Quiz (Neuro/Cardio/Pulmo)

Welcome to your Quiz (Neuro/Cardio/Pulmo)

Where is the lesion present in this patient based on the sign demonstrated?

Anterior horn cell

Neuromuscular junction

Peripheral nerve

Muscle

Internal capsule

Name the clinical sign demonstrated in the video

Babinski's

Hoffman's

Pronator drift

What is the most likely diagnosis?

Hyperthyroidism

Diabetes mellitus

Pancoast tumor

Infective endocarditis

What additional finding might be expected in this patient?

Palpable goiter

Macular degeneration

Roth spots

Left-sided facial anhidrosis

What is the likely cause of the clinical abnormality seen in this patient?

Stroke

Carotid artery dissection

Cavernous sinus thrombosis

Cluster headache

All of the above

What is the most likely diagnosis

Amyotrophic lateral sclerosis

Spinal muscular atrophy

Hyperthyroidism

Diabetes

What is the cause of this finding

Lesion in internal capsule

Lesion in anterior horn cell

Lesion in motor cortex

Lesion in Neuromuscular junction

Lesion in muscle

What other clinical abnormality would you expect in this patient

Babinski's

Atrophy

Symmetric weakness

Normal/diminished Reflexes

What is the most likely diagnosis

Amyotrophic lateral sclerosis

Spinal muscular atrophy

Hyperthyroidism

Diabetes

What other finding would you expect in this patient?

Proximal>Distal muscle weakness

Hyperreflexia

Increasing weakness towards end of day

Hoffman's

Diminished tone

What is the most likely diagnosis based on this video

Polymyositis

Rhabdomyolysis

Transverse myelitis

Progressive muscular atrophy

What is the most likely diagnosis

Parkinson's disease

Dermatomyositis

Lambert Eaton syndrome

Stroke

What best describes the finding demonstrated in this video?

Normal jugular venous pulse

Cannon a wave

Lancisi’s sign (CV fusion wave)

Normal carotid pulse

What finding is demonstrated in this video?

Normal jugular venous pulse

Normal carotid pulse

Lancisi’s sign (CV fusion wave)

Giant a wave

What finding would be expected in this patient?

A systolic murmur

The absence of P waves on EKG

Pulsus parvus et tardus

Pericardial thickening on cardiac MRI

Assuming this patient is situated at 60 degrees, which of the following is true?

Jugular venous pressure is normal

Jugular venous pressure is elevated

Jugular venous pressure is low

What physical finding would NOT be expected in this patient?

A systolic murmur

A diastolic murmur

An S4 gallop

An S3 gallop

What best describes the finding demonstrated in this video?

Normal jugular venous pulse

Normal carotid pulse

Atrial fibrillation

Giant a wave

What best describes the movement in the neck in this video?

A venous pulse

An arterial pulse

Both

What best describes the finding demonstrated in this video?

Normal jugular venous pulse

W sign (sharp and deep x and y descents)

Friedreich’s sign (sharp and deep y descent)

Cannon a wave

What best describes the finding demonstrated in this video?

Normal jugular venous pulse

Cannon a wave

Lancisi’s sign (CV fusion wave)

Normal carotid pulse

What best describes the finding demonstrated in this video?

Cannon a wave

W sign (sharp and deep x and y descents)

Friedreich’s sign (sharp and deep y descent)

Giant a wave

What condition might be expected in this patient?

Aortic regurgitation

Tricuspid regurgitation

Mitral regurgitation

Mitral stenosis

What finding might be expected in this patient?

AV dissociation on EKG

Pericardial knock

S4 gallop

Water hammer pulse

Which image was taken with the patient in a more reclined position?

Left

Right

What best describes the finding demonstrated in this video?

Giant a wave

W sign (sharp and deep x and y descents)

Friedreich’s sign (sharp and deep y descent)

Cannon a wave

What condition might be expected in this patient?

Atrial fibrillation

Left ventricular hypertrophy

Tricuspid stenosis

Tricuspid regurgitation

What condition might be expected in this patient?

