Physical Diagnosis Written

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

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