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Session 2 Testicular atrophy, gynecomastia, and jaundice are seen in chronic liver disease. Awareness of one’s own heart activity palpitation Caput medusae is caused by portal hypertension Pain and difficulty in swallowing odynophagia Vocal resonance is tested through auscultation edema in legs after a day a work, during the evening, is indicative of cardiac disease two respiratory conditions where clubbing is seen pain in the joints lasting more than an hour early in the morning is indicative of inflammatory disease Percussion done in a patient with pleural effusion causes a stony dull sound. Hematemesis is seen in gastric carcinoma Dilated veins are examined in the standing position In adults, the spleen enlarges towards the right iliac fossa The left lowermost quadrant of the abdomen is left iliac fossa Palpation of the liver is done in the right hypochondrium Kidneys are examined through bimanual palpation Features of ascitis shifting dullness, fluid thrills, puddle sign, bubble sounds Grade II breathlessness is seen at rest False The mitral area corresponds to the apex beat Right sided fibrosis of the lungs causes the trachea to shift to the right True Forward bending of the vertebral column kyphosis Crepitations heard in the infrascapular area is indicative of congestive heart failure True
Session 3 1. Most common hernia in adults inguinal hernia 2. Tracheal shift to the left, hyperresonant note on percussion of right side, absence of breath sounds on the right side right-sided pneumothorax 3. Orthopnea difficulty in breathing in the lying-down position which is relieved when the patient sits up 4. Koilonychia spoon-shaped nails in case of anemia due to iron deficiency 5. Examination of bulbar conjunctiva is done to look for jaundice/icterus 6. Both the lungs have 10 bronchopulmonary segments. 7. Apex beat It is the lowermost and outermost point of the precordium where a definite cardiac impulse is felt. It is palpated in the 5th left intercostal space, 1.5cm [half an inch] medial to the midclavicular line. It should be examined in the sitting or supine position. 8. Lymphadenopathy is an extraarticular manifestation of autoimmune joint disease. 9. Dark-colored stool is seen in maleana. 10. Rheumatoid arthritis is an autoimmune joint disease 11. Upper left quadrant is the left hypochondriac region 12. Hereditary spherocytosis anemia and jaundice 13. Nutrition and nourishment assessment BMI and triceps fold 14. Proctoscope is used to examine the rectum 15. Murphy’s sign pertains to the gall bladder 16. Congestive heart failure symptoms – increase JVP, pitting edema in both feet 17. Clubbing seen in – chronic supurative lung disease, infective endocarditis, bronchogenic carcinoma 18. Unconjugated hyperbilirubinemia is seen in obstructive jaundice – FALSE 19. Musical breath sounds rhonchi heard in bronchial asthma