Endo 22 quiz

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Comprehensive Medical Examination Quiz

Test your knowledge on medical examinations and pathophysiology with our extensive quiz. This quiz covers a variety of topics that are crucial for healthcare professionals.

29 questions focusing on physical examination, auscultation, and more.
Ideal for students, teachers, and medical practitioners.
Assess your understanding and reinforce your learning.

29 Questions7 MinutesCreated by DiagnosingDoc723

In physical examination of the patient with pneumonia:

Percussion may be hyperresonant over the affected area

Tactile fremitus may be decreased over the affected area

In auscultation may be heard fine crackles over the affected area

In auscultation may be heard bronchophony, egophony, whispered pectoriloquy

Percussion may be dull over the affected area

Correct statements:Sign of rare or incomplete blinking, often associated with Dalrymple's sign, present in Graves Orbithopathy.The description above matches best:

The technique which you use to assess possible ascites is

Choose all true answers about the S4 heart sound:

is also called ventricular gallop

is almost certainly pathology

Best heard at the cardiac apex

Appears in early systole

appears just before S1 heart sound

Choose all true answers about murmur of the mitral stenosis:

Location - apex

Radiates to the axilla

it's a diastolic murmur

If it is accompanied by aortic regurgitation it is called Austin Flint murmur

Heard best in left lateral position

Choose all true answers:

Erb's point is localized on the third left intercostal space

S2 sound is connected with closure of the atroventricular valves

Physiologic S3 sound is typical for eldery people

Physiologic splitting of S2 usually disappears on expiration

best place to hear splitting of S2 is the second left interspace

Which of the following causes primarily a diastolic murmur?

Choose false answer:

Murmur which is audible when stethoscope is removed from chest is grade 5 in Levine's scale

a thrill can be felt in grade 4 or higher.

Levine's scale characterises the loudness of a heart murmur

A loud murmur readily audible but with no thrill is grade 3 in Levine's scale

louder murmurs (grade ≥3) are more likely believed to represent cardiac defects

Which one of the following is a reason of constipation:

Which one of the following is true for jaundice:

it is the yellowish discoloration of the skin and sclerae from increased levels of bilirubin

Becomes visible at a bilirubin concentration above >2, 5 mg/dl,

Haemolytic anemia causes intrahepatic obstructive jaundice,

Dark yellowish brown/ tea colored urine and gray or light pale-colored stools are typical for ob-structive jaundice

Yellowish urine and dark stools are typical for hemolysis.

Choose the correct answers about liver cirrhoris

Is a late stage of scarring (fibrosis) of the liver

If you have liver cirrhosis, you should avoid alcohol

Cirrhosis often has no signs or symptoms until liver damage is extensive

Being overweight is a risk factor

Choose all true answers about murmur of the aortic stenosis

location - left second intercostal interspace

. Heard best when the patient leaning forward

radiates to the axilla

It's a systolic murmur

can be associated by slow rising and delayed pulse

In hydrothorax we can find:

Increased tactile fremitus

Resonant percussion note

Decreased/ absent breath sounds

Bronchial sound during auscultation

Trachea shifted toward involved side

Referred pain:

Pain from pleurisy or may be referred to the left lower abdomen,

Biliary pain may be referred to the right shoulder or the right posterior chest,

Is felt in more distant sites, which are innervated at approximately the same spinal levels as the disordered structure,

Pain of duodenal or pancreatic origin may be referred to the back,

Pain from acute myocardial infarction may be referred to the upper abdomen.

Choose false about melena:

Possible causes: esophageal varices, peptic ulcer, colon cancer, hemorrhoids.

Tests for occult blood are positive,

The passage of black, tarry (sticky and shiny) stools,

Usually bleeding from the esophagus, stomach or duodenum,

Signifies the loss of at least 60 ml of blood into the gastrointestinal tract,

Typical findings during examination of pneumothorax include:

Hyperresonant percussion note, decreased breath sounds, increased tactile fremitus

Dull percussion note, vesicular breath sound, decreased tactile fremitus

Hyperresonant percussion note, decreased breath sounds, decreased tactile fremitus -

Dull percussion note, decreased breath sounds, decreased tactile fremitus

Hyperresonant percussion note, vesicular breath sound, increased tactile fremitus

Choose all true answers about innocent murmurs:

are common in children

Are often accompanied by additional signs such as ejection sounds or diastolic murmurs

Sometimes physiologic or structural abnormality can be detected

caused by turbulent blood flow

Can be connected with high cardiac output conditions such as fever and anemia

Choose the false statement regarding breathing patterns:

Cheyne-Stokes breathing is never physiological

Breathing punctuated by frequent sighs suggests hyperventilation syndrome

Normal respiratory rate is about 14-20 per minute

Ataxic Breathing is characterized by irregular periods of apnea that alternate with regular deep breaths which stop suddenly for short intervals

N obstructive lung diseases expiration is prolonged

Signs of Respiratory Distress:

Contraction of the accessory muscles SCM and scalene muscles

Supraclavicular retraction

Respiratory rate faster than 25 breaths per minute

Cyanosis on lips, tongue, and oral mucosa

Ortopnoe

Choose the answer that correctly pairs condition with the most common area of pain

Acute cholecystitis – lower left quadrant

Acute pancreatitis – lower right quadrant

Acute appendicitis – upper left quadrant

Acute salpingitis – upper abdomen

Acute diverticulitis – lower left quadrant

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