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Health Assessment > Module 9 > Flashcards

Module 9 Flashcards

1
Q

consequences, after effects

A

Sequelae

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2
Q

Sensation of faintness

A

dizziness

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3
Q

Sensation of spinning

A

vertigo

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4
Q

Nosebleed

A

epistaxis

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5
Q

Decreased sensitivity to taste

A

Hypogeusia

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6
Q

-geusia

A

taste

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7
Q

unpleasant taste

A

Dysgeusia

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8
Q

Double vision

A

diplopia

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9
Q

beating of the heart so vigorously that the person is aware of it

A

palpitations

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10
Q

equipment for head and neck

A

Light source, Tongue blade, Cotton balls, Tape measure, Stethoscope, Otoscope , Snellen Eye Chart or Pocket Vision Card , Ophthalmoscope

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11
Q

techniques for head and neck

A

inspection and palpation

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12
Q

is the head and neck a single, fixed sequence

A

no

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13
Q

what is the most efficient way to examine

A

examine the ears, nose and throat in one smooth sequence

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14
Q

what is normal head position

A

upright, midline and still

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15
Q

jerking of the head may indicate what

A

tremor

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16
Q

nodding of the head may indicate what

A

aortic stenosis

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17
Q

what do you inspect the scalp for

A

size, shape, symmetry, and leisons

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18
Q

how do you inspect facial features

A

shape and symmetry
Cranial Nerve V (Trigeminal)
Cranial Nerve VII (facial)
unusual features

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19
Q

how do you inspect the Trigeminal nerve

A

Motor:
Jaw opening and clenching
Mastication (chewing)
Sensory: Sensation over the face

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20
Q

how do you inspect the facial nerve

A 
Motor:
Raise eyebrows
Smile, frown, and show teeth
Puff out cheeks
Close eyes tightly
Sensory: Taste: anterior 2/3 of tongue
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21
Q

what unusual features of the face do you inspect for

A

edema, prominent eyes, sunken eyes, hirsutism, alopecia, tics

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22
Q

tissue swelling

A

edema

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23
Q

Hyperthyroidism

A

prominent eyes

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24
Q

Dehydration, malnutrition

A

sunken eyes

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25
Q

excessive hair growth

A

hirsutism

26
Q

hair loss

A

alopecia

27
Q

Spasmodic muscular contractions

A

tics

28
Q

An expression or appearance of the head and neck that, when taken together, are characteristic of a clinical condition or syndrome

A

facies

29
Q

how do you palpate the head

A

Palpate using a gentle rotary motion
Proceed from front to back
Palpate for lymph nodes

30
Q

what do you palpate the skull and scalp for

A

Contour: smooth, Symmetry, Tenderness, Scalp movement, Hair

31
Q

what are the lymph nodes

A

Preauricular, Postauricular, Occipital, Tonsillar, Submandibular, Submental, Anterior Cervical Chain, Posterior Cervical Chain, Supraclavicular

32
Q

what should be done if a problem in the sinuses is suspected

A

Transillumination

33
Q

how do you examine the sinues

A

Inspect the area over the frontal and maxillary sinuses
Palpate over the frontal and maxillary sinuses
Percuss over the frontal and maxillary sinuses

34
Q

what do you inspect the neck in

A

Usual anatomic position
Slight hyperextension
As the person swallows with neck hyperextended

35
Q

movement that increases the angle of a joint to 180°; straightening the joint

A

extension

36
Q

exaggerated extension

> 180°

A

hyperextension

37
Q

what do you inspect the neck for

A

Symmetry, Alignment of trachea, Fullness, Masses, webbing, skin folds, Jugular vein distention, Carotid artery prominence, Cranial Nerve XI (Spinal Accessory)

38
Q

how do you inspect the Cranial Nerve Spinal Accessory

A

Ability to shrug shoulders with and without resistance and turn head

39
Q

what do you palpate on the neck

A

Trachea for Position and Tugging

40
Q

what type of vison are you interested in on a patient

A

person’s best corrected and uncorrected vision

41
Q

If the person has contacts in

A

they do not need to remove them

42
Q

If the person is wearing glasses

A

visual acuity needs to be done with an without them

43
Q

what cranial nerve is related to visual acuity

A

cranial nerve II (optic)

44
Q

visual acuity is reported as…

A

as a pair of numbers (e.g., 20/20)

45
Q

the first number in visual acuity is

A

how far the person is from the chart

46
Q

the second number in visual acuity is

A

the distance from which the “normal“ eye can read a line of letters

47
Q

nearsightedness

A

myopia

48
Q

20/40 on the Snellen chart means that

A

that at 20 feet the person can only read letters a “normal” person can read from twice that distance

49
Q

20/40 on the Rosenbaum chart means

A

that at 14 inches the person can only read letters a “normal” person can read from twice that distance

50
Q

farsightedness

A

hyperopia

51
Q

due to aging

A

presbyopia

52
Q

how to perform a visual acuity test

A

Have the person cover one eye at a time with a card
Ask the person to read the smallest line possible without straining
Repeat with the other eye
Repeat with both eyes

53
Q

what do you inspect the eyes for

A

ptosis, exophthalmos, lesions, deformities, or asymmetry

54
Q

full inspection of the eyes

A

Ask the person to look up and pull down both lower eyelids to inspect the conjunctiva and sclera
Next spread each eye open with your thumb and index finger
Ask the person to look to each side, upward and downward to expose the entire bulbar surface.
Note any discoloration, redness, discharge, or lesions
Note any deformity of the iris or lesion cornea

55
Q

how do you test peripheral vision

A

Stand two feet in front of the person and have them look into your eyes
Hold your hands to the side half way between you and the person
Wiggle the fingers on one hand
Ask the person to indicate which side they see your fingers move
Repeat two or three times to test both temporal fields

56
Q

how do you check for neglect in the visual fields

A

wiggle your right and left fingers simultaneously

The person should see movement in both hands

57
Q

if abnormality of visual fields is suspected..

A

use the confrontation test

58
Q

how do you check visual fields by confrontation test

A

Asking the person to cover one eye with a card
You cover your opposite eyes with a card
Have the person look directly into your eyes
Bring in your wiggling fingers from each quadrant and ask the person to tell you when your fingers are seen

59
Q

how do you check corneal reflections

A

Shine a light from directly in front of the person

60
Q

what should the corneal reflections be near

A

the center of the pupils

61
Q

what does asymmetry of the corneal reflections indicate

A

extraocular muscle pathology

Health Assessment (28 decks)

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