H&P Midterm Skills Verbal Statements

Question 1

Temperature

Answer 1

Oral or tympanic

Question 2

Radial Pulse

Answer 2

If regular, count for 30 seconds and multiply by 2

Question 3

Respirations

Answer 3

Count while finger is still on the radial pulse for one minute

Question 4

Blood Pressure

Answer 4

Both arms (perform in one arm)

Include measurement of pulse obliteration point to assess for ausculatory gap.

Question 5

General Assessment

Answer 5

Assessing appearance, behavior, speech, articulation, language, mood, thought process and perceptions.

(8)

Question 6

Skin

Answer 6

INSPECT AND PALPATE:
For color, vascularity, moisture, temperature, texture, thickness, mobility and turgor, presence of skin lesions.
(8)

Question 7

Nails

Answer 7

ASSESS:
For color, thickness, shape, curvature, lesions, capillary refill.
(6)

Question 8

Head and Face

Answer 8

INSPECT:
Head, face, and scalp for size, shape, and symmetry

(3)

PALPATE:
Skull, scalp, and hair for distribution, condition, texture, tenderness, lesions

(5)

Question 9

Eyes

Answer 9

INSPECT AND PALPATE:
Eyebrows, eyelashes, upper and lower lids, conjunctiva, sclera, corneas, lacrimal glands, pupils, iris, eye alignment
(10)

Question 10

Ears

Answer 10

INSPECT:
External appearance, size, shape, deformities, position, lesions, discharge, edema, and erythema.
(9)

Question 11

Ears Otoscope

Answer 11

Noting color, translucency, lesions, landmarks - umbo, handle of the malleus, short process, cone of light, and TM mobility.
(9)

Question 12

Nose

Answer 12

External symmetry, any deformities

Question 13

Nose Otoscope

Answer 13

Septum and turbinates

Question 14

Mouth/Throat

Answer 14

INSPECT AND PALPATE:
Lips, oral/buccal mucosa, gums and teeth, dentition, tongue, palate, sublingual region, salivary gland openings, tonsils, posterior pharyngeal wall.
(10)

Question 15

Mouth/Throat CN

Answer 15

Uvula and soft palate rise, CN 9 & 10
Gag Reflex, CN 9 & 10
Tongue movement, CN 12

Question 16

Neck

Answer 16

Anterior neck for symmetry

Question 17

MSK General

Answer 17

INSPECT AND PALPATE all joints:

For deformities, asymmetry, swelling, redness, nodules, muscle atrophy, tenderness, bogginess, and bone enlargement.
(9)

Question 18

Shoulder

Answer 18

Sternoclavicular joint, clavicle, AC joint, acromion, greater tubercle of humerus, and coracoid process.

Question 19

Wrist and Hand

Answer 19

Distal radius and ulna, wrist joint, anatomical snuffbox, carpal bones, metacarpals, phalanges.

Question 20

Spine

Answer 20

INSPECT:
Patient’s posture, spinal curvatures.

PALPATE:
Spinous processes, SI joints, paravertebral muscles.

Question 21

Hip

Answer 21

INSPECT:
Patient’s gait.

PALPATE:
Iliac crest, ASIS, greater trochanter.

Question 22

Knee

Answer 22

Quadriceps muscle, patella, patellar tendon, femoral condyles, tibial plateau, tibial tuberosity, popliteal fossa.

Question 23

Ankle and Foot

Answer 23

Medial and lateral malleolus, calcaneus, anterior ankle joint, achilles tendon, plantar fascia, MTP joints, heads of metatarsals.

Question 24

Facial Nerve CN7

Answer 24

Assess facial movements at rest and during conversation.

Question 25

Spinal Accessory Nerve CN 11

Answer 25

Strength and contraction of sternomastoid and upper trapezius muscles.

Question 26

Motor

Answer 26

Observe body position during movement and at rest, noting any involuntary movements, muscle bulk, and tone. (3)

Question 27

Biceps

Answer 27

Biceps Reflex, C5-C6

Question 28

Brachioradialis

Answer 28

Brachioradialis Reflex, C5-C6

Question 29

Patella

Answer 29

Patellar Reflex, L2-L4

Question 30

Achilles

Answer 30

Achilles Reflex, S1

Question 31

Plantar/Babinski

Answer 31

Plantar Reflex, L5-S1