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ScribeAmerica Physical Exam With Complete Solutions!
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Do any patient complaints belong in the physical exam? - ANSWER-NO If a patient states that their abdomen is very painful, does that mean it will be tender upon exam? - ANSWER-No. subjective info vs objective Which of these two physical exam findings can a physician appreciate without auscult...

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  • 7 augustus 2024
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ScribeAmerica Physical Exam With Complete
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Do any patient complaints belong in the physical exam? - ANSWER-NO

If a patient states that their abdomen is very painful, does that mean it will be tender
upon exam? - ANSWER-No. subjective info vs objective

Which of these two physical exam findings can a physician appreciate without
auscultating the Pt's lungs? a) No respiratory distress b) No Rales? - ANSWER-No
respiratory distress

What does PERRL stand for? - ANSWER-Pupils equal Round and reactive to light

What does AT/NC stand for? - ANSWER-atraumatic/ normocephalic

What does NAD stand for? - ANSWER-No Acute Distress/Disease

If a Pt has pale conjunctiva what does that indicate? - ANSWER-Anemia

What is scleral icterus? What does it indicate? - ANSWER-yellowing of the eyes.
Indicates liver failure

Name an instrument a physician may use to closely investigate the eyes? - ANSWER-
Slit lamp, woods lamp, opthalmascope (AKA fundiscopic exam)

In which body system would you document "TM erythema and bulging"? - ANSWER-
Ears

What is the medical term for nostril? - ANSWER-Naris (both nostrils is nares)

If a patient has a "runny nose" what would be indicated, epistaxis or rhinorrhea? -
ANSWER-rhinorrhea

what would dry mucous membranes indicate? - ANSWER-dehydration

why is midline bony tenderness "worse" than paraspinal tenderness? - ANSWER-a.
midline tenderness (aka vertebral point tenderness) points towards a spinal fracture and
therefore raises concern for a spinal cord injury.
b. paraspinal tenderness points toward a muscle sprain or strain

If you saw "RRR" in a cardiac exam , what do you think it might mean? (normal finding)
- ANSWER-Regular rate and rhythm

,name the rhythm the physician would hear if the pt was in AFIB? - ANSWER-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? - ANSWER-Right radial pulse is 2+

Name two "peritoneal signs" in the abdominal exam? - ANSWER-Guarding, rebound
tenderness, rigidity.

What abdominal sign is indicative of cholecystitis? - ANSWER-Murphy's sign

If the doctor take one finger and presses in a specific spot in the RLQ, what is the name
of the finding they are investigating? - ANSWER-McBurney's point tenderness

Which of these findings is not a peritoneal sign? - ANSWER-Tenderness

What would a Guiac positive stool sample diagnose? - ANSWER-GI bleed

What phrase do you have to document in the GU exam for every female pelvic exam
performed by a male physician? - ANSWER-Female chaperone present

What is bony tenderness a sign of? - ANSWER-bone deformity, fracture, or injury

What is CVA tenderness? - ANSWER-Flank Tenderness (costo-vertebral angle
tenderness).
Tenderness over the kindeys

what is fluctuance a sign of? - ANSWER-abscess

What is the difference between a laceration and abrasion? - ANSWER-a. Laceration is
an incision in the skin that typically needs sutures
b. abrasion. scrape of the skin

What procedure is associated with a laceration and not abrasion? - ANSWER-
Laceration repair, sutures

What does A&Ox3 mean? - ANSWER-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 test" ? - ANSWER-cerebellar/ coordination

What does DTR stand for? - ANSWER-Deep tendon reflex

Point to the general area of your body that the cranial nerves control? - ANSWER-face

In the neurological exam what does "normal gait" mean? - ANSWER-Walking normally

, In the psychiatric exam what do SI and Hi stand for? - ANSWER-Suicidal ideation and
homicidal ideation

Is the gloscow coma scale (GCS) associated with trauma pt's or medical pt's? -
ANSWER-Trauma

Would you document RUE strength 3/5 under the neurological or extremities section of
the exam? - ANSWER-Neurological

What would you guess TTp means? - ANSWER-tender to palpation

A mother states that her child has been " extremely tired and drowsy recently", based
on mom's words could you document lethargic in the child's physical exam? -
ANSWER-NO!

Spell the medical term for "Hives" allergic reaction rash - ANSWER-Uticaria

What is the medical term for "swollen lymph nodes"? - ANSWER-lymphadenopathy

If you document "There is right pronator drift" in the neurological exam, can you also
document " no focal neurological deficits"? - ANSWER-No, it is a contadiction

If you documented "NAD" in the constitutional section, would you be contradicting
yourself if you wrote "There is mild respiratory distress" in the pulmonary exam? -
ANSWER-YES

When does the physician start the physical exam? - ANSWER-The moment they walk in
the door

T or F: some exam findings may be appreciated form afar by simply observing the
patients external appearance; while other findings require a specific exam technique to
investigate. - ANSWER-True

T or F: The physician tailors their physical exam to each pt based on the HPI, PMHx
and DDx for the visit? - ANSWER-True

what do the objective observations include? - ANSWER-symptoms that can be
measured, seen , heard, touched, felt or smelled.

What are included in objective observation? - ANSWER-vital signs: temp, pulse,
respiration, physical exam findings and the results of diagnostic tests.

what part of the physical exam can be completes in the first 30 seconds? - ANSWER-
General: do they look like they are in pain?
Eyes: Are the sclera yellow?
Pulmonary: are they breathing comfortably?

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