Signs

Question 1

Chvostek’s Sign

Answer 1

Cheek muscle spasms when facial nerve tapped just in front of ear (CN VII)
hypocalcemia

Question 2

Trousseau’s Sign

Answer 2

Forearm tetany when blood pressure cuff is inflated.
Hypocalcemia

Question 3

Hamman’s Sign

Answer 3

Crunching sound upon auscultation of the heart due to pneumomediastinum

Question 4

Cullen’s Sign

Answer 4

Periumbilical ecchymosis
Can be caused by hemorrhagic pancreatitis

Question 5

Gray-Turner’s Sign

Answer 5

Flank ecchymosis
Can be caused by hemorrhagic pancreatitis and retroperitoneal bleeds

Question 6

Homan’s Sign

Answer 6

Dorsiflexion of the foot and constriction of calf causing calf pain.

Question 7

Osler Nodes

Answer 7

Painful red fingertips
Endocarditis

Question 8

Janeway Lesions

Answer 8

Red lesions on the palm and soles
Endocarditis

Question 9

Dressler’s Syndrome

Answer 9

Pericarditis occurring in the post MI/post cardiac surgery patient

Question 10

Babinski reflex

Answer 10

Big toe moves upward or toward the top surface of the foot. The other toes fan out.
Sign of neurological problem

Question 11

Kernig Sign

Answer 11

Severe stiffness of the hamstrings causing inability to straighten leg when hip flexed 90 degrees
(Meningeal irritation)

Question 12

Brudzinki’s Sign

Answer 12

Involuntary lifting of the legs when lifting patients head towards chest.
Meningeal irritation

Question 13

Kehr’s Sign

Answer 13

Referred pain in same side

Question 14

Jefferson’s FX

Answer 14

C1 fx from axial loading

Question 15

Hangman’s FX

Answer 15

C2

Question 16

Balance’s Sign

Answer 16

Dullness sound on percussion to upper L quadrant—Spleen injury

Question 17

Coopernail’s Sign

Answer 17

Scrotal or labial ecchymosis, associated with pelvis fx

Question 18

Becks Triad

Answer 18

Muffled heart tones
Narrowed pulse pressure
JVD

Question 19

Kussmaul’s Sign

Answer 19

EKG-electrical alternans
Rise in venous pressure on inspiration-spontaneous breathing patients