Assessment

Question 1

What are herbendons VS bouchards nodules

Answer 1

Heberden nodes (hard dorsolateral nodules on the Distal IP joints) and Bouchard nodes (hard dorsolateral nodules on the Proximal IP joints) are common findings in OA.

In RA, inspect for symmetric deformity in the PIP, MCP, and wrist joints. In later stages, you may see MCP subluxation and ulnar deviation. Of note, the DIP tends to be less affected in RA.

Question 2

What cranial nerve effects eyebrow raise?

Answer 2

CN VII

Question 3

What is psoas sign and what does it test for?

Answer 3

move leg against passive resistance - appendicitis

Question 4

obturator sign appendicits

Answer 4

Obturator sign is a clinical sign of acute appendicitis, it is defined as discomfort felt by the subject/patient on the slow internal movement of the hip joint, while the right knee is flexed

Question 5

kernig sign

Answer 5

diagnose meningitis. A positive test is the elicitation of pain or resistance with passive extension of the patient’s knees past 135 degrees in the setting of meningeal irritation.

Question 6

acute choliathiasis with 43 year old lady

Answer 6

yep

Question 7

do you need a fever for appendicitis?

Answer 7

NO

Question 8

What is MURPHY’S SIGN and what does it test for

Answer 8

press in upper right and breathe in — FOR CHOLIATHIASIS

Question 9

drawer test

Answer 9

for ACL injury –
If the tibia pulls forward or backward more than normal, the test is considered positive.

Question 10

Mcmurray test

Answer 10

meniscus injury — Your provider will bend your knee to 90 degrees perpendicular to the rest of your body (about where it would be if you were in a seated position).
Your provider will rotate your bent knee in (toward your body) and out (away from your body).
Your provider will straighten your leg.

Question 11

prostate exam

Answer 11

feels like pooping

Question 12

testicular torsion

Answer 12

would have absent cremasteric reflex

Question 13

friable cervix

Answer 13

red/inflamed

Question 14

vaginal discharge or std’s

Answer 14

bacterial vaginosis, trichomonosis

The signs and symptoms of BV and trichomoniasis may be quite similar to yeast infections in terms of redness, itching and pain. With BV, however, the discharge tends to be thin, white or yellowish, and more uniform in appearance. Trichomoniasis discharge is typically a frothy, greenish-yellow secretion

Question 15

breast exam in woman who had no indication to perform one was up to date on normal standards

Answer 15

yep

Question 16

how to perform self breast exam

Answer 16

?

Question 17

CAGE questionarre

Answer 17

1. Have you ever felt you should cut down on your drinking?
2. Have people annoyed you by criticizing your drinking?
3. Have you ever felt bad or guilty about your drinking?
4. Have you ever had a drink first thing in the morning to steady your nerves or to
   get rid of a hangover (eye-opener)?

Cutting down, Annoyance when criticized, Guilty feelings, and Eye-openers, is best at detecting alcohol dependence.48

Question 18

PVD

Answer 18

swollen, weepy, varicose veins, tired legs,