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PANCE prep JQ > Physical Diagnosis > Flashcards

Physical Diagnosis Flashcards

1
Q

Umbilicated lesions

A

Molluscon contagiosum

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2
Q

Pink macular with purple central papules

A

Erythema multiforum

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3
Q

ACBDs if malignant melanoma

A 
Asymmetrical 
Borders are irregular 
Color is variable
Diameter is >6mm
Elevation/evolving
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4
Q

Macule

A

Flat <1cm

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5
Q

Patch

A

Flat >1cm

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6
Q

Papule

A

Palpable firm up to 1cm

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7
Q

Plaque

A

Palpable >1cm

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8
Q

Nodule

A

> 0.5cm, deeper and former than papule

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9
Q

Tumor

A

> 2cm, a large nodule

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10
Q

Vesicles

A

<1cm

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11
Q

Dew drops on rose petals

A

Herpes simplex

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12
Q

Bulla

A

> 1cm

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13
Q

Erosion

A

Loss of superficial epidermis

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14
Q

Ulcer

A

Deeper loss of epidermis and dermis

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15
Q

Petechiae

A

<0.5cm, nonblanchable

Think infection and bleeding disorders

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16
Q

Purpura

A

> 0.5cm, large petechiae

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17
Q

Spider angiomas

A

Blanch with pressure

Associated with pregnancy and liver dz

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18
Q

Cherry angiomas

A

Don’t blanch

Associated with aging

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19
Q

Telangectasias

A

Blanchable

Associated with BCC, sun damage and rosacea

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20
Q

5Ps of lichen planus

A 
Pruritic 
Polygonal 
Purple
Planar
Papules
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21
Q

Beau’s lines

A

Horizontal lines in nails that indicate trauma or acute sever illness. Grow out with nails

