Speech Quiz #4

Which of the following is a symptom involving speech? - dysphagia - dysarthria

Lawer comes to see you, you inspect his eyes and find a triangular thickening of the bulbar conjunctiva across the outer surface of the cornea. He has normal pupillary and accomidation. Dx? - cateracts - PterYgium

LEAST LIKELY "red flag" in pt with enlarge lymph node: - tenderness - less than 1.0cm in diameter - age over 50 - not mobile

Anisocoria (a condition characterized by an unequal size of the pupils) pathologic cause of this is:

Tuning for test: bone conduction is greater in thatn air on the left, and the patient hears the sound of the tuning fork better on the left. which is most likely? - Otosclerosis of the left ear -Otis media of hte right ear

U are conducting a pupillary exam. both are notes to constrict briskly when the light is placed on the right eye. as you move the light to the left eye, you note that both pupils dialate slightly. what is the most likely problem? - optic nerve damage on right - optic nerve damage on left - efferent nerve damage on left

Pt CC: SOB, and noproductive cough. temp 98.6, BP 120/80, P 80, R 20. on ausculatation ther is decreased movement and a high pitched whistling on expiration in all lobes. which thorax or lung disorder? - Asthma - Pneumonia

CC: fever, SOB, productive cough with golden sputum. Temp 101, edem of nasal turbinates. On auscultation she has decreased air movement, and coars crackles are heard over lower lobe. Dullness on percussion, increased fremitus during palpation, and egophongy and whispered pectoriloquy on ausculataion. Dx? - COPD - Pneumonia

CC: sharp, knifelike pain on the left side of her chest for the past 2 days. sitting forward helps her pain. On exam you find her leaning overa nd holding her left arm and hand to her left chest. BP 130/70, R 12, P 90. Ausculotaion lungs have normal breath sounds. Auscultation of heart has S1 and S2 with not S3 or S4. Scratching noise is heard at the lower left sternal border, coincident with systole Dx: - pericarditis - dissecting aoritc aneursm

CC: intermittent lower right-sided chest pain for several days. describes pain as knifelike and lasts 3 to 5 seconds, taking his breath away, he feels like he has to breath shallowly to keep it from recurring. Dx? - pericarditis - pleural pain

Grandchild.... breast bone seems collapsed. You see the lower portion of the sternum is depresed Dx? - Funnel Chest (pectus excavatum) - Pigeon Chest (pectus carinatum)

A 55 yo smoker complains of chest pain and gestures with a closed fist ove her sternum to describ it? What is the Dx based on her gesture? - costochondritis - angina pectoris

Which of the following is consistent with good percussion technique? - maintain a stif wrist and hand - strike the pleximeter over the distal interphalangeal joint

Which percussion notes do you hear over gastric bubbles? - Resonance - Tympany

Which of the condition would produce a hyperresonanant percussion note? - large pneumothrax - pleural effusion