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Physical Exam Findings (DAY 4 Review Questions)
Day 4: Physical Exam Findings ScribeAmerica
Terms in this set (59)
Do any patient complaints belong in the physical exam?
If a patient says their abdomen is very painful, does that mean it will be tender on exam?
Which of these two physical exam findings could a physician appreciate without osculating the patient's lungs:
1) No Respiratory Distress
2) No rales
1) No respiratory Distress
What does PERRL stand for?
Pupils are equal round and reactive to light
What does AT/NC mean? What system is it used in?
Atraumatic/ Normocephalic, head
(AT= w/out trauma, NC= the head & all it's organs are normal)
What does NAD stand for? What system is it used in?
No acute distress, General
If a patient has pale conjunctiva, what does that indicate?
What is scleral icterus, and what does it indicate?
yellowing of the sclera of the eye, indicates jaundice, or icterus
Name an instrument a physician may use to closely investigate the eyes? (internal and external eye)
ophthalmoscope (Fundoscopic Exam of the Internal eye), or wood's lamp or fluorescien (external eye)
In which body system would you document "TM erythema and bulging"?
*TM= Tympanic Membrane
What is the medical term for a nostril?
If a pt complains of a "runny nose" would it be epistaxis or rhinorrhea?
What would dry mucous membranes indicate?
Why is midline bony tenderness "worse" than paraspinal tenderness?
*what do they indicate
midline bony tenderness indicates spinal cord injury, paraspinal tenderness indicates musculoskeletal back pain
What is the medical term for "swollen lymph nodes"?
If you saw "RRR" in the cardiac exam, what do you think it might mean? (HINT: it's a normal cardiac finding)
regular rate and rhythm
Name the rhythm that the physician would hear if the pt was in Afib
irregularly irregular rhythm
If the physician checks the pulse on the right wrist and says "The pulses are fine", what would you document in the physical exam:
right radial pulse is 2+
Name the "peritoneal signs" in the abdominal exam?
Rigidity, Voluntary/ Involuntary guarding, rebound tenderness
What abdominal sign is indicative of Cholecystitis?
Murphy's sign (tenderness while touching gallbladder)
If the doctor takes 1 finger and presses in a specific spot in the RLQ, what is the name of the finding they are investigating?
McBurney's point, Appendix
Which of these findings is NOT a peritoneal sign: guarding, rebound, tenderness, rigidity
what would a "guaiac positive" still sample diagnose?
what phrase do you have to document in the GU exam for every female pelvic exam performed by a male physician?
female chaperone present
What is bony tenderness a sign of?
spinal cord injury
What is CVA tenderness?
Costo-vertebral angle, indicates pyelo (pyelonephritis: infection of the tissue in the kidney causing flank pain w/ dysuria)
Spell the medical term for "hives"
What is fluctuance a sign of?
What is the different between a laceration and abrasion?
laceration: cut, abrasion: scrape
What procedure is associated with a laceration, but not an abrasion?
What does A&Ox3 mean?
alert and oriented to person place and time
What section of the neurological exam would you document "Normal Finger-Nose-Finger test" and "Normal Heel-to-Shin"?
What does DTR stand for?
deep tendon reflex
Point to the general area of your body that Cranial Nerves (CN) control.
In the neurological exam, what does "normal gait" mean?
In the psychiatric exam, what do SI and HI stand for?
Is the Glascow Coma Scale (GCS) associated with Trauma pts or medical pts?
Would you document "RUE strength 3/5" under the "neurological" or "extremities" section of the exam?
What does TTP mean?
tenderness to palpation
A mother states her child has been extremely tired and drowsy recently; based on the mom's words could you document "lethargic" in the child's physical exam?
List 3 "General" normal EXTERNAL exam findings.
No acute distress, well developed, well nourished
Name a normal EXTERNAL exam finding in the "Eyes" system.
EOMI (Extra Ocular Movements Intact)
Name an "ENT" normal EXTERNAL exam finding.
Name a "Neck" normal EXTERNAL Exam finding.
Name a "Cardiovascular" normal EXTERNAL exam finding.
Name a "Respiratory" normal EXTERNAL exam finding.
no respiratory distress
Name an "Abdominal" normal EXTERNAL exam finding.
Name an "Extremities" normal EXTERNAL exam finding.
No edema (swelling)
Name 2 normal EXTERNAL exam findings in the "Skin" system .
skin is warm and dry
List 2 "Neurological" normal EXTERNAL exam findings.
alert and oriented, normal speech
Name a "Psychiatric" normal EXTERNAL exam finding
Name the 5 Typical Exam Findings and give 2 examples of each.
1. External inspection: no acute distress. well developed, well nourished.
2. Auscultating the heart: regular rate and rhythm. No murmurs, rubs, or gallops
3. Auscultating the lungs: clear to auscultation bilaterally. No wheezes, rales, or rhonchi.
4. Palpating the abdomen: Soft. Non-tender. Non-distended. No guarding, rebound, or rigidity.
5. Examining the legs: No edema. Distal pulses intact.
If the physician examines the throat, what are they looking for?
pharyngeal erythema or exudates
If the physician examines the inner-ear, what are they looking for?
TM erythema or bulging
If the physician examines the abdomen, what are they looking for?
Hyperactive/ Hypoactive bowel sounds
If the physician touches the wrists, what are they looking for?
If the physician squeezes the calf muscles, what are they looking for?
If the physician "Pounds" on the back, what are they looking for?
CVA tenderness (Kidneys)
List the 5 areas to take pulses? (perfusion)
carotid, radial, femoral, dorsal pedis (PD), posterior tibialis (PT)
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