Course 4 Flashcards
1
Q
Benign Exam “No Touch”: General
A
Well developed, Well nourished, NAD
2
Q
Benign Exam “No Touch”: Eyes
A
PERRL
3
Q
Benign Exam “No Touch”: ENT
A
Moist mucosa
4
Q
Benign Exam “No Touch”: Neck
A
Supple
5
Q
Benign Exam “No Touch”: Cardiovascular
A
Well perfused
6
Q
Benign Exam “No Touch”: Respiratory
A
No respiratory distress
7
Q
Benign Exam “No Touch”: Gastrointestinal
A
Non-distended
8
Q
Benign Exam “No Touch”: Extremities
A
No edema
9
Q
Benign Exam “No Touch”: Skin
A
Dry, No rashes
10
Q
Benign Exam “No Touch”: Neurological
A
Alert and Oriented, Normal speech
11
Q
Benign Exam “No Touch”: Psychiatric
A
Normal affect
12
Q
Complete Benign Exam: Constitutional
A
Well, developed, well nourished, NAD
13
Q
NAD
A
No Acute Distress
14
Q
Complete Benign Exam: Eyes
A
PERRL, EOMI
15
Q
EOMI
A
Extraocular Movements Intact
16
Q
Complete Benign Exam: ENT
A
Moist mucous membranes
17
Q
Complete Benign Exam: Neck
A
Supple, No lymphadenopathy
18
Q
Complete Benign Exam: Cardiovascular
A
Well perfused, RRR, No murmurs, rubs, or gallops, Distal pulses intact
19
Q
RRR
A
Regular Rate and Rhythm
20
Q
Complete Benign Exam: Respiratory
A
No respiratory distress, Clear to auscultation bilaterally, No wheezes, rales, or rhonchi
21
Q
Complete Benign Exam: Abdominal
A
Non-distended, Soft, Non-tender, No guarding, rebound, or rigidity
22
Q
Complete Benign Exam: Extremities
A
No edema, Full ROM
23
Q
Complete Benign Exam: Skin
A
Dry, No rashes, Warm
24
Q
Complete Benign Exam: Neurological
A
Alert and Oriented, Normal speech
25
Complete Benign Exam: Psychiatric
Normal affect
26
Exam Findings: Auscultating the Heart (2)
RRR, No murmurs, rubs, or gallops
27
Exam Findings: Auscultating the Lungs (2)
Clear to auscultation bilaterally, No wheezes, rales, or rhonchi
28
Exam Findings: Palpating the Abdomen (4)
Soft, Non-tender, Non-distended, No guarding, rebound, or rigidity
29
Exam Findings: Examining the Legs (2)
No edema, Distal pulses intact
30
Extra Exam Findings: Examines the throat
Pharyngeal erythema or exudates
31
Extra Exam Findings: Examines the inner-ear
TM erythema or bulging
32
Extra Exam Findings: Auscultates the abdomen
Hyperactive/hypoactive BS
33
BS
Bowel Sounds
34
Extra Exam Findings: Touches the wrists
Radial pulses
35
Extra Exam Findings: Squeezes the calf muscles
Calf tenderness
36
Extra Exam Findings: "Pounds" on the back
CVA tenderness
37
Benign
Normal
38
Anatomical Position
A frame of reference used to describe anatomy and movement
39
Tenderness
Pain felt on the release of pressure
40
Atraumatic
Without trauma
41
Icterus
Yellowing, also known as jaundice
42
Purulent
Pus-like
43
Erythema
Redness
44
Organomegaly
Organ enlargement
45
Perfusion
The flow of blood through the body's blood vessels
46
Affect
Feeling and emotion
47
Consolable
Able to be comforted
48
GCS
Glascow Coma Exam
49
Glascow Coma Exam
Used to assess level of consciousness in trauma pts
50
Normal
Benign
51
A frame of reference used to describe anatomy and movement
Anatomical Position
52
Pain felt on the release of pressure
Tenderness
53
Without trauma
Atraumatic
54
Yellowing, also known as jaundice
Icterus
55
Pus-like
Purulent
56
Redness
Erythema
57
Organ enlargement
Organomegaly
58
The flow of blood through the body's blood vessels
Perfusion
59
Feeling and emotion
Affect
60
Able to be comforted
Consolable
61
Used to assess level of consciousness in trauma pts
GCS, Glascow Coma Exam
62
Contradiction: well developed, well nourished (3)
Cachectic, Emaciated, Malnourished
63
Contradiction: alert (3)
Somnolent, Obtunded, Unresponsive
64
Somnolent
Responsive to verbal
65
Obtunded
Responsive to pain
66
Contradiction: Mild/Mod/Severe Distress
No Acute Distress
67
Contradiction: Cachectic/Emaciated/Malnourished (2)
Well developed, Well nourished
68
Contradiction: Somnolent, Obtunded, Unresponsive
Alert
69
Contradiction: Sinus tenderness, Angioedema, Any signs of trauma
