drop arm test
Give this one a try later!
Ask the patient to fully abduct the shoulder to 90 degrees and lower it
slowly
gonorrhea and chlamydia
,Give this one a try later!
yellow increased discharge with an odor
which of the following is due for a pap smear?
A. 52yo w hysterectomy d/t fibroids. Last pap was 3.5years ago
B. 24yo sexually active, last pap neg- 2 years ago
C. 22yo who has never had a pap
D. 45yo who had neg pap 3 years ago with no HPV testing. LSIL pap result 4 years
ago
Give this one a try later!
C. 22yo who has never had a pap
D. 45yo who had neg pap 3 years ago with no HPV testing. LSIL pap result
4 years ago
murphys sign
Give this one a try later!
respiratory cessation at costal margin
-gallbladder
Mini Mental State Exam
Give this one a try later!
, Orientation
3 object recall
Serial 7's OR spell WORLD backwards
Common objects
3 step command
Copy shape
elbow exam
Give this one a try later!
Inspection
Alignment (deformity) and symmetry
Shortening
Bowing of the arm
Redness, ecchymosis, swelling, wounds, skin
Guarding and non-use
Palpation/Percussion
Warmth, tenderness, crepitus
Ulnar nerve
Medial and lateral epicondyles
Passive ROM
Flexion, extension, pronation, supination
Hypermobility
You are conducting a pap smear on a patient and note yellow discharge on
endocervical swab. Differentials?
Give this one a try later!
chlamydia, gonorrhea, herpes simplex
, pelvic exam recs
Give this one a try later!
Do NOT require a pelvic exam or other physical exam to prescribe oral
contraceptive medications.
Do NOT perform Pap smears on women
◦younger than 21 or
◦who have had a hysterectomy for noncancerous disease
Do NOT screen for cervical cancer with HPV testing alone, or in
combination with cytology in women < 30
Screening pelvic exams should NOT be performed in asymptomatic, non‐
pregnant women.
Pelvic exam should NOT be performed for STI screening: Urine or vaginal
swab testing is sufficient
presentation and management of ectopic pregnancy
Give this one a try later!
6‐8 weeks post‐LMP
Symptoms:
◦Vaginal bleeding, spotting
◦Abdominal/pelvic pain/back pain◦Amenorrhea
◦Breast tenderness
◦Fainting
◦GI symptoms
Pelvic: Adnexal tenderness or CMT
Work up & referral:
-POC UPT or Quantitative serum beta hCG
-TV US
-Serial hCGs
-Referral to ED
Give this one a try later!
Ask the patient to fully abduct the shoulder to 90 degrees and lower it
slowly
gonorrhea and chlamydia
,Give this one a try later!
yellow increased discharge with an odor
which of the following is due for a pap smear?
A. 52yo w hysterectomy d/t fibroids. Last pap was 3.5years ago
B. 24yo sexually active, last pap neg- 2 years ago
C. 22yo who has never had a pap
D. 45yo who had neg pap 3 years ago with no HPV testing. LSIL pap result 4 years
ago
Give this one a try later!
C. 22yo who has never had a pap
D. 45yo who had neg pap 3 years ago with no HPV testing. LSIL pap result
4 years ago
murphys sign
Give this one a try later!
respiratory cessation at costal margin
-gallbladder
Mini Mental State Exam
Give this one a try later!
, Orientation
3 object recall
Serial 7's OR spell WORLD backwards
Common objects
3 step command
Copy shape
elbow exam
Give this one a try later!
Inspection
Alignment (deformity) and symmetry
Shortening
Bowing of the arm
Redness, ecchymosis, swelling, wounds, skin
Guarding and non-use
Palpation/Percussion
Warmth, tenderness, crepitus
Ulnar nerve
Medial and lateral epicondyles
Passive ROM
Flexion, extension, pronation, supination
Hypermobility
You are conducting a pap smear on a patient and note yellow discharge on
endocervical swab. Differentials?
Give this one a try later!
chlamydia, gonorrhea, herpes simplex
, pelvic exam recs
Give this one a try later!
Do NOT require a pelvic exam or other physical exam to prescribe oral
contraceptive medications.
Do NOT perform Pap smears on women
◦younger than 21 or
◦who have had a hysterectomy for noncancerous disease
Do NOT screen for cervical cancer with HPV testing alone, or in
combination with cytology in women < 30
Screening pelvic exams should NOT be performed in asymptomatic, non‐
pregnant women.
Pelvic exam should NOT be performed for STI screening: Urine or vaginal
swab testing is sufficient
presentation and management of ectopic pregnancy
Give this one a try later!
6‐8 weeks post‐LMP
Symptoms:
◦Vaginal bleeding, spotting
◦Abdominal/pelvic pain/back pain◦Amenorrhea
◦Breast tenderness
◦Fainting
◦GI symptoms
Pelvic: Adnexal tenderness or CMT
Work up & referral:
-POC UPT or Quantitative serum beta hCG
-TV US
-Serial hCGs
-Referral to ED
