Science / Physical Diagnosis Written

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Can you name the Physical Diagnosis Written

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

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