Physical Diagnosis Written

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Can you name the Physical Diagnosis Written

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

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