Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Medical Scribe > Course 4.5 > Flashcards

Course 4.5 Flashcards

1
Q

What are the 3 Peritoneal signs?

A

GRR..

  • Voluntary guarding
  • Rebound tenderness
  • Rigidity (Involuntary guarding)
  • —They indicate signs of a surgical abdomen
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is a normal abdomen PE ?

A

Soft and non-tender (S,NT)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is an abnormal abdomen PE?

A

Guarding
rebound tenderness
rigidity
Mild/mod/severe tenderness to palpation (TTP)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What does TTP stand for and which PE does it belong to ?

A

Tenderness to palpation

Abdomen PE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are some key details to consider during a normal abdominal PE?

A

Normal bowel sounds, No organomegaly, No mass

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are some key abnormal details to consider for an abdominal PE?

A

Absent/Hypoactive/Hyperative/Bowel Sounds
Organomegaly (Hepatomegaly, Splenomegaly) (HSM)
Distended
Murphy’s sign
McBurney point tenderness
Psoas sign, Obturator sign , rovsing sign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Define Hempatomegaly

A

Enlarged liver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Define splenomegaly

A

Enlarged splen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Define distended

A

bloated, swollen inside

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What does a murphy’s sign indicate?

A

Cholelithiasis or Cholecystitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What’s the difference between Cholelithiasis and Cholecystitis?

A 
Cholelithiasis = Formation of gallstones
Cholecystitis = inflammation of the gallbladder
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What does McBurney’s point tenderness indicate?

A

Appendicitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the 3 McBurney’s point of tenderness signs?

A

POR

Psoas sign
Obturator sign
Rovsing’s sign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

A positive Psoas sign, Obturator’s sign and Rosing’s sign all indicate that the patient has……?

A

Appendicitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are some PE that requires a chaperone present?

A

Rectal, female and male genital exam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is a normal rectal PE?

A

Normal rectal tone, Heme Negative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What does Heme negative mean?

A

No blood found in stool

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is a abnormal rectal PE ?

A

Blood: Heme positive
Abnormal stool color: Black/Melanotic, Red, Yellow, White, Bright red
Veins :Hemorrhoids (internal, external, thrombosed)
In or out of place: Rectal prolapse
Decreased rectal tone (spinal cord injury)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What does a decreased rectal tone indicate ?

A

spinal cord injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Define Hemorrhoids

A

Swollen veins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is a normal female genital PE?

A 
Normal external genitalia 
Normal bimanual exam
normal speculum exam
cervical os is closed 
no blood or discharge
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is an abnormal female genial PE?

A

External: Sores, lesions, rashes
Internally: Cervical motion, tenderness (CMT).
Uterine tenderness, Adnexal tenderness (ovaries)

Internally: cervical os is open, blood in the vaginal vault, malodorous/thick white discharge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What does CMT stand for?

A

Cervical motion tenderness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is a normal male genital PE

A

Normal genital exam

Circumcised/uncircumcised

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What is an abnormal male genital PE?

A 
Testicular tenderness
epididymal tenderness 
Testicular Edema
Testicular mass
Urethral discharge
inguinal hernia 
indwelling Catheter
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What is a normal Musculoskeletal/Extremities PE?

A 
Non-tender
Full ROM (FROM)
Distal CSMT (circulation sensory, motor, tendon) intact
no edema
no calf tenderness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What does CSMT stand for and which PE does it belong to?

A 
C:Circulation
S: Sensory
M:Motor
T:Tendon
Belongs to the musculoskeletal/Extremities PE
28
Q

What is an abnormal Musculoskeletal/Extremities PE?

A 
Bony tenderness (Fracture)
Soft tissue tenderness (contusion)
Calf tenderness (DVT)
Decreased ROM 2^o pain
Pulse/sensory/motor deficits /Tendon Laxity
Pitting pedal edema (trace to 4+)
Palpable cord/Homan's sign (DVT)
29
Q

What does Homan’s sign indicate?

A

DVT

30
Q

What is a normal Musculoskeletal/back?

A

Non-tender Thoracic (T-Spine) and Lumbar spine (L-spine)

31
Q

What is an abnormal Musculoskeletal/back?

