Lec 6: Thoracic Exam

Question 1

what is in the RUQ?

Answer 1

liver
pancreas
R kidney
portions of colon
gallbladder
duodenum

Question 2

what is in the LUQ?

Answer 2

liver
pancreas
L kidney
spleen
portion of colon

Question 3

what is in the RLQ?

Answer 3

R ovary and tube
R spermatic cord
appendix
cecum
portions of colon

Question 4

what is in the LLQ?

Answer 4

sigmoid colon
L ovary and tube
L spermatic cord

Question 5

why would you include chest auscultations?

Answer 5

pneumothorax suspected (SOB)
absence of breath sounds on 1 side
pain w/ cough or sneezing –> cardio
illness

Question 6

normal hemoglobin level

Answer 6

12-18 g/dl

Question 7

normal hematocrit

Answer 7

37-52% of RBCs in whole blood

Question 8

what hemoglobin level is contraindicated for PT?

Answer 8

<8 g/dl

Question 9

what hematocrit level is contraindicated for PT?

Answer 9

<25%

Question 10

what WBC is contraindicated for PT?

Answer 10

<1,000 cells/μl

Question 11

normal WBC

Answer 11

4,500-11,000 cells/μl

Question 12

normal platelets

Answer 12

150,000-450,000 cells/μl

Question 13

what platelet count is contraindicated for PT?

Answer 13

<20,000 cells/μl

Question 14

normal blood glucose

Answer 14

80-120 mg/dl

Question 15

if blood sugar is ____ give them a carb snack

Answer 15

<70 mg/dl

Question 16

if blood sugar is ____ they may need insulin

Answer 16

> 180-200 mg/dl

Question 17

normal fasting blood glucose

Answer 17

70-110

Question 18

sx of high blood glucose

Answer 18

HA
confusion
nausea
weak and rapid pulse

Question 19

what hemoglobin is light exercise indicated?

Answer 19

8-10 g/dl

Question 20

what hemoglobin is resistance exercise indicated?

Answer 20

> 10 g/dl

Question 21

what hematocrit is light exercise indicated?

Answer 21

25-30%

Question 22

what hematocrit is resistance exercise indicated?

Answer 22

> 30-32%

Question 23

what WBC is light exercise or possible no exercise indicated?

Answer 23

1,000-5,000 cells/ μl

Question 24

what platelet count is light exercise indicated for?

Answer 24

20,000-30,000 cells/ μl

Question 25

what platelet count is moderate exercise indicated for?

Answer 25

30,000-50,000

Question 26

what platelet count is progressive resistance exercise indicated for?

Answer 26

>50,000

Question 27

scoliosis is names based on the ___ side

Answer 27

convex

Question 28

what would be suspected with a rash in a dermatomal pattern?

Answer 28

shingles

Question 29

describe how the ribs move at each section

Answer 29

T1-T6: anterior elevation / pump (A/P) T7-T10: bucket handle (M/L) T11-T12: caliper (in/out)

Question 30

where is pressure applied for thoracic compression?

Answer 30

shoulders

Question 31

where is distraction applied for thoracic?

Answer 31

arms

Question 32

how long is distraction and compression held?

Answer 32

5-8 sec

Question 33

list the dermatomes for thoracic exam

Answer 33

T2: axilla and arm T5: nipple line T8: xiphoid process T10: umbilicus L1: inguinal area

Question 34

which spinal levels does the superficial abdominal reflex test?

Answer 34

T7-T12

Question 35

what is the landmark for midline of abdomen (superior / inferior)?

Answer 35

umbillicus

Question 36

what is the landmark that splits the abdomen into L & R?

Answer 36

linea alba

Question 37

do you move clockwise or counter clockwise for the abdominal reflex?

Answer 37

counter clockwise

Question 38

what spinal levels does the upper quadrant of the abdominal reflex test?

Answer 38

T7-T9

Question 39

what spinal levels does the lower quadrant of the abdominal reflex test?

Answer 39

T10-T12

Question 40

+ vs - finding for superficial abdominal reflex

Answer 40

+ = abdominal contracts toward stimulus - = no contraction --> BAD

Question 41

where are the transitional areas for the dura?

Answer 41

C6 T6 L4

Question 42

steps for slump test

Answer 42

seated with hand behind back head & neck flex thoracic and lumbar flexion straighten knee overpressure on spine ankle DF knee extended

Question 43

the slump test is a better neural test if sx occur before ____ degrees of knee extension

Answer 43

22

Question 44

positive finding for slump test

Answer 44

reproduce THEIR sx mvmt of DISTANT comp reproduces sx side-to-side differences

Question 45

Aortic pulse is located along ____ _____ ____

Answer 45

L parasternal line

Question 46

what is normal pulse width of aortic?

Answer 46

2-3 cm

Question 47

what is abnormal aortic pulse width?

Answer 47

>3cm

Question 48

if suspected AAA but no sx, what do you do?

Answer 48

stop exam and refer to Dr w/i 1-2 days

Question 49

if suspected AAA WITH sx, what do you do?

Answer 49

CALL 911