Quiz Day 4 Physical Exam Findings
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Questions and Answers
- 1.
PERRL/PERRLA belongs in which section?
Explanation
Pupils equal, round, and reactive to light (and accomodation)Rate this question:
- 2.
Is it true or false that all physicians use the same physical exam templates?
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
Every physician has their own preferences. Be sure to know and understand your doctor's normal template items.Rate this question:
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- 3.
In which Physical Exam section would you include the finding of meningismus?
Correct Answer
NeckExplanation
Can be seen in the stiffness of a patient's neck (nuchal rigidity). Useful in conjunction with other symptoms (namely photophobia) to diagnose for meningitis.Rate this question:
- 4.
Findings from the physical examination are objective.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The exam is objective information, as opposed to the HPI, which is subjective (from the patient's point of view).Rate this question:
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- 5.
In the following example Physical Exam section of a chart-note, which section contains a contradiction? If there is no contradiction, type 'None." GENERAL: Well appearing, comfortable and in no acute distress.SKIN: Warm and dry. No rashes. HEENT: Normocephalic and atraumatic. Pupils are equal, round, and reactive to light. Extraocular movements are full. Oropharynx is clear. Mucous membranes are moist. Conjunctival injection. Swelling to nasal turbinates. TMs clearCARDIAC: Regular rate and rhythm. No gallops, rubs or murmurs. CHEST: Wheezing in upper airway. Lungs clear to auscultation.EXTREMITIES: No edema. No clubbing.NEUROLOGIC: Alert and oriented x3 . Speech is fluent, face symmetric, follows all commands, moves all extremities symmetrically.
- A.
General
- B.
Skin
- C.
HEENT
- D.
Cardiac
- E.
Chest
- F.
Extremities
- G.
Neurologic
- H.
None
Correct Answer
E. ChestExplanation
If a patient is wheezing, then their lungs are NOT clear to auscultation.Rate this question:
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- 6.
Determine if the following description/finding is subjective (patient's point of view - HPI/ROS) or objective (physician's point of view - PE).Tenderness
- A.
Objective
- B.
Subjective
Correct Answer
A. ObjectiveExplanation
The finding of tenderness can be considered objective because it is something that can be observed and measured by a physician during a physical examination. It does not rely on the patient's personal feelings or perceptions, but rather on the physician's assessment of the patient's physical state.Rate this question:
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- 7.
In what section of the physical exam does cerumen impaction belong?
- A.
General
- B.
Skin
- C.
HEENT
- D.
Cardiac
- E.
Chest
- F.
Neurologic
- G.
None
Correct Answer
C. HEENTExplanation
Cerumen impaction is earwax blockage/build up, belongs in HEENT (ears).Rate this question:
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- 8.
What section does tachycardia belong?
- A.
General
- B.
Skin
- C.
HEENT
- D.
Cardiac
- E.
Chest
- F.
Neurologic
- G.
None
Correct Answer
D. CardiacExplanation
Tachycardia is fast/increased heart rate (over 100 beats per minute). This belongs in cardiac.Rate this question:
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- 9.
What section does a positive Murphy’s sign belong in?
- A.
General
- B.
Skin
- C.
HEENT
- D.
Cardiac
- E.
Chest
- F.
Gastrointestinal
- G.
Neurologic
- H.
None
Correct Answer
F. GastrointestinalExplanation
Muphy's sign is an abdominal examination that looks for pain in the right upper quadrant to check for cholecystitis.Rate this question:
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- 10.
Normal turgur belongs in which section?
- A.
General
- B.
Skin
- C.
HEENT
- D.
Cardiac
- E.
Chest
- F.
Gastrointestinal
- G.
Neurologic
- H.
None
Correct Answer
B. SkinExplanation
Skin turgor checks for dehydration.Rate this question:
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- 11.
Determine if the following description/finding is subjective (patient's point of view - HPI/ROS) or objective (physician's point of view - PE).EOMI
- A.
Objective
- B.
Subjective
Correct Answer
A. ObjectiveExplanation
The given correct answer is "Objective." In medical terms, EOMI stands for "Extraocular Movements Intact," which is a physical examination finding that can be objectively assessed by a physician. It refers to the normal range of eye movements and indicates that the patient's eye muscles are functioning properly. This finding can be observed and measured by a healthcare professional and does not rely on the patient's subjective experience or perception. Therefore, it falls under the category of objective information.Rate this question:
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- 12.