A 
Paraspinal tenderness (muscle pain)
Vertebral point tenderness (spinal cord injury)
Midline deformities/step-offs 
Costovertebral Angle (CVA) Tenderness
32
Q

What is a normal integumentary/skin PE?

A

Warm (normal temp)

Dry, Normal color, no rash

33
Q

What is an abnormal integumentary/skin PE?

A 
Cool to touch/hot to touch
Diaphoretic
Jaundice (yellow)
Cyanotic (Blue)
Pallor
Urticaria (Hives)
Blood: Petechiae/Purpura
34
Q

Define Cyanotic

A

The bluish coloration of the skin caused by lack of oxygenation of the blood

35
Q

Define Urticaria

A

Hives

36
Q

What is the medical term for hives

A

Urticaria

37
Q

What is a normal skin PE?

A

No erythema, warmth or drainage

38
Q

What are some indications of a skin infection?

A 
Erythema
increased warmth (calor)
Induration (Cellulitis)
Fluctuant (abscess)
Purulent drainage (pus-like)
Lymphangitis (Spreading infection)
39
Q

What is the medical term for increased warmth?

A

Calor

40
Q

The presence of induration indicates ?

A

cellulitis

41
Q

The presence of fluctuant indicates?

A

abscess

42
Q

What is the medical term for spreading infection ?

A

Lymphangitis

43
Q

What a skin without trauma looks like?

A

Atraumatic, intact

44
Q

What does a skin with trauma looks like?

A 
Ecchymosis 
contusion
abrasion
laceration
skin tear
avulsion
45
Q

State the difference between contusion, abrasion and laceration ?

A

Contusion is a bruise
Abrasion is a scrape to the skin
laceration is the deep cut/tear to the skin (often requires stitches

46
Q

Define avulsion

A

pulling of the skin that results in its complete removal

47
Q

define ecchymosis

A

discoloration of the skin caused by a bruise

48
Q

What are normal findings for neurological PE?

A

Alert,
Oriented x 4
normal speech
nonfocal neuro exam

49
Q

What are abnormal findings for neurological PE?

A 
Somnolent
Disoriented to person, place, time or situation
Aphasis 
Dysarthria 
any abnormal findings
50
Q

Define dysarthria

A

inability to speak due to motor malfunctions or neural weakness

51
Q

Define aphasis

A

loss of ability to understand or express speech, caused by brain damage

52
Q

What are common findings for someone who has abnormal levels of consciousness?

A 
Somnolent
Obtunded
Responsive to voice
responsive to painful stimuli 
unresponsive to both pain and voice
 does not follow commands
confused
53
Q

What are normal findings for motor and sensation ?

A

motor strength 5/5 and symmetric, sensation intact

54
Q

What are abnormal findings for motor and sensation?

A

extremity weakness
pronator drift
Hypoesthesia
Numbness (absent of sensation)

55
Q

What is the medical term for decrease sensation ?

A

Hypoesthesia

56
Q

What are some ways physicians can test motor strength?

A
  • pronator drift
  • upper extremity strength “grip stength”
  • lower extremity strength
57
Q

What is the normal value for reflex?

A

2+ = normal

58
Q

What are abnormal findings for cranial nerve exam?

A

-visual field loss
-anisocoria
-EOM palsy, rightward/leftward gaze
Tongue deviation
decreased gag reflex
facial droop, ptosis
Hypoesthesia
unequal shoulder shrug

59
Q

Define ptosis

A

Drooping or falling of upper eyelid

60
Q

What is an abnormal cerebellar exam?

A 
ataxia, antalgic (walking to avoid pain)
Nystagmus
Dysmetria
Positive Romberg
Dysdiadochokinesia (DDK)
tremor
61
Q

Define dysmetria

A

inability to perform coordinated arm related task

62
Q

What does a positive romberg indicate?

A

the person cannot maintain their balance while their eyes are closed

63
Q

Define Dysdiadochokinesia

A

The inability to conduct rapid alternative movements

64
Q

What is a normal cerebellar exam?

A 
normal gait
no nystagmus
normal finger to nose, normal heel to shin
negative romberg's
normal RAM (rapid alternating movements)
No tremor
65
Q

What does normal RAM stand for

A

rapid alternative movements

Medical Scribe (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions