Science Quiz / Physical Diagnosis Written

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Can you name the Physical Diagnosis Written

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

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