Basic Screening Exam

Question 1

Introduction

Answer 1

1. State name, purpose.
2. Verify patient identity.
3. Wash hand.
4. Clean stethoscope.

Question 2

General Appearance

Answer 2

1. Habitus, posture
2. Level of comfort
3. Signs of distress
4. Affect
5. Voice quality

Question 3

Vital Signs

Answer 3

1. Verify SpO2, weight, temp.
2. Palpate pulse bilaterally.
3. Measure pulse, BP and RR.
4. Orthostatic blood pressure as indicated.

Question 4

Mental Status

Answer 4

Chekc for level of consciousness, psychosis, disorientation

Question 5

Head

Answer 5

1. Inspect face, skull, face, hair and scalp

2. Palpate skull

Question 6

Head (inspecting face)

Answer 6

Asymmetry, involuntary movement, rashes, lesions, hirsutism

Question 7

Head (inspecting skull)

Answer 7

Size, shape and deformity

Question 8

Head (inspecting hair and scalp)

Answer 8

Alopecia, texture, nits, rashes, lesions

Question 9

Head (palpate skull)

Answer 9

Deformities, tenderness

Question 10

Eyes

Answer 10

1. Visual acuity
2. Inspect conjunctivae
3. Inspect sclerae
4. Inspect pupil
5. Observe pupillary reaction to light
6. Test ocular movements
7. Fundoscopy

Question 11

Eyes (visual acuity)

Answer 11

Check vision changes, eye chart 14” away.
Cover (cup) one eye, read lowest visible line.
Cover (cup) other eye, read lowest visible line backwards.
With both eyes, read lowest visible line.

Question 12

Eyes (inspect conjunctivae)

Answer 12

Color, masses, discharge

Question 13

Eyes (inspect sclerae)

Answer 13

Icterus (yellow-tinge, jaundice)

Lesions

Question 14

Eyes (inspect pupil)

Answer 14

Size, shape, symmetry

Question 15

Eyes (pupillary reaction)

Answer 15

Direct and consensual response to light

CN II and III

Question 16

Eyes (extraocular movements)

Answer 16

Asymmetry, nystagmus
CN III, IV and VI
Follow light with eyes only, no head movement
Start center and move in “H” pattern

Question 17

Eyes (fundoscopy)

Answer 17

Red reflex, optic disc for papilledema, retina for vessels, fovea, macula

Question 18

Ears

Answer 18

1. Inspect anterior, posterior auricle
2. Inspect auditory canal
3. Inspect tympanic membrane
4. Test gross hearing (WHISPER TEST)

Question 19

Ears (inspect auricle)

Answer 19

Deformities, swelling and lesions

Question 20

Ears (inspect auditory canal)

Answer 20

Erythema, swelling, discharge, cerumen, foreign bodies

Question 21

Ears (inspect tympanic membrane)

Answer 21

Color, scarring, perforation, bulging, retraction, effusion

Question 22

Ears (whisper test)

Answer 22

Symmetry, hearing loss

Question 23

Nose

Answer 23

Inspect internal nares

Question 24

Nose (inspect internal nares)

Answer 24

Bleeding, discharge, swelling, lesions, polyps, septal perforation

Question 25

Mouth and Throat

Answer 25

1. Lips 2. Oral mucosa 3. Teeth 4. Gingiva 5. Tongue 6. Palate 7. Tonsils 8. Uvula 9. Pharynx

Question 26

Mouth and Throat (lips, oral mucosa)

Answer 26

Cyanosis, pallor, lesions, moisture

Question 27

Mouth and Throat (teeth)

Answer 27

Loose, missing, caries

Question 28

Mouth and Throat (gingiva)

Answer 28

Recession, swelling, bleeding masses

Question 29

Mouth and Throat (tongue)

Answer 29

4 sides | Color, texture, lesions, leukoplakia

Question 30

Mouth and Throat (palate)

Answer 30

Lesions, deformities

Question 31

Mouth and Throat (tonsils)

Answer 31

Presence, enlargement, erythema, exudate

Question 32

Mouth and Throat (uvula)

Answer 32

Erythema, deviation

Question 33

Mouth and Throat (pharynx)

Answer 33

Erythema, swelling

Question 34

Neck and Lymph Nodes

Answer 34

1. Inspect anterior neck 2. Inspect thyroid; swallow (isthmus and lobes) 3. Lymph nodes (anterior/posterior/supraclavicular/axillary) 4. RANGE OF MOTION

Question 35

Neck and Lymph Nodes (anterior neck)

Answer 35

Erythema, swelling, symmetry

Question 36

Neck and Lymph Nodes (thyroid; isthmus and lobes)

Answer 36

Size, symmetry, nodules | Size, shape, consistency, nodules, tenderness

Question 37

Neck and Lymph Nodes (lymph nodes)

Answer 37

Size, shape, mobility, consistency, tenderness

Question 38

Neck and Lymph Nodes (ROM)

Answer 38

Pain, decreased ROM

Question 39

Respiratory

Answer 39

Posterior and Anterior 1. Inspect skin 2. Quiet v. deep respiration 3. Auscultation

Question 40

Respiratory (inspect skin)

Answer 40

Rashes, lesions, scars

Question 41

Respiratory (quiet, deep respiration)

Answer 41

Symmetry of chest wall movement, accessory muscle use

Question 42

Respiratory (auscultation)

Answer 42

Serpentine order Pitch, intensity, duration of breath sounds with inspiration and expiration, adventitious breath sounds including: crackles, rhonchi, wheezing, rubs

Question 43

Cardiovascular

Answer 43

Supine Auscultation with diaphragm Carotid artery

Question 44

Cardiovascular (auscultation)

Answer 44

Aortic area, pulmonic arch, left sternal border (2), tricuspid/mitral