reflex grading scale {Ans: 4+- brisk, hyperactive, indicative of disease 3+- brisker than average, probably normal but may indicate disease 2+- normal 1+- diminished, low normal or occurs only with reinforcement 0- no response}egophony {Ans: -e normal sound is eeee -abnormal eeee changes to aaaa with lung consolidation}left sided CHF {Ans: -lung symptoms -SOB, crackles, cough, orthopnea, fatigue, S3, anxiety, confusion}papilledema {Ans: -optic disk swelling -secondary to icp -vision usually good -develops over hours to weeks}acrochordons {Ans: skin tags}tactile fremitus {Ans: -decreased with obstruction: pneumothorax, PE, emphysema -increased with consolidation: lobar pneumonia}rating muscle strength {Ans: }ovarian cancer {Ans: -may have abdominal pain, bloating, nonspecific gi symptoms or asymptomatic -may palpate tumor on ovary -benign mass may feel mobile and solid -malignant mass may be heavy, solid, fixed and poorly defined}cyst {Ans: elevated, fluid filled, or semi-solid mass}chorea {Ans: -sudden, rapid, jerky irregular movements of limbs, trunk or face -disappears with sleep -huntingtons disease}onycholysis {Ans: nail lifting caused by trauma or infection}characteristics of pain {Ans: -radiating pain: perceived source of pain, extends to nearby tissues -referred pain: perceived in part of body that is removed from the tissues causing