Physical Exam

Question 1

What do palpable epitrochlear lymph nodes indicate?

Answer 1

Non-Hodgkin lymphoma

Question 2

Normal liver size?

Answer 2

Craniocaudal length <13cm

Question 3

Normal spleen size?

Answer 3

Craniocaudal <10.5 cm

Question 4

Where does conus medullaris end?

Answer 4

L1

Question 5

Aim for LP

Answer 5

L3-L4, L4-L5

Question 6

Cranial nerve anatomy

Answer 6

Question 7

3rd, 4th and 6th CN

Answer 7

OTA
• Oculomotor
• Trochlear
• Abducens

Question 8

Foot drop

Answer 8

• Ankle INversion preserved in common peroneal/fibular nerve injury

Question 9

Rinne and Weber

Answer 9

• Rinne pathologic (conductive hearing loss): BC > AC
• Weber pathologic (conductive): heard in affected ear

Question 10

Dysarthria speech exam

Answer 10

Question 11

Dysphasia speech exam

Answer 11

Question 12

Types of aphasia

Answer 12

Question 13

INO is impairment of which movement?

Answer 13

Ipsilateral impaired ADDuction

Question 14

Left vs right heart murmur

Answer 14

Question 15

Symptoms of severity of aortic stenosis?

Answer 15

• Low volume +/- slow rising pulse
• Narrow pulse pressure
• Heaving apex
• Sytolic thrill
• Late peaking of a long murmur
• Soft/absent S2
• Pulmonary HTN
• Pulmonary congestion/cardiac failure