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

Chp 35 Flashcards

(69 cards)

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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
what are the components of a chest exam
inspection and palpation
26
what position should a pt be in for a chest exam
sitting
27
what are the components of a HEENT exam
head, face, ears, mouth, eye, nose, and throat
28
what position should a pt be in for a HEENT exam
sitting
29
what are components of a heart exam
rate & rhythm and sounds
30
what position should a pt be in for a heart exam
sitting
31
what are components of a lung exam
rate & rhythm, sounds, and capacity
32
what position should a pt be in for lung exam
sitting
33
what are components of a breast exam
inspection, palpation, and pt education
34
t/f: men should also have breast exams
true
35
what position should a pt be in for a breast exam
sitting or recumbent
36
what are components of abdomen exam
auscultation, inspection, palpation, and percussion
37
what position should a pt be in for an abdomen exam
supine or dorsal recumbent
38
what should be percussed in an abdomen exam
liver, spleen, stomach size, and presence of air
39
what organs are in the right hypochondriac region?
- right lobe of liver - gallbladder - part of duodenum - hepatic flexure of colon - part of right kidney - suprarenal gland
40
what organs are in the epigastric region?
- pyloric end of stomach - duodenum - pancreas - aorta - portion of liver
41
what organs are in the left hypochondriac region?
- stomach - spleen - tail of pancreas - splenic flexure of colon - upper pole of left kidney
42
what organs are in the right lumbar region
- ascending colon - lower half of right kidney - part of duodenum and jejunum
43
what organs are in the umbilical region?
- omentum - mesentery - transverse colon - lower part of duodenum - jejunum and ileum
44
what organs are in the left lumbar region?
- descending colon - lower half of left kidney - parts of jejunum and ileum
45
what organs are in the right inguinal region?
- cecum - appendix - lower end of ileum - right ureter - right spermatic cord/right ovary
46
what organs are in the hypogastric region?
ileum, bladder, and pregnant uterus
47
what organs are in the left inguinal region?
- sigmoid colon - left ureter - left spermatic cord/left ovary
48
what are components of a back exam?
spine and symmetry
49
what position should a pt be in for a back exam
standing
50
what are components of a male genitourinary & rectal exam
pubis, penis, scrotum, anus, and prostate
51
what position should a pt be in for a male genitourinary & rectal exam
standing
52
t/f: upon testicular self-exam, it is normal for one testicle to be larger than the other
true
53
what are the components of a female genitourinary and rectal exam
pubis, labia, vagina, vaginal orifice, uterus, ovaries, and anus
54
what is checked in a bimanual exam w/palpation as part of a female genitourinary exam
uterus, ovaries, and anus
55
what position should pt be in for a female genitourinary and rectal exam
lithotomy
56
what are components of an exam of the extremeties
leg and feet
57
what position should pt be in for an exam of extremeties
recumbent
58
t/f: muscles need to have a mild stretch to test reflexes
true
59
when you are testing a reflex with a percussion hammer, what are you tapping to trigger the reflex?
nerve endings
60
list types of reflexes
biceps, triceps, patellar, Achilles, plantar
61
how can the plantar reflex be triggered
stroke bottom of foot
62
what are components of muscle strength exam
fingers, grip, elbow, hip, knee (flexion & extension), and ankle
63
purpose of Romberg balance test?
detect muscle abnormality
64
how is the romberg balance test performed?
pt stand feet together eyes open then close eyes
65
list examples of coordination tests
- finger to nose (eyes open & closed) - altering motion - heel to toe - heel to shin
66
how is the heel to shin test performed
drag heel down shin while laying down
67
the altering motion test involves what
tapping or clapping
68
what does POMR stand for
problem oriented medical record
69
what does R/O stand for
rule out

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

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