Physical Diagnosis Written

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Can you name the Physical Diagnosis Written

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

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