Scribe America: Physical Exam Questions With Complete Solutions
Do any patient complaints belong in the physical exam?
NO
If a patient states that their abdomen is very painful, does that mean it will be tender upon exam?
No. subjective info vs objective
Which of these two physical exam findings can a physician appreciate without auscultating the Pt's
lungs? a) No respiratory distress b) No Rales?
No respiratory distress
What does PERRL stand for?
Pupils equal Round and reactive to light
What does AT/NC stand for?
atraumatic/ normocephalic
What does NAD stand for?
No Acute Distress/Disease
,Scribe America: Physical Exam Questions With Complete Solutions
If a Pt has pale conjunctiva what does that indicate?
Anemia
What is scleral icterus? What does it indicate?
yellowing of the eyes. Indicates liver failure
Name an instrument a physician may use to closely investigate the eyes?
Slit lamp, woods lamp, opthalmascope (AKA fundiscopic exam)
In which body system would you document "TM erythema and bulging"?
Ears
What is the medical term for nostril?
Naris (both nostrils is nares)
If a patient has a "runny nose" what would be indicated, epistaxis or rhinorrhea?
, Scribe America: Physical Exam Questions With Complete Solutions
rhinorrhea
what would dry mucous membranes indicate?
dehydration
why is midline bony tenderness "worse" than paraspinal tenderness?
a. midline tenderness (aka vertebral point tenderness) points towards a spinal fracture and therefore
raises concern for a spinal cord injury.
b. paraspinal tenderness points toward a muscle sprain or strain
If you saw "RRR" in a cardiac exam , what do you think it might mean? (normal finding)
Regular rate and rhythm
name the rhythm the physician would hear if the pt was in AFIB?
irregularly irregular rhythm
If the physician checks the pulse on the right wrist and says "The pulses are fine", what would you
document in the physical exam?
Right radial pulse is 2+
Do any patient complaints belong in the physical exam?
NO
If a patient states that their abdomen is very painful, does that mean it will be tender upon exam?
No. subjective info vs objective
Which of these two physical exam findings can a physician appreciate without auscultating the Pt's
lungs? a) No respiratory distress b) No Rales?
No respiratory distress
What does PERRL stand for?
Pupils equal Round and reactive to light
What does AT/NC stand for?
atraumatic/ normocephalic
What does NAD stand for?
No Acute Distress/Disease
,Scribe America: Physical Exam Questions With Complete Solutions
If a Pt has pale conjunctiva what does that indicate?
Anemia
What is scleral icterus? What does it indicate?
yellowing of the eyes. Indicates liver failure
Name an instrument a physician may use to closely investigate the eyes?
Slit lamp, woods lamp, opthalmascope (AKA fundiscopic exam)
In which body system would you document "TM erythema and bulging"?
Ears
What is the medical term for nostril?
Naris (both nostrils is nares)
If a patient has a "runny nose" what would be indicated, epistaxis or rhinorrhea?
, Scribe America: Physical Exam Questions With Complete Solutions
rhinorrhea
what would dry mucous membranes indicate?
dehydration
why is midline bony tenderness "worse" than paraspinal tenderness?
a. midline tenderness (aka vertebral point tenderness) points towards a spinal fracture and therefore
raises concern for a spinal cord injury.
b. paraspinal tenderness points toward a muscle sprain or strain
If you saw "RRR" in a cardiac exam , what do you think it might mean? (normal finding)
Regular rate and rhythm
name the rhythm the physician would hear if the pt was in AFIB?
irregularly irregular rhythm
If the physician checks the pulse on the right wrist and says "The pulses are fine", what would you
document in the physical exam?
Right radial pulse is 2+
