Physical

Question 1

Order of Exam

Answer 1

General, Skin, Vitals
HEENT
Chest
Cardiovascular
Abdomen
Nuero

Question 2

General, Skin, Vitals

Answer 2

General appearance
Integrated skin exam
Vitals: Pulse, BP, and Resp

Question 3

Head

Answer 3

Inspect skin
Palpate Sinuses
Inspect size and shape
Test facial sensation and muscles of mastication
Test muscles of expression

Question 4

Eyes

Answer 4

Visual Acuity
Inspect eylids, lashes, bulbar and palpebral conjuctivam sclera, cornea, anterior chamber, and iris
Test extra ocular movement
Assess pupils
Red reflex

Question 5

Ears and Nose

Answer 5

Inspect auricle and external ear
Otoscopy
Assess hearing via finger rubbing
Examine external nose

Question 6

Mouth

Answer 6

Inspect lips, bucal mucosa, floor of mouth, tongue, palates, tonsils, and posterior pharyngeal wall
Inspect teeth and gums
Test palatal rise
Test tongue symmetry and protrusion
Palpate parotid glands
Palpate TMJ

Question 7

Neck

Answer 7

Inspect for symmetry and masses

Palpate neck, include lymph nodes: anterior and posterior cervical, submandibular and supraclavicular

Question 8

Advanced Chest

Answer 8

Inspect respiratory effort and posterior skin
Assess symmetry of excursion and fremitus
Percuss posterior chest, spine, and CVA
Auscultate posterior, anterior, and egophany or whisper pectoriloquy

Question 9

Advanced Cardiovascular

Answer 9

Inspect JVP, Precordium for abnormal pulsations, anterior skin
Palpate apical impulse, lifts, thrills, carotids, lower edema, dorsalis pedis and posterior tibialis pulse
Auscultate RUSB, LUSB, LLSB, Apex (with both), carotids

Question 10

Abdomen

Answer 10

Inspect contour and skin
Auscultate
Percuss 4 quadrants and liver
Palpate 4 quadrants, liver, spleen, LAD, femoral pulses

Question 11

Neuro

Answer 11

Assess person, place, and time
CN in exam
Motor: upper and lower
-Upper: Shoulder Abd; arm flex and ext; wrist flex and ext; finger abd and flex
-Lower: Hip flex, abd, and add; knee flex and ext; foot dorsi and plantar
Reflexes: bicep, tricep, and brachoradialis; patellar and achilles; plantar
Sensation: symmetry, Rhomberg
Cerebellum: Finger to nose, Heel to shin, and gait