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UnfetteredSard5591

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International Higher School of Medicine

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propedtherapy questions physical examination medical checkup

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This document contains 57-66 pages of questions about propedtherapy covering topics such as physical examination methods, investigation techniques, and characteristics of different constitutions. The questions are based on various medical checkups of patients with specific conditions.

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# IОN Propedtherapy ## Question ### Page 57 - Which of the following is a physical examination method? - Which of the following is the best method to define "tactile vocal fremitus"? - Which of the following is an additional investigation? - Which of the following is a characteristic of asthenic...

# IОN Propedtherapy ## Question ### Page 57 - Which of the following is a physical examination method? - Which of the following is the best method to define "tactile vocal fremitus"? - Which of the following is an additional investigation? - Which of the following is a characteristic of asthenic constitution? - Which of the following is a characteristic of hypersthenic constitution? ### Page 58 - Which of the following is one of palpation type? - Which of the following characterizes level of consciousness of healthy person? - A 20-year-old man is admitted to hospital with a respiratory disease. During physical examination a doctor found a change in percussion sound over his left lung. Which of the following is a normal percussion sound over lungs? - A 30-year-old man is presented to a physician with progressive dyspnea. Which of the following is the best investigation for diagnosis of lung diseases? - Which type of constitution has "heart and visceral organs small,lungs are extended,intestine is short,the diaphragm is located low"? ### Page 59 - Which of the following sequence of physical examination patient needs? - Where is bronchial breathing is heard at a healthy person? - Which of the following line is the maximal mobility of lungs at a healthy person on? - Which of the following is an instrumental investigation required for pleural cavity? - In policlinics during physical examination of patient doctor said about presence of first degree obesity. Which of the following body mass index characterizes this conclusion? ### Page 60 - During physical examination a 22-year-old man had breathing rate- 22 per minute. Which of following term is suitable? - Which of the following option is impossible to determine by physical examination of thyroid gland? - Which of the following is normal breath sound by auscultation? - What is impossible to determine by palpation of lymph nodes? - The following information is best placed in which part of the history? “For 20 years, he has been suffering from chronic gastritis, exacerbations 1-2 times a year. During exacerbations, he usually takes proton pump inhibitors, antacids” ### Page 61 - which of following is normal breathing sound between scapulae and at level TH3-4 ? - Which of the following options is defined by palpation ? - Which of the following is pathological chest form? - Which of the following is pathological chest form? - Which of the following is medical antropometry? ### Page 62 - A 35-year-old patient is present to polyclinic with complaints of dyspnea at night time and coughing. Which of the following is best investigation in diagnosis for this patient? - Patient P., 28 years old. Complains of scratching, pain when swallowing, a feeling of a foreign body in the throat. The examination reveals enlarged cervical lymph nodes. Which groups of lymph nodes are often palpated normally? - A 30-year-old woman was hospitalized with a respiratory illness. What is the sign of the thoracic type of breathing will be during the examination - The patient felt a sudden pain in the left half of the chest. On examination, the left half of the chest bulges, lags behind in the act of breathing. A tympanic sound is detected during percussion. Which of the listed sounds is considered the normal for lung percussion? - Patient K. 26 years old, complains of shortness of breath at rest, cough with mucous sputum in small amounts, chills several times during the day. Which percussion sound is determined above the interscapular area in normal case? ### Page 63 - During examining a 28-year-old patient, the family physician suspected respiratory pathology. What does spirography determine? - Patient K. 45 years old, complains of shortness of breath at minimal movements, cough. Which auscultation sound is