| Flap 1 | Flap 2 |
| WEIGHT LOSS, INCREASED URINATION, INCREASED THIRST | DIABETES MELLITUS |
| INITIAL LAB TEST DO YOU RUN | CHEM STRIP REAGENT AND FASTING BLOOD SUGAR |
| WHAT DO YOU DO NOW | GLYCOSYLATED HEMOGLOBIN |
| WHAT IS NOT A FUTURE COMPLICATION | MYELOPATHY |
| PATIENT WITH INCREASED TSH LAB TEST IS EVALUATED FOR | MYXEDEMA DZ |
| EXOPTHALMOSIS IS MOST LIKELY TO BE PRESENT IN | GRAVE’S DZ |
| TYMPANIC MEMBRANE PERFORATED ON THE RIGHT, THE WEBER TEST WILL LATERALIZE TO THE | RIGHT SIDE |
| 62 YOM, TRACHEAL TUG AND THORACIC PAIN | AORTIC ARCH ANEURISM |
| INCREASE IN TACTILE FREMITIS | PNEUMONIA |
| INCREASE IN TACTILE FREMITIS | PNEUMONIA |
| HYPERRESONANCE IS CHARACTERISTICALLY FOUND | COPD |
| 25 YOF, WHITE, BLUE THEN RED HANDS WHEN STRESSES | RAYNAUDS DZ |
| POSITIVE PHALENS TEST | VITAMIN PYRODOXINE |
| DEQUIREVAINS CONTRACTURE | PT WITH USD |
| FEMALE PATIENT WITH SALPINGITIS PRESENTS WITH | BILATERAL PAIN AND TENDERNESS |
| INCREASE IN C REACTIVE PROTEIN IN THE SERUM IS | RA |
| ABSENCE OF WHICH PERIPHERAL PULE IS LEAST SIGNIFICANT | DORSAL PEDIS |
| BEST PLACE TO FEEL APICAL IMPULSE | 5TH INTERCOSTAL SPACE BETWEEN THE MID-CLAVICULAR LINE |
| FOLLOWING HIP REPLACEMENT, AN ELDERLY FEMALE HAS SHORTNESS OF BREATH AT NIGHT | PULMONARY EMBOLISM |
| LBP STIFFNESS WHICH ACCOMPANIES DIABETES MELLITUS | DISH |
| 22 YOM, PITCHER HAS ARM PAIN, DECREASED SENSATION OVER THE FIFTH FINGER, + TINEL’S SIGN AND RESISTS ROM 10° | TOS |
| 48 YOW, PAIN AND TINGLING INTO HER RIGHT RING FINGER FOR THREE YEARS MUST BE PULLED INTO EXTENSION | DUPUYTRENS CONTRACTION |
| ELEVATED ALKALINE PHOSPHATASE IS LEAST ASSOCIATED WITH | MM |
| X-RAY THAT DEPICTS THE END OF THE GROWING STAGE AND ASSISTS IN THE ANALYSIS AND PROGRESSION OF A SCOLIOSIS | RISSER’S SIGN |
| LATERAL PIVOT SHIFT CHECKS INSTABILITY OF | ANTEROLATERAL |
| NUMBNESS ON THE DORSUM OF THE FOOT | WEAKNESS OF THE TOE EXTENSOR |
| MC LOCATION OF A MORTON’S NEUROMA | 3 AND 4TH METATARSAL HEADS |
| CERVICOTHORACIC WEIGHTED X-RAY FILM IS FOR | ACJ LAXITY |
| BILATERAL SWELLING AND REDNESS AT THE HANDS AND KNEES | RA |
| BEST WAY TO EVALUATE THE MOVEMENT OF THE UPPER SI JOINT | MARCHING IN PLACE |
| 24 YOF, RIGHT EYE BLINDNESS AND LEFT LEG WEAKNESS | MULTIPLE SCLEROSIS |
| 35 YOF, TRIPPED FOR NO APPARENT REASON, FATIGUE WITH MOVEMENT OF THE EYES | MS |
| MUSCLE TESTING IN WHICH THE PERSON HAS RATES 3/5 | COMPLETE ROM AGAINST GRAVITY |
| BEST CARE PLAN FOR UNCOMPLICATED LBP | 2 TIMES A WEEK FOR THREE WEEKS AND ONCE A WEEK FOR 5-6 WEEKS |
