Scribe America ED Course 4: Physical
Exam Questions And Answers
/.External Exam - Answer-✅"no touch"
/.ROS needs - Answer-✅10
/.Physical Exam needs - Answer-✅8 systems
/.HPI needs - Answer-✅4 elements
/.auscultate - Answer-✅to listen
/.Basic Physical exam - Answer-✅look at patient
auscultate the heart & lungs
palpating the abd
examine the legs
/.examines the throat - Answer-✅pharyngeal erythema or exudate
looking for strep pharyngitis
/.examines the inner-ear - Answer-✅TM (ear-drum) erythema or bulging
looking for otitis media
/.Auscultates the abdomen - Answer-✅hyperactive/*hypoactive* bowel sounds
looking for SBO or constipation
/.touching the wrists - Answer-✅radial pulses
/.squeezing the calf muscles - Answer-✅calf tenderness
DVT -> pulmonary embolism
/."pounds" on the back - Answer-✅CVA (Kidney) tenderness
, kidney stones or pyelonephritis
/.anatomical position - Answer-✅erect, feet forward, arms at side with palms facing
forward, head facing forward
/.anterior - Answer-✅front of the body
/.General/Constitutional - Answer-✅well appearing, ill appearing, smell of EtOH, Ketotic
oder, obese etc.
no acute distress (NAD)
well developed, well nourished
alert
/.no acute distress -> abnormal - Answer-✅mild/moderate/severe distress (due to pain)
/.well developed/nourished -> abnormal - Answer-✅cachectic/emaciated/malnourished
/.alert -> abnormal - Answer-✅somnolent (very sleepy), obtunded (extremely sleepy),
unresponsive
/.Atraumatic, Normocephalic - Answer-✅AT/NC; normal external head inspection
/.head -> abnormal - Answer-✅any signs of trauma, sinus tenderness, angioedema
(allergic reaction -> face swelling)
/.PERRL - Answer-✅Pupils are equal, round, and reactive to light
/.PERRL -> abnormal - Answer-✅anisocoria (unequal pupils)
/.Extraocular Movements Intact (EOMI) - Answer-✅can move the eyes in any direction
also seen in neuro
/.EOMI -> abnormal - Answer-✅EOM entrapment
/.Sclera anicteric - Answer-✅(HEENT) eyes without yellowing
/.Sclera anicteric -> abnormal - Answer-✅Sclera icterus (liver failure) yellow eyes
/.normal conjunctive -> abnormal - Answer-✅pale conjunctiva (anemia) -> they pull
down the lower eyelid (should be pink, is pale)
Exam Questions And Answers
/.External Exam - Answer-✅"no touch"
/.ROS needs - Answer-✅10
/.Physical Exam needs - Answer-✅8 systems
/.HPI needs - Answer-✅4 elements
/.auscultate - Answer-✅to listen
/.Basic Physical exam - Answer-✅look at patient
auscultate the heart & lungs
palpating the abd
examine the legs
/.examines the throat - Answer-✅pharyngeal erythema or exudate
looking for strep pharyngitis
/.examines the inner-ear - Answer-✅TM (ear-drum) erythema or bulging
looking for otitis media
/.Auscultates the abdomen - Answer-✅hyperactive/*hypoactive* bowel sounds
looking for SBO or constipation
/.touching the wrists - Answer-✅radial pulses
/.squeezing the calf muscles - Answer-✅calf tenderness
DVT -> pulmonary embolism
/."pounds" on the back - Answer-✅CVA (Kidney) tenderness
, kidney stones or pyelonephritis
/.anatomical position - Answer-✅erect, feet forward, arms at side with palms facing
forward, head facing forward
/.anterior - Answer-✅front of the body
/.General/Constitutional - Answer-✅well appearing, ill appearing, smell of EtOH, Ketotic
oder, obese etc.
no acute distress (NAD)
well developed, well nourished
alert
/.no acute distress -> abnormal - Answer-✅mild/moderate/severe distress (due to pain)
/.well developed/nourished -> abnormal - Answer-✅cachectic/emaciated/malnourished
/.alert -> abnormal - Answer-✅somnolent (very sleepy), obtunded (extremely sleepy),
unresponsive
/.Atraumatic, Normocephalic - Answer-✅AT/NC; normal external head inspection
/.head -> abnormal - Answer-✅any signs of trauma, sinus tenderness, angioedema
(allergic reaction -> face swelling)
/.PERRL - Answer-✅Pupils are equal, round, and reactive to light
/.PERRL -> abnormal - Answer-✅anisocoria (unequal pupils)
/.Extraocular Movements Intact (EOMI) - Answer-✅can move the eyes in any direction
also seen in neuro
/.EOMI -> abnormal - Answer-✅EOM entrapment
/.Sclera anicteric - Answer-✅(HEENT) eyes without yellowing
/.Sclera anicteric -> abnormal - Answer-✅Sclera icterus (liver failure) yellow eyes
/.normal conjunctive -> abnormal - Answer-✅pale conjunctiva (anemia) -> they pull
down the lower eyelid (should be pink, is pale)
