Brainscape's Knowledge GenomeTM

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


See full index

PCM Final SP > Final SP > Flashcards

Final SP Flashcards

1
Q

SH, what’s a must to do, and what else is needed?

A

tobacco, alcohol, drugs

anything pertinent

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

What is the HPI?

what do you need to make sure to ask within this section?

A

OLDCAAARTS

have they had this before?

what do you think is happening?

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

What tests do you do for hip pain?

A

C-sign –> labral sign

Jump sign –> trochanteric bursitis

Rectus Femoris test –> rectus femoris contraction

Straight leg test*** –> IT band contracture, lumbosacral radiculopathy, mechanical low back pain

Thomas –> hip flexor contrition

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

When would you do a neuro exam?

What do you do for neuro exam? when would you do this?

A

headache, dizziness, lethargy

AAOx4 Stuff

CN2-12

sensations upper and lower, DTRs (if noting weakness, numbness, tingling)

cerebellar exam (if noting ataxia)

plantar response.

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

What do you put in the soap note for normal heart?

A

RRR, no murmurs, Strong S1 and S2, no edema.

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

What do you always need to do on the PE?

A

OSE

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

When would you do a neuro exam?

What do you do for neuro exam? when would you do this?

A

headache, dizziness, lethargy

CN2-12

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

PSH

A

past surgeries

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

what are the heart requirements?

A

listening posts for 2-3 beats per listening post

APTM

(not required, but can do peripheral

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

FH, what do you need to do

A

first degree relative… kids, parents, SIBLINGS

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

Meds, what do you need

A

Rx, OTC, supplements, dose frequency, what you take that for

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What do you put on the soap note for general?

A

AAOx4, fatigued, NAD,

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

What tests do you do for an ankle/foot?

A

Squeeze/cross leg test for syndesmosis injury

Talar tilt test (inverting the talus) –> ATFL if increased ROM.

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

Alls?

A

Rx, env, food and what happens

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

What do you do for a cardiovascular exam besides listening?

A

Cap refill

pitting edema (0/4 is normal)

Allen test (artery refill)

pulse

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

What do you do for an URI?

A 
Sinus check
Lymph nodes
Ear
Mouth
Lung exam
17
Q

What do you put in the soap note for medications?

A

Med (dose on bottle) TID PRN

BID,TID,QID

18
Q

ROS:

what are some good ones to ask?

general

neuro

A

General:

19
Q

What tests do you do for low back pain?

A

Straight leg test

Thomas test –> iliopsoas tension, shortening, contracture

Gaenslen test –> sacroiliac joint dysfunction

20
Q

What do you do for diabetic evaluation?

A

identify lesions on the foot, vibration sensing, DTRs, sensations, ulcers

21
Q

What are the lung requirements?

explain the whole process

A

verbalize Inspection

Palpation bilaterally, concentrating on areas of pain, check for specialty tests

Percussion –> assess for tympani

Auscultation –> breathe through an open mouth, 2 on the front, 4 on the back.

22
Q

PMH, what’s part of it?

A

Hospitalizations, ER visits, things a doctor treated in the past

23
Q

What specialty tests do you do for a shoulder problem?

dislocation? bicipital problem? rotator cuff? AC?

A

Apprehension test –> repeat dislocation

Yergasons and speeds –> bicipital tendonitis

empty can, drop arm, near impingement, Hawkins, painful arc

Cross arm test

24
Q

What do you do for neck pain?

what 4 things do you do for generalized neck pain and numbness?

what 3 things do you do for subarachnoid irritation?

A

Inspection, OSE, palpation of the thyroid and trachea

Spurling’s test

Compression test

Neck distraction

Roos test for thoracic outlet

nuchal rigidity –> flex head up and it hurts

Brudzinski’s

Kernigs

25
Q

What tests do you do for abdominal pain?

what else do you note for during palpation?

A

Mcburneys, Rovsings –> Appendicitis

Murphys –> Gallbladder

Lloyd’s punch –> kidney problems

rigidity, guarding, rebound tenderness

26
Q

What do you do for Low back pain? (not specialty test)

A

Inspection

OSE

Palpation

ROM

LE pulses bilat, sensations, DTRs, MS

27
Q

What do you put on for lungs for the soap note?

A

Inspection - no erethema, no lesions, no yellowing of skin, no clubbing, non labored breathing

palpation - no tenderness to palpation, no nodules

Auscultation - lungs CTAB, negative tests

percussion - tactile femitus, lungs tympanic

28
Q

Vomit/Diarrhea

A

Abdominal exam (mouth if sore throat too)

29
Q

What tests do you do for knee pain?

A

Valgus for MCL

Varus for LCL

Anterior Drawer for ACL

Posterior drawer for PCL

Apley grind or distraction for meniscal injury

30
Q

What do you put on the soap note for allergies?

A

NKDA, no environmental; +food (problem)

31
Q

what do you do on a soap note for a neuro exam

A

AAOx4 stuff, CNII-CNXII intact, negative cerebellar ataxia, DTR +2/4 bilaterally, MS +5/5 bilaterally, sensations normal

32
Q

What do you do for an HEENT for each one?

A

Head - normocephalic, atraumatic

Eyes - PERRLA, EOM intact

Ears - TMs visible, no effusion or perforation, normal external canal, no occlusion or lesion

Nose - nasal cavity patent and normal appearing mucosa

Mouth - no postnasal drip, normal dentition, buccal and palate mucosa, tongue mobile.

33
Q

How do you perform the abdominal exam for complete points?

A

Drape the patient

fully expose the abdomen from the xiphoid to ASIS

Inspect, auscultate in all 4, auscultate renal arteries/aorta if pertinent, percuss in all 4, palpate light to deep

specialty test as indicated by the case

percuss for liver and spleen if pertinent

34
Q

How do you write the FH for parents and what they have?

A

Parents: Mom (deceased-car accident) type 2 dm; Dad (deceased-cancer) HTN. siblings: older brother-HTN

35
Q

What do you do for a cough?

1) what physical exams are you going to do?
2) what specific tests are you going to do within these?

A

Lung exam, HEENT depending on if it’s pneumonia.

Tactile fremitus for COPD, fibrosis, or increased with pneumonia

Hyperresonance of breath sounds for COPD/emphysema, asthma

Bronchopany, egophany, whispered pectoriloquy

PCM Final SP (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions