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A 19-year-old childcare worker comes to you for her first prenatal visit. She cannot remember when her last period was but thinks it was between 2 and 5 months ago. When she began gaining weight and feeling "something" moving down there, she did a home pregnancy test and it was positive. She st...

A protuberant abdomen that is tympanic throughout suggests what? - intestinal obstruction After screening, what should be done in the follow up of possible abdominal arotic aneurism? - Palpation followed by ultrasound decreases mortality, especially in male smokers >65 years old. Ascites can o...

A 23‐year‐old physician assistant (PA) student found that she felt nervous when called upon to examine men in her age group. On one occasion, she encountered a young male patient who appeared embarrassed to see her walk into the room. What should the PA do to minimize their mutual discomfort?...

A brief early to middiastolic impulse represents a palpable? - S3 A difference between these levels constitutes a paradoxical pulse? - >= 10mm Hg to 12 mm Hg a large pericardial effusion may make the apical impulse? - Undetectable A medium pitched, grade 2/4, blowing decrescendo diastolic murm...

"Match test"? - Not sure about the name of this test. Assesses the pulmonary system of the px. Ask px to hold a match at arms length and blow it out. slide 54 "Walk test" - 1. assesses the pulmonary function 2. ask the px to walk 8 feet at patients pace, repeat and note a faster time 3. nor...

American Cancer Society recomends testicular self-examinations for___________ - ages of 15 and 34, monthly Disseminated gonorrhea may present as? - Rash, tenosynovitis, monoarticular arthritis, even meningitis Erection from venous engorgement of the corpora cavernosa results from two types of s...

1. maximize patient comfort 2. maintain patient safety 3. avoid unnecessary changes in position 4. enhance clinical accuracy and efficiency - 4 goals to organize and examination 2x2 gauze pads - used during tongue examination auscultation - Use of the diaphragm and bell of the stethoscope to de...

_________________ is often the first sensation to be lost in a peripheral neuropathy and increases the likelihood of peripheral neuropathy 16-fold - Vibration sense "Worst headache of my life" is a common presentation for - Subarachnoid Hemorrhage 2 positions for biceps reflex, 2 positions for ...

7 components of the adult health history? - 1) Identifying Data and Source of the History 2) Chief Complaint 3) Present Illness 4) Past History 5) Family History 6) Personal and Social History 7) Review of Systems Is it okay to ask about culture and family in the personal and social history? ...

(General Survey) General appearance elements - 1. Apparent state of health 2. Level of consciousness 3. Signs of distress 4. Skin color and obvious lesions 5. Dress, grooming, personal hygiene 6. Facial expression 7. Odors 8. Posture, gait, motor activity 9. Height and weight Aspects of Hea...

2 components of conjuctiva - Bulbar conjuctiva (covers the anterior eyeball) Palpebral conjuctiva (lines the eyelids) 20/30, what does this mean? - First number indicates the distance of the patient from the chart. The second indicates the distance at which a normal eye can read the line of lette...

32. Which of the following is true of a grade 4-intensity murmur? A) It is moderately loud. B) It can be heard with the stethoscope off the chest. C) It can be heard with the stethoscope partially off the chest. D) It is associated with a "thrill." - D) It is associated with a "thrill." The...

4 cardinal features of inflammation - swelling, warmth, redness, pain Anterior and posterior drawer test - Anterior drawer = + ACL (less sensitive/specific compared with Lachmans) + posterior drawer test = Posterior cruciate ligament, Medial collateral ligament, or Posterior oblique ligament d...

1. You are performing a thorough cardiac examination. Which of the following chambers of the heart can you assess by palpation? A) Left atrium B) Right atrium C) Right ventricle D) Sinus node - C) Right ventricle 10. You are palpating the apical impulse in a patient with heart disease and find...