Health Assessment Ch. 30

Question 1

What is PMI?

Answer 1

Point of Maximum Impulse

Question 2

Apical Impulse/PMI

Answer 2

Where the apex of the heart touches the anterior chest wall at the 5th intercostal space

Question 3

Atrophied

Answer 3

A muscle that has reduced in size and feels soft when palpated

Question 4

What is cerumen?

Answer 4

Ear wax

Question 5

Clubbing

Answer 5

Bulging of tissue at the nail base

Question 6

Hypertonicity

Answer 6

When there is resistance with passive movement of a muscle

Question 7

Hypotonicity

Answer 7

A muscle with little tone. The extremity’s position is determined by gravity

Question 8

Induration

Answer 8

Skin hard (remember positive TB results induration is measured in millimeters)

Question 9

Peristalsis

Answer 9

The movement of contents through the intestines

Question 10

Polyps

Answer 10

Tumor like growth or purulent drainage

Question 11

Ptosis

Answer 11

Drooping of an eyelid over the pupil (cause by edema of damage to the third cranial nerve)

Question 12

Stenosis

Answer 12

The narrowing of arteries

Question 13

Syncope

Answer 13

Circulatory arrest

Question 14

Turgor

Answer 14

Elasticity of the skin

Question 15

Systole

Answer 15

The ventricles contract and eject blood from the left ventricle into the aorta and from the right ventricle into the pulmonary artery

Question 16

Diastole

Answer 16

The ventricles relax, the atria contract to move blood into the ventricles and fill the coronary arteries

Question 17

When examining the heart have the PT in the ________ or __________ position.

Answer 17

supine

Fowler’s

Question 18

Heart sound position 1

Answer 18

Aortic - Right second intercostal space

Question 19

Heart sound position 2

Answer 19

Left second intercostal space

Question 20

Heart sound position 3

Answer 20

Second Pulmonic/Erb’s Point - Left third intercostal space

Question 21

Heart sound position 4

Answer 21

Tricuspid - Left fourth intercostal space

Question 22

Heart sound position 5

Answer 22

Mitral - Left of midclavicular, fifth intercostal space

Question 23

Regarding pulse strength what is considered normal?

Answer 23

2

Question 24

Use __________ to palpate?

Answer 24

fingertips

Question 25

Use these to test for pitting.

Answer 25

thumbs

Question 26

Edema is part of the __________ system?

Answer 26

cardiovascular

Question 27

____________ around the ankle and foot area is a sign of venous inefficiency or right side heart failure.

Answer 27

Edema

Question 28

Orthostatic Hypotension/Postural Hypotension is a drop in systolic by ______mm or a drop in diastolic by __________mm.

Answer 28

20 sys | 10 dia

Question 29

JVD should be assessed from what position?

Answer 29

Supine

Question 30

Two ways to inspect the musculoskeletal system are

Answer 30

inspection and palpation

Question 31

Kyphosis

Answer 31

Curvature of the upper (thoracic) spine

Question 32

Lordosis

Answer 32

Curvature of the lower spine

Question 33

What are the two types of ROM?

Answer 33

active and passive

Question 34

Flexion

Answer 34

Decrease the angle between two adjoining joints

Question 35

Extension

Answer 35

Increasing the angle between two adjoining joints

Question 36

Hyperextension

Answer 36

Move beyond the resting extending position

Question 37

Describe pronation

Answer 37

Ventral/Front surface is face down

Question 38

Supination

Answer 38

Ventral/Front surface is face up

Question 39

Abduction

Answer 39

Extremity movement away from midline

Question 40

Adduction

Answer 40

Extremity movement toward midline

Question 41

Eversion

Answer 41

Turning a body part away from midline

Question 42

Inversion

Answer 42

Turning a body part toward midline

Question 43

Dorsiflexion

Answer 43

Flexion of the toes or foot upward

Question 44

Plantarflexion

Answer 44

Bending the toes or foot downward

Question 45

What are you assessing for when examining musculoskeletal structures?

Answer 45

1. Range of motion 2. Muscle strength 3. Tone 4. Joint and muscle condition

Question 46

When assessing, compare body parts on the ______________

Answer 46

opposite side

Question 47

On the ROM grading scale, ____ is full ROM

Answer 47

5

Question 48

What techniques are used for assessing GI/GU?

Answer 48

Inspection Auscultation Palpation

Question 49

When listening to bowel sounds, what is the order?

Answer 49

LRQ → URQ → URQ → LRQ

Question 50

Listen to bowel sounds for how long?

Answer 50

2-20 seconds

Question 51

Only chart an absents of bowel sounds after listen to all four quadrants for how long.

Answer 51

20 minutes

Question 52

Make sure the PT __________ before palpating the abdomen.

Answer 52

voids

Question 53

RA stands for

Answer 53

room air

Question 54

O2 stands for

Answer 54

Oxygen

Question 55

SAT stands for

Answer 55

saturation

Question 56

Bronchial Breath Sounds are heard over the __________.

Answer 56

trachea

Question 57

Bronchovesicular Breath Sounds are best heard posteriorly between the ________or anteriorly lateral to the ________.

Answer 57

scapulae, sternum

Question 58

Vesicular sounds are best heard over the __________ of the lungs

Answer 58

periphery

Question 59

What are the puberty ages for women?

Answer 59

8-20

Question 60

Pelvic exams are needed every ________ for women who are sexually active or over the age of _________?

Answer 60

year, 21

Question 61

Men starting at age _______ should perform testicular exams every _________?

Answer 61

15, monthly

Question 62

Colorectal exams for men and women should begin at what age?

Answer 62

45

Question 63

Three components to calculate overall nutritional status during the assessment are:

Answer 63

Height Weight BMI