Determine if the following description/finding is subjective (patient's point of view - HPI/ROS) or objective (physician's point of view - PE).Burning
- A.
Objective
- B.
Subjective
Correct Answer
B. SubjectiveExplanation
The finding "Burning" is subjective because it is based on the patient's point of view and cannot be directly observed or measured by the physician. It is a sensation or symptom that the patient experiences and reports.Rate this question:
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- 13.
Determine if the following description/finding is subjective (patient's point of view - HPI/ROS) or objective (physician's point of view - PE).Pain
- A.
Objective
- B.
Subjective
Correct Answer
B. SubjectiveExplanation
The given correct answer is subjective because pain is a personal experience and can only be described by the patient. It cannot be measured or observed directly by a physician.Rate this question:
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- 14.
Determine if the following description/finding is subjective (patient's point of view - HPI/ROS) or objective (physician's point of view - PE).Tingling
- A.
Objective
- B.
Subjective
Correct Answer
B. SubjectiveExplanation
The term "tingling" refers to a sensation that a person experiences, such as a feeling of pins and needles or numbness. This sensation is subjective because it is based on the patient's perception and description of their own feelings. It cannot be directly observed or measured by a physician. Therefore, the correct answer is subjective.Rate this question:
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- 15.
Determine if the following description/finding is subjective (patient's point of view - HPI/ROS) or objective (physician's point of view - PE).Murmur
- A.
Objective
- B.
Subjective
Correct Answer
A. ObjectiveExplanation
The finding "murmur" can be determined objectively by a physician during a physical examination (PE). It is a sound that can be heard with a stethoscope and can be measured and described by the physician. Therefore, the correct answer is objective.Rate this question:
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- 16.
Determine if the following description/finding is subjective (patient's point of view - HPI/ROS) or objective (physician's point of view - PE).CVAT
- A.
Objective
- B.
Subjective
Correct Answer
A. ObjectiveExplanation
The given correct answer is "Objective." In the context of medical documentation, subjective refers to information that is based on the patient's point of view or their personal experience, such as their symptoms or feelings. On the other hand, objective refers to information that is based on the physician's observations, measurements, or findings, such as physical examination results or laboratory test results. Therefore, "Objective" is the correct answer as it indicates that the description/finding is from the physician's point of view.Rate this question:
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- 17.
Determine if the following description/finding is subjective (patient's point of view - HPI/ROS) or objective (physician's point of view - PE).Joint pain
- A.
Objective
- B.
Subjective
Correct Answer
B. SubjectiveExplanation
The description "Joint pain" is a symptom that can only be experienced and reported by the patient, making it a subjective finding. It cannot be directly observed or measured by the physician, which is why it is considered subjective rather than objective.Rate this question:
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- 18.
Determine if the following description/finding is subjective (patient's point of view - HPI/ROS) or objective (physician's point of view - PE).Headache
- A.
Objective
- B.
Subjective
Correct Answer
B. SubjectiveExplanation
The given correct answer is "Subjective". In this context, the term "headache" refers to a symptom that can only be experienced and described by the patient. It cannot be directly observed or measured by a physician. Therefore, it falls under the category of subjective information, as it is based on the patient's personal perception and experience.Rate this question:
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- 19.
Determine if the following description/finding is subjective (patient's point of view - HPI/ROS) or objective (physician's point of view - PE).Dyspnea
- A.
Objective
- B.
Subjective
Correct Answer
B. SubjectiveExplanation
The given correct answer is subjective. Dyspnea refers to the sensation of difficulty in breathing, which is a symptom that can only be experienced and reported by the patient. It is a subjective finding because it relies on the patient's perception and description of their own symptoms, rather than being directly observable or measurable by a physician.Rate this question:
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- 20.
