MEDICAL SCRIBE PHYSICAL EXAM
(NORMAL TO ABNORMAL) QUESTIONS
AND ANSWERS
pulmonary contradictions clear to auscultation bilaterally - Answer-4.diminished (quiet)
breath sounds
5. wheezes (inspiratory or expiratory) rales(crackles) rhonchi
abdominal normal - Answer-soft
non-tender
no peritoneal signs
normal bowel sounds
non-distended
abdominal abnormal - Answer-rigid (involuntary guarding)
mild/moderate/severe tenderness
peritoneal signs (surgical abdomen): rebound tenderness, rigidity (involuntary guarding),
voluntary guarding
absent/hypoactive/hyperactive bowel sounds
organomegaly (hepatomegaly or splenomegaly)
distended
positive murphy sign (gllbladder RUQ)
appendix (RLQ)
positive mcburney's point tenderness
positive psoas sign
positive rovsing's sign
rectal normal - Answer-heme negative
brown stool
-
-
good rectal tone
rectal abnormal - Answer-heme positive (Guaiac positive)
black/melanotic, bright red, dark red, green, yellow, white
hemorrhoids (internal, external, thromboses)
rectal prolapse
decreased rectal tone (spinal cord injury)
female genital normal - Answer-1.normal external genetalia
2.normal bimanial exam
3.normal speculum exam
cervical os is closed
, no blood or discharge
female genital abnormal - Answer-1.adenxal tenderness or mass
2. cervical motion tenderness (CMT)
uterine tenderness
3. cervical os is open blood in the vaginal vault, malodorous/thick white discharge
male genital normal - Answer-1. Circumcised or Uncircumcised
2. Normal Genital Exam
male genital abnormal - Answer-1. -
2. Testicular tenderness
Epididymal Tenderness
Testicular edema
Testicular mass
Urethral Discharge
Inguinal hernia
MUSCULOSKELETAL/EXTREMITIES normal - Answer-1. non-tender
2. full ROM (range of motion)
3. Distal CSMT (circulation, sensory,
motor, tendon) intact
4.-
5.-
MUSCULOSKELETAL/EXTREMITIES abnormal - Answer-1.Bony tenderness (fracture)
Soft tissue tenderness (contusion)
Calf tenderness (DVT)
2. Decreased ROM 2° pain
3. Pulse/Sensory/Motor deficits
Tendon Laxity
4. Pitting pedal edema (Trace to 4+)
5. Palpable cords/Homan's sign (DVT)
back normal - Answer-1. Non-tender thoracic and lumbar spine
back abnormal - Answer-1. Paraspinal tenderness (muscular)
Vertebral Point tenderness (spinal injury)
2.Midline deformities/step-offs
3.CVA tenderness
skin normal - Answer-1. Warm (normal temperature)
2. dry
3. normal color
4. no rashes
(NORMAL TO ABNORMAL) QUESTIONS
AND ANSWERS
pulmonary contradictions clear to auscultation bilaterally - Answer-4.diminished (quiet)
breath sounds
5. wheezes (inspiratory or expiratory) rales(crackles) rhonchi
abdominal normal - Answer-soft
non-tender
no peritoneal signs
normal bowel sounds
non-distended
abdominal abnormal - Answer-rigid (involuntary guarding)
mild/moderate/severe tenderness
peritoneal signs (surgical abdomen): rebound tenderness, rigidity (involuntary guarding),
voluntary guarding
absent/hypoactive/hyperactive bowel sounds
organomegaly (hepatomegaly or splenomegaly)
distended
positive murphy sign (gllbladder RUQ)
appendix (RLQ)
positive mcburney's point tenderness
positive psoas sign
positive rovsing's sign
rectal normal - Answer-heme negative
brown stool
-
-
good rectal tone
rectal abnormal - Answer-heme positive (Guaiac positive)
black/melanotic, bright red, dark red, green, yellow, white
hemorrhoids (internal, external, thromboses)
rectal prolapse
decreased rectal tone (spinal cord injury)
female genital normal - Answer-1.normal external genetalia
2.normal bimanial exam
3.normal speculum exam
cervical os is closed
, no blood or discharge
female genital abnormal - Answer-1.adenxal tenderness or mass
2. cervical motion tenderness (CMT)
uterine tenderness
3. cervical os is open blood in the vaginal vault, malodorous/thick white discharge
male genital normal - Answer-1. Circumcised or Uncircumcised
2. Normal Genital Exam
male genital abnormal - Answer-1. -
2. Testicular tenderness
Epididymal Tenderness
Testicular edema
Testicular mass
Urethral Discharge
Inguinal hernia
MUSCULOSKELETAL/EXTREMITIES normal - Answer-1. non-tender
2. full ROM (range of motion)
3. Distal CSMT (circulation, sensory,
motor, tendon) intact
4.-
5.-
MUSCULOSKELETAL/EXTREMITIES abnormal - Answer-1.Bony tenderness (fracture)
Soft tissue tenderness (contusion)
Calf tenderness (DVT)
2. Decreased ROM 2° pain
3. Pulse/Sensory/Motor deficits
Tendon Laxity
4. Pitting pedal edema (Trace to 4+)
5. Palpable cords/Homan's sign (DVT)
back normal - Answer-1. Non-tender thoracic and lumbar spine
back abnormal - Answer-1. Paraspinal tenderness (muscular)
Vertebral Point tenderness (spinal injury)
2.Midline deformities/step-offs
3.CVA tenderness
skin normal - Answer-1. Warm (normal temperature)
2. dry
3. normal color
4. no rashes
