Physical Diagnosis Written

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

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Created Dec 19, 2013ReportNominate
Tags:diagnosis, physical, written