physical

Question 1

vitals

Answer 1

7- wash hands, clean stethoscope, radial pulse, bilateral pulses, respirations, systolic by palpation, blood pressure

Question 2

head

Answer 2

inspect and palpate scalp

Question 3

ears

Answer 3

assess gross hearing, inspect, palpate, look inside, Weber and Rhinne

Question 4

eyes

Answer 4

snelling chart, direct/consensual light, symmetry, accommodations, H test, visual fields, inspect conjunctiva,, use ophthalmoscope

Question 5

nose

Answer 5

assess patency, ?changes in smell, inspect, palpate, percuss sinuses

Question 6

mouth

Answer 6

inspect externally and internally, assess TMJ

Question 7

throat

Answer 7

inspect, palpate LN, palpate trachea, palpate thyroid and isthmus with and without swallowing, auscultate then palpate carotids

Question 8

cardiac

Answer 8

inspect precordium, palpate joints, palpate PMI, auscultate 5 with diaphragm and 2 with bell, check JVD, check edema, check femoral and DP pulses

Question 9

respiratory

Answer 9

inspect, percuss fields, check thoracic expansion, check diaphragmatic excursion, auscultate (supraclavicular with bell), tactile fremitus

Question 10

abdominal

Answer 10

position with knees bent, inspect, auscultate 4 quadrants and 5 vessels, palpate quadrants (light and deep), palpate and percuss liver, palpate and percuss spleen, estimate aorta width

Question 11

neuro main elements

Answer 11

5- CN, reflexes, sensory, cerebellar, gait

Question 12

CN

Answer 12

I- ask about smell 
II, III, IV, VI- in eyes portion
V- facial sensation, jaw strength 
VII- facial expression 
VII- in ears section 
IX/X- palate elevation
XI- shrug, turn head
XII- protrude tongue

Question 13

reflexes

Answer 13

3 UE- bicep, tricep, brachioradialis

3 LE- patellar, achilles, plantar

Question 14

sensory

Answer 14

sharp/dull, vibratory sense, steregnosis, graphesthesia, position sense in great toe

Question 15

cerebellar

Answer 15

UE/LE Rapid alt movement, rhomberg x 30 seconds, finger to nose, heel to shin, pronator drift x 30 seconds seated

Question 16

gait

Answer 16

normal, heels, toes, tandem, hop on 1 foot

Question 17

basic elements of musculoskeletal

Answer 17

inspect, palpate, ROM, tone, strength

Question 18

spine

Answer 18

examine from back and side
C-spine- 4 movements
L-spine- 6 movements, CVA tenderness, scoliosis exam

Question 19

shoulder

Answer 19

6 movements

subdeltoid bursa, AC, SC, long head of biceps

Question 20

elbow

Answer 20

4 movements

epicondyles, olecranon bursa

Question 21

wrist

Answer 21

4 movements

carpals

Question 22

fingers

Answer 22

4 movements

Question 23

hips

Answer 23

6 movements

trochanteric bursa

Question 24

knees

Answer 24

2 movements

patellar tendon, joint line/tibial plateau

Question 25

ankles

Answer 25

4 movements | medial and lateral malleoli, achilles tendon/bursa

Question 26

foot

Answer 26

2 movements | transverse tarsal joint

Question 27

breast exam

Answer 27

inspect while sitting (sides, leaning, overhead, hips/crunched) palpate supraclavicular and infraclavicular LN palpate while reclined (assess LN chains, breast quadrants) palpate nipple for elasticity