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Physical Exam 1 > Final > Flashcards

Final Flashcards

1
Q

acrus senilus

A

corneal acrus, thin grey circle close to the edge of the cornea
normal with aging, hyperlipoproteinemia

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2
Q

keratoconus

A

thinning disorder of cornea

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3
Q

aide’s tonic pupil

A

pupil is large, regular and unilateral

unresponsive or slow to respond to light

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4
Q

argyll robertson pupil

A

small irregular pupils, accommodate but do not react to light
common with CNS syphilis

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5
Q

crackles

A

brief

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6
Q

wheezes

A

high pitches, suggest narrowed airway

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7
Q

rhonchi

A

low pitch, suggest wide airways, heard on inspiration

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8
Q

stridor

A

high pitched inspiratory noise from subglottic or tracheal obstruction

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9
Q

lung resonance

A

normal, LHF, chronic bronchitis

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10
Q

lung dullness

A

consolidation, atelectasis, pleural effusion

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11
Q

lung hyper-resonance

A

pneumo, COPD, asthma

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12
Q

a-wave

A

JVP corresponding to atrial contraction

immediately proceeds S1

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13
Q

increased a-wave

A

increased resistance to RA emptying, decreased RV compliance, restrictive CMP, RVH, tricuspid stenosis

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14
Q

decreased a-wave

A

afib, arrhythmias

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15
Q

intermittent a-wave

A

AV dissociation, cannon a waves

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16
Q

grade 1 murmur

A

must be tuned in

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17
Q

grade 2

A

quiet but audible

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18
Q

grade 3

A

moderately loud

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19
Q

grade 4

A

loud with a thrill

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20
Q

grade 5

A

can be heard with the stethoscope slightly off the body, thrill

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21
Q

grade 6

A

can be heard with the stethoscope entirely off the body, thrill

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22
Q

aortic stenosis

A

systolic, heard at A/P
heard best with pt sitting and leaning forward
radiates to the neck

23
Q

HOCM

A

systolic, heard at erbs
best with squatting and valsalva
radiates down L sternal border to apex

24
Q

pulmonary stenosis

A

systolic crescendo-decrescendo, heard at P

can have thrill, radiates to L shoulder and neck

25
Q

mitral regurg

A

holosystolic, heard at apex, can have S3
doesnt change with inspiration
radiation to axilla

26
Q

tricuspid regurg

A

holosystolic, heard at T or apex
increases with inspiration
radiates to midclavicular line, sternum

27
Q

VSD

A

holosystolic murmur, usually with thrill
heard at erbs or T
small defects are louder

28
Q

aortic regurg

A

decrescendo diastolic, heard when leaning forward with exhalation
can radiate to apex

29
Q

mitral stenosis

A

decrescendo diastolic, opening snap after S2, use bell
heard in LLD with hand grips and exhalation
heard at apex with no radiation

30
Q

venous hum

A

continuous, heard louder in diastole, use bell

pt should be sitting

31
Q

pericardial friction rub

A

sounds close to the stethoscope, best when leaning forward and exhalation
minimal radiation
scratchy sounding

32
Q

patent ductus arteriosus

A

machine like, at P

33
Q

S3

A

ventricular gallop, mid diastolic

34
Q

S3 normal

A

children, young adults, 3rd trimester

35
Q

S3 abnormal

A

40+, HF, volume overload

36
Q

S4

A

atrial gallop, just before systolic beat

d/t increased resistance to V filling

37
Q

L sided S4

A

HTN, myocardial ischemia, aortic stenosis, CMP

38
Q

R sided S4

A

pulmonary HTN, pulmonic stenosis

39
Q

visceral pain

A

distension of organs, typically palpable near midline
hard to localize pain
varying quality
sweating, pallor, n/v, restlessness

40
Q

parietal pain

A

parietal inflammation
steady, aching pain
easier to localize
aggravated by coughing or movement

41
Q

positive apley scratch test

A

rotator cuff disorder

42
Q

positive arc test

A

subacromial impingement, RTC tendonitis

43
Q

positive neers impingement

A

subacromial impingement, RTC tendonitis

44
Q

positive hawkins impingment

A

RTC impingement, tendonitis

45
Q

positive drop arm test

A

supraspinatus RTC tear

46
Q

positive empty can test

A

supraspinatus RTC tear

47
Q

positive babinski

A

alcohol/drug intoxication, postictal

48
Q

loss of proprioception

A

tabes dorsalis, MS, B12 deficiency, posterior column disease, DM neuropathy

49
Q

UMN lesion

A

hypertonia, hyperreflexia, no atrophy, no fasciculations, + babinski

50
Q

LMN lesion

A

hypotonia, hyporeflexia, atrophy, fasciculations, - babinski

51
Q

peripheral lesion of facial paralysis

A

bells palsy

half of the face is paralyzed including forehead

52
Q

central lesion of facial paralysis

A

cerebral infarction

lower half od the face is paralyzed, entire forehead wrinkles and eyebrows raise, eyes close with weakness

53
Q

dysdiadochokinesis

A

abnormal RAM with fingers touching thumb

Physical Exam 1 (1 decks)

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