determined above the interscapular area in normal case? - A 45-year-old man was left at home with respiratory disease and was recommended for self-monitoring daily to assess the dynamics of condition. Which of the following vital signs is used to assess respiratory system? - A 50-year-old patient is seeing his family physician. Examination and palpation of the chest reveals increased anteroposterior size, smoothened supraclavicular fossae, parallel course of ribs, andwide intercostal spaces. Which of the following shape is his chest? - A 32-year-old patient went to the family physician for a check-up. What kind of breathing is revealed on auscultation when the lung tissue is thickened? ### Page 64 - Which position a patient should be during taking measurements of blood pressure? - Where sphygmomanometer is located for measurement of blood pressure? - Which category of blood pressure is correct if BP level is 135/85 mmHg? - Which methods of physical examination are correct for examination of pulse? - Which unit the blood pressure is measured in? ### Page 65 - Which localization of apex beat is correct? - Which process in the heart determines the P- wave? - Which degree is moderate arterial hypertension? - Which position of the electrode is need for registration V1 chest lead? - Which of the following methods determine the borders of heart? ### Page 66 - Which borders are defined by percussion of heart? - Which level of blood pressure is determined as isolated systolic hypertension? - Which leads reflect inferior wall of the left ventricle on ECG? - Which value of width of the vascular bunch is correct? - A 20-year-old man came to medical checkup. Physical examination: doctor auscultated V intercostal space 1-1,5 cm medially from left midclavicular line. Which of the following valves doctor auscultated? ### Page 67 - A 20-year-old man came to medical checkup. Physical examination: doctor counted a normal pulse rate on radial artery. Which of the following numbers of pulse rate is predicted to be at patient? - A 40-year-old man came to medical checkup. Doctor palpated artery located in popliteal fossa behind the knee. Which of the following arteries doctor checked? - A 20-year-old man came to medical checkup. Physical examination: sounds of the heart are normal. Which of the following heart sound can observe at healthy person? - A 20-year-old man came to medical checkup. Physical examination: sounds of the heart are normal. Which type of physical examination used? - A 20-year-old man came to medical checkup. Physical examination: sounds of the heart are normal. Which type of physical examination do not use in physical examination of the heart? ### Page 68 - What does the vascular bunch include? - Which line does doctor starts percussion for right relative border of heart? - Which variant is determined as right border of heart absolute dullness? - Which of the following is normal duration of QRS complex? - A patient was admitted to the emergency department with complaints of severe headache and tinnitus. Which interval characterizes atrioventricular conduction? ### Page 69 - A 18-year-old girl came for examination. Which valve of the heart is auscultated on the left fourth costal cartilage? - A 25-year-old man came to medical checkup. Physical examination: pulsation of artery dorsalis pedis is satisfactory. Where is this artery available for palpation? - A 33-year-old man with a history of arterial hypertension was admitted to the emergency department with complaints of nausea and severe headache. What is the term for the difference between the systolic and diastolic blood pressure? - A 31-year-old woman came to medical checkup. Which of the following is the correct term for the sound heard when percussing over the heart? - A 62-year-old patient was admitted to the emergency department with complaints of headache, nausea, and tinnitus. Which of the following is the correct location to auscultate the mitral area of the heart? ### Page 70 - Which of the following is a number of areas divided by 2 horizontal and 2 vertical lines on the abdominal wall? - In which of the following areas stomach is projected onto anterior abdominal wall? - Which of the following organs is related to lower floor of the abdomen? - Which of the following parts is the esophagus divided into? - Which of the following dimensions is characterized for liver according to Kurlov’s method? ### Page 71 - Which of the following organs does not belong to the digestive tract? - Which of the following numbers represents capacity of the human stomach? - Which of the following answers demonstrates the approximate normal sizes of the spleen? - Which of the following author’s method is defined for the deep sliding