Mommy, my tummy hurts
A Jones in My Bones
Mind blown
100
This positive test (performed by asking the patient to breathe out and then gently placing the hand below the costal margin on the right side at the mid-clavicular line) is a sign of what condition? Name the test.
Cholecystitis; Murphy's Test
100
To what degree is the head bent to assess the left lateral bend of the C-spine tilted?
40 degree minimum
100
What is cranial nerve VI's name? What is its responsibility? How do you test it? A lesion/paralysis of this nerve can cause the inability to perform task?
Abducens; Abduction of the eye; Test EOMs; The eye will not abduct appropriately
200
What is the normal vertical span of the liver?
<16cm
200
What is this condition and what joint does it affect?
Herberden's node affects the DIP joint.
200
Here's your mini cog results, what is your hypotheses about the patient's mental cognition?
Patient recalled 1/3 words
Patient may have cognitive impairment/exhibiting signs of dementia. Suggest further evaluation of cognitive status.
300
Name this sign and its indication.
Cullen and Grey Turner's Sign indicative of hemoperiteneum secondary to ruptured ectopic pregnancy; also indicative of 24-48 hr pancreatitis.
300
What is this angle called? and to what degree should it measure? What ROM of the shoulder is tested in this picture?
"Carrying angle" of about 15 degrees; Abduction of the shoulder
300
During your mental assessment, you ask your patient to repeat the word "cook" and your patient replies "sook." What type of aphasia may your patient be experiencing?
Wernicke's aphasia
400
What is odynophagia?
Difficulty swallowing
400
A muscle grade of 2 signifies...
Muscle moves part but not against gravity
400
A peripheral injury to CN VII, as seen with this disease, affects both the upper and lower face. What disease is this?
HINT: Disease also causes loss of taste, hyperacusis, and increases/decreased tearing
Bells Palsy
500
What patient position is preferred during deep palpation and organ palpation?
Supine with knees slightly flexed
500
What test is indicated below and what is it indicative of?
Anterior drawer sign, if positive, indicative of torn ACL
500
Inflammation in the subarachnoid space causes resistance to movements when performing the following test. Name the test and the disease being screened for.
Kernig and Brudzinski's tests; Meningitis
600
This condition, during its pre-icteric phase, causes patients to have an aversion to cigarette smoke and alcohol. What diagnostic test should be ordered?
Hepatitis;
CBC, UA, LFTs, Serology test
600
A patient is brought to your office in a wheelchair and unable to ambulate onto exam table. You notice swelling on his around his malleolar zone the size of an egg. What grade is his sprain? Is this muscle-tendon or ligament? What Ottawa Ankle Rule criterion does he fit for X-ray?
Grade 3; Ligament; Inability to bear weight immediately
600
This sense is often the first sensation lost in peripheral neuropathy.
Also list 3 causes of peripheral neuropathy
Vibration
Diabetes, alcoholism, tertiary syphilis, vitamin B12 deficiency
700
Name 5 signs of pre-ruptured appendicitis... Here are some hints
Markle, McBurney, Iliopsoas, Rebound, and Rovsing's Tests
700
Extension of the quadriceps, the ability to squat and rise, and patellar reflex is affected by what nerve root/dermatome?
L4
700
In an adult, this reflex is positive under what conditions?
Babinski reflex
Unconscious states from drugs/alcohol intoxication and during the postictal period following a seizure