Science Quiz / Physical Diagnosis Written

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Can you name the Physical Diagnosis Written

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

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