Physical Diagnosis Written

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Can you name the Physical Diagnosis Written

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

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Created Dec 19, 2013ReportNominate
Tags:diagnosis, physical, written