Physical Assessment - abnormals

Question 1

vision to be deemed legally blind

Answer 1

20/200

Question 2

causes of no red light reflex

Answer 2

artificial eye, cataract, retinoblastoma

Question 3

causes of “wool patches” in retinal background

Answer 3

hypertension, HIV, diabetic retinopathy

Question 4

physiologic cup larger than ____ the size of the optic disc is considered abnormal

cause?

Answer 4

1/3 - 1/2

open-angle glaucoma

Question 5

cause of no refocusing after cover/uncover test

Answer 5

strabismus

Question 6

weber test - lateralized to affected ear?

Answer 6

conductive

Question 7

weber test - lateralized to unaffected ear?

Answer 7

sensorineural

Question 8

rinne test - air conduction NOT longer than bone conduction?

Answer 8

conductive hearing loss

Question 9

rinne test (with known hearing loss) - air conduction long than bone conduction?

Answer 9

sensorineural loss

Question 10

tug test shows pain =

Answer 10

otitis media

Question 11

unable to see cone of light reflex =

Answer 11

fluid behind tympanic membrane

Question 12

common lip abnormality

Answer 12

chappedness, cracks

Question 13

common mucosal abnormalities

Answer 13

ulcers

Question 14

common gum abnormalities

Answer 14

gingivitis, bleeding

Question 15

floor of mouth abnormality

Answer 15

white patches - oral cancer

Question 16

cause of large tonsils

Answer 16

infection

Question 17

common tongue abnormals

Answer 17

bumps, white tongue indicating thrush

Question 18

posterior pharynx abnormal

Answer 18

lesions, redness

Question 19

normal node: ___

abnormal node: ___

Answer 19

normal: < 1 cm, mobile, soft
abnormal: >2 cm, hard, fixed

Question 20

structural abnormalities of posterior chest

Answer 20

kyphosis, lordosis, scoliosis

Question 21

causes of hyper-resonance of posterior chest

Answer 21

COPD, emphysema

Question 22

structural abnormalities anterior chest

Answer 22

pectus excavatum, pectus carinatum

Question 23

causes of friction rub

Answer 23

chlamydia, gonorhea, recent liver biopsy, tumor, or splenic infarct

Question 24

cause of liver friction rub with bruit

Answer 24

hepatic carcinoma

Question 25

cause of venous hum

Answer 25

hepatic circulation

Question 26

cause of lateral pulsation in abdomen

Answer 26

AAA

Question 27

causes of abnormal gait

Answer 27

pain, bone disease, vestibular problems, or intoxication

Question 28

causes of slow and irregular for rapid alternating movement

Answer 28

cerebellar disease

Question 29

cause of inaccuracy in point to point

Answer 29

loss of position sense

Question 30

cause of sway in Romberg test

Answer 30

cerebellar ataxia

Question 31

overshoot of pronator drift cause

Answer 31

cerebellar incoordination

Question 32

cause of drift of arms in pronator drift

Answer 32

loss of position sense

Question 33

cause of non-intact position sense (finger moving test)

Answer 33

syphilis, multiple sclerosis, vitamin B12 deficency

Question 34

cause of vibratory sense loss

Answer 34

diabetes, alcoholism, and posterior column disease

Question 35

cause of no discriminative senses

Answer 35

astereognosis

Question 36

causes of not identifying number in graphesthesia

Answer 36

lesion in sensory cortex