Science Quiz / Physical Diagnosis Written

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

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