现场问答（Onstage Question）.docVIP

现场问答（Onstage Question） Questions and answers on the spot 1. if the number of sounds decreased and disappeared when auscultation blood pressure, how should I record (report)? Answer: should be recorded as 140~150/80~90mmHg. 2. what is the correct position of the brachial artery (when measuring blood pressure)? (sitting, lying) Answer: when sitting, level fourth costal cartilage, lie down when flat axillary line. 3. why cant the stethoscope head come under the sleeve? Answer: Stethoscope plug in the cuff, the cuff pressure is more urgent, cause the error, will really give the brachial artery pressure decreases in blood pressure measured with true higher. 4. what are the clinical significance of unequal pupil size (unilateral narrowing)? A: central nervous and iris disorders of the innervation. 5., both sides of the pupil narrowing (needle point pupil) what is the problem? Answer: in iris, organophosphate poisoning, pilocarpine, drug reactions. 6. eyes vergence dysfunction (not aggregate) to consider what? A. oculomotor nerve injuries. 7. how should lymph node enlargement be described? Answer: location, size, texture, quantity, mobility, whether there is adhesion, tenderness, local skin changes. 8. where are lung cancer and breast cancer easily transferred to the superficial lymph nodes? Answer: lung cancer metastasis to the right supraclavicular fossa or axillary lymph node group; breast cancer metastasis to the axillary, clavicle, sternal lymph nodes. 9., the lower neck lymph node enlargement, break what is common in the disease? Answer: lymph tuberculosis, tumor metastasis, lymphoma. 10. what does inguinal lymph node enlargement consider? Answer: gonorrhea, syphilis, pelvic tumors. 11. what are the common symptoms of trochlear lymph node enlargement? Answer: non Hochkin lymphoma. 12. bilateral symmetrical enlargement of the thyroid gland. What is the problem? If there is a nodule on one side, whats the problem? Answer: bilateral enlargement considers simple goitre,