Science / Physical Diagnosis Written

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Can you name the Physical Diagnosis Written

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

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