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Board Exam > Classic Findings > Flashcards

Classic Findings Flashcards

1
Q

Murphy’s sign

A

Inspiratory arrest with deep palpation of upper right quadrant

Think: cholecystitis

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2
Q

Pain that waxes and wains…. Think:

A

Kidney stone

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3
Q

Costovertebral angle tenderness….. Think:

A

Pyelonephritis

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4
Q

“Cupping” think:

A

Glaucoma

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5
Q

Normal Rinne test

A

Air conduction> bone conduction

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6
Q

Weber test

A

Sound heard equally in ears

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7
Q

Hot potato voice think:

A

Epiglottitis or peritonsillar abscess

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8
Q

Trismus

A

Painful to open jaw.

Peritonsillar abscess

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9
Q

Herberdens nodes

A

Distal interphalangeal

Think osteoarthritis

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10
Q

Bouchards nodes

A

Proximal interphalangeal

Osteoarthritis

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11
Q

Transient, symmetrical, joint stiffness that gets worse with activity

A

Osteoarthritis

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12
Q

Early morning symmetrical stiffness better as day progresses

A

Rheumatoid arthritis.

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13
Q

Synovial thickening of the metacarpophalangeal joint. Hand swelling

A

Rheumatoid arthritis

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14
Q

Tinel sign

A

Carpal tunnel syndrome.

Tapping over nerve on the wrist produces pain and parenthesis proximal or distal to the site of compression.

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15
Q

Phalen test

A

Carpal tunnel syndrome.

Wrist flexion for 30-60 seconds reproduces pain or parenthesia because of nerve compression in the carpal tunnel.
(elbows out, fingers down, wrists together)

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16
Q

Osteoporosis rx:

A

Daily calcium 1500mg/day
Daily vitamin D 1000 iU/day

Weight bearing exercise.

17
Q

+ Neer test:

A

“Passive painful arc maneuver”
Shoulder impingement syndrome.

Raise arm (flex glenohumeral joint) while simultaneously preventing shoulder struggle. Will produce pain

18
Q

Hawkins Kennedy test

A

Tests shoulder impingement syndrome.
Stabilize patients shoulder with one hand and with the pt elbow flexed at 90 degrees internally rotate the shoulder with the other hand. + is pain elicited by internal rotation.

19
Q

Painful arc sign

A

Rotator cuff pathology.

Pain with raising arm above 90 degrees

20
Q

+ drop arm test

A

Rotator cuff syndrome.

21
Q

Anterior drawer sign

A

ACL injury.

Pt supine. Leg 90 degrees. Sit on foot. Grab proximal tibia both hands and pull anteriorly. Laxity= +

22
Q

Lachman’s test

A

ACL injury if + laxity.

Place knee 30 degrees flex. Stabilize femur with one hand and pull proximal tibia anterior with other hand. Look for lack of endpoint.

23
Q

Pivot shift test / vagus stress test

A

ACL injury.

Extend leg straight out. Hold leg and internally rotate tibia while putting vagus stress on knee with other hand. If there is reduction or a clunk then it’s +

24
Q

Appley’s grind test

A

Meniscus tear

Lay on stomach. Flex knee 90 degrees. Place finger over media or lateral joint at knee and push down on tibia. Rotate knee in and out in rolling motion. If you hear a click or pop it is +

25
Q

McMurrays test

A

Medial or lateral meniscus tear.

Internal and external rotation of leg produces pain and popping.

26
Q

AV nicking

A

Think : Hypertension

27
Q

Loss of peripheral vision and eye pain

A

Glaucoma

28
Q

Cataracts

A

Sensitivity to sunlight, difficulty seeing

29
Q

Hard exudates, cotton wool spots, microaneurysms in eye exam

A

Diabetic retinopathy

30
Q

AV nicking, silver and/or gold wire arterioles in eye exam

A

Hypertensive retinopathy

31
Q

Lachmans test

A

Tests knee instability

ACL tear

32
Q

Sudden vision loss

A

Retinal detachment

33
Q

Koplik’s spots

A

Measles

34
Q

Chest pain on exertion that is relieved by rest

A

Angina pectoris

35
Q

Papilledema

A

Optic disc swelling

36
Q

Slow or sudden painless loss of central vision

A

Macular degeneration

37
Q

Kernigs maneuver

A

Have pt. flex both hips and legs and the straighten legs against resistance. Flexion of hip and knees is + sign meningitis

38
Q

Brudzinski’s maneuver

A

Place patient’s hands behind his head and gently tuck chin to chest. + meningitis

Board Exam (2 decks)

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