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PANCE review
Physical Exam
5
Other
Graduate
12/03/2012

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Cards

Term
In the pulm exam, increased transmission of voice sounds suggests what?
Definition
it suggests that air filled lung has become airless.
Term
WHen a patient is asked to say "ninety-nine" in the pulm exam, it is normal for the sounds to be muffled and indistinct. What is the term used when the sounds are louder and clearer?
Definition
bronchophony
Term
When testing for egophony in the pulm exam- what is the normal result? What is a positive result indicative of?
Definition
normally when the patient says "ee" you will hear a long muffled E sound. Egophony is positive when it is hear as "AY" and this can be seen in lobar consolidation from PNA
Term
Fremitus refers to the palpable vibrations transmitted through the bronchopulmonary tree to the chest wall as the patient is speaking. Describe what is sounds like when fremitus is decreased. in what pathological states might this be the case?
Definition
-it is decreased when the voice is soft or when the transmission of vibrations from the larynx to the surface of the chest is impeded
-causes include: very thick chest wall; onstructed bronchus; COPD; pleural effusion; fibrosis (pleural thickening); air (pneumothorax); or infiltrating tumor
Term
CN's 3, 4, and 6 control EOMs. Which nerves supply which ocular muscles?
Definition
4= superior oblique
6= lateral rectus
3= everyhting else
SO4, LR6, everything else 3
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