palpation? - Which of the following physiological narrowing is physiological? ### Page 72 - Which of the following formulas is specific for adult human teeth? - Which of the following locations is specific for Peyer's plaques? - Which of the following organs does the absorption of water, mineral salts, certain vitamins happen in? - Which of the following anatomical structure of gastrointestinal tract the common bile duct opens into? - A 32-year-old man came to medical checkup. Physical examination: according to Kurlov’s method doctor percussed the spleen of the patient. At the level of which rib doctor must checked longitudinal size of the spleen? ### Page 73 - Which of the following is synthesized and stored in the liver cells? - Which of the following position is performed palpation of the spleen in? - A 35-year-old man came to medical checkup. Physical examination: the sizes of liver are not increased. Which of the following regions of the abdomen doctor palpated? - A 45-year-old man came to medical checkup. Physical examination: according to Kurlov’s method doctor percussed upper border of the liver along the right midclavicular line. In which of the following directions sound changes on the upper edge? - Which of the following is normal size of the right lobe of the liver? ### Page 74 - What method is most effective in the study of the esophagus? - What factor is necessary for the absorption of vitamin B12? - Which of the following strength of percussion in determining the size of the spleen? - A 55-year-old man came to medical checkup. Physical examination: doctor palpated the abdomen of the patient. Which type of physical examination doctor can check soreness of abdomen? - A 55-year-old man came to medical checkup. Physical examination: doctor palpated the large intestine of the patient. Which type of physical examination doctor can check size, consistency of the large intestine departments? ### Page 75 - What is the purpose of urinalysis according to Nechiporenko? - During palpation of the ascending colon, the skin fold is made towards which point? - What is the main method for diagnosing diseases of the hematopoietic organs? - Which of the following organs irrigoscopy used for? - What is assessed by superficial palpation of the abdomen? ### Page 76 - What does the color index represent? - What kidney function does the Zimnitsky test reflect? - What is the purpose of liver auscultation? - What are the properties of the normal liver with diaphragm by palpation? - A 32-year-old man came to medical checkup. Physical examination: according to Kurlov’s method doctor percussed the spleen of the patient. Which of the following answers demonstrates sound above the spleen? ### Page 77 - Which of the following types of percussion is used to compare sounds in symmetrical sides of body? - Which of the following is determined by palpation? - Which of the following part doctor should start clinical examination from? - Which of the following is a physical examination method? - Which of the following is subjective data? ### Page 78 - Which of the following belongs to additional investigation? - Which of the following type of percussion is used to define borders of organs? - Which of the following options characterizes normal body mass index? - Which of the following doctor can define by palpation? - The following information is recorded in the health history. “I have headache and dizziness”. Which of the history part these data belong ### Page 79 - What is impossible to determine by palpation of thyroid gland? - Which of the following is normal percussion sound over chest? - Which property of lymph node can be determined only by palpation? - What can be determined by palpation of thyroid gland? - Patient P., 28 years old. Complains of scratching, pain when swallowing, a feeling of a foreign body in the throat. The examination reveals enlarged cervical lymph nodes. Which groups of lymph nodes are often palpated normally? ### Page 80 - Which of following options is defined by palpation of the chest? - What can be determined by chest palpation? - In policlinics during physical examination of patient doctor said about presence of overweight. Which of the following range of body mass index characterizes this conclusion? - A 24-year-old patient complains of pain in the chest on the right when breathing and bending forward, coughing with a deep breath. Above the lungs - pulmonary sound, vesicular breathing. On the right under the collarbone there is an area of weakened breathing. Which type of percussion is used to detect lungs? - Which type of physical examination determines mobility of lower border of lung? ### Page 81 - Which of the following line doctor should determine mobility of lung on back