Lesson 2 Physical Exam Flashcards

1
Q

a skillful or efficient way carrying out a particular task, especially the execution or performance of a scientific procedure.

A

Technique

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2
Q

Techniques Used in Health Assessment

A

Inspection, Palpation, Percussion, Auscultation.

IPPA

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3
Q

an examination of the different body systems to determine a person’s fitness.

A

Physical Examination

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4
Q

What kind of incorporation ir required in conducting a physical assessment

A

Infection control practices, assessment techniques, optimal patient position

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5
Q

What are the two levels of guidelines in infection control

A

Standard Precaution and transmission-based precautions

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6
Q

are measures to reduce the risk of transmitting infection from body fluids and non-intact skin (blood, secretions).

A

Standard Precautions

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7
Q

are guidelines designed for the control of infections among patients with known or suspected infections caused by certain pathogens of epidemiologic significance (contact, droplet, airborne precautions).

A

Transmission-based Precaution

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8
Q

it is considered to be the single most important action to reduce the transmission of infection and is the essential element of standard precautions.

A

Hand hygiene

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9
Q

It is performed before and after direct contact with patients and objects in the patient care area.

A

Hand hygiene

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10
Q

Before starting a physical assessment, you should…

A

Assemble the necessary tools

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11
Q

What are the necessary tools in physical assessment that need to be prepared before the procedure begins?

A

cotton balls, gloves, ophthalmoscope, otoscope, penlight, percussion hammer, safety pins, and stethoscope.

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12
Q

It is used to auscultate sounds within the body that are not audible with the naked ear.

A

Stethoscope

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13
Q

Four components of the stethoscope

A

Earpieces, binaurals, tubing and head

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14
Q

Two components of the head of a stethoscope

A

Diaphragm and bell

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15
Q

Stethoscope is used to hesr high-pitched sound such as…

A

Breath, Bowel, and normal heart sounds

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16
Q

It measures blood pressure

A

Sphygmomanometer

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17
Q

What consists of the Sphygmomanometer?

A

Manometer, pressure cuff, and pressure bulb

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18
Q

It is used to measure the oxygen saturation in the arterial blood, consists of light-emitting diode (LED) probe connected by a cable monitor.

A

Pulse Oximeter

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19
Q

It is a wall chart hang at a distance of 20 feet from the patient

A

Snellen Chart

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20
Q

It is an instrument that has a light and several small lenses on it. Your can look through the lenses to examine one’s eye.

A

Opthalmoscope

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21
Q

It is usedto detect and evaluate symptoms of retinal detachment or eye diseases

A

Ophthalmoscope

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22
Q

It is a tool that shines a beam of light to help visualize and examine the condition of the ear canal and eardrum.

A

Otoscope

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23
Q

It is a small flashlight resembling a fountain pen in size or shape.

A

Penlight

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24
Q

It can beused to check areas of the mouth and throat, examine wounds and to assess pupil response.

