PE

Question 1

skin exam pertinent negatives

Answer 1

texture
turgor
pigmentation
rashes
cyanosis
petechiae
normal hair pattern for sex and age

Question 2

head exam pn

Answer 2

normocephalic
atraumatic
normal hair growth
no nits, lice
no flaking

Question 3

Eye exam pn

Answer 3

visual acuity 20/20 OU (or 20/20 OS and 20/50 OD)
visual fields intact and adequate bilaterally
EOMI without nystagmus
convergence symmetrical
Sclera and conjunctiva non-injected and non-icteric
adnexa of eye without edema, ptosis, erythema
PERRLA

Question 4

Fundoscopic exam pn

Answer 4

no papilledema, A/V knicking, cotton wool spots, cup to disc normal, no soft or hard exudates

Question 5

Ear exam pn

Answer 5

gross hearing intact bilaterally
negative weber and rhine
pinna, tragus, mastoid are non-tender to palpation
EAC patent, no erythema, flaking, discharge
TMs intact bilaterally without hyperemia, retraction, injection, bulging, or exudates

Question 6

Nose exam pn

Answer 6

sinuses non-tender
transillumination normal bilaterally
nasal mucosa is without hyperemia, polyps, exudates
septum is midline and intact
inferior and middle turbinates are non-boggy

Question 7

Mouth/Throat exam pn

Answer 7

no lesions on lips
oral mucosa is pink, moist, no lesions
uvula is midline
tonsils +2 bilaterally
posterior oropharynx is non-injected, no exudates
teeth and gums in good repair
tongue protrudes to midline without induration or lesions

Question 8

Neck exam pn

Answer 8

no LA
no nuchal rigidity
trachea midline and freely movable
neck supple with  no masses
thyroid palpable, but non-enlarged non-nodular

Question 9

Chest/Lung pn

Answer 9

normal thoracic shape and motion
no cyanosis
no pain on compression
CTAB without adventitious sounds

Question 10

Cardiovascular pn

Answer 10

S1 and S2 present
no murmurs, rubs, gallops
skin turgor adequate
no carotid bruits
no thrills or heaves palpated
PMI is in the 5th intercostal space at MCL
no edema
JVD is \_\_\_
cap refill is

Question 11

Abdomenal exam

Answer 11

abdomen is flat
soft, non-tender to palpation
No scars, striae, varicosities
BS4Q
no bruits in abdominal aorta, renal, or iliac arteries
abdomen tympanic to percussion
liver is __ cm
Traubes space tympanic to percussion
no organomegaly or masses noted on palpation
Abdomnial aorta approx 3cm
neg mcburneys, rovsings, murphy, fluid wave, CVA tenderness

Question 12

Screening abdomenal

Answer 12

abdomen flat, soft
BS4Q
no bruits
tympanic and resonent to percussion
nontender to light and deep palpation

Question 13

Neuro

Answer 13

Pt is A and O to person, place, time
Gait smooth and well-coordinated
romberg/pronator drift negative
CN 2-12 intact
visual acuity
PERRLA
fundoscopy