Atrial fibrillation

Severe pulmonary hypertension

Constrictive pericarditis

Tricuspid regurgitation

What condition might be expected in this patient?

Lancisi’s sign (CV fusion)

Kussmaul’s sign (paradoxical inspiratory rise in JVP)

Friedreich’s sign (sharp and deep y descent)

W sign (sharp and deep x and y descents)

Describe the finding demonstrated in this video?

Kussmaul’s sign (paradoxical inspiratory rise in JVP)

Cannon a wave

Friedreich’s sign (sharp and deep y descent)

Normal jugular venous pulse

What best describes the finding demonstrated in this video?

Kussmaul’s sign (paradoxical inspiratory rise in JVP)

Friedreich’s sign (sharp and deep y descent)

W sign (sharp x and y descents)

Kussmaul’s and W sign

What best describes the finding demonstrated in this video?

Lancisi’s sign (CV fusion)

W sign (sharp and steep x and y descents)

Normal carotid pulse

Kussmaul’s sign (paradoxical inspiratory rise in JVP)

What finding might be expected in this patient?

Pericardial knock

Carvallo’s sign (increase in murmur intensity with inspiration)

Paradoxically split S2

Water hammer pulse

What best describes the finding demonstrated in this video?

Normal carotid pulse

Giant a wave

Kussmaul’s sign (paradoxical inspiratory rise in JVP)

Lancisi’s sign (CV fusion)

What best describes the finding demonstrated in this video?

Normal jugular venous pulse

Atrial fibrillation

Giant a wave

Kussmaul’s sign (paradoxical inspiratory rise in JVP)

What best describes the finding demonstrated in this video?

Normal carotid pulse

Giant a wave

Lancisi’s sign (CV fusion)

Kussmaul’s sign (paradoxical inspiratory rise in JVP)

What condition might be expected in this patient?

Aortic regurgitation

Mitral stenosis

Mitral regurgitation

Tricuspid regurgitation

What condition might be expected in this patient?

Constrictive pericarditis

Tricuspid regurgitation

Asthma

Left ventricular hypertrophy

What is the sound heard in this recording?

Bronchial Breath Sound

Vesicular Breath Sound

Rhonchi

Inspiratory Squeak

Which one is longer in this recording?

Inspiration

Expiration

Both are equal

What finding is heard in this patient?

Rales

Egophony

Bronchophony

Inspiratory Squak

Pleural friction rub

What finding is heard in this recording?

Inspiratory Squeak

Bronchial Breath Sound

Vesicular Breath Sound

Egophony

Pleural friction rub

What condition does this patient possibly have?

Pleural Effusion

Pneumothorax

Pneumonia

Mucus Plug

Based on finding demonstrated what does this patient possibly have?

COPD

Pneumonia

Croup

Cardiac asthma

This patient is asked to say "e" in this video while being auscultated. What finding is shown in this patient?

Inspiratory Squak

Bronchophony

Egophony

Rhonchi

Pleural friction rub

What is the cause of the sound heard in this recording.

Upper airway obstruction

Popping open of alveoli

Popping open of airways during inspiration

Pleural inflammation

What condition does this patient possibly have?

Pneumonia

Asthma

Foreign body obstruction in upper airway

Hypersensitive pneumonitis

Heart failure

What is the sound heard in this recording?

Crackle

Rhonchi

Wheeze

Stridor

Pleural friction rub

What condition can this patient possibly have?

Chronic Bronchitis

Pneumonia

Heart Failure

Asthma

Either C or D

What finding is heard in this recording?

Wheeze

Rhonchi

Bronchial Breath Sound

Stridor

Crackles

Which part of the chest should be auscultated to hear lung sounds from the right middle lobe?

Right anterior inferior chest

Right anterior superior chest

Right posteriorinferior chest

Right posterior middle chest

Right posterior superior chest

What finding is demonstrated in this patient?

Vesicular breath sounds

Bronchial breath sounds

Crackles

Bronchial breath sound with crackles

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