Physical Diagnosis Written

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Can you name the Physical Diagnosis Written

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

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