Physical Examination

Question 1

Head

Answer 1

• Palpate head
• Palpate sinuses

Question 2

Neck

Answer 2

• Palpate Lymph nodes
• Palpate Trachea
• Palpate thyroid
• Carotid bruits (using bell)

Question 3

Eyes

Answer 3

• Corneal light reflex (reflection should be in same position)
• Light reaction (direct + indirect)
• Accomodation
• Look in eye with ophthalmoscope

Question 4

Ears

Answer 4

• Pull on ear
• Look in ear

Question 5

Nose

Answer 5

• Look in nose

Question 6

Mouth

Answer 6

• Look in mouth

Question 7

Lungs

Answer 7

• Make sure you wait for them to breath completely

Question 8

Heart

Answer 8

You know

Question 9

Abdomen

Answer 9

• Look
• Listen to bowel sounds (all 4 quadrants)
• Aortic + renal Bruits
• Percus 4 quandrants + liver edge
• Palpate 4 quandrants + liver + aorta

Question 10

Neuro

Answer 10

• CN II - XII
  
  • II = viscual acuity card
  • III, IV, VI = H gaze
  • V = sensation on face + temporalis and masseters muscles
  • VII = faces
  • VIII - rubs fingers by ears
  • IX, X = Head to each side against resistance + shoulder shrug
  • XII = Stick tongue out
• Sensory of Arms, hands, legs, feet
• Cerebellar function - Do all 3 - finger to nose, heel to shin, Romberg test
• DTRs
  
  • Biceps
  • Triceps
  • Brachioradialis
  • Patellar
  • Achilles
• Gait
  
  • Normal
  • Toes
  • Heels
  • Tandem
• MSK strength testing
• Pulses
  
  • Posterior tibial
  • Dorsalis pedis

Question 11

Make sure to do what before PE?

Answer 11

Gel hands

Ask if they have any questions at this point