side on? - Which of the following line is impossible to determine inferior border of left lung on? - Which of the following rib inferior border of right lung located on midclavicular line? - A 30-year-old man is admitted to the hospital with respiratory disease. During physical examination doctor found a change in percussion sound over his left lung. Which rib is normal level of lower border of left lung on anterior axillary line? - A 35-year-old patient is present to polyclinic with complaints of dyspnea at night time and coughing. Which of the following is best investigation in diagnosis for this patient? ### Page 82 - Which of the following method determines the presence of fluid in pleural cavity? - Which of the following area is heard tympany sound over? - 30-year-old man is present to the physician with progressive dyspnea. During physical examination doctor found change in percussion sound. Which of the following normal percussion sound over the lungs? - When doctor examining a 23-year-old patient, the family physician suspected respiratory pathology and checked oxygen saturation of blood. What does it determine? - Patient V., 46 years old, applied to the polyclinic with complaints of daily attacks of suffocation, especially difficult exhalation, general weakness. Breathing is loud, with whistling and noise, Resp.rate 26 times per minute. What is the normal respiratory rate in adults? ### Page 83 - A 65-year-old woman was hospitalized with spinal trauma. Which of the following posture is it? - Patient A., 52 years old, applied to the polyclinic for medical check-up. During auscultation doctor listened to high-pitched, loud, strong expiration is longer than inspiration, with gap sound. Which type of auscultation sound doctor listened to? - Patient K., 55 years old, applied to the polyclinic for medical check-up. During general examination doctor palpated the thyroid gland: it is not visible and not palpable. Which degree of thyroid gland enlargement is it by classification? - Patient P., 39 years old, applied to the polyclinic for medical check-up. During general examination doctor provided physical examination of the thyroid gland. Which of the following we assess by auscultation of thyroid gland? - Patient P., 40 years old, applied to the polyclinic for medical check-up. During general examination doctor provided physical examination of lymph nodes of head and neck. Which groups of the lymph nodes doctor checked? ### Page 84 - Which width of apex beat is normal? - Which of the following answers demonstrates the relative dullness of heart? - What are two main components of heart sounds? - Which range of pulse rate is at healthy person? - Which component formates S2 of heartbeat? ### Page 85 - What is the name of the method of ultrasound examination of the heart that allows to assess its anatomy? - Which unit systolic blood pressure is measured in? - Which variant is normal location of left relative border of heart? - What is the normal value of blood pressure for adult person? - Which position of the electrode is need for registration V2 chest lead for ECG? ### Page 86 - Which properties of apex beat doctor cannot determine by palpation? - Which position of the electrode is need for registration V6 chest lead for ECG? - Which term is used for the heart rhythm and sequence disorders? - What is the name of the wave on ECG that reflects the contraction of the atria? - What is the name of the sounds by author that are heard over the brachial artery when the cuff pressure is gradually released during auscultatory blood pressure measurement? ### Page 87 - Which method of measuring blood pressure using a special cuff and stethoscope? - Which intercostal space doctor should check width of vascular bunch? - In which order should doctor listen to heart points of auscultation? - Which leads reflect anterior wall of the left ventricle on ECG? - Which of the following artery is palpable for pulse examination? ### Page 88 - Which category of blood pressure is 180/120 mmHg? - Which of the following components the formation of S1 includes? - Examination of a 63-year-old patient, blood pressure is 180/120 mm Hg. Which category of blood pressure is it? - A 25-year-old man came to medical checkup. Physical examination: pulsation of carotid artery is satisfactory. Where is this artery available for palpation? -A 30-year-old sports man complained for the chest pain. Physical examination: apex beat of the heart on 1 cm outwards from the left midclavicular line in V intercostal space. Where apex beat is displaced to? ### Page 89 - Examination of a 63-year-old patient, he has isolated hypertension. Which blood pressure does he have? - A 20-year-old man came to medical checkup. Physical examination: