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
Q

What are the types of paraphernalia that obtain an accurate measurement

A

Ruler and Tape Measure

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26
Q

It is a medical tool used to examine the anterior part of the nose.

A

Nasal Speculum

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27
Q

It helps in enlarging the sinus area so that the exposed area can be clearly observed.

A

Nasal Speculum

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28
Q

It is anacoustic resonator in the form of a two-prongedforkwith the prongs formed from a U-shaped bar ofelastic metal (usuallysteel).

A

Tuning fork

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29
Q

Itresonatesat a specific constantpitch when set vibrating by striking it against a surface or with an object, and emits a pure musical tone once the highovertonesfade.

A

Tuning fork

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30
Q

It is a medical instrument used by practitioners to test deep tendon reflexes. It is also known as reflex or neurological hammer.

A

Percussion hammer

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31
Q

It is used to detect abnormalities in the central or peripheral nervous system.

A

Percussion hammer

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32
Q

It isan instrument that measures the available range of motion at a joint.

A

Goniometer

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33
Q

The art and science of measuring the joint ranges in each plane of the joint

A

Goniometry

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34
Q

It is composed of two blades and a handle.

A

Vaginal Speculum

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35
Q

It is used to view the vaginal canal and cervix.

A

Vaginal speculum

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36
Q

The first part of physical assessment

A

Forming initial impressions with the patient and obtaining his baseline data

37
Q

Components of baseline data

A

height, weight, and vital signs.

38
Q

Terms to be familiar with in the physical assessment

A

Symmetry, old, mental acuity, expression, trunk, extremities, appearance, movement and speech

39
Q

These are important parameters for evaluating nutritional status, calculating medication dosages, and assessing fluid loss or gain.

A

Height and weight

40
Q

Why do you take the patient’s baseline height and weight?

A

so you can gauge future weight changes or calculate medication dosages in an emergency

41
Q

What are included in vital signs?

A

Blood pressure, hesrt rate, respiratory rate

42
Q

TPR and BP (Vital Signs)

A

T = body Temperature
P = Pulse pressure
R = Respiratory rate
BP = Blood pressure

43
Q

Importance of Vital signs

A

They indicate normal or abnormal function

Accuracy can mean the difference between life and death

44
Q

Produced by muscle activity, food oxidation, and glands

A

Heat

45
Q

Is “lost” through respiration, perspiration, and secretion

A

Heat

46
Q

Factors that increase body temperature

A

Exercise
Digestion of food
Increase environmental temperature
Illness
Infection
Excitement
Anxiety

47
Q

Factors that decrease temperature

A

Sleep
Fasting
Exposure to cold
Depression
Decreased muscle activity
Certain Illnesses
Mouth breathing

48
Q

Most common sites to measure temperature

A

Mouth
Axillary
Rectum
Tympanic

49
Q

Number of times the heart pumps or beat in a minute

A

Pulse

50
Q

Most common sites to measure in pulse

A

Radial, antecubital (brachial), apical (Stethoscope on chest wall)

51
Q

Pulse rate variety

A

Newborn = 120 - 160
Teenagers = 60 - 110
Adults = 60 - 100

52
Q

Pulse below 60 means

A

Bradycardia

53
Q

Pulse above 100 means

A

Tachycardia

54
Q

Factors that influence pulse

A

INCREASE

Exercise
Hemorrhage
Emptional excitement
Elevated temperature
Age
Shock

INCREASE OR DECREASE

Medication
Illness or disease

DECREASE
Aerobic fitness
Depression

55
Q

Common site for counting pulse rate

A

Radial pulse

56
Q

An electronic device that measures pulse and oxygen concentration

A

Pulse oximeter

57
Q

The process of taking in oxygen and expelling carbon dioxide

A

Respiration

58
Q

How is Respiration rate assesed?

A

Observing the client’s chest movement upward and downward for a complete minute

59
Q

Another method to assess respiration rate

A

Auscultation (listening with a stethoscope)

60
Q

Difficulty breathing

A

Dyspnea

61
Q

Stopped breathing (no lung sound)

A

Apnea

62
Q

Periods of labored breathe followed by apnea

A

Cheynes-stokes

63
Q

Bubbling or rattling sounds cause by mucus

A

Rales

64
Q

Factors that affect respiration

A

Anxiety
Respiration rate
Relaxation
Depression
Head injury
Age (newborn 40/minute, adult 12/minute)
Exercise
Pain
Fever
Heart disease
Medication

65
Q

Increase in Respiratory rate

A

Hyperventilation

66
Q

Decrease in Respiratory rate

A

Hypoventilation

67
Q

Force of blood pushing against veins

A

Blood pressure

68
Q

Greatest force exerted on the arteries

A

Systolic

69
Q

Least force exerted by the arteries

A

Diastolic

70
Q

Blood pressure depends on

A

Volume of blood
Force of heartbeat
Condition of the arteries

71
Q

Factors that decrease blood pressure

A

Hemorrhage
Inactivity
Fasting
Suppressants
Depression

72
Q

Expected BP readings

A

Systolic between 100-140 mmHg
Diastolic between 60-90 mmHg

73
Q

Blood pressure above normal 140/90 or higher

A

Hypertension

74
Q

Blood pressure below normal 90/60

A

Hypotension

75
Q

Commonly under-diagnosed

A

Pain Assessment

76
Q

Major focus of caring for patients in all professions

A

Pain Assessment

77
Q

Fifth Vital sign

A

Pain Assessment

78
Q

Temperature within normal range

A

Afebrile

79
Q

Temperature is elevated

A

Febrile

80
Q

Temperature below normal

A

Hypothermia

81
Q

Pertaining to ear

A

Aural

82
Q

Irregular heart beats

A

Arrhythmia

83
Q

Extremely strong heart beat

A

Bounding

84
Q

Slower than normal heart beat

A

Bradycardia

85
Q

Faster than normal heart rate

A

Tachycardia

86
Q

Types of Percussion

A

Direct Percussion
Indirect Percussion

87
Q

reveals tenderness. Using one or two fingers, tap directly on the body part.

A

Direct Percussion

88
Q

elicits sounds that give clues to the makeup of the underlying tissues.

A

Indirect Percussion