Day 4 Review

Question 1

Icterus

Answer 1

Yellowing also known as jaundice

Question 2

Purulent

Answer 2

Pus-like

Question 3

Redness

Answer 3

Erythema

Question 4

Organomegaly

Answer 4

Organ enlargement

Question 5

Perfusion

Answer 5

Flow of blood through body’s blood vessels

Question 6

Affect

Answer 6

Feeling and emotion

Question 7

Consolable

Answer 7

Able to be comforted

Question 8

GCS

Answer 8

Glasgow Coma Scale, used to assess level of consciousness in trauma Pt’s

Question 9

Do any Pt complaints belong in the PE

Answer 9

No

Question 10

PERRL

Answer 10

Pupils are equal, round, and reactive to light

Question 11

What does AT/NT mean

Answer 11

Atraumatic / Normocephalic (head and head organs normal)

Question 12

NAD

Answer 12

No acute distress

Question 13

What does pale conjunctiva indicate

Answer 13

Anemia

Question 14

What is scleral icterus, and what does it indicate

Answer 14

Yellowing of eyes; liver failure

Question 15

Name an instrument the Physician may use to closely investigate the eyes

Answer 15

Slit lamp, woods lamp, ophthalmoscope (aka fundoscopic Exam)

Question 16

Medical term for nostril

Answer 16

Naris (plural form: nares)

Question 17

Medical term for runny nose

Answer 17

Rhinorrhea

Question 18

Medical term for epistaxis

Answer 18

Nose bleed

Question 19

What would dry mucous membranes indicate

Answer 19

Dehydration

Question 20

Why is midline body tenderness worse than paraspinal tenderness

Answer 20

Bony tenderness (vertebral point tenderness) points toward spinal fracture and therefore concern for spinal cord injury

Paraspinal tenderness = muscle sprain or strain

Question 21

RRR

Answer 21

Regular Rate and Rhythm (normal cardiac finding)

Question 22

Name the rhythm the physician would hear if the Pt was in AFib

Answer 22

Irregularly irregular rhythm

Question 23

Edema

Answer 23

Swelling

Question 24

Medical term for Wrist pulse

Answer 24

Radial pulse

Question 25

Medical term for Neck pulse

Answer 25

Carotid pulse

Question 26

Medical term for Groin pulse

Answer 26

Femoral pulse

Question 27

Medical term for Top of foot pulse

Answer 27

Dorsalis pedis (DP) pulse

Question 28

Medical term for Side of foot pulse

Answer 28

Posterior Tibialis pulse (PT)

Question 29

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

Answer 29

Right radial pulse is 2+

Question 30

Name and describe the paritoneal signs (3)

Answer 30

Voluntary guarding Rebound tenderness (tenderness when Dr releases from palpating abd) Rigidity (involuntary guarding; organs feel stiff and hard) = G.R.R.

Question 31

Paritoneal signs are signs of a surgical __________

Answer 31

Abd

Question 32

What abd exam sign is indicative of cholecystitis

Answer 32

Murphy’s sign

Question 33

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

Answer 33

McBurney’s point tenderness

Question 34

What would a “Guaiac positive” stool sample diagnose?

Answer 34

GI bleed

Question 35

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

Answer 35

Female chaperone present

Question 36

What is bony tenderness a sign of?

Answer 36

Bone deformity, fracture or injury

Question 37

What is CVA tenderness?

Answer 37

Costo-vertebral angle tenderness (tenderness over the kidneys)

Question 38

What is fluctuance a sign of?

Answer 38

Abscess

Question 39

Laceration vs abrasion

Answer 39

Laceration: incision in skin that usually needs sutures Abrasion: scrape

Question 40

What procedure is associated with lacerations not abrasions

Answer 40

Laceration repair, sutures

Question 41

A&Ox3

Answer 41

Alert and oriented to person, place, and time

Question 42

What section of the neuro exam would you document “normal finger-nose-finger test” and “normal heel-to-shin”?

Answer 42

Cerebellar/coordination

Question 43

DTR

Answer 43

Deep tendon reflex

Question 44

What general area of your body does the cranial nerves (CN) control?

Answer 44

Face

Question 45

In Neurological exam, what does “normal gait” mean?

Answer 45

Waking normally

Question 46

In psych exam, what SI and HI stand for?

Answer 46

Suicidal and homicidal ideations

Question 47

Is the Glasgow Coma Scale (GCS) associated with trauma or medical Pt’s? (Score btw 3-15)

Answer 47

Trauma

Question 48

Would you doc “RUE strength 3/5” under the neuro or extremities sec of the exam?

Answer 48

Neuro

Question 49

TTP

Answer 49

Tender to palpation

Question 50

If a mother states that her child has been extremely tired and drowsy recently, can you doc “lethargy” in PE, just based on that?

Answer 50

No (subj)

Question 51

Medical term for hives (allergic rxt rash)

Answer 51

Urticaria

Question 52

Medical term for “swollen lymph nodes”

Answer 52

Lymphadenopathy

Question 53

If doc “there is right pronator drift”, can you also doc “no focal neuro deficits?

Answer 53

No, contradiction

Question 54

If doc NAD in constitutional sec, would you be contradicting yourself if you wrote “mild respiratory distress” in pulmonary exam?

Answer 54

Yes