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22
Q

Paronychia

A

Inflammation of proximal and lateral nail folds

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23
Q

Onychocryptosis

A

Ingrown toenail

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24
Q

Terry’s nails

A

White part of nail is more than 1/3 nail bed

Aging, cirrhosis, diabetes, or heart failure

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25
Leukonychia
White marks on nails due to manicuring or trauma
26
Koilonychia
Spoon nails (possible Fe deficiency)
27
Onycholysis
Painful separation of nail from nail bed (trauma, psoriasis, contact dermatitis)
28
CN I
Olfactory
29
CN II
Optic
30
CN III
Oculomotor
31
CN IV
Trochlear
32
CN V
Trigeminal
33
CN VI
Abducens
34
CN VII
Facial
35
CN VIII
Vestibulocochlear
36
CN IX
Glossopharyngeal
37
CN X
Vagus
38
CN XI
Accessory
39
CN XII
Hypoglossal
40
Kerion
Raised boggy secondarily infected fungal lesion of hair
41
Canthus
Eyelid corners
42
PERRL
Pupils are equal round and reactive to light
43
Chalazion
Nontender meibomian gland obstruction
44
Hordeolum
A stye Tender infection of eyelid follicle
45
Dacryocystitis
Lacrimal sac inflammation
46
Entropion
Eyelid inversion
47
Ectropion
Eyelid eversion
48
Pingueculum
Harmless yellow triangular nodule on bulbar conjunctiva
49
Pterygium
Thickening of bulbar conjunctiva extending from inner canthus
50
Episcleritis
Inflammation of vessels in bulbar conjunctiva with central nodule and radiating vessels. (Autoimmune cond, gen benign)
51
Hypopyon
Inflammatory cells in anterior chamber of the eye
52
Hyphema
Blood in anterior chamber of the eye
53
Normal cup:disc and a:v ratios
<1:2 2:3
54
Hypertensive retinopathy
Copper wire Silver wire AV nicking Cotton wool patches Hemorrhages
55
Diabetic retinopathy
AV nicking Hard yellow exudates Hemorrhage Neovascularization
56
Bitemporal hemianopsia indicates
Defect at optic chiasm
57
Left homonymous hemianopsia indicates
Right optic tract defect
58
Esotropia
medial misalignment of eye
59
Exotropia
Lateral misalignment of eye
60
Hypertropia
Superior misalignment of eye
61
Hypotropia
Inferior misalignment of eye
62
Crescent shadow in anterior chamber depth inspection
Indicates increased intraocular pressure(possible glaucoma)
63
Corneal reflect test
CN V in and CN VII out
64
Hearing AC>BC
Normal or sensorineural hearing loss
65
Hearing BC>AC
Conductive hearing loss
66
Weber test interpretation
Abnormal-lateralization If conductive loss lateralization to impaired ear and if SNHL lateralizes to good ear
67
Presbycusis
Age related hearing loss
68
Rinne test interpretation
Normal or SNHL :AC>BC Conductive loss: BC>AC
69
Anosmia
Loss of sense of smell
70
Wharton’s duct
Drains submandibular glands
71
Stensen’s duct
Drains parotid glands
72
Majority of oral cancer is
SCC
73
Torus palantinus
Benign midline mass in hard palate
74
Meds that cause Gingival hyperplasia
Dilantin(phenytoin), cyclosporine, or CCB
75
Hot potato voice and drooling
Peritonsillar abscess
76
Winged scapula
Paralysis of serratus anterior from injury to long thoracic
77
Sulcus sign
Pull down on humerus leads to shoulder groove Indicates glenohumeral dislocation
78
Rotator cuff muscles and actions
Supraspinatus-abduction Infraspinatus-80% external rotation There’s minor-20% external rotation Subscapularis-internal rotation
79
Empty can test
Test for supraspinatus tear
80
Gerber’s loft off test
Subscapularis tear
81
Drop arm test
Rotator cuff tear - infraspinatus or teres minor
82
Hawkin’s test
Rotator cuff impingement
83
Neer’s sign
Subacromial impingement
84
Yergason test
Biceps tendon strength test
85
Speeds test
Biceps tendon impingement
86
Popeyes deformity
Biceps tendon rupture
87
Apley scratch test
Adhesive capsulitis
88
Medial epicondylitis
Pain reproducible with wrist flexion against resistance
89
Lateral epicondylitis
Pain reproducible with wrist extension against resistance
90
Dinner fork deformity
Colles fx(distal radius)
91
Positive tinsel’s sign indicates
Carpal tunnel
92
Positive phalen’s test indicates
Carpal tunnel
93
Finkelstein test
De quervain’s tenosynovitis
94
Boutonniere deformity
Hyperextension at DIP indicates central slip extensor tendon rupture
95
Swan neck deformity
Flexion of DIP indicates volar plate attenuation of PIP joint
96
Heberden’s nodes
On dorsolareral aspects of DIP OA
97
Bouchard’s nodes
Nodes at PIP RA or OA but more typical of RA
98
Median nerve check
Sensation in digits 3-5 | Motor opposition of thumb
99
Radical nerve check
Sensation on dorsum of hand | Wrist extension
100
Ulnar nerve check
Sensation in pinky and hypothenar eminence | Spreading fingers
101
Stethoscope diaphragm and bell useage
Diaphragm for high pitched (press firmly) | Bell for low pitched (light pressure)
102
Cardiac areas
Aortic- 2nd ICS,RSB Pulmonic-2nd ICS, LSB tricuspid-4th and 5th ICS, LSB mitral(apex)-5th ICS, MCL
103
S1
Closure of tricuspid and mitral valve
104
S2
Closure of aortic and pulmonic valves
105
S3
Ventricular gallop
106
S4
Atrial gallop
107
Aortic/pulmonic stenosis murmur
Systolic crescendo-decrescendo ejection murmur
108
Innocent mumur characteristics
109
ASD murmur
Systolic ejection murmur with fixed splitting of S2
110
MVR or TVR murmur
Pan/holosystolic murmur
111
VSD murmur
Pan/holosystolic murmur
112
Aortic or pulmonic regurg mumur
Early diastolic decresendo murmur
113
Mitral/tricuspid stenosis murmur
Mid diastolic decresendo murmur
114
Mitral stenosis mumur
Opening snap with diastolic rumble
115
AS and aortic regurg murmur
Systolic-diastolic murmur
116
Auscultation with pt leaning forward
Brings cardiac base forward Good for listening to aortic and pulmonic valves
117
Valsalva with murmurs
Decreases all murmurs except HCM
118
MVP murmur
Mid-late systolic click
119
Venous hum
Common in children
120
Pericardial friction
Pericarditis
121
Allen’s test
For radial and ulnar artery patency
122
Diastasis recti
Separation of textual abdominis muscles
123
Pink-purple striae
Cushings
124
Normal liver span
6-12cm
125
Murphy’s sign
Gallbladder inflammation
126
Peritoneal signs
Rebound tenderness Guarding Rigidity
127
Possible appendicitis
Rovsings sign Papas sign Obturator sign
128
Acites signs
Shifting dullness | Fluid wave
129
Brawny edema
Non putting edema usually presents with stasis dermitis Result of chronic venous insufficiency
130
Patrick’s (FABER) test
External rotation of leg for SI joint pain Also called the figure four test
131
Trendelenburg test
Hip drop indicates weak hip abductors on contralateral side
132
FADIR test
Impingement tear of hip(internal rotation)
133
Anterior drawer test is for
ACL tear
134
Posterior drawer test is for
PCL tear
135
Lachlan’s test
ACL tear
136
Mcmurray test for
Meniscus tear
137
Pes plantus
Flatfooted
138
Pes cavus
High foot arch Possible CMT dz
139
Thompson test for
Torn Achilles’ tendon
140
Galeazzi test
For LE limb discrepancy
141
Lasegue test
Aka straight leg raise for sciatica
142
L4 radiculopathy
Pain on anterior shin Numbness on anterior knee Weak quads/squat
143
L5 radiculopathy
Lateral leg pain Lateral calf numbness Weakness of dorsiflexion/heel walk
144
S1 radiculopathy
Posterior leg pain Posterior calf and plantar numbness Weakness plantar flexion l/walking on toes

PANCE prep JQ (15 decks)

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