doctor auscultated II intercostal space on left sternal line. Which of the following valves doctor auscultated? - A 18-year-old man came to medical checkup. ECG was recorded. Interpretation: Rhythm sinus, regular. Heart rate – 50 beats per min. Electrical axis is normal. Which of the following answers demonstrates your conclusion? - A 20-year-old man came to medical checkup. Physical examination: palpable vessels are normal, without murmurs. Which types of physical examination we used for arteries? - A 30-year-old man came to medical checkup. Physical examination: borders of the heart are normal. Which type of physical examination used? ### Page 90 - What is the normal sizes of the liver according to Kurlov? - In which of the following areas pancreas is projected onto anterior abdominal wall? - Which of the following substance parietal cells of the glands of the stomach secrete? - Which of the following parts are distinguished in pancreas? - Which strentgh of percussion we use for determining borders of liver absolute dullness ? ### Page 91 - Palpation of the liver is performed in the position: - What is the specific gravity of normal urine? - How is kidney palpation performed? - In which order should doctor provide physical examination of gastrointestinal system? - Main goal of abdominal percussion: ### Page 92 - How many lines does doctor check during percussion of liver by Kurlov? - Whose symptom should be determined during the examination of the urinary system organs? - Which method doctor uses for evaluation of abdominal organs sizes, consistency, painfullness of parts of colon? - What is the name for painful urination ? - Which strentgh of percussion we use for determining borders of spleen ? ### Page 93 - Which rib should doctor provide percussion of spleen on? - How many stages of urine formation do you know - How many litres is secondary urine formated by kidneys per day? - Which of the following hormones promotes the conversion of glucose to glycogen? - Which of the following organs does the absorption of water, mineral salts, certain vitamins happen in? ### Page 94 - Which of the following the digestive juices contains digestive enzymes? - How many portions of urine are collected during Zimnitsky test? - What are the properties of the normal liver with diaphragm by palpation? - How is the greater curvature of the stomach determined by physical examination? - What does rumbling on palpation of the ascending and transverse colon indicate? ### Page 95 - A 45-year-old man came to medical checkup. Physical examination: according to Kurlov’s method doctor percussed the liver of the patient along the right midclavicular line. Value is normal. Which of the following answers is more correct? - A 52-year-old man was admitted to the hospital with complaints for abdominal pain. Physical examination: doctor checked gastrointestinal system. In which order doctor checked the patient? - A 32-year-old man came to medical checkup. Physical examination: according to Kurlov’s method doctor percussed the spleen of the patient. Which rib doctor checked longitudinal size of the spleen on? - A 30-year-old man came to medical checkup. Physical examination: during palpation sigmoid colon is without changes. Which of the following regions of the abdomen doctor checked? - A 55-year-old man came to medical checkup. Physical examination: according to method of Obraztsov and Strazhesko doctor palpated large intestine of the patient. Which of the following answers demonstrates number of steps for deep sliding palpation? ### Page 96 - A 47-year-old man came to medical checkup. Physical examination: according to Kurlov’s method doctor percussed lower border of the liver along the left costal arch. In which of the following directions sound changes on the lower edge? - A 35-year-old man came to medical checkup. Physical examination: doctor palpated right hypochondriac region of abdomen of the patient. Which of the following organs of the abdomen doctor palpated? - 59-year-old man came to doctor for medical check-up. His CBC: platelets - 320 × 109 /L. Which of the following demonstrates right answer - 45-year-old woman came to doctor for medical check-up. Her biochemical blood test: common bilirubin – 16 umol/L. Which of the following demonstrates right answer? - A 55-year-old man was admitted to the hospital with complaints for abdominal pain. Physical examination: doctor checked the lower border of stomach. For which part of colon doctor needed to know lower border of stomach? ## Answer Options ### Page 120 | | | | |---|---|---| | A | B | C | | Option 1 | Option 2 | Option 3 | ### Page 121 | | | | |---|---|---| | palpation | ultrasound examination | x-ray | | palpation | percussion | auscultation | | biochemical investigation of blood | palpation | percussion | | predominance of limbs over trunk | proportionality of basic sizes | predominance of abdomen over chest | | diaphragm is located high | diaphragm is located low | parenchymal organs are relatively small | ### Page 122 | | | | |---|---|---| | superficial | topographic | direct | | clear | stupor | sopor | | resonant | absolutely dull | relatively dull | | spirometry test | biochemical investigation of blood | gastric juice investigation | | asthenic | hypersthenic | normosthenic | ### Page 123 | | | | |---|---|---| | 30-34,9 kg/m2 | 25-29,9kg/m2 | less than 18,5 kg/m2 | | inspection-palpation-percussion-auscultation | palpation-percussion-inspection-auscultation | auscultation-percussion-palpation-inspection | | between scapulae and at level TH3-4 | on the top of lungs | in the lower parts of lungs | | midaxillary line | in midclavicular line | anterior axillary line | | pleural puncture | bronchoscopy | spirometry | ### Page 124 | | | | |---|---|---| | tachypnea | bradypnea | orthopnea | | level of hormones | consistance | soreness | | adult illness | surgeries | obstetrics/gynecology status | | vesicular | resonant | hyperresonant | | skin color | size | shape | ### Page 125 | | | | |---|---|---| | bronchial | wheezes | rhonchi | | tenderness of intercostal spaces | breath sounds | apex of lungs | | barrel | normosthenic | cylinder | | pigeon | conical | normosthenic | | height,weight measure | circumference of chest | circumference of arm | ### Page 126 | | | | |---|---|---| | spirometry test | total blood count | urine analasis | | submandibular, axillary and inguinal | cervical, axillary, popliteal | submandibular, axillary and popliteal | | breathing is carried out by contraction of intercostal muscles | breathing is carried out by contraction of the muscles of the diaphragm | breathing is carried out by contraction of the muscles of the abdominal wall | | resonance | flatness | absolute dullness | | clear pulmonary sound | absolutely dullness | tympanic sound | ### Page 127 | | | | |---|---|---| | bronchial | absolutely dullness | resonance | | respiratory rate | blood pressure | heart rate | | hypersthenic | asthenic | paralitic | | bronchial | resonant | vesicular | | function of external respiration | pulmonary hypertension | arterial blood gas concentration | ### Page 128 | | | | |---|---|---| | sitting or lying | sitting | lying | | upper arm | cubital fossa | lower arm | | high-normal | normal | optimal | | palpation, auscultation | survey, palpation | survey, palpation, auscultation | | mm Hg | mm Ag | cm Ag | ### Page 129 | | | |---|---|---| |1-1.5 cm medially from left midclavicular line | 2-2.5 cm medially from left midclavicular line | 1-1.5 cm laterally from left midclavicular line | | depolarization of both atriums | depolarization of left atrium | depolarization of right atrium | | II | I | III | | IV intercostal space at right sternal edge | IV intercostal space at left sternal edge | halfway between V2 and V4 | | topographic percussion | comparative percussion | palpation | ### Page 130 | | | | |---|---|---| | right, upper, left | right, left, lower | upper, left, lower | | mitral valve | tricuspid valve | aortic valve | | 150/60 mm Hg | 140/80 mm Hg | 120/100 mm Hg | | II, III, avF | I, avL | V1-V2 | | 5-6 cm | 4-5 cm | 3-4 cm | ### Page 131 | | | | |---|---|---| | 72 beats per min | 55 beats per min | 50 beats per min | | popliteal | femoral | tibial anterior | | S1, S2 | S1, S3 | S1, S4 | | auscultation | palpation | topographic percussion | | comparative percussion | palpation | topographic percussion | ### Page 132 | | | | |---|---|---| | aorta, pulmonary trunk, top of vena cava superior | aorta, pulmonary trunk, bronchi | aorta, pulmonary veins | | midclavicular line | sternal line | parasternal line | | left edge of a sternum | right edge of a sternum | parasternal line | | 0.08 - 0.10 s | 0.06 - 0.08 s | Less than 0.06 | | PQ | QRS | QT | ### Page 133 | | | | |---|---|---| | in first intermetatarsal space | in second intermetatarsal space | in third intermetatarsal space | | pulse pressure | blood pressure | cardiac output | | Dullness | Hyperresonance | Tympany | | Tricuspid valve | Right atrioventricular valve | Aortic valve | | V intercostal space along the mid-clavicular line | II intercostal space to the left of the sternum | IV intercostal space to the left of the sternum | ### Page 134 | | | | |---|---|---| | 9 | 8 | 10 | | epigastric and left hypochondriac | umbilical region | right hypochondriac | | the descending colon | spleen | pancreas | | cervical, thoracic, abdominal | head, body, tail | cervical, thoracic | | 9-8-7 cm | 11-10-9 cm | 10-9-8 cm | ### Page 135 | | | | |---|---|---| | gall bladder | the stomach | the small intestine | | 1.0- 1.5 l | 0.5- 1.0 l | 2.0- 2.5 l | | width 4-6 cm, length 6-8 cm | width 2-3 cm, length 4-5 cm | width 3-5 cm, length 4-6 cm | | the method of Obraztsov and Strazhesko | Kurlov’s method | Ortner’s method | | cardiac | pharyngeal | diaphragmatic | ### Page 136 | | | | |---|---|---| | 3212/2123 3212/2123 | 3102/2013 3102/2013 | 4321/1234 4321/1234 | | ileum | jejunum | duodenum | | 10 | 9 | 8 | | In the small intestine | In the esophagus | In the stomach | | Duodenum | Jejunum | Ileum | ### Page 137 | | | | |---|---|---| | Glycogen | Lactose | Galactose | | On the right side | Vertical | On the back | | right hypochondriac | epigastric | left hypochondriac | | From resonance to dull sound | From dullness to resonant sound | From dullness to tympanic sound | | 9 | 7 | 8 | ### Page 138 | | | | |---|---|---| | Esophagogastroduodenoscopy | Ultrascan | X-ray | | Pepsin | Gastrin | Folic acid | | quiet | strong | quietest | | Superficial palpation | Deep palpation | Comparative percussion | | Deep palpation | Superficial palpation | Comparative percussion | ### Page 139 | | | | |---|---|---| | to determine the ratio of leukocytes and erythrocytes in 1 ml of urine | to determine the pH level in urine | to determine urobilinogen in urine | | Navel | Iliac crest | The xiphoid process | | Puncture of the bone marrow | Palpation | Percussion | | large intestine | Small intestine | Bladder | | Muscle tension on the anterior abdominal wall | Intestinal peristalsis | Localization of the liver | ### Page 140 | | | | |---|---|---| | The degree of saturation of erythrocytes with hemoglobin | The ratio of young and mature neutrophils | Percentage of saturation of hemoglobin with oxygen | | urine concentration. | Involvement in the excretion of urobilin breakdown products | Participation in the exchange of electrolytes | | Peritoneal friction noise | Bowel sounds | Pleural friction noise | | Sharp, thin, soft | Sharp, dense, scalloped | Sharp, thin, scalloped | | Dullness | Hyperresonance | Resonance | ### Page 141 | | | | |---|---|---| | comparative | topographic | direct | | tactile vocal fremitus | breath sounds] | apex of lungs | | chief complaints gathering | palpation | auscultation | | palpation | ECG | sputum research | | inquiry | inspection | auscultation | ### Page 142 | | | | |---|---|---| | gastric juice investigation | inspection | palpation | | topographic | comparative | parallel | | 18,5-24,9kg/m2 | 25-29,9kg/m2 | less than 18,5 kg/m2 | | condition of anterior abdominal wall | relative borders of heart | apex of lung | | chief complaints | present illness | personal and social history | ### Page 143 | | | | |---|---|---| | skin colour | turgor | temperature | | resonant | vesicular | hyperresonant | | submandibular | cervical | popliteal | | size | skin color | moisture | | nodulus | blood supply | iodine supply | ### Page 144 | | | | |---|---|---| | chest expansion | softness | respiratory noises | | epigastric angle | absolute border of lungs | apex of lungs | | 25-29,9kg/m2 | 30-34,9 kg/m2 | less than 18,5 kg/m2 | | Topographic | Comparative | Parallel | | topographic percussion | palpation | auscultation | ### Page 145 | | | | |---|---|---| | scapular | vertebral | paravertebral | | left midclavicular | left anterior axillary | left midaxillary | | VI | V | VII | | VII | VIII | V | | x-ray | total blood count | urine analasis | ### Page 146 | | | | |---|---|---| | pleural puncture | palpation | bronchoscopy | | Traube space | liver | heart | | resonant | hyperresonant | vesicular | | oxygenation of the blood | arterial blood gas composition | function of external respiration | | 16-20 times per minute | 10-14 times per minute. | 20-29 times per minute | ### Page 147 | | | | |---|---|---| | bronchial | vesicular | bronchovesicular | | 0 | I | II | | systolic murmur above thyroid gland | size of thyroid gland | consistency of thyroid gland | | supraclavicular | infraclavicular | femoral | | passive | active | forced | ### Page 148 | | | | |---|---|---| | 1-2 cm | 5-6 cm | 4-5 cm | | truth borders of heart | borders of heart not covered by lungs | borders of vascular bunch | | S1 and S2 | S2 and S3 | S3 and S4 | | 60-90 beats per min | 50-110 beats per min | 50-100 beats per min | | closure of aortic and pulmonary valves | closure of mitral and tricuspid valves | opening of mitral and pulmonary valves | ### Page 149 | | | | |---|---|---| | Echocardiography | Electrocardiography | Phonocardiography | | mm Hg | cm Ag | mm Ag | | 120/80 mm Hg | 80/60 mm Hg | 150/100 mm Hg | | IV intercostal space at left sternal edge | IV intercostal space at right sternal edge

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