Physical Diagnosis Written

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Standing/valsalva causes an (increased/decreased) prolapse and a(n) (earlier/later) click
Test for conductive vs. sensorineural hearing loss
What test would you use to test the ulnar collateral ligament
Thick, white patch on the oral mucosa caused by an irritant like tobacco
Reflects pressure in the right atrium
Part of SOAP that uses info from patient or reliable source written in the patient's own words
Thenar atrophy in injury to what nerve?
Positive tinel's sign indicates injury to what nerve?
BMI over which one is considered obese
BMI over which one is considered extremely obese
Muscle grading: Movement of the joint against gravity, but not resistance
Ataxic gait and Romberg sign are characteristic of damage to what?
Muscle grading: Full movement against resistance
Grading Murmurs: Loud with palpable thrill
Herbeden's nodes are found at this joint
Type of aphasia associated with rapid, meaningless speech
Valgus test tests the...
Anterior Drawer and Lachmann test both test the...
Consolidation would be suspected if you hear this sound during egophony
Dysdiadochokinesis, the inability to follow a movement with its opposite movement represents damage to what structure
Bell's palsy is a sign of (central/peripheral) nerve damage
Test: Auscultate anterior/posterio thorax and have the person say '99' or '1,2,3'
Lobe affected in Broca's aphasia
Congenital displacement of urethral meatus to inferior surface of the penis
When taking a BP the brachial artery should be at the level of what other organ?
Type of breath sound that is louder & high pitched; heard over trachea
Major Spinal Level:Dorsiflexion L4
Which meniscus is more commonly torn
Posterior Drawer test tests the....
BMI under which one is considered underweight
Parotid gland enters the oral cavity near this tooth
Soft palate doesn't rise and uvula deviates to the opposite side with damage to what CN?
McMurray test tests the..
Drop arm test is testing this group of muscles
Major Spinal Level: Knee extension
Absence of a red reflex on fundoscopic exam is indicative of what?
Gland whose ducts are on either side of the lingual frenulum
Major Spinal Level:Finger abduction
Test for high ankle sprain
Softening and fissuring of the skin at the angles of the mouth. May lead to Candidiasis. Due to nutritional deficiencies, or over closure of the mouth due to lack of teeth or ill-f
Tight prepuce that can't be retracted over glans
JVP more than 3-4 cm above the sternal angle is (normal/abnormal)
Palpable, non-tender hard plaques along the dorsum of the penis under the skin. Causes a crooked erection
Grading Murmurs: Very loud, thrill. Heard with stethoscope off chest
Tympanic temp. is (greater than/less than) oral temp?
Major Spinal Level: Triceps
How many times should you measure BP on your first encounter with a patient?
Upward deviation of the eye
Medial deviation of the eye
Major Spinal Level: Wrist extension
What test would you use to test the radial collateral ligament?
Inability to recognize objects in one's hand by touch along
Test for lateralization of hearing
Test: Reverse Prayer. Hold pt’s wrists in acute flexion for 60 sec.
Deficiency of riboflavin, niacin, folate, B12, pyridoxine or iron or chemotherapy can cause this tongue finding
Muscle grading: Contraction visible but no joint movement
Calcific tendinitis usually affects this tendon
Joint that is often swollen, boggy and tender in RA but not in OA
Tenderness and swelling/inflammation of tendon sheaths
Syphilis sores are (painful/painless)
Axillary temp. is (greater than/less than) oral temp?
Muscle grading: No movement detectable
Lateral deviation of the eye
When palpating these nodes the patient should bring their chin slightly down towards their chest
Type of aphasia that the person understands but can't express language
Test for the integrity of the anterio talofibular ligament
Tract that carries pain and temperature sensation
Phalen's test is testing what nerve?
Rounded, bony growths on the inner surfaces of the mandible that are usually bilateral, asymptomatic and benign
Flex patients shoulder and elbow to 90 degrees with palm facing down. Rotate the arm internally
Test: Auscultate anterior/posterio thorax and have the person whisper '99' or '1,2,3'
Grading Murmurs: Very faint. Not heard in all positions
A patient should not eat, exercise, smoke or consume caffeine within ________________ of a blood pressure exam?
Normal sebaceous glands that appear as small yellowish spots in the buccal mucosa or on the lips.
Bell is for _______ pitched sounds
Only feeling sensation on one side of the body when both sides are stimulated simultaneously
Positive crossed leg raise indicates...
