Science Quiz / Physical Diagnosis Written

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Can you name the Physical Diagnosis Written

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

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