A

Penlight

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25
What are the types of paraphernalia that obtain an accurate measurement
Ruler and Tape Measure
26
It is a medical tool used to examine the anterior part of the nose.
Nasal Speculum
27
It helps in enlarging the sinus area so that the exposed area can be clearly observed. 
Nasal Speculum
28
It is an acoustic resonator in the form of a two-pronged fork with the prongs formed from a U-shaped bar of elastic metal (usually steel).
Tuning fork
29
It resonates at a specific constant pitch when set vibrating by striking it against a surface or with an object, and emits a pure musical tone once the high overtones fade.
Tuning fork
30
It is a medical instrument used by practitioners to test deep tendon reflexes. It is also known as reflex or neurological hammer.
Percussion hammer
31
It is used to detect abnormalities in the central or peripheral nervous system.
Percussion hammer
32
It is an instrument that measures the available range of motion at a joint.
Goniometer
33
The art and science of measuring the joint ranges in each plane of the joint
Goniometry
34
It is composed of two blades and a handle.
Vaginal Speculum
35
It is used to view the vaginal canal and cervix.
Vaginal speculum
36
The first part of physical assessment
Forming initial impressions with the patient and obtaining his baseline data
37
Components of baseline data
height, weight, and vital signs.
38
Terms to be familiar with in the physical assessment
Symmetry, old, mental acuity, expression, trunk, extremities, appearance, movement and speech
39
These are important parameters for evaluating nutritional status, calculating medication dosages, and assessing fluid loss or gain.
Height and weight
40
Why do you take the patient's baseline height and weight?
so you can gauge future weight changes or calculate medication dosages in an emergency
41
What are included in vital signs?
Blood pressure, hesrt rate, respiratory rate
42
TPR and BP (Vital Signs)
T = body Temperature P = Pulse pressure R = Respiratory rate BP = Blood pressure
43
Importance of Vital signs
They indicate normal or abnormal function Accuracy can mean the difference between life and death
44
Produced by muscle activity, food oxidation, and glands
Heat
45
Is "lost" through respiration, perspiration, and secretion
Heat
46
Factors that increase body temperature
Exercise Digestion of food Increase environmental temperature Illness Infection Excitement Anxiety
47
Factors that decrease temperature
Sleep Fasting Exposure to cold Depression Decreased muscle activity Certain Illnesses Mouth breathing
48
Most common sites to measure temperature
Mouth Axillary Rectum Tympanic
49
Number of times the heart pumps or beat in a minute
Pulse
50
Most common sites to measure in pulse
Radial, antecubital (brachial), apical (Stethoscope on chest wall)
51
Pulse rate variety
Newborn = 120 - 160 Teenagers = 60 - 110 Adults = 60 - 100
52
Pulse below 60 means
Bradycardia
53
Pulse above 100 means
Tachycardia
54
Factors that influence pulse
INCREASE Exercise Hemorrhage Emptional excitement Elevated temperature Age Shock INCREASE OR DECREASE Medication Illness or disease DECREASE Aerobic fitness Depression
55
Common site for counting pulse rate
Radial pulse
56
An electronic device that measures pulse and oxygen concentration
Pulse oximeter
57
The process of taking in oxygen and expelling carbon dioxide
Respiration
58
How is Respiration rate assesed?
Observing the client's chest movement upward and downward for a complete minute
59
Another method to assess respiration rate
Auscultation (listening with a stethoscope)
60
Difficulty breathing
Dyspnea
61
Stopped breathing (no lung sound)
Apnea
62
Periods of labored breathe followed by apnea
Cheynes-stokes
63
Bubbling or rattling sounds cause by mucus
Rales
64
Factors that affect respiration
Anxiety Respiration rate Relaxation Depression Head injury Age (newborn 40/minute, adult 12/minute) Exercise Pain Fever Heart disease Medication
65
Increase in Respiratory rate
Hyperventilation
66
Decrease in Respiratory rate
Hypoventilation
67
Force of blood pushing against veins
Blood pressure
68
Greatest force exerted on the arteries
Systolic
69
Least force exerted by the arteries
Diastolic
70
Blood pressure depends on
Volume of blood Force of heartbeat Condition of the arteries
71
Factors that decrease blood pressure
Hemorrhage Inactivity Fasting Suppressants Depression
72
Expected BP readings
Systolic between 100-140 mmHg Diastolic between 60-90 mmHg
73
Blood pressure above normal 140/90 or higher
Hypertension
74
Blood pressure below normal 90/60
Hypotension
75
Commonly under-diagnosed
Pain Assessment
76
Major focus of caring for patients in all professions
Pain Assessment
77
Fifth Vital sign
Pain Assessment
78
Temperature within normal range
Afebrile
79
Temperature is elevated
Febrile
80
Temperature below normal
Hypothermia
81
Pertaining to ear
Aural
82
Irregular heart beats
Arrhythmia
83
Extremely strong heart beat
Bounding
84
Slower than normal heart beat
Bradycardia
85
Faster than normal heart rate
Tachycardia
86
Types of Percussion
Direct Percussion Indirect Percussion
87
reveals tenderness. Using one or two fingers, tap directly on the body part.
Direct Percussion
88
elicits sounds that give clues to the makeup of the underlying tissues.
Indirect Percussion