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level: Level 1

Questions and Answers List

level questions: Level 1

QuestionAnswer
Describe proper apex beatleft 5th intercostal space medial to left midclavicular line normal
What is vocal fremitus, and what is its purpose?vibration transmitted throug the body assesment of lungs the sound will be better resonanted in water the sound will be different in lungs/pleural cavity filled with air or liquid should be symetrical, not to strong
What is the difference between bronchial and vesiculair sound ?bronchial sound: physiological sound above trachea and larynx, pathological above bronchus vesiclar sound: physiological sound of lungs during auscultation
What kind of lungs percussion do we distinguish, describe the result of it assuming that the patient is healthycomparative: asses symetry on both sides topographical: estimate the lower border of lung
What is the definition of arterial hypertension in children ?higher then 95percentile
Where do we examine peripheral pulse in children?femoral a.
How do we describe the murmurs over heart?intracardiac extracardiac organic innocent functional
What are characteristics of innocent murmurs?functional murmur physiological murmur soft and midsystolic not pathological
What are physiologic and pathologic sounds over lungs upon auscultation?PHYSIOLOGY vesicular bronchial PATHOLOGY bronchial sound above bronhii wheezing and rhonchi crepitations pleural friction
Report the result of heart auscultation, assuming that no abnormalities are foundHR apropriate to age and regular heart tones are loud and properly accentuated only physiological murmurs present ex. innocent murmur
Point to the place of auscultation of each valve, where is Erb’s pointAortoc valve: right 2nd intercostal in parasternal line Pulmonary valve: left 2nd intercostal in parasternal line Tricuspid valve: right parasternal line in attachent of the 4th cartilage Erbs point: left parasternal line in attachment of 4th cartilage Mitral valve: left 5th intercostal in parasternal line
Give the example of unproper chest shapesbarrel pigon funel