PE

Question 1

Appendicitis/RLQ pain

Answer 1

Rovsing (LLQ elicits pain in R)
Psoas (hip extension)
Obturator (lateral rotation of hip)

Question 2

Cholecystitis/RUQ pain

Answer 2

Murphy’s (pain with inspiration)
Rebound tenderness
Constant epigastric pain

Question 3

Joint dislocation

Answer 3

ROM ( Extension, flexion, abduction, adduction)
Strength, sensation, DTRs
Pulses, check head and neck for bruises

Question 4

Fever

Answer 4

LAD H and N exam
Abd auscultation, palpation, percussion
inspect skin for rashes

Question 5

Chest pain

Answer 5

PMI
JVD, carotid auscultation
check peripheral pulses, edema, cyanosis

Question 6

Seizure

Answer 6

Oral mucosa, H and N
Kernig (extension of leg with hip at 90 deg)
Brudzinski (nuchal rigidity)

Question 7

URTI/cough

Answer 7

Head and neck exam, LAD
inspect skin for rashes
lung percussion and egophony

Question 8

Jaundice

Answer 8

inspect sclerae, under tongue
skin on trunk and extremities
asterixis

Question 9

Confusion

Answer 9

Eye exam, carotid auscultation
strength and sensation, coordination
Romberg, gait

Question 10

Diabetes

Answer 10

fundoscopic exam
DTRs, Babinski sign
sensation and strength

Question 11

Vertigo/dizziness

Answer 11

Rinne and Weber test
CN exam (including hearing and nystagmus)
Romberg, coordination, gait

Question 12

Depression/psychosis

Answer 12

general appearance
Palpate thyroid
mini MSE, neuro exam

Question 13

PUD

Answer 13

Rebound tenderness, Murphy’s sign
auscultation, percussion and palpation
H and N

Question 14

Headache

Answer 14

Palpation of sinuses, temples, TMJ
Inspection of mouth and nose
CN exam, fundoscopy

Question 15

UTI

Answer 15

CVA tenderness
auscultation, percussion, palpation
skin exam

Question 16

Hypertension

Answer 16

Carotid auscultation
Fundoscopy
peripheral pulses

Question 17

Arthritis

Answer 17

Skin exam
ROM and palpation of all joints
Abd exam

Question 18

Dementia

Answer 18

Mini MSE
active and passive ROM, muscle tone
coordination, gait

Question 19

Amenorrhea

Answer 19

Visual fields, extraocular movements
Strength, sensation, DTRs
auscultation, percussion, palpation

Question 20

Back pain

Answer 20

Toe and heel walking, lumbar spine ROM
inspection and palpation of back
Leg raise test
strength and sensation, DTRs, Babinski sign

Question 21

Leg pain

Answer 21

Homan’s sign, calf tenderness
check for edema or skin changes
pulses, ROM, strength and sensation

Question 22

Ankle pain

Answer 22

passive dorsiflexion of foot
palpation of bursa, medial calcaneus, lateral metatarsals
active and passive ROM, Achilles DTR

Question 23

Neck pain

Answer 23

Lhermitte sign (flexion of neck anteriorly)
Spurling test (turn to the side, press down)
Neck ROM, active and passive, spine palpation
sensation and strength of upper extremities

Question 24

Syncope

Answer 24

MSE, sensation and strength
pulses, capillary refill, skin
Carotid auscultation, JVD

Question 25

Fatigue

Answer 25

H and N, LAD Extremities (pulses, skin) MSE, CN exam

Question 26

Nausea/vomiting

Answer 26

Abd exam H and N fundoscopy

Question 27

Weight loss/gain

Answer 27

Abd exam H and N Skin, hair, nail exam

Question 28

Hematuria

Answer 28

Abd exam CVA tenderness Extremities for edema

Question 29

Erectile dysfunction

Answer 29

Abd exam Extremities for pulses JVD, carotid auscultation

Question 30

Palpitations

Answer 30

JVD, carotid auscultation, PMI Thyroid palpation H and N, LAD