Physical Diagnosis Written

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

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