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Station 1. A.

What is the heart rate

B. Measure the QRS complex

C. Diagnosis

Station 2. A. Get the CT ratio

B. Identify the structure in

1.

2.

Station 3. A 45-year-old female, obese, came in for severe epigastric pain with radiation to the back,
nausea and vomiting. On PE, pake palpebral conjunctive, icteric sclerae, the RUQ is tender on deep
palpation, (+) inspiratory arrest

A. Give 2 differential diagnosis


B. Interpret the laboratory test and indicate if it is normal or elevated
0. Sgpt 1000
0. Amylase 600
0. Lipase 500
0. TB 3
0. IB 1
0. DB 2
0. WBC 23,000
0. Segmenters 90%
0. Lymphocytes 10%
0. Alkaline phosphatase 345
0. C. What is your final diagnosis

Station 3. A 69 year old female came in for fever and cough for 1 week. The sputum was blood streaked,
greenish yellow in color. On PE, rales was noted on the right base

A. What is the most common organism will cause this kind of disease
B. What is the drug of choice
C. Give your final diagnosis

Station 4. A 35 year old male was noted to have anasarca. Review of history revealed he took
Flanax,MX3 for 1 year now. A month prior to admission, the urine was noted to be tea colored and a
week PTA, the urine was scanty approximately 200 cc in 24 hours. The following lab test was noted.
Indicate if it is normal or high

0 Crea 5
0. BUN 100
0. Get the BUN/crea ratio
0. What is your diagnosis

Station 5. Demonstrate the JVP measurement


Station 6. Demonstrate the proper BP measurement and indicate your reading

A. Based on the patient’s BP identify if it is normal or high


B. What is your pulse pressure

Station 6. A 24 year old male, homosexual with 5 different male partners, consulted you because of non
healing ulcer on the lips. The patient noted fever, low grade on and of for 1 month now. On PE, rales
was noted on the right base, with cervical lymphadenopathy

A. Indicate if the following laboratory tests are normal, low or elevated


B. What is diagnosis

Station 7. Grade the motor strength of this patient

A. What is meant by motor strength of 3/5


B. 0/5

Station 8. Demonstrate the DTR

B. What is meant by +3 reflex

C. 0

Station 9. Locate the auscultatory areas and identify each

A. Aortic valve

B. Pulmonic valve

C. Mitral valve

D. Tricuspid

Station. A 24-year-old female came in for dyspnea at rest. On PE a grade 3/6 holosystolic murmur was
heard at the apex with radiation to the axilla

A. What is meant by 3/6 murmur?

B. What is the murmur present in this patient

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