Physical Diagnosis Written

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

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