Breast & Axillae
Clinical Documentation
Physical Exams
ENT & Oral
Pulmonary / Cardiac
100

What stage of life involves increased nodularity and vascularity?

What is pregnancy or lactation?

100

What section of documentation includes HPI and PMH?

What is the Subjective section? 


100

What is the best position to palpate the lateral breast?

What is side-lying with raised, hand on forehead?

100

What is the likely cause of white patches that scrape off the tongue?

What is oral candidiasis

100

What is the diagnosis for red, inflamed facial skin triggered by heat or alcohol?

What is rosacea?

200

What breast quadrant has the most glandular tissue?

What is the upper outer quadrant (Tail of Spence)?

200

What does the acronym “SOAP” stand for in clinical notes?

What is Subjective, Objective, Assessment, Plan?

200

What four positions are used to inspect the breast for symmetry and contour changes?

What are arms overhead, hands on hips, leaning forward, and pressing palms together?

200

What causes uvular deviation and muffled voice in a patient with sore throat?

What is peritonsillar abscess?

200

What skin condition shows “herald patch” followed by a Christmas tree rash pattern?

What is pityriasis rosea?

300

What lymph node group is the final common pathway in the axilla?

What are the apical (terminal) lymph nodes?

300

What should be documented in the "A" section of the SOAP note?

What is the provider’s medical impression or differential diagnosis?

300

What technique is used for breast palpation, starting from the axilla and moving medially?

What is the vertical strip technique?

300

What oral condition presents with painful ulcers with red halo and gray base?

What are aphthous ulcers?

300

What is the likely diagnosis for yellow, thickened toenails?

What is onychomycosis?

400

What benign breast condition is described as rope-like and nodular?

What is fibrocystic change?

400

What are three key elements of a comprehensive history note?

What are HPI, ROS, and PMH/SH/FH?

400

What abnormal nipple finding could indicate malignancy and requires follow-up?

What is new nipple inversion or retraction?

400

What might be the diagnosis if a patient complains of facial swelling and dental pain?

What is dental abscess?

400

What is the name for soft, dome-shaped growths caused by HPV?

What are condyloma acuminata?

500

What are signs of inflammatory breast cancer on exam?

What are peau d’orange, redness, swelling, and warmth?

500

How would you document a 1 cm, non-tender, mobile mass in the upper outer quadrant?

“Right breast, 1 cm firm mobile nodule, non-tender, UOQ, 11 o'clock, 2 cm from nipple.”

500

What is peau d’orange and what does it signify?

What is edema causing thickened skin with large pores and a sign of lymphatic obstruction?

500

What ENT disorder causes vertigo, sensorineural hearing loss, and tinnitus?

What is acoustic neuroma?

500

What pigmented lesion with irregular border and multiple colors is most concerning?

What is melanoma?

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