In the following example Physical Exam section of a chart-note, which section contains a contradiction? If there is no contradiction, type 'None." GENERAL: Well appearing, comfortable and in no acute distress.SKIN: Warm and dry. No rashes. HEENT: Normocephalic and atraumatic. Pupils are equal, round, and reactive to light. Extraocular movements are full. Oropharynx is clear. Mucous membranes are moist. Conjunctival injection. Swelling to nasal turbinates. TMs clearCARDIAC: Regular rate and rhythm. No gallops, rubs or murmurs. CHEST: Lungs clear to auscultation.EXTREMITIES: No edema. No clubbing.NEUROLOGIC: Alert and oriented x3 . 3/5 strength to left upper extremity. Speech is fluent, face symmetric, follows all commands, moves all extremities symmetrically.
- A.
General
- B.
Skin
- C.
HEENT
- D.
Cardiac
- E.
Chest
- F.
Extremities
- G.
Neurologic
- H.
None
Correct Answer
G. NeurologicExplanation
If patient has 3/5 strength to left upper extremity, then to say patient moves all extremities symmetrically is a contradiction.Rate this question:
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- 21.
In the following example Physical Exam section of a chart-note, which section contains a contradiction? If there is no contradiction, type 'None." GENERAL: Well appearing, comfortable and in no acute distress.SKIN: Warm and dry. No rashes. HEENT: Normocephalic and atraumatic. Pupils are equal, round, and reactive to light. Extraocular movements are full. Oropharynx is clear. Mucous membranes are moist. Conjunctival injection. Swelling to nasal turbinates. TMs clearCARDIAC: Regular rate and rhythm. Bradycardia. No gallops, rubs or murmurs. CHEST: Lungs clear to auscultation.EXTREMITIES: No edema. No clubbing.NEUROLOGIC: Alert and oriented x3 . Speech is fluent, face symmetric, follows all commands, moves all extremities symmetrically.
- A.
General
- B.
Skin
- C.
HEENT
- D.
Cardiac
- E.
Chest
- F.
Extremities
- G.
Neurologic
- H.
None
Correct Answer
D. CardiacExplanation
If a patient is bradycardia, they do not have regular rate under cardiac.Rate this question:
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- 22.
In the following example Physical Exam section of a chart-note, which section contains a contradiction? If there is no contradiction, type 'None." GENERAL: Well appearing, comfortable and in no acute distress.SKIN: Warm and dry. No rashes. HEENT: Normocephalic and atraumatic. Pupils are equal, round, and reactive to light. Extraocular movements are full. Oropharynx is clear. Mucous membranes are moist. Conjunctival injection. Swelling to nasal turbinates. TMs clearCARDIAC: Regular rate and rhythm. No gallops, rubs or murmurs. CHEST: Lungs clear to auscultation.EXTREMITIES: No edema. No clubbing. Swelling to bilateral lower extremities.NEUROLOGIC: Alert and oriented x3. Speech is fluent, face symmetric, follows all commands, moves all extremities symmetrically.
- A.
General
- B.
Skin
- C.
HEENT
- D.
Cardiac
- E.
Chest
- F.
Extremities
- G.
Neurologic
- H.
None
Correct Answer
F. ExtremitiesExplanation
If patient has 3/5 strength to left upper extremity, then to say patient moves all extremities symmetrically is a contradiction.Rate this question:
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- 23.
In the following example Physical Exam section of a chart-note, which section contains a contradiction? If there is no contradiction, type 'None." GENERAL: Well appearing, comfortable and in no acute distress.SKIN: Warm and dry. No rashes. HEENT: Normocephalic and atraumatic. Pupils are equal, round, and reactive to light. Extraocular movements are full. Oropharynx is clear. Mucous membranes are moist. Conjunctival injection. Swelling to nasal turbinates. TMs clearCARDIAC: Regular rate and rhythm. No gallops, rubs or murmurs. CHEST: Lungs clear to auscultation.EXTREMITIES: No edema. No clubbing.NEUROLOGIC: Alert and oriented x3. Speech is fluent, face symmetric, follows all commands, moves all extremities symmetrically.
- A.
General
- B.
Skin
- C.
HEENT
- D.
Cardiac
- E.
Chest
- F.
Extremities
- G.
Neurologic
- H.
None
Correct Answer
H. NoneExplanation
If patient has 3/5 strength to left upper extremity, then to say patient moves all extremities symmetrically is a contradiction.Rate this question:
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Jul 02, 2024Quiz Edited by
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Aug 08, 2014Quiz Created by
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