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Can you name the Physical Diagnosis Written

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

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