PHYSICAL EXAM SCRIBE QUESTIONS
AND ANSWERS
NAD - Answer-No acute distress, mild/moderate/severe distress due to pain
Developed Nourished - Answer-cachetic / emanciated/malnourished
Alert - Answer-somnolent/ obtunded/ unresponsive
Atraumatic Normocephalic - Answer-any signs of trauma, sinus tenderness,
angioedema AT/NC
Pupils Equal Round Reactive to Light - Answer-PERRL unequal pupils
Extra Ocular Movements Intact - Answer-EOMI EOM entrapment
Scleral Icterus - Answer-liver failure
Normal Conjunctiva - Answer-pale conjunctiva, conjunctival injection
20/20 - Answer-normal vision
20/10 - Answer-excellent vision
20/>30 - Answer-poor eyesight
Tympanic Membrane - Answer-membrane of the ear TM erythema, TM bulging, TM
dullness TM obscured by earwax ear infection
Strep - Answer-tonsillar exudate/hypertrophy, peritonsilar abscess, pharyngeal
erythema
Cardiovascular - Answer-Gallop, Irregularly irregular rhythm, tachycardia/bradycardia,
extra beats, pleural rub, murmur
Pulmonary - Answer-Tachypnea, accessory muscle use, diminished breath sounds,
rales, wheezing, rhonchi
Abdominal - Answer-voluntary guarding, rebound tenderness, rigidity, (signs of a
surgical abdomen) Mcburneys point tenderness APPENDIX , distended, Murphys sign
CHOLECYSTITIS Absent/hyper/hypoactive bowel sounds, HSM
AND ANSWERS
NAD - Answer-No acute distress, mild/moderate/severe distress due to pain
Developed Nourished - Answer-cachetic / emanciated/malnourished
Alert - Answer-somnolent/ obtunded/ unresponsive
Atraumatic Normocephalic - Answer-any signs of trauma, sinus tenderness,
angioedema AT/NC
Pupils Equal Round Reactive to Light - Answer-PERRL unequal pupils
Extra Ocular Movements Intact - Answer-EOMI EOM entrapment
Scleral Icterus - Answer-liver failure
Normal Conjunctiva - Answer-pale conjunctiva, conjunctival injection
20/20 - Answer-normal vision
20/10 - Answer-excellent vision
20/>30 - Answer-poor eyesight
Tympanic Membrane - Answer-membrane of the ear TM erythema, TM bulging, TM
dullness TM obscured by earwax ear infection
Strep - Answer-tonsillar exudate/hypertrophy, peritonsilar abscess, pharyngeal
erythema
Cardiovascular - Answer-Gallop, Irregularly irregular rhythm, tachycardia/bradycardia,
extra beats, pleural rub, murmur
Pulmonary - Answer-Tachypnea, accessory muscle use, diminished breath sounds,
rales, wheezing, rhonchi
Abdominal - Answer-voluntary guarding, rebound tenderness, rigidity, (signs of a
surgical abdomen) Mcburneys point tenderness APPENDIX , distended, Murphys sign
CHOLECYSTITIS Absent/hyper/hypoactive bowel sounds, HSM
