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1. Seventy year old female chest tightness shortness of breath bp of 190100 stage of hypertension -
two
2. Disappearance of korotkoff - auscultatory gap
3. Painful response to non painful stimuli -allodynia
4. Thirty nine year old headache aggravated by change in position - vomiting before headache early
amenorrhea - brain tumor
5. Migraine two of the following except -nausea and vomiting
6. Hypovolemic shock - give plain nss
7. Intracranial lesion at the level or below the upper thoracic cord - paraparesis
8. Fifty nine business man chest pain and palpitations history revealed presence of grade four
diastolic murmur at right second intercostal space - aortic valve
9. Sudden dyspnea and cough among postoperative and postpartum hx of fracture embolism
10. Heart Upward and to the left - pregnancy
11. Diffuse point of maximal impulse (PMI) more than 3 cm - left ventricular enlargement (normal is
less than 2 cm or within one intercostal space)
12. True regarding s3 and s4- appreciated in bell of steth
13. Not a cardinal symptom of chf - bipedal edema
14. Diabetic female abrupt anterior chest pain to the neck and back ripping in character -dissecting
aortic aneurysm
15. Bronchial sound in air field lung - predominantly vesicular
16. Shifting of the trachea toward affected - atelectasis
17. Absence of breath sound partial collapse of the lung- pneumothorax
18. Blood streak sputum least likely with - lvf
19. Pink frothy - pulmonary edema
20. Twenty five obese female chronic cough clearing of throat no fever wheezing weight loss and
anorexia - postnasal drip
21. 66male asthma hypertensive not on medications 130/100 - stage 2 hpn
22. 45 female skin lesions red macules and edematous papules vesicular devt of dusty violet color or
petechia - EMultiforme
23. Meningococcemia - prominence of hemorrhagic skin lesions
24. Abnormal sound on auscultation of chest all throughout chest - pleural friction rub
25. PE dullness on percussion absence of breath sound - pleural effusion
26. Chronic cough bloodstreak sputum weight loss - tuberculosis
27. Persistent knife like aggravated by coughing - pleurisy
28. Assymetric imbalance normal proprioception symmmetic nystagmus - cerebellar ataxia
29. 59 smoker honand diabetes paroxysmal nocturnal dyspnea characteristic of lvf
30. Condition possible mechanism stimulation of irritant receptor - asthma
31. 70 female choking sensation MI s3 and 4 lv enlargement - cardiac dyspnea
32. Sudden hemoptysis chest pain cough auscultatory findings of pleural friction rub - pleural
embolism
33. Pmi of more than 2.5 - LVEnlargement
34. Pmi right ventricular enlargement xiphoid area
35. Chest tightness
36. Interstitial edema - rales or crackles
37. Hyperinflation - decreased breath sound
38. Conditioning app guidelines metabolic syndrome - triglycerides of more than or equal to 150
39. Diabetic female nurse heaviness left sternum ten minutes lasting precipitated by anger - stable
angina
40. Male smoker numbness of left thumb and index finger - cervical nerve along 6
41. Lifestyle modification to prevent hpn
42. Nineteen year old male fever right lowerq pain palpation or movement no localization -peritonitis
43. Diabetic patient sharp pain over rigth buttocks to right posterior thigh tingling sensation of toes -
neuropathic
44. Murmur quiet but hear immediately - grade two
45. Forty one female clinical breast exam - every three years
46. Monthly sbe - five to seven days after the monthly period
47. Short bp cuff - falsely high bp reading
48. Hyperpyxia - more than 41.5
49. Oral lower than rectal by - 1Celcius
50. False in doing otoscopy using the smallest speculum
51. Colicky abdominal pain - intestinal obstruction hollow organ
52. Exception for central cyanosis - venous obstruction
53. Mucoid sputum - transluscent white
54. Congenital cardiac malformation - right to left shunt
55. Congenital cardiac malformation right to left shunt
56. Pe of the lungs louder clearer voice sounds- bronchophony
57. Fever causing agent monocytosis except viruses
58. Hypothermia less than 28 severe hypothermia
59. Neuronal and
60. Upper motor lesion false -atrophy
61. True regarding hemoptysis - bright red alkaline ph
62. True regarding jaundice - dark urine with pale stool conjugated hyperbilirubinemia
63. Pulmonic 2nd left intercostal space or aprasternal
64. Manif relating to various organ system and regional domain - ROS
65. Diabetec femal chest heaviness mid sternum radiating to the left shoulder- stable angina
66. Male with no myelogenous leukemia dyspnea anemic clear breath sounds tachycardia dyspnea
due to - high output failure
67. Femal 50 numbness of both hands dec sensation of fingers to the wrist indicative of lesion on -
peripheral nerve
68. Proteinuria of 90 mg ace inhibitor angiotensin 2 in kidney effect
69. Gi malignancy - virchows left suprclavicular
70. Sister mary joseph node - umbilical area
71. Petechial rashes - dysfxn of platelet
72. Mc cause of mitral stenosis - rheumatic fever
73. Mc source of gi bleeding - upper PUD
74. Ideal lab measure to inrinsic - aptt
75. Overweight asian
76. Antinflammatory glucocorticoids
77. Postural hypotension with tachycardia in melena patients - moderate hypovolemia
78. Burning electric - neuropathic pain
79. Severe hypovolemic shock - 40
80. Stop statins when - ALT goes up 3x the upper limit
81. Measles - koplik spots
82. Quinsy - tonsillar abscess
83. Lateral epicondyle - tennis elbow
84. Heberdens node
85. Extensor surface in rheumatoid arthritis - rheumatoid nodules
86. ROS concerning weight change fatigue and weakness - general survey
87. History uncover problems that the patient has overlook - ROS
88. Inviting patients history - open ended question
89. Special aspects of interview - non judgmental attitude
90. Dictum to do good for patient- beneficience
91. Hx of prent illness should include except - uncover illness other than the primary problem
92. 61male fatiguable weakness most probable cause - myasthenia gravis
93. True mc cause of DEATH among male and female is - lung cancer
94. Mc cause of diarrhea all cases - infectious

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