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MA: Chp 34,35,46 - Exams > Chp 35 > Flashcards

Chp 35 Flashcards

1
Q

what does CPE stand for

A

complete physical exam

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2
Q

what does PE stand for

A

physical exam

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3
Q

what does H&P stand for

A

history and physical

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4
Q

list the 6 exam techniques

A

inspection, palpation, percussion, auscultation, mensuration, and manipulation

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5
Q

what are components of the inspection technique?

A
  • skin color & condition
  • general appearance
  • level of anxiety
  • gait
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6
Q

what are components of the palpation technique?

A
  • skin temp
  • size & shape of organs
  • aortic pulsations
  • position & presence of abnormal structures
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7
Q

what are terms used to describe percussion?

A

pitch, quality, resonance, duration

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8
Q

aka: direct pressure

A

immediate pressure

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9
Q

what is the most used version of percussion

A

indirect/mediate

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10
Q

difference between direct & indirect pressure?

A

direct = strike w/hand
indirect = finger on area & strike with other hand

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11
Q

how is indirect/mediate auscultation performed

A

w/a stethoscope

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12
Q

how is direct/immediate auscultation done

A

w/ear

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13
Q

list components of mensuration technique

A

ht, wt, head, chest, extremities, temp, pulse, BP, respirations

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14
Q

define the manipulation technique

A

passive movement of joint to determine range of extension and flexion

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15
Q

what are the components to the general appearance exam?

A

appearance, gait, awareness, speech, breath, and hearing

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16
Q

what position should the pt be in for a general appearance exam

A

anatomical, sit, ambulate

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17
Q

what are the components to a skin exam

A

color, condition, nails, blemishes, and lumps

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18
Q

what position should a pt be in for a skin exam

A

sitting or standing

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19
Q

what should be looked for under the color component of a skin exam

A

redness, bruising, birthmarks, and darker areas

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20
Q

what should be looked for under the condition component of a skin exam

A

dry/flaky/soft, callouses, skin cracks, and turgor

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21
Q

what should be looked for under the nail component of a skin condition

A

cuticles, groomed, brittle/peeling/grooved, spooning/clubbing/white lines

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22
Q

what are the components of the neck exam

A
  • lymph nodes and parotid glands
  • thyroid
  • auscultate carotid arteries
  • observe swelling
  • ROM
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23
Q

what position should a pt be in for a neck exam

A

sitting

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24
Q

what sound is produced by the blockage of an artery

A

bruit

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25
Q

what are the components of a chest exam

A

inspection and palpation

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26
Q

what position should a pt be in for a chest exam

A

sitting

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27
Q

what are the components of a HEENT exam

A

head, face, ears, mouth, eye, nose, and throat

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28
Q

what position should a pt be in for a HEENT exam

A

sitting

29
Q

what are components of a heart exam

A

rate & rhythm and sounds

30
Q

what position should a pt be in for a heart exam

A

sitting

31
Q

what are components of a lung exam

A

rate & rhythm, sounds, and capacity

32
Q

what position should a pt be in for lung exam

A

sitting

33
Q

what are components of a breast exam

A

inspection, palpation, and pt education

34
Q

t/f: men should also have breast exams

A

true

35
Q

what position should a pt be in for a breast exam

A

sitting or recumbent

36
Q

what are components of abdomen exam

A

auscultation, inspection, palpation, and percussion

37
Q

what position should a pt be in for an abdomen exam

A

supine or dorsal recumbent

38
Q

what should be percussed in an abdomen exam

A

liver, spleen, stomach size, and presence of air

39
Q

what organs are in the right hypochondriac region?

A
  • right lobe of liver
  • gallbladder
  • part of duodenum
  • hepatic flexure of colon
  • part of right kidney
  • suprarenal gland
40
Q

what organs are in the epigastric region?

A
  • pyloric end of stomach
  • duodenum
  • pancreas
  • aorta
  • portion of liver
41
Q

what organs are in the left hypochondriac region?

A
  • stomach
  • spleen
  • tail of pancreas
  • splenic flexure of colon
  • upper pole of left kidney
42
Q

what organs are in the right lumbar region

A
  • ascending colon
  • lower half of right kidney
  • part of duodenum and jejunum
43
Q

what organs are in the umbilical region?

A
  • omentum
  • mesentery
  • transverse colon
  • lower part of duodenum
  • jejunum and ileum
44
Q

what organs are in the left lumbar region?

A
  • descending colon
  • lower half of left kidney
  • parts of jejunum and ileum
45
Q

what organs are in the right inguinal region?

A
  • cecum
  • appendix
  • lower end of ileum
  • right ureter
  • right spermatic cord/right ovary
46
Q

what organs are in the hypogastric region?

A

ileum, bladder, and pregnant uterus

47
Q

what organs are in the left inguinal region?

A
  • sigmoid colon
  • left ureter
  • left spermatic cord/left ovary
48
Q

what are components of a back exam?

A

spine and symmetry

49
Q

what position should a pt be in for a back exam

A

standing

50
Q

what are components of a male genitourinary & rectal exam

A

pubis, penis, scrotum, anus, and prostate

51
Q

what position should a pt be in for a male genitourinary & rectal exam

A

standing

52
Q

t/f: upon testicular self-exam, it is normal for one testicle to be larger than the other

A

true

53
Q

what are the components of a female genitourinary and rectal exam

A

pubis, labia, vagina, vaginal orifice, uterus, ovaries, and anus

54
Q

what is checked in a bimanual exam w/palpation as part of a female genitourinary exam

A

uterus, ovaries, and anus

55
Q

what position should pt be in for a female genitourinary and rectal exam

A

lithotomy

56
Q

what are components of an exam of the extremeties

A

leg and feet

57
Q

what position should pt be in for an exam of extremeties

A

recumbent

58
Q

t/f: muscles need to have a mild stretch to test reflexes

A

true

59
Q

when you are testing a reflex with a percussion hammer, what are you tapping to trigger the reflex?

A

nerve endings

60
Q

list types of reflexes

A

biceps, triceps, patellar, Achilles, plantar

61
Q

how can the plantar reflex be triggered

A

stroke bottom of foot

62
Q

what are components of muscle strength exam

A

fingers, grip, elbow, hip, knee (flexion & extension), and ankle

63
Q

purpose of Romberg balance test?

A

detect muscle abnormality

64
Q

how is the romberg balance test performed?

A

pt stand feet together eyes open then close eyes

65
Q

list examples of coordination tests

A
  • finger to nose (eyes open & closed)
  • altering motion
  • heel to toe
  • heel to shin
66
Q

how is the heel to shin test performed

A

drag heel down shin while laying down

67
Q

the altering motion test involves what

A

tapping or clapping

68
Q

what does POMR stand for

A

problem oriented medical record

69
Q

what does R/O stand for

A

rule out

MA: Chp 34,35,46 - Exams (4 decks)

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