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Scribe America Course Material > Course 4: Physical Exam > Flashcards

Course 4: Physical Exam Flashcards

1
Q

PERRL

A

Pupils equal, round, reactive to light

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2
Q

General/constitutional normal

A

Awake and alert. No acute distress

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3
Q

Eyes normal

A

PERRL (nt). EOMI

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4
Q

ENT normal

A

Moist mucous membranes (nt)

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5
Q

Neck normal

A

Supple (nt). No lymphadenopathy

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6
Q

Cardiovascular

A

Well perfused (nt). Regular rate. Regular rhythm. No murmurs, gallops, or rubs. Distal pulses intact

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7
Q

Respiratory normal

A

No respiratory distress (nt). Clear to auscultation bilaterally. No wheezes, rales, or rhonchi.

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8
Q

Gastrointestinal

A

Non-distended (nt). Soft. Non-tender. No guarding, rebound, or rigidity

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9
Q

Extremities

A

No edema (nt). Full ROM

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10
Q

Skin normal

A

Dry (nt). Warm. No petechiae. No purpura

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11
Q

Neuro normal

A

Awake, alert, and appropriate

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12
Q

Psych normal

A

Normal affect and behavior.

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13
Q

Head

A

Atraumatic. Normocephalic

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14
Q

Looking at the patient

A

General appearance, eyes, skin

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15
Q

Auscultating the heart

A

Heart rate and rhythm, murmur, rubs, gallops

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16
Q

Auscultating the lungs

A

Clear to auscultation bilaterally. No wheezes, rales, or rhonchi

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17
Q

Palpating the abdomen

A

Soft. Non-tender. Non-distended. No guarding, rebound, or rigidity

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18
Q

Examine the legs

A

No edema. Distal pulses intact. No tenderness

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19
Q

Examines the throat

A

Pharyngeal erythema or exudates

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20
Q

Examines the inner-ear

A

TM (ear-drum) erythema or bulging

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21
Q

Auscultates the abdomen

A

Hyperactive/hypoactive bowel sounds

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22
Q

Hyperactive bowel sounds

A

Diarrhea

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23
Q

Hypoactive bowel sounds

A

Constipation

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24
Q

Absence of bowel sounds

A

SBO

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25
Q

Touches the wrists

A

Radial pulses

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26
Q

Squeezes the calf muscles

A

Calf tenderness

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27
Q

“Pounds” on the back

A

CVA tenderness

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28
Q

Atraumatic/Normocephalic abbrev.

A

(AT/NC)

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29
Q

Unequal pupils

A

Anisocria

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30
Q

EOMI

A

Extra ocular movements intact

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31
Q

Nosebleed

A

Epistaxis

32
Q

Runny nose

A

Rhinorrhea

33
Q

Collection of blood within the septum of the nose

A

Septa hematoma

34
Q

Dry mucous membranes abbrev.

A

DMM

35
Q

Pharyngeal erythema

A

Red throat that is inflamed or infected

36
Q

What physical exam findings indicate strep throat?

A

Pharyngeal erythema, tonsillar exudate, tonsillar hypertrophy

37
Q

Jugular venous distension abbrev.

A

JVD

38
Q

Regular rate contradiction

A

Tachycardic, bradycardic

39
Q

Regular rhythm contradiction

A

Irregularly irregular

40
Q

Heart sounds normal contradiction

A

Murmurs, rubs, gallops, extra systole a

41
Q

Normal perfusion #

A

2+ (easily palpable)

42
Q

Abnormally rapid breathing

A

Tachypnea

43
Q

NAD

A

No Acute Distress

44
Q

TM

A

Tympanic membrane

45
Q

RRR

A

Regular rate and rhythm

46
Q

TTP

A

Thrombotic thrombocytopenic purpura

47
Q

CVA tenderness

A

Costo-vertebral angle tenderness

48
Q

A and O

A

Alerted and oriented

49
Q

SI/HI

A

Suicidal or homicidal ideation

50
Q

Scleral icterus

A

Liver failure

51
Q

Fluorescein uptake

A

Corneal abrasion

52
Q

Bulging and erythematous TM

A

Infection

53
Q

Dry mucous membranes

A

Dehydration

54
Q

Tonsillar exudate

A

Strep throat, pharyngitis

55
Q

JVD

A

CHF

56
Q

Wheezing

A

Asthma

57
Q

McBurney’s point tenderness

A

Appendicitis

58
Q

Murphy’s sign

A

Gallbladder

59
Q

Guaiac positive (Heme +)

A

Blood in stool

60
Q

Urticaria

A

Hives

61
Q

Wrist pulses are fine

A

Radial rate, regular rhythm

62
Q

Heal pulses are fine

A

Posterior tibialis rate, regular rhythm

63
Q

Top of foot pulses are fine

A

Dorsal pedis, regular rhythm

64
Q

Neck pulses are fine

A

Carotid pedis rate, regular rhythm

65
Q

Pelvis region

A

Femoral rate, regular rhythm

66
Q

RUQ:

A

Gall bladder

67
Q

LUQ

A

Pancreas, kidneys

68
Q

RLQ

A

Appendix, ovary, uterus

69
Q

LLQ

A

Colon, ovary, uterus

70
Q

Physician is checking for __________ when they hold their stethoscope to both sides of the patient’s neck

A

Carotid bruit

71
Q

What does pale conjunctive indicate?

A

Anemia

72
Q

Scleral icterus

A

Yellowing of the eyes. Indicates liver failure

73
Q

Medical term for a nostril

A

Naris

74
Q

What does dry mucous membranes indicate?

A

Dehydration

75
Q

What does irregularly irregular rhythm indicate

A

A-fib

Scribe America Course Material (5 decks)

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