Science Quiz / Physical Diagnosis Written

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Can you name the Physical Diagnosis Written

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

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