correct in relation to blood pressure?

Which of the following is not true about the abdominal cavity

Which of the following regions would be located inferior to the Right lumbar region

Why do we use multiple angles of incidence?

If a patient has ascites, when happens when you roll the patient decubitus?

What is ascites?

What can cause ascites

Where is the most common hernia location?

What is the tunica intima?

Uncontrolled hypertension is a symptom of what?

Where does the Spinal chord end?

White matter tracts are part of the PNS.

What does the Spinal Chord connect?

The two functions of the nervous system are

Which of the following is/are type(s) of neurons?

The somatic system contains nerves that control ____

How many pairs of cranial nerves do humans have

Neurons often have many short dendrites and a long axon

The special sense organs include ________ .

The sense of knowing the position of the limbs is called ______.

The testes lie within the _________

Bones are held in place by muscles.

The axial skeleton lies in/at the ________

Skeletal muscles are attached to the skeleton, and they function to _____.

The frontal, parietal and occipital are bones that form the ____________.

The jaw consists of the ___________.

________ is a term that refers to either fingers or toes.