Atraumatic/Normocephalic (AT/NC)
70
Swelling of face (esp. with allergic reactions)
Angioedema
71
Contradiction: PERRL
Anisocoria
72
Anisocoria
unequal pupils
73
Contradiction: EOMI
EOM entrapment
74
Not characterized by jaundice
Anicteric
75
Contradiction: Sclera are anicteric
Scleral icterus
76
Contradiction: Normal conjunctiva (2)
Pale conjunctiva, Conjunctival infection
77
Contradiction: Scleral icterus
Sclera are anicteric
78
Scleral icterus
Characterized by jaundice
79
Instrument used for fundoycopic exam of the internal eye
Ophthalmoscope
80
Contradiction: Retinal detachment, Papilledema, Hyphema (2)
Clear anterior chamber, Sharp disc margins
81
Swelling behind eye
Papilledema
82
Bleeding in the eye
Hyphema
83
Used for external eye exam (2)
Wood's lamp, Fluorescein
84
Contradiction: Normal cornea (3)
Corneal abrasion, corneal ulcerations, fluorescein uptake
85
Earwax
Cerumen
86
"Eardrum blocked by earwax"
TM obscured by cerumen
87
Benign nose exam
Normal Nares (or naris)
88
Swollen inner nose
Boggy turbinates
89
Collection of blood in pocket of nose
Septal hematoma
90
DMM
Dry Mucous Membranes
91
Benign mouth/throat exam (2)
Moist Mucous Membranes, OP Normal
92
OP
Oropharynx
93
PTA (not prior to arrival)
Peritonsillar Abscess
94
Cavities
Dental Caries
95
adj. Lacking teeth
Edentulous
96
Redness in back of throat
Pharyngeal Erythema
97
White plaque on tonsils
Tonsillar Exudate
98
Swollen tonsils
Tonsillar Hypertrophy
99
Benign neck and cervical spine exam
Supple
100
"swooshing" in neck artery
Carotid bruit
101
Swollen lymph nodes
Cervical lymphadenopathy
102
More serious tenderness on spine
Vertebral Point (Midline) Tenderness
103
Less serious tenderness left and right of spine
Paraspinal Tenderness
104
Enlargement of thyroid
Thyromegaly
105
Contradiction: Regular Rhythm
Irregularly Irregular Rhythm
106
Benign cardiovascular exam (2)
Regular Rate and Rhythm, Heart sounds nl
107
Contradiction: Tachycardic, Bradycardic
Regular Rate
108
Contradiction: Irregularly Irregular
Regular Rhythm
109
Contradiction: Murmurs, Rubs, Gallops, Extra Systoles
Heart Sounds Normal
110
Pulse on top of foot
Dorsalis Pedis (DP) Pulse
111
Pulse on side of foot
Posterior Tibialis (PT) Pulse
112
Pulse in groin area
Femoral Pulse
113
Pulse on neck
Carotid Pulse
114
Pulse on wrist
Radial Pulse
115
Benign perfusion exam (2)
Pulses Equal and Symmetric, Capillary Refill less than 2 seconds
116
Contradiction: Capillary Refill less than 2 seconds
Delayed capillary refill
117
Scale for pulse (normal?)
0 to 4+ (2+)
118
Contradiction: Tachypnea, Accessory Muscle Use
No respiratory distress
119
Contradiction: Diminished breath sounds, Wheezes, Rales, Rhonchi
Clear to auscultation bilaterally
120
CTA
Clear to Auscultation
121
Abdomen S and NT
Soft and Non-tender
122
Contradiction: Mild/Moderate/Severe Tenderness To Palpation (TTP)
Soft and Non-tender
123
3 Peritoneal Signs
Voluntary Guarding, Rebound Tenderness, Rigidity
124
Involuntary Guarding
Rigidity
125
TTP
Tenderness To Palpation
126
Enlarged liver
Hepatomegaly
127
Enlarged spleen
Splenomegaly
128
HSM
Hepatosplenomegaly
129
Abdomen very full
Distended
130
Tenderness in RUQ sign
Murphy's sign
131
Blood in stool
Heme positive
132
adj. Black stool color
Melanotic
133
3 descriptions of hemorrhoids
Internal, External, Thrombosed
134
Alternative name for Heme Positive
Guaiac Positive
135
Swollen and inflamed veins in anus or rectum
Hemorrhoids
136
Rectum extends outside body
Rectal Prolapse
137
DDx: decreased rectal tone
Spinal Cord Injury
138
Document for rectal exam
"Female/Male chaperone present"
139
Contradiction: Normal External Genitalia (3)
Sores, Lesions, Rashes
140
Contradiction: Normal Bimanual Exam (3)
Cervical motion tenderness (CMT), Uterine tenderness, Adnexal tenderness (Ovaries)
141
Orifice separating vagina and uterus
Cervical os
142
Document for male genital exam
"Male chaperone present"
143
