Review of Systems and Physical Screening Exam

Question 1

normal BMI

Answer 1

18.5-24.9

Question 2

very severe underweight BMI

Answer 2

<15

Question 3

severe underweight BMI

Answer 3

15-15.9

Question 4

Underweight BMI

Answer 4

16-18.4

Question 5

Overweight BMI

Answer 5

25-29.9

Question 6

Obesity Class I

Answer 6

30-34.9

Question 7

Obesity Class II

Answer 7

35-39.9

Question 8

Obesity Class III

Answer 8

> 40

Question 9

obesity increases the likelihood of which types of cancers? (4)

Answer 9

breast, endometrial, colon, prostate

Question 10

what increases the likelihood of determining risk of disease?

Answer 10

BMI + Waist circumference

Question 11

bilateral edema can be due to what 3 diseases?

Answer 11

cirrhosis of liver, heart disease, venous insufficiency

Question 12

petechiae is due to…

Answer 12

an abnormality of the blood clotting mechanism AND indicative of typhus

Question 13

ecchymosis is due to…

Answer 13

extravasation of blood into skin or mucous membrane

Question 14

if there is a trigger point in a muscle that is not changing, what should you do?

Answer 14

refer to physician

Question 15

different tests for appendicitis

Answer 15

rebound tenderness
rovsing’s sign
pinch and inch test

Question 16

what is the test for acute cholecystitis

Answer 16

murphy’s

Question 17

majority of AAA patients are asymptomatic causing…

Answer 17

risk factors are key

Question 18

risk factors of AAA

Answer 18

HTN, >60, h/o smoking, hypercholesteremia, family h/o AAA, CHD, hypercholesteremia, CVD, CHD

Question 19

what is a major sign that you have an AAA?

Answer 19

back pain would be nonmechanical

Question 20

normal width of a palpable pulse =

Answer 20

2-3cm

Question 21

review of systems may indicate an…

Answer 21

underlying systemic disease

Question 22

review of systems reveals a malfunction of a…

Answer 22

specific system

Question 23

constitutional symptoms

Answer 23

fevers, chills, sweating 
appetite loss, nausea, vomitting 
fatigue, malaise, weakness
weight loss or weight gain 
dizziness/falls

Question 24

nonconstitutional symptoms but they are on the general health checklist

Answer 24

pallor, vital signs, insomnia, irritability

Question 25

fever: core body temp

Answer 25

>99.5 for >2 weeks | elderly: persistent oral tympanic >99 OR increase over baseline > 2.3F

Question 26

when is app loss, nausea, vomitting a red flag?

Answer 26

physician unaware OR symptoms have increased since MD visit and no explanation apparent

Question 27

when is fatigue a red flag?

Answer 27

when pt cannot perform normal ADLS and this has persisted for > 2 weeks

Question 28

what major review of system health checklist must a PT deduct?

Answer 28

malaise

Question 29

when do you have red flags for paresthesia and numbness?

Answer 29

progressive severe sensory change bilateral extremity deficits gait/balance deficits

Question 30

how should you handle progressing for dizziness and lightheadedness?

Answer 30

explore with physical exam

Question 31

During the physical exam, what are you screening for?

Answer 31

signs and symptoms that mimic systemic conditions conditions that impact NMS conditions occult disease

Question 32

what cancers can occur as a result of obesity?

Answer 32

breast, colon, prostate, endometrial

Question 33

finger clubbing can be due to...

Answer 33

oxygen deprivation OR early sign of some cancers

Question 34

what can cause bilateral edema

Answer 34

DVT, heart disease, cirrhosis of liver

Question 35

ABCDEs of malignant melanoma

Answer 35

``` asymmetrical shape border irregular color changes diameter evolving ```

Question 36

difference between erythema vs ecchymosis

Answer 36

blanching vs no blanching

Question 37

how to know of an AAA

Answer 37

screen for risk factors because may be asymptomatic