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ScribeAmerica: ER > Course 4: Physical Exam > Flashcards

Course 4: Physical Exam Flashcards

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Royal College: Emergency Medicine flashcards
1
Q

Do any patient complaints belong in the PE?

A

No

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2
Q

If a patient says their abdomen feels very painful, can you automatically document “abdominal tenderness” in the PE?

A

No. Subjective vs. Objective

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3
Q

Which of these 2 physical exam findings could a physician appreciate without auscultating the patients lungs:
A. No respiratory distress
B. No rales

A

No respiratory distress

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4
Q

What does PERRL stand for?

A

Pupils are equal round and reactive to light

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5
Q

What does AT/NC mean?

A

Atraumatic/Normocephalic

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6
Q

What does NAD stand for?

A

No acute distress or disease

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7
Q

If a patient has pale conjunctiva what does that indicate?

A

Anemia

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8
Q

What is scleral icterus and what does it indicate?

A

Yellowing of the eyes, indicates liver failure

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9
Q

Name an instrument a physician may use to closely investigate the eyes>

A

Slit Lamp
Woods Lam
Ophthalmoscope (aka fundoscopic exam)

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10
Q

In which body system would you document “TM erythema and bulging”?

A

Ears

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11
Q

What is the medical term for a nostril?

A

Naris

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12
Q

To describe a runny nose would the doctor use the word “epistaxis” or “rhinorrhea”?

A

Rhinorrhea

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13
Q

Why is Midline bony tenderness “worse” than paraspinal tenderness?

A

Bony tenderness (aka vertebral point tenderness) points towards a spinal fracture and therefore concern for a spinal cord injury

Paraspinal tenderness points towards muscle pain or strain

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14
Q

If you saw RRR written in the cardiac exam, what do you think it might mean?

A

Regular Rate and Rhythm

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15
Q

Name the rhythm that the physician would hear if the patient was in Afib?

A

Irregularly irregular rhythm

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16
Q

If the physician checks the pulse on the right wrist and says “the pulses are fine” what would you document in the PE?

A

Right radial pulse is 2+

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17
Q

Name 2 “Peritoneal signs” in the abdominal exam?

A
  1. Guarding
  2. Rebound Tenderness
  3. Rigidity
18
Q

What abdominal exam is indicative of cholecystitis?

A

Murphy’s Sign

19
Q

If the doctor takes 1 finger and presses in a specific spot in the RLQ what is the name of the finding they are investigating?

A

McBurney’s point tenderness (Appendicitis)

20
Q

Which of these is NOT a peritoneal sign?

Guarding, Rebound, Tenderness, Rigidity

A

Tenderness

21
Q

What does a Guaiac positive stool sample diagnose?

A

GI Bleed

22
Q

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

A

Female Chaperone Present

23
Q

What is bony tenderness a sign of?

A

Bone Deformity, Fracture or Injury

24
Q

What is CVA tenderness?

A 
Flank tenderness (costovertebral angle tenderness)
-tenderness over the kidneys
25
Q

What is fluctuance a sign of?

A

Abscess

26
Q

What is the difference between laceration and abrasion?

A

Laceration: incision in the skin that typically need sutures
Abrasion: scrape of the skin

27
Q

What procedure is associated with a laceration by not an abrasion?

A

Laceration Repair, Sutures

28
Q

What section of the neurological exam would you document “Normal Finger-Nose-Finer test” and “Normal-Heel-to-Shin”?

A

Cerebellar/Coordination

29
Q

What does DTR stand for?

A

Deep tendon reflex

30
Q

Point to the general area of your body that Cranial Nerves (CN) control?

A

Face

31
Q

In the neurological exam what does “normal gait” mean?

A

Walking normally

32
Q

In the psychiatric exam, what do SI and HI stand for?

A

Suicidal and Homicidal Ideations

33
Q

Is the Glascow Coma Scale (GCS) associated with trauma patients or medical patients?

A

Trauma

34
Q

What would you document “RUE strength 3/5” under the “neurological” or “Extremities” section of the exam?

A

Neurological

35
Q

What would you guess “TPP” means?

A

Tenderness to Palpation

36
Q

A mother states her child has been extremely tired and drowsy recently; based on that, can you document “Lethargic” in the child’s PE?

A

NAH

37
Q

Spell the medical term for “Hives”

A

Urticaria

38
Q

What is the medical term for “swollen lymph nodes”?

A

Lymphadenopathy

39
Q

If you document “there is no pronator drift” in the neurological exam, can you also document “No focal neurological deficits”?

A

No because its a contraindication

40
Q

If you documented “NAD” in the constitutional section would you be contraindicating yourself if you wrote “There is mild respiratory distress” in the pulmonary exam?

A

Yes

ScribeAmerica: ER (9 decks)

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