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Cards In This Set
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A farmer has chronic arterial insufficiancy, what phsical findings in LE would be expected?
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THIN, SHINY, ATROPHIC SKIN
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Asymetric BPs are seen in which of the following conditions?
-vasculitis, as seen in systemic lupus or erythematosus
- congential narrowing of hte aorta
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CONGENITAL NARROWIN OF THE AORTA
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Diminished radial pulses may be seen in pts with which of the following?
- aortic insufficiency
- hyperthyroidism
- arterial emboli
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ARTERIAL EMBOLI
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You note a painful ulcerative lesion near the medial malleolus, with accompanying hyperpigmentation. Which of the following etiologies is most likely?
- arterial insufficiency - venous insufficiency |
VENOUS INSUFFICIENCY
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You are examinin an unconscious pt, and notice beau's lines, what do you do next?
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LOOK FOR INFO FROM FAMILY AND RECORD REGARDING ANY PROBLEMS WHICH OCCURED 3 MO AGO.
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Older Pt. who has not had medical care for years. T 98.6, HR 78, BP 118/92, and RR 14. She had had some hypertensive changes in her retinas and mild proteinuria on aurine test on prior medical records. You expect BP to be higer, What is causing BP reading?
- caused by a cuff size error
- caused by and "ausculatory gap"
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CAUSED BY AN "AUSCULATORY GAP"
-the interval of pressure where Korotkoff sounds indicating true systolic pressure fade away and reappear at a lower pressure point during the manual measurement of blood pressure. The improper interpretation of this gap may lead to blood pressure monitoring errors: namely, an underestimation of systolic blood pressure and/or an overestimation of diastolic blood pressure.
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Pt comes to office cc palpitations. Checking pulse you notice an irregular rhythem. every 4th beat sounds different, sounds like a triplet rather than the usual "lup dup". How do you document?
- Irregularly irregular rhythm
- Regular irregular rhthm
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REGULAR IRREGULAR RHYTHM
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Pt: decreased sensation in hands and feet, decreased deep tendon reflex in patellar and achilles tendon, decreased sensation of fine touch, pressure, and vibration of both feet, grip strength decrease in plantar and dorsal flexion.
Which disorder of peripheral NS?
- spinal root and nerve
- peripheral polyneuropathy
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PERIPHERAL POLYNEUROPATHY
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