| NERVE WHICH INNERVATES EXT. OF THE WRIST, THUMB AND INTERGRITY OF THE DORDSAL INTEROSSEOUS | MEDIAN NERVE |
| . 8 MONTH OLD BABY WITH CHRONIC COUGH | CYSTIC FIBROSIS |
| PATIENT WITH ACUTE PANCREATITIS POSITION FOR COMFORT | KNEE CHEST |
| PSA TEST IS + | PROSTATE EXAM |
| . 22 YOM, KEEPS KNEES IN EXTENSION WITH KNEES LOCKED IN ORDER TO WALK | L5 NERVE ROOT |
| IS A SURGICAL EMERGENCY | DIFFICULTY URINATING AND CONSTIPATION |
| TO PALPATE THE T6 TP YOU FIND THE SPINOUS | GO TWO INTERSPINOUS SPACES ABOVE |
| DOWN SYNDROME ANOMILY | LAXITY OF THE TRANSVERSE LIG. |
| . TRIAD OF RAYNAUDS DZ | WHITE, RED, BLUE |
| TENSION HA | STRESS RELATED |
| 21 YOF, NO FEVER, SUDDEN HA, TEMPORAL TO OCCIPITAL REGION, BLOW TO BACK OF HER HEAD | SUBARACHNOID HEMORRHAGE |
| SUPRA-PUBIC PAIN | HEMATURIA |
| COCK UP SPLINT IS USED FOR | WRIST |
| 50 YOM, BEER WITH LUNCH, DINNER, ETC | EXUDATES ON FUNDOSCOPY |
| . IMPORTANT DIETARY ADVICE | . IMPORTANT DIETARY ADVICE |
| POSSIBLE CONDITION ASSOCIATED | CHF |
| PAIN WITH MASTICATION | GIANT CELL ARTERITIS |
| IF YOU SUSPECT A SLIPPED CAPITAL EPIPHYSIS | REFER TO ORTHO |
| 22 YOF, FEVER OF 100.6, SEVER HA, LYMPHADENOPATHY, SCALP PAIN AND FATIGUE FOR TWO WEEKS | HODGKIN’S DZ |
| PATIENT BREATHING PROBLEM POST SURGERY | PULMONARY EMBOLISM |
| 25 YOM, SWIMMER COMES IN WITH SHOULDER PAIN, A-P SHOULDER VIEW FOR | CALCIFIC TENDONITIS |
| PT. SUPINE HEAD LATERALLY FLEXED TO THE RIGHT AND ROTATED TO THE LEFT, AN INDEX FINGER CONTACT OF C2 ARTICULAR PILLAR IS TAKEN THE CORRECT LOD | LATERAL TO MEDIAL I-S |
| NORMAL DIFFERENCE IN BLOOD PRESSURE BETWEEN UPPER AND LOWER EXTREMITIES | 20° LOWER IN THE UPPER EXTREMITY |
| FINDING IN EMPHYSEMA | RETRACTION OF THE INTERCOSTAL SPACE UPON INSPIRATION |
| WHERE TO PLACE THE USD ON THE ELBOW | FLEXOR CARPI ULNARIS |
| GLOMERULONEOHRITIS | RBC CASTS IN THE URINE |
| REVIEW OF SYSTEMS ARE TO | ARE THERE ANY OTHER CONDITIONS IN THE BODY |
| FINDING IN EMPHYSEMA | CHANGE IN INTERCOSTAL ANGLE |
| MOST SERIOUS SKIN LESION | MANY COLORS AND IRREGULAR SHAPE |
| 60 YOM, PERSISTANT SPINAL PAIN FOR PAST THREE MONTHS, X-RAY REVEALS COMPRESSION FX, LAB ESR, BENCE JONES PROTEINURIA | MM |
| FIRST SIGN OF RA | HANDS AND FEET |
| DECREASED KOHLERS TEARDROP DISTANCE IS TO DETERMINE | PROTRUSIO ACETABULI |
| CAROTID SINUS REFLEX TESTS | IX AND X |
| CHOLECYSTITIS REFERS PAIN TO | RIGHT UPPER SHOULDER |
| + HALSTEADS TEST, PROPER TX | TOS, STRETCH THE PEC’S AND STRENGTHEN THE RHOMBOIDS |