Document for female genital exam
"Female chaperone present"
144
Type of hernia seen in male genital exams
Inguinal Hernia
145
Catheter left in the bladder
Indwelling Catheter
146
DDx: Bony tenderness
Fx
147
Raised area of tissue with bruising
Contusion
148
DDx: Soft tissue tenderness
Contusion
149
DDx: calf tenderness
DVT
150
Severity scale for Pitting Pedal Edema
Trace to 4+
151
Hard, thickened palpable vein
Palpable cords
152
Sign tested by passively flexing foot backwards
Homan's sign
153
DDx: Homan's sign/Palpable cords
DVT
154
"loose ligaments"
Tendon Laxity
155
Contradiction: Pulse/Sensory/Motor deficits
Distal CSMT intact
156
CSMT
Circulation, Sensory, Motor, Tendon
157
Contradiction: Cool/hot to touch
Warm
158
Contradiction: Dry
Diaphoretic
159
Yellow color
Jaundice
160
Blue color
Cyanotic
161
Pale skin
Pallor
162
Contradiction: Jaundice
Normal color
163
Hives
Urticaria
164
Rash of purple spots on skin
Purpura
165
Small red or purple spot ("tiny red rash")
Petechiae
166
Increased warmth
Calor
167
Condition of spot hardening on skin
Induration
168
DDx: Induration
Cellulitis
169
Moveable and compressible (on skin)
Fluctuance
170
DDx: Fluctuance
Abscess
171
"Pus leaking"
Purulent Drainage
172
Inflammation of walls of lymphatic vessels
Lymphangitis
173
Like abrasion seen in elderly
Skin Tear
174
Flap of skin
Avulsion
175
A bruise
Ecchymosis
176
Like hematoma
Contusion
177
Contradiction: Alert
Somnolent
178
Contradiction: Normal Speech (2)
Aphasia, Dysarthria
179
Condition of Difficulty speaking
Dysarthria
180
Condition of Not able to speak
Aphasia
181
Drowsy
Somnolent
182
Mentally dulled, "out of it"
Obtunded
183
Decreased sensation
Hypoesthesia
184
Absent sensation
Numbness
185
Contradiction: Hypoesthesia, Numbness
Sensation intact
186
Motor Strength: Normal strength
5/5
187
Motor strength: slight contraction, no movement
1/5
188
Motor strength: Unable to overcome gravity
2/5
189
Motor strength: Flaccid, limp
0/5
190
Motor strength: Unable to overcome resistance
3/5
191
Motor strength: Very mildly weak
4/5
192
Sign seen when pt asked to hold arms outwards with palms facing upwards
Pronator Drift
193
Scale for Deep Tendon Reflexes (DTRs) (and normal)
0 to 4+ (2+ normal)
194
Written as roman numerals
Cranial Nerves
195
Drooping of upper eyelid
Ptosis
196
Unequal pupils
Anisocoria
197
When one eye does not move in concert with other
EOM palsy
198
Fail test to stand with feet together and eyes closed
Positive Romberg
199
Rapid, repetitive, and involuntary movement of the eye
Nystagmus
200
Contradiction: Normal finger-to-nose, Normal heel-to-chin
Dysmetria
201
Contradiction: Normal RAM (Rapid Alternating Movements)
Dysdiadochokinesia
202
"Loose associations"
Flight of ideas
203
Contradiction: Flat/Odd affect, Tearful, Anxious, Depressed, Hypomanic, Poor eye contact
Normal affect
204
Contradiction: Suicidal/Homicidal, Hallucinations, Flight of idea, Paranoid
Normal judgement
205
Contradiction: Denies illness/symptoms, Non-compliant with treatment
Normal insight
206
Contradiction: Tangential/Pressure Speech
Normal speech
207
Inappropriately happy/energetic
Hypomanic
208
Detailed/descriptive speech
Tangential Speech
209
Hesitant to talk/respond
Pressured Speech
210
Blood coming out of ears
Hemotympanum
211
Jaw misalignment
Malocclusion
212
"Crunching" respiratory sound
Crepitus
213
Decreased rectal tone
Rectal laxity
214
Neurological scale for trauma pts
Glawgow Coma Scale
215
GCS scale
3-15
216
Make sure to document for Code Exam
"A full examination is unable to be obtained due to clinical condition"
217
Normal Neurological Pediatric Physical Exam (3)
Alert, Appropriate for Age, Moves All Extremities x 4
218
MAE
Moves All Extremities
219
Sucking in of skin around bones of chest between breathing (esp. pediatric)
Retractions
220
Normal General Pediatric Physical Exam (6)
Alert, Interactive, Playful, Smiling, Crying with tears on exam, Quickly consolable
