Exam by body system flashcards

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Twenty flashcards on the physical exam by body system: techniques, normal findings and key signs.

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20 cards

Normal location of the apical impulse (PMI)?: Fifth intercostal space, midclavicular line.
Where to listen to the aortic valve?: Second intercostal space, right sternal border.
Stethoscope bell is best for?: Low-pitched sounds such as S3, S4 and mitral stenosis.
Order of the abdominal exam?: Inspect, auscultate, percuss, then palpate.
Tenderness one third of the way from the ASIS to the navel?: McBurney point tenderness: appendicitis.
Breath catches on deep palpation under the right ribs?: Murphy sign: acute cholecystitis.
Dull to percussion with decreased fremitus and breath sounds?: Pleural effusion.
Increased fremitus, bronchial breath sounds and egophony?: Lung consolidation, as in pneumonia.
Cranial nerve tested by shrugging the shoulders?: CN XI, the accessory nerve.
Upgoing big toe (Babinski sign) in an adult?: Upper motor neuron lesion.
Nerve root of the patellar reflex?: L4 (L3 to L4).
Nerve root of the Achilles reflex?: S1.
Knee test for an ACL tear?: Lachman test.
Knee test with joint line click for a meniscus tear?: McMurray test.
Ottawa ankle rules: when to X-ray?: Malleolar pain with bone tenderness at the back edge or tip, or unable to bear weight for 4 steps.
Three parts of the Glasgow Coma Scale?: Eye opening, verbal response and motor response (3 to 15).
GCS of 8 or less means?: The airway may not be protected. Consider intubation.
Sways or falls with eyes closed, steady with eyes open?: Positive Romberg: loss of position sense.
Wrist flexion for 60 seconds causes hand tingling?: Positive Phalen test: carpal tunnel syndrome.
Jugular venous pressure that is raised?: More than 3 cm above the sternal angle, head at 45 degrees.