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STEP 2 CS > Physical Exam > Flashcards

Physical Exam Flashcards

1
Q

HEADACHE

A

Vital signs, inspection and plapation of entire head; ENT inspection; complete neurologic exam, including funduscopic exam

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2
Q

CONFUSION/MEMORY LOSS

A

Vital signs; complete neurologic exam, including min-mental status exam and gait; general physical exam. including ENT, heart, lungs, abdomen, and extremities

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3
Q

DEPRESSED MOOD

A

Vital sings; head and neck exam; neurologic exam; mental status exam, including documentation of appearance, behavior, speech, mood, affect, thought process, thought content, cognition (measured by the 30-point min-mental status exam), insight, and judgement

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4
Q

PSYCHOSIS

A

Vital signs, mental status exam

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5
Q

DIZZINESS

A

Vital signs; complete neurologic exam, including Romberg test, nystagmus, tilt test (e.g. Dix-Hallpike maneuver), gait, hearing and Weber and Rinne test; ENT exam; cardiovascular exam

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6
Q

LOSS OF CONSCIOUSNESS

A

Vital signs, including orthostatics; complete neurologic exam; carotid and cardiac exam; lung exam; exam of the lower extremities

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7
Q

NUMBNESS/WEAKNESS

A

Vital signs, neurologic and musculoskeletal exams; relevant vascular exam

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8
Q

FATIGUE AND SLEEPINESS

A

Vital signs, ENT exam (conjunctival pallor, oropharynx/palate, lymphadenopathy, thyroid exam); heart, lung, abdominal, neurologic, and extremity (pallor, coolness at distal extremities) exams, consider rectal exam and occult blood testing

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9
Q

NIGHT SWEATS

A

Vital signs, HEENT exam, including throat inspection lymphadenopathy; heart and lung exam; abdominal exam for heaptosplenomegaly; skin exam; musculoskeletal exam for joint pain

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10
Q

INSOMNIA

A

Vital signs; mental status exam

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11
Q

SORE THROAT

A

Vital signs; ENT exam, including oral thrush, tonsillar exudate, and lympadenopathy; lung abdominal, and skin exams

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12
Q

COUGH/SHORTNESS OF BREATH

A

Vital signs +/- pulse oximetry; exam of nasal mucosa, oropharynx, heart, lungs, lymph nodes, and extremities (clubbing, cyanosis, edema)

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13
Q

CHEST PAIN

A

Vital signs +/- BP in both arms, complete cardiovascular exam (JVD, PMI, chest wall tenderness, hearts sounds, pulses, edema); lung and abdominal exams

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14
Q

PALPITATIONS

A

Vital sings, endocrine/thyroid exam including exophthalmos, lid retraction, lid lag, gland size, bruit, and tremor; complete cardiovascular exam

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15
Q

WEIGHT LOSS

A

Vital signs; complete physical exam

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16
Q

WEIGHT GAIN

A

Vital signs; complete physical exam, including signs of Cushing syndrome (hypertension, central obesity, moon face, buffalo hump, supraclavicular fat pads, purple abdominal striae)

17
Q

ABDOMINAL PAIN

A

Vitals; heart and lung exams; abdominal exam, including guarding, rebound, Murphy sign, psoas and obturator signs, CVA palpation; rectal exam; pelvic exam (women)

18
Q

CONSTIPATION/DIARRHEA

A

Vital signs; relevant thyroid/endocrine exam; abdominal and rectal exams; +/- female pelvic exam

19
Q

UPPER GI BLEEDING

A

Vital signs; including orthostatics; ENT, heart, lung, abdominal, and rectal exams

20
Q

BLOOD IN STOOL

A

Vital signs, +/- orthostatics, abdominal and rectal exams

21
Q

HEMATURIA

A

Vital signs, lymph nodes; abdominal exam; genitourinary and rectal exams; extremities

22
Q

OTHER URINARY SYMPTOMS

A

Vital signs; abdominal exam (including suprapubic percussion to assess for a distended bladder); genital and rectal exams; focused neurologic exam

23
Q

ERECTILE DYSFUNCTION

A

Vital signs; cardiovascular exam; genital and rectal exams.

24
Q

AMENORRHEA

A

Vital signs; breast exam, complete pelvic exam

25
Q

VAGINAL BLEEDING

A

Vital signs, abdominal exam; complete pelvic exam

26
Q

VAGINAL DISCHARGE

A

Vital signs; abdominal exam, complete pelvic exam

27
Q

DYSPAREUNIA

A

Vital signs; abdominal exam, complete pelvic exam

28
Q

ABUSE

A

Vital signs; complete exam +/- pelvic

29
Q

JOINT/LIMB PAIN

A

Vital signs; HEENT and musculoskeletal exam; relevant neurovascular exam

30
Q

LOW BACK PAIN

A

Vital signs; neurologic exam (especially L4-S1 nerve roots); back palpation and range of motion (although rarely of diagnostic utility); hip exam (can refer pain to the back); consider rectal exam

31
Q

CHILD WITH FEVER

A

Vital signs; HEENT, neck, heart, lung, abdominal, and skin exams.

32
Q

CHILD WITH GI SYMPTOMS

A

Vital signs; heart and lungs; abdominal exam, rectal; pelvic exam (women)

33
Q

CHILD WITH RED EYE

A

Vital signs, HEENT exam

34
Q

CHILD WITH SHORT STATURE

A

Vital signs; height, weight, HEENT exam, heart and lung exam; abdominal exam, neurologic exam

35
Q

BEHAVIOR PROBLEMS IN CHILDHOOD

A

Vital signs; neurologic exam

STEP 2 CS (2 decks)

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