Shooting pain into knee, lateral leg, and posterior calf; parasthesias and weakness
Consolidation is suggested during bronchophony when words are (clear/muffled)
Lip loses its redness and becomes scaly, thickened, and slightly everted. Classically due to prolonged sun exposure
Bouchard's nodes are found at this joint
Heberden's and Bouchard's nodes are found in what condition
Infection of oral cavity that is a thick white coating that can be wiped away
Muscle grading: Movement of the joint but not against gravity
Fibrosis of the glenohumeral joint capsule, with diffuse, dull, aching pain in the shoulder and progressive restriction of active and passive range of motion
What valve is best heart over the 2nd right ICS
Contractures that arise from the thickening of the palmar fascia.
Hoffman's sign is a sign of (upper/lower) motor neuron damage
Small white specks on the buccal mucosa that are an early finding of measles
Inflammation of glans penis
Part of SOAP that includes data that the physician finds. Physical exam findings, lab results etc.
Apical impulse should last through the first _______ of systole
Elevate arms to 90 and internally rotate with thumbs pointing down.
Tight prepuce that once retracted cannot be returned to its original position
Subcutaneous nodules may develop at pressure points along the extensor surface of the ulna in patients with RA or acute rheumatic fever.
Major Spinal Level: Biceps
In what quadrant of the mouth should gingival examination begin
Lobe affected in Wernicke's aphasia
Defect with the motor control of speech
Test: Palpate the posterior thorax while the patient says 99
Benign midline growth of the hard palate
Test for the integrity of that anterior talofibular and calcaneofibular ligaments
Major Spinal Level: Finger grip
Diaphragm is for ________ pitched sounds
Bunion deformity
Grading Murmurs: Quiet, heard with stethoscope
Grading Murmurs: Very loud, thrill. Heard with stethoscope partially off chest
Infection of the pharyx that is characterized by gray exudates/pseudomembrane
Hypertrophic degenerative disease of one or more vertebral facets and thickening of ligamentum flavum causing narrowing of spinal canal
Test: With your finger, percuss lightly over course of median nerve in carpal tunnel at wrist
Tract(s) that carry proprioception and vibration
Finger to nose and heel to shin test represent damage to what
Oral cavity finding associated with AIDS that has purple lesions that are raised or flat
First sensation lost in peripheral neuropathy
Duct that carries saliva from the parotid gland
For at least how long should a patient sit with his/her feet on the floor before taking a BP measurement?
Absence of touch sensation
Shrugging the shoulders tests what CN?
Which type of hernia goes into the scrotum
Rigidity suggests damage to which brain area
Muscle grading: Movement of the joint against resistance but less than normal
BMI over which one is considered overweight
Forward slippage of one vertebra on another
Inability to recognized a number being written on ones hand by sensation along
Increased sensitivity to touch
Decreased sensitivity to touch
Connects the tongue to the floor of the mouth
Major Spinal Level: Plantar Flexion
Sternal angle is how many cm above the atrium?
Part of SOAP that includes problem list and working diagnoses
Test: Auscultate anterior and posterior thorax and have the person repeat 'E'
Tenderness over the snuffbox indicates fracture of this bone
Absence of pain sensation
PMI pattern in dilated ventricle (CHF or cardiomyopathy)
Hypothenar atrophy in injury to what nerve?
Tenosynovitis of extensor and abductor tendons of thumb as they cross radial styloid
What type of papilla form a V on the back of the tongue
Decreased sensitivity to pain
Varus test tests the..
Tennis elbow affects the ____________ epicondyle
Tenderness of distal radius is a sign of this type of fracture
Type of breath sound that is low pitched & normally heard over most lung fields
Most common cause of chronic back stiffness in men under 40
Altered sensation with an undetectable stimulus, commonly when compressing a nerve
Consolidation is suggested during whispered pectoriloquy when words are (clear/muffled)
Rectal temp. is (greater than/less than) oral temp
Midline mucosal fold connecting lip to gingiva
Herpes sores are (painful/painless)
Altered sensation in response to a stimulus, such as feeling a light touch when applying a pinprick
PMI pattern in aortic stenosis or left ventricular hypertrophy
Test for the integrity of the Achilles tendon
Consolidation causes (increase/decrease) of tactile fremitus
Golfer's elbow affects the ____________ epicondyle
Major Spinal Level: Hip flexion
Major Spinal Level: Hip abduction
Part of SOAP that outlines a course of action
Increased sensitivity to pain
Lower border of a blood pressure cuff should be how high above the antecubital fossa?
Grading Murmurs: Moderately loud
Empty can test tests strength of this muscle
Lateral deviation and rotation of the head from contraction of the sternocleidomastoid
PMI can be found at the midclaviacular line at this ICS
A BP cuff should be inflated how many mmHg above the point that the pulse dissapears?

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