Scribe America Outpatient Orthopedics Physical Exam Questions with Complete Solutions
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Course
Scribe America outpatient
Institution
Scribe America Outpatient
What is PE? - Answer-PE is the objective evaluation of patient's anatomy, physiology and current function by physician.
Why is PE important? - Answer-PE information can aid in arriving at final Dx as well as determine treatment.
5 vital signs - Answer-Heart rate (HR)
blood pressure(BP)
resp...
Scribe America Outpatient Orthopedics
Physical Exam Questions with Complete
Solutions
What is PE? - Answer-PE is the objective evaluation of patient's anatomy, physiology
and current function by physician.
Why is PE important? - Answer-PE information can aid in arriving at final Dx as well as
determine treatment.
Normal neck findings - Answer-Supple, non-tender ROM of the neck
Abnormal Neck findings - Answer--Jugular Venous Distension (JVD)
-Tenderness w/ ROM of the neck
-Vertebral point vs. paraspinal tenderness
-Decreased ROM of the neck w/ flexion, extension, rotation and/or lateral bending
Normal Back (T and L spine) findings - Answer-Nontender thoracic and lumbar spine
Abnormal back (T and L spine) findings - Answer--paraspinal tenderness, vertebral
point tenderness
-CVA tenderness
-Vertebral point tenderness
-midline deformities/step-offs
General normal upper extremity findings - Answer-Non tender full ROM of the
shoulders, elbows, wrists and digits. No gross deformity or joint effusions appreciated
Normal focused exam of the shoulder - Answer--No gross deformity or joint effusion
appreciated.
, -Non- TTP about the AC and glenohumeral joints.
-No subacromial or glenohumeral crepitus appreciated.
-Full active non-tender range of motion of the shoulders in
forward flexion, abduction, internal and external rotation.
Abnormal focused exam of the shoulder (2 examples) - Answer--Tenderness to
palpation about the acromioclavicular or glenohumeral
joint.
-Crepitus appreciated over the subacromial or glenohumeral joints.
-Positive acromioclavicular joint stress test.
-Positive AC joint subluxation appreciated on stress testing.
-Positive findings on lateral, Hawkin's and/ or Neer's impingement tests.
-Limited range of motion with forward flexion to __ degrees, abduction to__ degrees,
internal rotation to _ degrees, and external rotation to __degrees.
Normal focused exam of the elbow (musculoskeletal) - Answer-No TTP of the distal
humerus, medial and lateral epicondyle,
or olecranon. Full flexion and extension. Negative Mill's test
Normal focused exam of the elbow (neuro) - Answer-Neurovascularly intact through the
ulnar, medial, and radial nerve distributions. 5/5 strength with dorsiflexion and
palmarflexion.
Abnormal focused exam of the elbow - Answer-With the wrist supinated, palmarflexion
at the wrist will elicit pain in the medial elbow. (Golfer's/Thrower's Elbow)
Mill's test for Medial/lateral epicondylitis - Answer-Purpose: To determine the presence
of a lateral epicondylalgia.
Test Position: Standing.
Performing the Test: Palpate the lateral epicondyle while passively pronating the
forearm, flexing the wrist and extending the elbow. A positive test is reproduction of
lateral elbow pain.
Normal focused exam of the wrist (musculoskeletal) - Answer-No tenderness to
palpation over the distal radius and ulna or
carpals. Full ROM.
Normal focused exam of the wrist (neuro) - Answer-Neurovascularly intact through the
ulnar, medial, and radial nerve distributions. 5/5 strength with dorsiflexion and
palmarflexion.
Abnormal focused exam of the wrist - Answer--Tenderness to palpation of the distal
radius and/or ulna
-TTP over the scaphoid
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