Phys Dx Continued

Question 0

Nephrotic syndrome face

Answer 0

Face edematous and pale

Eyes can be slit-like

Question 1

Myxedema face

Answer 1

Pt with severe hypothyroidism 
Dull, puffy facies
Edema around eyes 
Dry skin 
Course eyebrows and hair

Question 2

Cushing’s syndrome face

Answer 2

Moon face
Red cheeks
Excessive hair growth

Question 3

Parkinson’s face

Answer 3

Decreased facial mobility blunts facial expression
Mask like face
Decreased blinking
Oily skin, possible drooling

Question 4

Idiopathic facial nerve paralysis

Answer 4

Bell’s palsy

Question 5

Horizontal visual field defect

Answer 5

Occlusion of a branch of central retinal artery

Question 6

Lesion of optic nerve

Answer 6

Unilateral blindness

Question 7

Lesion at optic channel

Answer 7

Bitemporal hemianopsia

Question 8

Left homonymous hemianopsia

Right optic tract

Answer 8

Lesion of optic tract interrupts fibers originating on the same side of both eyes.
Involves half if each field

Question 9

Partial lesion of the optic radiation involving only a portion of the nerve fibers

Answer 9

Homonymous left superior quadratic defect

Right optic radiation, partial

Question 10

Complete interruption of fibers in the optic radiation

Answer 10

Left homonymous hemianopsia

Right optic radiation

Question 11

Deviation of the eyes from their normally conjugate condition

Answer 11

Strabismus

Question 12

Estropia

Answer 12

Eyes move inward

Convergent strabismus

Question 13

Exotropia

Answer 13

Eyes move outward

Divergent strabismus

Question 14

Dilated pupil, fixed to light and near effort.

Ptosis of upper lid, lateral deviation of eye

Answer 14

Left 3rd nerve paralysis

Paralytic strabismus

Question 15

Left eye cannot look down when turned inward, deviation is maximum in this direction

Answer 15

Left 4th nerve paralysis

Paralytic strabismus

Question 16

Eyes are conjugate looking to the right
Estropia looking straight ahead
Estrous maximum to the left

Answer 16

Left 6th nerve paralysis

Paralytic strabismus

Question 17

Ptosis, miosis, anhidrosis
Anisocoria
Normal brisk reactivity
Sympathetic nerve dysfunction

Answer 17

Horner’s syndrome

Question 18

Anhidrosis

Answer 18

Absent sweating on affected side

Question 19

Unequal pupil size

Answer 19

Anisocoria

Question 20

Tonic (adie’s) pupil

Answer 20

Reduced reaction to light
Slowed near reaction
Impaired parasympathetic fxn

Question 21

Meibomian gland inflammation, points inward

Answer 21

Chalazion

Question 22

Tender, red infection near hair follicle of eyelashes

Like pimple or boil pointing on eyelid

Answer 22

Hordeolum (stye)

Question 23

Yellow nodule on the bulbar conjunctiva on either side of iris

Answer 23

Pingueculum

Question 24

Medial sclera extend from inner canthus to cornea

Answer 24

Pterygium

Question 25

Pus in the anterior chamber, behind cornea but anterior to iris

Answer 25

Hypopyon

Question 26

Bleeding in anterior chamber of eye

Answer 26

Hyphema

Question 27

Flame hemorrhages and cotton wool patches

Answer 27

Hypertensive retinopathy

Question 28

Hemorrhages and exudates

Answer 28

Diabetic retinopathy

Question 29

Neovascularization (eye)

Answer 29

Proliferative diabetic retinopathy

Question 30

Bullous myringitis

Answer 30

Viral infection | Painful, hemorrhagic vesicles

Question 31

Unilateral conduction loss lateralizes to

Answer 31

Impaired ear Weber test -otitis media, perforation, cerumen, otosclerosis

Question 32

Unilateral sensorineural loss lateralizes to

Answer 32

Good ear Weber test -Presbycusis, noise exposure, head trauma

Question 33

BC > AC

Answer 33

Unilateral conduction loss

Question 34

AC > BC

Answer 34

Unilateral sensorineural loss

Question 35

Benign bony prominence on hard palate

Answer 35

Torus palatinus

Question 36

Amphiarthrosis joints

Answer 36

Slightly movable | Symphysis pubis, intervertebral disc

Question 37

Synarthrosis joints

Answer 37

No movement | Cranial sutures

Question 38

Diathrosis (synovial)

Answer 38

Freely movable Knee Shoulder

Question 39

Muscle strength

Answer 39

``` No contraction 0 Slight contraction 1 FROM no gravity 2 FROM gravity 3 FROM some res. 4 FROM full res. 5 ```

Question 40

Grading of pulses

Answer 40

``` 0 absent, unable to palpate 1+ Diminished, weaker 2+ Brisk, expected 3+ increased 4+ bounding ```

Question 41

Loss of shoulder contour

Answer 41

Dislocation of shoulder

Question 42

Shoulder atrophy

Answer 42

Chronic dislocations | Rotator cuff tears

Question 43

Winged scapula

Answer 43

Paralysis of the serratus anterior from injury to long thoracic nerve

Question 44

Yergasons sign

Answer 44

Flex elbow 90 degrees, have PT supinate against resistance Pain at anteromedial shoulder is positive sign for Bicipital tenosynovitis

Question 45

Tennis elbow | Pain worse with extension of wrist against resistance

Answer 45

Lateral epicondyle

Question 46

Golfers elbow | Pain worse with flexion of wrist against resistance

Answer 46

Medial epicondyle

Question 47

Carpal tunnel syndrome late finding

Answer 47

Thenar atrophy NOT stupid hyperthenar

Question 48

Round non tender swellings located along tendon sheaths or joint capsules Flexion of wrists makes it more prominent

Answer 48

Ganglion cyst

Question 49

Scar tissue developing in flexor tendons of hand esp 4th and 5th fingers Results in thickened fibrotic cord

Answer 49

Dupuytren's contracture