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Bioscience entrance?

QuestionAnswer
Patient comes in complaining of headache. During the neurological exam, you shine the penlight into this patient’s eyes, and observe her pupil contract. Which cranial nerve is responsible for the afferent effect CN2
Patient comes in complaining of headache. During the neurological exam, you shine the penlight into this patient’s eyes, and observe her pupil contract. Which cranial nerve is responsible for the Efferent effect CN3
Which cranial nerves are being tested during the “H”-test? Cn 3,4,6
Using cotton to access the sensation on a patient’s face, which cranial nerve is being tested CN 7
A patient cannot hear well in his left ear and cannot keep his balance when asked to walk a straight line. Which cranial nerve is most likely damaged? CN 8
Which Two cranial nerves are responsible for the gag reflex CN 9 & 10
When asked to shrug both shoulders, the patient is unable to shrug her right shoulder. Which cranial nerve is most likely damaged CN 11
When a male patient is asked to stick out his tongue, you observed that his tongue is deviated or pointed to the right which cranial nerve is damaged Right CN 12
Patient comes in complaining of numbness and tingling sensation of the palmer side of her first 3 digits and half of the 4th digit on the left hand. Which nerve is being affected? Medial nerve
Patient comes in complaining of numbness and tingling sensation of the palmer side of her first 3 digits and half of the 4th digit on the left hand. You suspect carpel tunnel syndrome. Which test should you perform initially to confirm your suspicion Tinel’s sign
Patient comes in complaining that he can not extend his wrist. Which nerve is most likely affected Radial nerve
When performing the anterior and posterior drawer test on the patient’s lower extremities. What is the examiner testing for Anterior and Posterior cruciate ligament, respectively
Patient complains of hearing a “pop” followed by pain around the right achilles tendon area, and inability to extend the right foot. What is the test to assess achilles tendon rupture Thompson test
A female complains of pain around the left posterior calf area, she also mentions that she just got off an international plane that flew for 14 hours. You are concerned about DVT. Which physical exam should you preform? Homan’s test
A. Patient complains of burning sensation around the 3rd intermetatarsal space of her left foot. The foot does not appear to be inflamed. What is your top differential diagnosis Morton’s neuroma
Bradycardia is defined as a pulse less than 60 BPM
Tachycardia is defined as a pulse greater than 100 BPM
Bradycardia can be both Physiological or pathological
During physical examination of the abdomen, what is the correct procedural sequence? Inspection, auscultation, palpoation, percussion
During inspection of the skin, pallor is commonly a sign of Anemia
What is the first location where jaundice appears in a patient Sublingual
In a patient with hypothyroidism you would expect their skin findings to be Dry and cold
During skin examination, decreased skin turgor is a common sign of Dehydration
What does Lichenification mean Thickening of the skin
An elderly patient came in for a massage. You observed that there are a number of brown raised greasy and velvety looking lesions on the patient’s trunk that have a “stuck on” appearance. What is your initial differential diagnosis? Seborrheic keratosis
What is the name of the precancerous lesion that commonly leads to squamous cell carcinoma Actinic keratosis
During your evaluation of a patient’s skin you observed lesions that yo believe is Kaposi’s sarcoma. What should you ask the patient Any history of sexually transmitted disease
When does Basal cell carcinoma metastasizes during the course of the condition? Later in the course of the condition
During physical examination, you observed a mixed black/brown/yellow colored lesion on the patient’s arm with irregular boarder. What is your top differential diagnosis Melanoma
What determines the metastatic potential of a malignant melanoma Depth
Clubbing of the fingers is usually associated with Chronic hypoxia
Barrel chest is commonly associated with Chronic obstructive pulmonary disease (COPD)
During physical examination, hyper resonance elicited during percussion indicates? COPD, emphysema, ipsilateral Pneumothorax
An obese patient came to the office for a physical exam. You observed that his face is round, there is fat pad on his upper back and there are many red/purplish striations on his abdomen. What is your top differential diagnosis? Cushing disease
True of false? Lipoma is a malignant fatty tumor found in the subcutaneous tissue that should be removed immediately due to high chance of metastasis? FALSE
During auscultation of the femoral artery you heard bruit. What does it mean? PARTIAL OCCLUSION OF THE FEMORAL ARTERY
During physical examination of the abdomen, you saw a mass located at the right lower quadrant and the mass becomes larger when you ask the patient to cough. What is your top differential diagnosis? Hernia
When assessing for cardiac valve abnormalities with a stethoscope, which is the correct location on the patient for auscultating the aortic valve? Right 2nd intercostal space
When assessing for cardiac valve abnormalities with a stethoscope, which is the correct location on the patient for auscultating pulmonic valve? Left 2nd intercostal space
