Physical Diagnosis Written

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Can you name the Physical Diagnosis Written

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

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