PE

Question 1

Lungs

Answer 1

I: Flared Nostrils, Accessory Muscle Use,
Paradoxical MVMNT
PA: Palpate Trachea (maybe “99’ Fremitus)
PE: Percussion 10 spots on back, 4 on
sides, 8 on front (Wheeze, Rales, Ronchi)
A: Same as Percussion
Special Tests: Bronchophony, Whispered
Pectoriloquy, Egophony

Question 2

Heart

Answer 2

I: Obvious Edema
PA: Heaves, Lifts, Thrills, PMI, Pulses, Cap 
   Refill (Base, R/L Sternal boarder, 
   Epigast/Axillae, Apex)
PE: None
A: S1/S2, Murmurs, Clicks, Rubs, Gallops. 
   RRR (Aortic valve, Pulmonic, 2nd 
   Pulmonic, Tricuspid, Mitral)
Special Tests: Look for Thrombosis

Question 3

HEENT

Answer 3

Head
I: Size and Symmetry
PA: Crepitus/Gross Injuries
PE: Deferred
A: Auscultate Temporal Region (not gonna 
   do it)
Special Tests: None

Eyes
I: Visual Acuity (read name tapes), obvious
Gross Injuries or Discharge
PA: Lacrimal Glands
EXAM: PERRLA, EOMI (Nystagmus, Lid
Lag), Cover-Uncover Entrapment)
A: None
Special Tests: Red Light Reflex (checking
Fundus, retinal vessels, optic disc, and
macula)

Ears
I: Auricles, Canal, TM, Mobility
PA: None
PE: None
A: None
Special Tests: Whisper, Weber, and Rinne  
   (+ Rinne is negative findings)

Nose
I: Nasal Mucosa, Septum Position
PA: Nasal Bridge, Sinuses (transilluminate   
 if tender) 
PE: None
A: None
Special Tests: None

Throat
I: JVD,  Tonsillar Pillars, Mvmnt of the Uvula 
   and Palate, Pharynx
P: Tracheal Tug, Thyroid, Lymph Nodes
P: None
A: None
Special Tests: None

Question 4

GI

Answer 4

I: Aortic Pulsation
A: Bowel Sounds (4Quads), Friction Rubs   
   (), Bruits, Venous Hums
PE: 4Quads
PA: 4Quads-Light and Deep, Maybe 
   Kidneys (Back Blows) and Gallbladder
Special Tests: Rebound (Blumberg nd 
   McBurney's), Heel Jar, Iliopsoas and 
   Obturator Muscle

Anus: Defer it.

Question 5

GU (Female)

Answer 5

Breast
I:
P:
P:
A:
Special Tests:

Vaginal
I:
P:
P:
A:
Special Tests

Question 6

GU (Male)

Answer 6

I:
P:
P:
A:
Special Tests:

Question 7

Neuro

Answer 7

1. Evaluate: Cranial Nerves (1. Olfactory, 2.
   Optic, 3,4,6. Oculomotor, Trochlear, and
   Abducens, 5. Trigeminal, 7. Facial, 8.
   Acoustic, 9,10. Glossopharyngeal and
   Vagus, 11. Spinal Accessory, 12.
   Hypoglossal)
2. Balance, Point Location, Reflexes
   Special Tests: Brudzinski (Chin to Chest), Kernig (Lift leg and try to stretch hams)

Question 8

How will you write out heart and lungs

Answer 8

Lungs: FN, AM, PM, BR, WZ, RO

Heart: FL, DIA, S1/S2, H, L, T, M, C, R, G, PMI, CR, RRR

Question 9

How will you write out HEENT

Answer 9

Head: SS, CREP
Eyes: VISA, EOMI, PERRLA
Ears: ARCLS, CAN, TM
Nose: MUCO, SEPT, SINS
Throat: JVD, TP, UVU/PAL, TRACHTUG, THY, LYMPH

Question 10

How will you write out GI

Answer 10

AP, BS, FR, BRUI, VH, MASS, RBND, HJ, ILLIO/OB

MASS=Masses/hardened areas on palpation

Question 11

How will you write out Neuro

Answer 11

CN I-XII (or CN II-XII), BAL, PL, RFX, BRUD, KERN

Question 12

How will you write out GI (Female)

Answer 12

Figure it out

Question 13

How will you write out GI (Male)

Answer 13

Figure it out.