1. All diastolic murmurs III first time audible, IV first time thrill are pathological. Murmurs Grades I-barely II-audible III- clearly audible. IV- first time thrill V-Steth edge VI-entire steth. EXAM 2. Fundal height 12 weeks Fundal Height 12 weeks above symphysis pubis. EXAM Fundus 16 weeks between symphysis pubis and umbilicus. Fundus at 20 weeks is at umbilicus. 2 cm more of less from # of wk gestation is normal if more or less order US 3. 3 month old infant Iron, TIBC with down syndrome, due to milk intolerance, mom started on goats milk; now has pale conjunctiva but otherwise healthy. Low HCT. What additional test would you order? 4. 3 months of synthroid, Increase Medication TSH increased, T4 normal, what do you do? 5. 3 ways to assess cog- Mini mental exam nitive function in patient with signs/symptoms of memory loss 6. 4 month old with stra- tell her it is normal. bismus, mom is worried...... 7. 4 month old wont keep Growth chart anything down, what is the main thing you look at? 8. 6 month old closed an- XRAY terior fontanel. 9. Abnormal cells on PAP, what do you do next? Refer for Colposcopy 10. CAGE ACRONYM Cut down Annoyed by criticism Guilty about drinking Eye opener drink 11. Causes of tachycardia Fever Anemia Hypotension 12. Cranial nerves responsible for extraocular eye movements CN 3,4,6