Physical Diagnosis Written

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

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