CMS practical weekly exams

Question 1

Fatty liver disease (7)

Answer 1

1. anthropometric (height and weight)
2. blood pressure
3. external eye exam
4. dermatologic exam (skin, hair, nails)
5. liver percussion and palpation
6. spleen percussion and palpation
7. ascites

Question 2

obesity (10)

Answer 2

1. blood pressure
2. temperature
3. heart rate (pulse)
4. respiratory rate
5. was it circumference (waist to hip ratio)
6. dermatologic exam (skin, external eye)
7. liver percussion and palpation
8. heart auscultation
9. ascites
10. peripheral edema

Question 3

diabetes

Answer 3

1. blood pressure
2. general skin exam
3. CN II (opthalamoscopic/ fundoscopic exam)
4. peripheral pulses
5. sensory exam (Ipswich touch test, soft touch, vibration, pain)

Question 4

shoulder (7)

Answer 4

1. shoulder inspection
2. shoulder palpation
3. shoulder ROM
4. external rotation lag
5. internal rotation lag
6. painful arc test
7. drop arm test

Question 5

hypothyroidism (8)

Answer 5

1. blood pressure
2. temperature
3. heart rate (pulse)
4. anthropometric (waist and hip circumference)
5. general skin exam
6. hair and nails
7. thyroid exam
8. deep tendon reflexes (esp. achilles reflex)`

Question 6

non-organic fatigue (6)

Answer 6

1. blood pressure
2. temperature
3. heart rate (pulse)
4. respiratory rate
5. oropharyngeal exam
6. lymphadenopathy (cervical and axillary)

Question 7

insomnia (6)

Answer 7

1. oropharyngeal exam
2. nose and sinus exam
3. neck circumference
4. lung auscultation
5. heart auscultation
6. abdominal palpation

Question 8

peripheral arterial disease (5)

Answer 8

1. blood pressure
2. dermatologic exam (skin, hair, nails)
3. peripheral pulses
4. auscultation of bruit (carotid and abdominal)
5. neurological testing (sensory examination: soft touch, vibration, pain)

Question 9

headache (12)

Answer 9

1. CN I - smell
2. CN II- visual acuity
3. CN II - Ophthalmoscopic/ Fundoscopic Exam
4. CN II, III - Pupillary Responses
5. CN III, IV, VI - Extraocular Movements
6. CN V - Facial Sensation + Muscle Strength
7. CN VII - Facial Movements
8. CN VIII - Otoscopic Exam
9. CN VIII - Assessment of Hearing
10. CN IX + X - Swallowing + Voice Assessment
11. CN XI - SCM + Trapezius Strength
12. CN XII - Tongue Symmetry

Question 10

anemia (6)

Answer 10

1. blood pressure
2. respiratory rate
3. heart rate (pulse)
4. dermatologic (skin)
5. hair and nails
6. nutritional status exam (pallor)

Question 11

dementia (3)

Answer 11

cognitive assessment tools

1. clock drawing test
2. mini-cog
3. mini-mental status exam

Question 12

UTI (6)

Answer 12

1. blood pressure
2. temperature
3. heart rate (pulse)
4. respiratory rate
5. abdominal palpation
6. costovertebral angle tenderness