Physical Diagnosis Written

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

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Created Dec 19, 2013ReportNominate
Tags:diagnosis, physical, written