Physical Diagnosis Written

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Can you name the Physical Diagnosis Written

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

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