When assessing for cardiac valve abnormalities with a stethoscope, which is the correct location on the patient for auscultating tricuspid valve? Left lower sternal boarder
When assessing for cardiac valve abnormalities with a stethoscope, which is the correct location on the patient for auscultating mitral valve? Left 5th intercostal space, mid axillary line
When feeling for the apical pulse on a patient, where is your hand is placed on the patient Left 5th intercostal space, mid-axillary line
When someone describes that a thrill was felt when placing the ball of the hand on the patient’s chest, they are describing a feeling of Abnormal vibration
When there is stenosis of the tricuspid valve, you would expect which chamber of the heart to be enlarged Right Atrium
When there is stenosis of the bicuspid valve, you would expect which chamber of the heart to be enlarged Left Atrium
When there is stenosis of the pulmonary valve, you would expect which chamber of the heart to be enlarged Right ventricle
When there is stenosis of the aortic valve you would expect which chamber of the heart to be enlarged Left Ventricle
Patient with Mitral regurgitation, during systole the blood is flowing from Left ventricle to the left atrium
Patients with tricuspid regurgitation, during systole the blood is flowing from Right ventricle to the right atrium
Patient with bentricular septal defect, during systole the blood is flowing from Left ventricle to the Right ventricle
Episodic muscular ischemia induced by activity and relieved by rest is Intermittent claudication
Acute arterial occlusion presents with Sudden onset of pain due to thrombus or embolus
A female patient came into your office complaining that she sometimes observes her hands become whit, then blue, and later red, this is know as Raynaud’s phenomenon
What condition is mostly associated with smoking Theomboangitis obliterans
When examining the upper extremities, what is the location of axillary lymph Inside the arm pits
True or False: When examining the patients limbs, you observed that there is a shinny appearance and a loss or decrease of hair on the patient’s bilateral extremities. This is indicative of venous insufficiency FALSE
Where are Popliteal pulses are assessed Behind the knees
Where are Dorsalis pedis pulses assessed On top of the foot
Where are Femoral pulses assessed In the groin
Facultative aerobes can grow in In the presence of O2 or in the absence of O2
Obligated anaerobes can grow in The absence of O2
HIV mostly affect which cells in the body CD4 t-cells
Which type of hepatitis is transmitted by fecal-oral route Hep A or Hep E
What is the role of reverse transcriptase in AIDS virus Make DNA from RNA
The organism, borrelia is responsible for Lyme disease
Which virus affects both the testicles and the parotid gland Mumps virus
What is an isotope Two or more forms of the same element but with different neutron number
True or False: Anabolism is a synthesis reaction TRUE
T or F: Catabolism is a decomposition reaction True
T o F: Formation of a peptide bond between two amino acids is a hydrolysis reaction False
T or F: Oxidation reaction is when a molecule loose an electron True
T or F: reduction is when a molecule looses an electron False
Glycogen is mostly found in the Liver
T or F: Gluconeogenesis is the process of forming glycogen False
Which lipoprotein is considered as “good” lipoprotein? HDL
Bilirubin is formed from the breakdown of Red Blood Cells
T or F: Unsaturated fatty acids are organic molecules that contain only single bonds FALSE
What are some ketones Acetone, Beta-hydroxybuterate, Acetoacetic acid
T or F: RNA is a double stranded nucleic acid responsible for protein production FALSE: RNA is a single stranded nucleic acid. DNA is a double stranded
Function of rRNA Forms ribosomes
Function of tRNA Binds to amino acid during translation
Function of mRNA Directs synthesis of polypeptide chain
Describe transcription DNA copied to RNA
Describe translation RNA copied to protein
What are the fat soluble vitamins Vitamin A, D, E, K
A patient complains of night blindness which of the following vitamin is most likely be deficient in this patient? VIT. A
What vitamin plays a significant role in clotting cascade Vit. K
What vitimin plays a significant role in blood calcium level Vit. C
Deficiency of which vitamin will lead to megaloblastic anemia Vit. B12
The process by which food is broken down mechanically and chemically in the gastrointestinal tract and converted into absorbable forms is known as Digestion
When asking the patient to smell vanilla versus chocolate, you are accessing what nerve CN1
When brushing a cotton swab on the patients face to access for sensation youj are accessing what nerve CN5
When asking the patient to show her teeth or smile, you are accessing what nerve CN7
Performing the Rinne’s and Weber’s test on a patient with a tuning fork you are accessing what nerve CN8
When asking the patient to shrug his shoulders you are accessing what nerve CN11
When asking the patient to stick out her tongue you are accessing what nerve CN 12
Which cranial nerve is responsible for the motor to parotid gland CN9
Which cranial nerve is responsible for the motor to stomach CN10
Bamage to which part of the nervous system will lead to bitemporal hemianopia Optic chiasm
Spinal accessory nerve is responsible for the motor of which muscles Trapezius and stenocleidomastoid
Created by: Jkellycal