| TRACHEA DEVIATES TOWARD THE SIDE OF | ATELECTASIS |
| TO ADJUST A SHOULDER WITH AN A-P FIXED GLIDE | SUPINE A-P |
| DELTOID LIGAMENT SHOULD BE TESTED BY STRESS BY | LATERAL FOOT |
| AT WHICH AGE AND GENDER IS ANKYLOSING SPONDYLITIS IN GENERAL | 20-40 MALES |
| NOT RECOMMENDED FOR A 11 YOM WITH SPONDYLOLISTHESIS | HYPEREXTENSION |
| PHOTOPHOBIA, HEADACHE, NUCHAL RIGIDITY | BRUDZINSKI’S |
| NOT A MALINGERING TESTS | MAXIMUM CERVICAL COMPRESSION |
| . RESISTED FLEXION TESTING IN THE C/S TESTS | SCM, CN XI AND C2 |
| STEP UP EXERCISES USING 12 INCH BLOCKS ARE USED TO STRENGTHEN | THE HIP (FLEXORS) AND KNEE (EXTENSORS) |
| DUGAS TEST FOR 9PT. PLACES HAND ON LEFT SHOULDER AND LOWERS ELBOW | SHOULDER DISLOCATION |
| THREE WEEKS AFTER AN ANTERIOR SHOULDER INJURY, WHAT SHOULD NOT BE ADVISED | IMMOBILIZE |
| LBP RADIATES INTO RIGHT FOOT, AND LEFT LEG ELICITS PAIN IN THE SAME LEG | POSTERIOR MEDIAL DISC LESION |
| SYSTOLIC MURMUR HEARD OVER THE FIFTH INTERCOSTAL SPACE, MID CLAVICULAR LINE IS DUE TO | MITRAL REGURGITATION |
| 32 YOF, WITH BACK STIFFNESS AND PAIN IN THE SI JOINT FOR SEVERAL MONTHS, X-RAY REVEALS SCLEROSIS OF THE ILIUM WITH NO JOINT EROSION | ADJUST THE SI JOINTS |
| MOST SIGNIFICANT SYMPTOM THAT THE PAIN IS GETTING WORSE | ANOREXIA WITH PAIN IN THE MORNING |
| 30 YOM, WITH HA WITH INCREASED STRESS, EYE TEARING, RUNNY NOSE | CLUSTER |
| PENDULAR EXERCISES ARE BEST FOR | HEALED ROTATOR CUFF TEAR |
| 40 YOW, ABDOMINAL PAIN FOR PAST WEEK, ALL THE WORKERS HAVE IT ALSO | HEPATITIS |
| NERVE TESTED TO EVALUATE HEARING | CN8 (VESTIBULAR COCHLEAR) |
| GREATEST AMOUNT OF EXTENSION IN THE C/S OCCURS | C4, C5 |
| BEST LAB TEST FOR PAGET’S | ALKALINE PHOSPHATASE |
| MODERATE TO SEVERE SPONDYLOSIS COMPLAINS ABOUT LBP AND CALF PAIN, EXACERBATED BY WALKING | NEUROGENIC CLAUDICATION |
| LBP, NORMAL LABS, T9 COMPRESSION FX, MOST LIKELY FUTURE PROBLEM | VERTEBRAL CANAL STENOSIS |
| PATIENT FLEXES THE ELBOW THEN THE WRIST AND MAXIMUM ELBOW EXTENSION | MILL’S TEST (EXT. POLLICIS BREVIS) |
| NERVE FOR DORSIFLEXION OF THE FOOT WITH INVERSION | COMMON PERONEAL NERVE |
| . HOW SHOULD A PATIENT WITH CARPAL TUNNEL SYNDROME BE ADJUSTED | ANTERIOR LUNATE |
| EVALUATION BEST TO DETERMINE SKELETAL MATURITY IN THE EVALUATION OF SCOLIOSIS | LEFT HAND AND WRIST |
| 65 YOF, COLD FEET WITH THICKENING OF THE TOE NAILS | ARTERIAL INSUFFICIENCY |
| CLASSIC MIGRAINE SIGNS VS COMMON MIGRAINE | VISUAL HALLUCINATIONS |
| SUDDEN BREIF MOVEMENT OF A LIMB WHICH OFTEN | MYOCLONUS |
| GREATEST ROM IN L/S | FLEXION |
