Patient Assessment

Question 0

What is aphasia?

Answer 0

Impairment of language that affects the production or understanding of speech and ability to read or write

Question 1

What four things should a patient be alert and oriented to?

Answer 1

Person
Place
Time
Event

Question 2

Battle sign can be seen where? And what causes it?

Answer 2

Over the mastoid process

Indicative of a skull fracture

Question 3

What is Beck Triad?

Answer 3

Narrowed pulse pressure
Muffled heart tones
JVD
Associated with cardiac tamponade, usually from penetrating chest trauma

Question 4

Where is bruit heard? What does it sound like?

Answer 4

A whooshing sound in the carotid artery

Question 5

DCAP-BTLS?

Answer 5

Deformities
Contusion
Abrasion
Penetration
Burns
Tenderness
Lacerations
Swelling

Question 6

What is the difference between dementia and delirium?

Answer 6

Dementia: slow onset of progressive disorientation and loss of cognitive function
Delirium: rapid change in mental status

Question 7

What are dermatomes?

Answer 7

Distinct areas of skin that correspond to specific spinal or cranial nerve levels where sensory nerves enter the central nervous system

Question 8

What is diaphoresis?

Answer 8

Excessive sweating

Question 9

What is the term for double vision?

Answer 9

Diplopia

Question 10

What does JVD indicate?

Answer 10

Decreased venous return to the heart

Question 11

What is kyphosis?

Answer 11

Outward curve of the thoracic spine

Question 12

What is lordosis?

Answer 12

Exaggerated inward curve of the lumbar spine.

Question 13

What is murmur? And what does it indicate?

Answer 13

An abnormal whoosh sound over the heart indicating turbulent blood flow over cardiac valve.

Question 14

What is paresthesias?

Answer 14

Tingling feeling or sensory change

Question 15

What is the term for the ability to perceive the position and movement of ones body or limbs?

Answer 15

Proprioception

Question 16

What does pulse oximetry measure?

Answer 16

Oxygen saturation of hemoglobin in the capillary beds

Question 17

What is a humming vibration palates through the chest wall?

Answer 17

Thrill

Question 18

What do you call normal lung sounds?

Answer 18

Vesicular lung sounds

Question 19

How do you test for disability in cranial nerve I?

Answer 19

Check smell

Question 20

How do you test for disability in cranial nerve II?

Answer 20

Check visual acuity

Question 21

How do you test for disability in cranial nerve III?

Answer 21

Chen pupil size, shape, symmetry, response to light, eye movements

Question 22

How do you test for disability in cranial nerve IV?

Answer 22

Check eye movements

Question 23

How do you test for disability in cranial nerve V?

Answer 23

Check jaw clench, touch both sides of face at forehead, cheeks, and jaw

Question 24

How do you test for disability in cranial nerve VI?

Answer 24

Check eye movements

Question 25

How do you test for disability in cranial nerve VII?

Answer 25

Check facial symmetry; look for abnormal movements; raise eyebrows, grin broadly, frown, shut eyes tightly, puff out cheeks; note any asymmetry

Question 26

How do you test for disability in cranial nerve VIII?

Answer 26

Check hearing and balance

Question 27

How do you test for disability in cranial nerve IX and X?

Answer 27

Check swallowing; perform general physical exam

Question 28

How do you test for disability in cranial nerve XI?

Answer 28

Check shoulder shrug; turn head from left to right and back

Question 29

How do you test for disability in cranial nerve XII?

Answer 29

Check swallowing; turn head from left to right and back

Question 30

What is scoliosis?

Answer 30

Sideways curvature of the spine

Question 31

Which side of the chest has more lobes of lungs?

Answer 31

Right side

Question 32

What does clubbing look like?

Answer 32

The angle between the nail and the nail base exceeds or approaches 180 degrees

Question 33

What is clubbing a sign of?

Answer 33

Chronic respiratory disease

Question 34

What is psoriasis? And what is it a sign of?

Answer 34

Pitting, discoloration, and subungual thickening of the nail | It's a sign of auto immune disease.

Question 35

What are terry nails? And what are they a sign of?

Answer 35

Transverse white bands that cover the nail except the distal tip. Sign of cirrhosis.

Question 36

What three physical signs does the Glasgow coma scale check?

Answer 36

Eye opening Verbal response Motor response

Question 37

What are the Glasgow coma scores for motor response?

Answer 37

``` Follows commands - 6 Localizes pain - 5 Withdraws to pain - 4 Decorticate flexion - 3 Decerebrate extension - 2 No response - 1 ```

Question 38

What are the Glasgow coma scores for verbal response?

Answer 38

``` Oriented and converses - 5 Disoriented conversation - 4 Speaking but nonsensical - 3 Moans or makes unintelligible sounds - 2 No response - 1 ```

Question 39

What are the Glasgow coma scores for eye opening?

Answer 39

Spontaneous - 4 To verbal command - 3 To pain - 2 No response - 1