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Health Assessment Final Exam > Health Assessment Final Exam > Flashcards

Health Assessment Final Exam Flashcards

(76 cards)

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1
Q

Assess Lymph Nodes Head and Neck

A

Pre and Post Auricular, suboccipital, Tonsilar, submandibular, submental, superficial cervical, deep cervical chain, super clavicular

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2
Q

Palpating the carotid arteries

A

rate, rhythm, amplitude

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3
Q

Auscultating the carotid arteries

A

abnormal finding bruit or whooshing sound

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4
Q

Inspecting for Jugular distention

A

normal findings - no pulstations or visible distention

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5
Q

Signs of Venous or Arterial Insufficiency

A

Venous punched out, round, smooth well defined borders, pain worse w/activity or at night
Arterial Irregularly shaped, uneven, shallow wound, pain may or may not be present

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6
Q

types of joints

A

Fused, ball and socket, hinge, gliding plane (wrist, ankle), condyloid (fingers), pivot (neck, wrist, forearm)

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7
Q

Flexion

A

flex

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8
Q

Extension

A

extend

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9
Q

abduction

A

Away from midline

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10
Q

Aduction

A

Towards midline

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11
Q

Supination

A

hands up to hold soup

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12
Q

Pronation

A

rotate towards midline

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13
Q

plantar flexion

A

foot point toes

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14
Q

Dorsiflexion

A

lift toes

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15
Q

Medial rotation

A

foot turns inward

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16
Q

lateral rotation

A

foot turns outward

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17
Q

Eversion

A

sole away from midline

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18
Q

inversion

A

sole toward midline

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19
Q

Elevation

A

Shoulder shrug

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20
Q

Gait

A

Normal findings 1.5 m, contralateral, smooth, even, symmetrical
Abnormal ataxia (poor muscle control) foot drop, unequal etc.

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21
Q

Grading Muscle Strength

A

0 - unable to move in gravity eliminated position
1 - contract muscle slightly
2 - able to move in gravity eliminated position
3 - able to move against gravity
4 - able to move with some resistance
5 - able to move with full resistance

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22
Q

ROM lower extremities

A

hip - flexion, extension, abduction, aduction,
Knee - flexion, extension
Ankle - dorsiflexion, plantar flexion
Foot - inversion, eversion

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23
Q

CNI

A

Olfactory

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24
Q

CNII

A

Optic

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25
CNIII
Oculomotor
26
CNIV
Trochlear
27
CNV
Trigeminal (jaw)
28
CNVI
Abducens (eye laterally)
29
CNVII
Facial
30
CNVIII
Acuoustic
31
CNIX
Glossopharyngeal (swallowing
32
CNX
Vagus
33
CNXI
Spinal accessory (neck, shoulders)
34
CNXII
Hypoglosseal (tongue)
35
Visual receptive deficit
cannot recognize spoken word
36
Expressive Aphasia
Inability to express words
37
Global Aphasia
Impaired comprehension and expression
38
Apraxia
inability to articulate using tongue, lips, Broca's area
39
Dysphonia
hoarseness or whisper
40
Dysarthia
Inability to articulate
41
Glasgow Coma Scale
3-15, 15 = awake and oriented
42
Level of consciousness
Mini mental status exam, oriented to person, time, place, situation
43
CNVII
face, smile, frown, puff cheeks, eyes do not open with resistance
44
Abnormal Findings Muscle Strength
Hypotonia, Hypertonia, Flaccidity, Rigidity, Spasticity, hemiparesis, parapalegic, quadripalegic, Decorticate posturing (arms drawn up), decerbrate posturing
45
Risk Factors for Breast Cancer
family hx, BRCA1 and BRCA2, age, obesity, alcohol, ht, dense breast tissue, long menstrual periods, oral contraceptives, childless, birth after 30
46
Abnormal Vaginal Discharge
Bacterial Vaginosis, Candidiasis, Chlamydia, Trichomoniasis,
47
Breast self exam
week after menses, regularly, taking shower or flat surface
48
Cervical Cancer Screen
papsmear
49
Palpating female breasts
Circular, radial, or vertical strip (superior), arm above head, palpate shape, consistency, location size, moveable or fixed, tenderness
50
Male urinary symptoms
difficulty starting stream, hesitancy, urinary retention (BPH), frequency, penile sores, lesions or discharge
51
Erectile dysfunction
linked to diabetes, heart disease, hypertension
52
Male external genitalia abnormal findings
lesions, warts, herpes, Jock itch (tinea cruris), penile cancer, phimosis (foreskin cannot retract), balanitis (inflamed head), epispadias/hypospadias (urine exits from abnormal location), Scrotum -swelling, lesions, empty, small Anus - hemmorrohoids, rectal bleeding, protrusion of rectal mucosa, inguinal hernia
53
Testicular self exam
bath or shower, roll between fingers, feel for epididymis, palpate for lumps
54
ROME III
2 or more - 1/4 of defecations = straining, hard stool, incomplete evacuation, blockage, manuel extraction, and fewer than 3 bms per week
55
rectal cancer symptoms
change in bowel habits, bowel does not empty, pencil like stools, blood in stool, abdominal discomfort, unexplained weight loss, fatigue
56
causes of rectal bleeding
anal fissures, hemorrhoids, polyps, anal fistula, anal cancer
57
Newborn ear infection
more prone because Eustachian tube is shorter wider and more horizontal
58
APGAR
Appearance, Pulse, Grimace, Activity, Respiration Normal score of 5
59
Newborn heart rate
120-160, count one full minute
60
Newborn Respiratory Rate
30-60 breaths per minute
61
Neonate Reflexes
sucking, rooting, plamar, moro (splayed arms), plantar, babinski (finger up foot, toes flare), stepping
62
newborn peripheral pulses
brachial and femoral present and equal
63
nutritional history
pica (eating nonfood)
64
Child bowel elimination
Encopresis, child resists having bowel movement
65
developmental approach to pediatric assessment
Toddler near parent, parent removes clothes, minimal physical contact preschooler, parent near, child undresses self, engage child in exam school age, sit on table, ask child direct questions, undress self, genitals last teen, may prefer parent leaves, treat as adult, undress in privacy
66
child otoscope
less than 3, pinna down and back older than 3, pinna up and back
67
early pregnancy signs
amenorrhea, breast tenderness, fatigue, nausea/vomiting, frequent urination
68
Pregnancy psychosocial HX
anxiety, depression, mood changes, appetite, medications/substance abuse, infectious diseases, accidents/falls, animals in the house
69
Leopolds maneuver
Vertex is head down
70
measuring fundal height
after 20 weeks should be equal to weeks ie 21 weeks should be 21 cm abnormal if 2 above or below
71
Auscultate fetal heart rate
doppler 120-180
72
Elderly cardio changes
heart muscle thinner, decreased strength, S3 or S4 sounds could be heart failure, Atrial fibrillation most common arrhythmia, vasculature becomes more rigid
73
Elderly skin changes
thinner, more fragile, blood vessels more fragile, fat layer thins, less insulation, increased wrinkling
74
Elderly respiratory changes
decreased lung expansion, alveoli decrease, less elasticity, decreased cough reflex, lungs less able to fight off infection
75
Geriatric Syndrome
anorexia, dementia, dizziness, falls, frailty, gait instability, impaired vision/hearing, malnutrition, Parkinsons, pressure ulcers, sleep complaints, vertigo
76
Elderly psychosocial assessment
living arrangements, functional, health promotion, driving, alcohol use, elder abuse, sexuality DDD dementia, delirium, depression

Health Assessment Final Exam (1 decks)

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