M1: Overview of Physical Examination

Question 0

Skill in Physical diagnosis is acquired with

Answer 0

Experience

Question 1

To identify the physical signs of disease. Pathologic processes result in specific PE findings. Normal as important as abnormal finding. Objective findings.

Answer 1

Physical Examination

Question 2

Should be performed methodically and thoroughly, with consideration for the patient’s comfort and modesty.

Answer 2

Physical Examination

Question 3

The examination of a new patient must extend from ___________ in an objective search for abnormalities.

Answer 3

Head to Toe

Question 4

Provides enough information to accurately diagnose a patient’s illness most of the time.

Answer 4

History & PE

Question 5

Subjective in nature

Answer 5

History

Question 6

Objective in nature

Answer 6

PE

Question 7

Key to a thorough and accurate PE is developing a

Answer 7

Systematic Sequence of Examination

Question 8

Is thorough without wasting time. Systematic without being rigid. Gentle yet not afraid to cause discomfort should this be required.

Answer 8

Skillful Clinician

Question 9

Observe the patient’s general state of health. Weight, posture, manner of speaking and LOC.

Answer 9

General survey

Question 10

Measure height, weight, BP, PR & Temp.

Answer 10

Vital signs

Question 11

Observe for any lesions noting location, distribution, arrangement, type & color. Check hair, nails & hands.

Answer 11

Skin

Question 12

Examine hair, scalp, skull & face.

Answer 12

Head

Question 13

Check visual acuity & visual fields. Position & Alignment. Use oblique lighting & ophthalmoscope.

Answer 13

Eyes

Question 14

Inspect auricles, canals and drums. Check acuity. Check lateralization(weber) & compare air and bone conduction(rinne)

Answer 14

Ears

Question 15

Examine external nose and palpate tenderness

Answer 15

Nose and sinuses

Question 16

Inspect lips, mucosa, gums, teeth, tongue, palate, tonsils and pharynx.

Answer 16

Throat

Question 17

Inspect and palpate cervical lymph nodes. Note for mass and pulsation.

Answer 17

Neck

Question 18

Inspect and palpate spine and muscles

Answer 18

Back

Question 19

Inspect muscles and spine if upper back. IAP the chest. Ide tify the level of diaphragmatic dullness. Listen to breath sounds.

Answer 19

Posterior Thorax and Lungs

Question 20

Inspect breast, axillary nodes & etc

Answer 20

Breasts, Axillae and Epithroclear nodes

Question 21

IPP chest. Listen to both breath and adventitious sounds.

Answer 21

Anterior Thorax and Lungs

Question 22

Observe jugular venous pulsation, JV pressure. Use bell of stethoscope among baby

Answer 22

CVS

Question 23

IAPP. Assess liver, spleen and kidney.

Answer 23

Abdomen

Question 24

Examine legs while patient is on supine. Further assessed when patient stands

Answer 24

Lower extremities

Question 25

Examination of Patient Supine

Answer 25

PVS, Musculoskeltal system & Nervous system

Question 26

Examination with the patient standing

Answer 26

Genitalia and Hernias in men, PVS, Musculoskeltal system & Nervous system

Question 27

Inspect the sacrococcygeal and perineal areas.

Answer 27

Rectal exam in men

Question 28

Examine external genitalia. Obtain pap smear.

Answer 28

Genital & Rectal Exam among women

Question 29

Are set of principles that have been created through reflection and discussion to guide our behavior.

Answer 29

Ethics

Question 30

Guide our professional behavior, are not static, but several principles have guided clinician throughout ages

Answer 30

Medical Ethics

Question 31

First. Do no harm.

Answer 31

Nonmaleficence

Question 32

Do good for the patient

Answer 32

Beneficence

Question 33

Patients have the right to determine what's in their own best interest

Answer 33

Autonomy

Question 34

Physicians need to discuss with the patient about nature of proposed care and etc.

Answer 34

Informed consent

Question 35

Withholding a serious diagnosis, misinterpreting or limiting discussion of prognosis and all

Answer 35

Nondisclosure of Info

Question 36

Not to tell others what we learn from our patients

Answer 36

Confidentiality

Question 37

Mean fairness. People should receive what they deserve.

Answer 37

Justice