1] Review Of Systems And Physical Screening Exam

Question 1

Purpose of the review of systems

Answer 1

Identify characteristics of associated signs and symptoms

Question 2

The systematic review utilizes what?

Answer 2

Physical assessment for diseases of each system

Question 3

General health checklist

9 things

Answer 3

Fever/chills
Appetite
Fatigue 
Weight loss/gain
Vitals
Insomnia 
Irritable 
Voice changes
Falls/dizzy

Question 4

What is a constitutional disease

Answer 4

Disease that affects the entire body rather than a specific part

Question 5

Red flag for fever, chills or sweating

Answer 5

More than 99.5 degrees or more than 2.3 deg higher than their normal

Question 6

Red flag for tiredness when

Answer 6

Impedes ability to perform normal ADL and IADL and it lasts for more than 2 weeks

Question 7

What kind of symptom is malaise?

Answer 7

Constitutional

Question 8

Malaise is defined as?

Answer 8

Discomfort, uneasiness or indisposition often indicates infection; feeling that something isnt right

Question 9

Paraesthesia is ?

Answer 9

Numbness

Question 10

Unusual neuro symptoms for MSK patients (3)

Answer 10

Severe sensory change
Bilateral extremity deficits
Gait/balance issues

Question 11

3 things you are screening for during a physical exam

Answer 11

Signs and Sx that mimic the disease condition
Conditions that impact NMS conditions
Occult disease

Question 12

5 vital signs

Answer 12

HR
BP
RR
Temperature 
Pain

Question 13

Additional vital signs

Answer 13

Level of consciousness
Level of physical activity
Walking speed = 6th vital sign

Question 14

Normal BMI

Answer 14

18.5 - 24.9

Question 15

Less than 15 BMI

Answer 15

Very Severe underweight

Question 16

15 - 15.9 BMI

Answer 16

Severe underweight

Question 17

16 - 18.4 BMI

Answer 17

Underweight

Question 18

25 - 29.9 BMI

Answer 18

Overweight

Question 19

30 - 34.9 BMI

Answer 19

Obesity class I

Question 20

35 - 39.9 BMI

Answer 20

Obesity class II

Question 21

More than 40 BMI

Answer 21

Obesity class III

Question 22

Cut off waist circumference for women and men

Answer 22

Women = 35 inches
Men = 40 inches

Question 23

Finger clubbing is a sign of?

Answer 23

Oxygen deprivation and possibly cancer

Question 24

Edema is defined as

Answer 24

Excess fluid in tissues

Question 25

Malignant melanoma ABCDE characteristics

Answer 25

``` A = asymmetrical shape B = border irregular C = color changes D = diameter E = evolving ```

Question 26

Small, purplish, hemorrhagic spots on the skin that appear in certain severe fevers and are indicative of great prostration, as in typhus. They may be due to an abnormality of the blood-clotting mechanism.

Answer 26

Petechiae

Question 27

A bruise is aka

Answer 27

Ecchymosis

Question 28

Size of abnormal lymph nodes

Answer 28

More than 1 cm big

Question 29

Lymph node vs trigger point

Answer 29

With a lymph node, when you contract, it wont change

Question 30

LUQ contents

Answer 30

``` Spleen Stomach Pancreas L kidney and adrenal gland L ureter Transverse colon Small intestine ```

Question 31

RUQ contents

Answer 31

``` Liver Gallbladder Ascending and transverse colon Duodenum Pancreas Small intestine R kidney and adrenal gland R ureter ```

Question 32

LLQ contents

Answer 32

Left: kidney, ureter, ovary, spermatic cord, | Sigmoid colon

Question 33

RLQ contents

Answer 33

Appendix Ascending colon R: kidney, ureter, ovary, spermatic cord

Question 34

Dull sounds of abdominal percussion

Answer 34

Solid organ Feces Mass

Question 35

Tympanic sounds of abdominal percussion

Answer 35

Hollow organ | Gas

Question 36

Rebound tenderness is?

Answer 36

Increased Sx when you let off palpation

Question 37

Appendicitis | - rebound tenderness

Answer 37

RLQ | + pain on withdrawal

Question 38

Special tests: appendicitis | Rovsings sign

Answer 38

LLQ | + pain at RLQ

Question 39

Pinch an inch test for appendicitis

Answer 39

McBurney’s point | + pain with release

Question 40

What is Murphy’s sign

Answer 40

For cholecystitis; you hook fingers under lower R costal border, ask them to take a deep breath in; palpate liver

Question 41

AAA has mortality rate of?

Answer 41

90%

Question 42

Signs of AAA

Answer 42

Pulsatilla mass Abdominal bruit Femoral bruit Femoral pulse deficit

Question 43

Risk factors for AAA

Answer 43

More than 60 years old HTN Smoking Family history

Question 44

Normal width of palpable pulse

Answer 44

2-3 cm or 1 inch

Question 45

Do not palpate for AAA where and why

Answer 45

Below umbilicus b/c thats where aortic bifurcation is

Question 46

Special test for kidneys

Answer 46

Murphys percussion test for rib tenderness

Question 47

Kidneys are around what region

Answer 47

T12 - L3