Physical Assessment 1/21-1/23

Question 1

Who must participate in anesthesia time out?

Answer 1

Pt or a family member

Question 2

Oral/axilliary temperature should be 1 degree ______ than core temperature

Answer 2

less

Question 3

How many packs of cigarette per day is problematic?

Answer 3

0.5 to 1

There are 20 in a pack

Question 4

Whats the difference between light and deep palpation?

Answer 4

light: feel under the skin
-1-2cm

deep: detect and masses
-4-5 cm
-fingers held at greater angle

Question 5

What do we use bimanual palpation for? What else should we consider?

Answer 5

Eval spleen, kidney, breasts, uterus, ovary

may want to consider other imaging

Question 6

When would we use immediate vs indirect percussion?

Answer 6

indirect: abd or adult thorax

immediate: sinus or infant thorax

Question 7

Describe sound: Tympany

Answer 7

Loud & high pitch

location: air containing space
-enclosed area
-gastric bubble
-puffed out cheek

Question 8

Describe sound: Resonance

Answer 8

Moderate - loud & low pitch

location: normal lungs (hollow)

Question 9

Describe sound: hyper resonance

Answer 9

Very loud & very low pitch

Location: emphysema lungs

Question 10

Describe sound: dullness

Answer 10

Soft - moderate & high pitch

Location: liver

Question 11

Describe sound: Flatness

Answer 11

Soft & high pitch

location: Muscle

Question 12

Half of the body cynanotic means ____

Answer 12

PE

Question 13

Yellow is a ______ problem & orange is a ______ problem

Answer 13

liver

pancreas

Question 14

If I suspect a problem with the liver, what else should I be fearful of?

Answer 14

Clotting abilities

Question 15

________ is a harmless form of jaundice. What causes this?

Answer 15

Pseudojaundice

excess beta-carotene

Question 16

What are 2 inherited condition that cause jaundice?

Answer 16

Crigler-Najjar syndrome
-Dubin-Johnson syndrome

Question 17

Vitiligo is an ___________ disorder.

Answer 17

Autoimmune

Question 18

______ Is the opposite of nail clubbing. It is also know as _________. What is this a sign of?

Answer 18

Koilonychia

Spoon nails

iron-deficiency anemia

Question 19

Nail clubbing is associated with heart and ______ diseases

Answer 19

lung

Question 20

_________- is an inflammation of the skin around the nail due to staph or fungus

Answer 20

Paronychia

Question 21

Beau’s lines on the nails are commonly associated with _______

Answer 21

Systemic illness
-prolonged exposure to start an environmental factors
-chronic disease

Question 22

What can cause hirsutism?

Answer 22

Polycystic ovary syndrome
-Cushing syndrome (high levels of hormone cortisol)
-congenital adrenal hyperplasia
-tumors
-medications

Question 23

An orbital fx is a ________. Why?

Answer 23

Medical emergency

entrapped ocular muscle

Question 24

What is Exophthalmos?

Answer 24

abnormal protrusion of one or both eyeballs from the eye socket

Question 25

What is Strabismus?

Answer 25

cross eyed

Question 26

Ectropion of the eyelid is when it ________ and entropion is when it _______

Answer 26

turns out turns in

Question 27

What is anisocoria?

Answer 27

pupils 2 different sizes

Question 28

How does succs affect the eye?

Answer 28

Increases IOP

Question 29

What eye condition is succ contraindicated in?

Answer 29

Any open globe Sx

Question 30

_______ constricts pupils & _________ dilates them

Answer 30

opioids Anticholinergics

Question 31

What is the visual acuity test called?

Answer 31

Snellings test

Question 32

How does corneal abrasions vs damage to the optic nerve affect your vision?

Answer 32

Corneal abrasion: blurry vision Optic nerve injury: can't see at all

Question 33

_____________ agents interact with glaucoma

Answer 33

Anticholinergic

Question 34

T/F: glaucoma affects peripheral vision

Answer 34

T

Question 35

T/F: cataracts affects peripheral vision

Answer 35

F It decreases visual acuity

Question 36

What can cause peripheral vision loss?

Answer 36

Glaucoma -retinitis pigmentosa -eye strokes or occlusions -detached retina -stroke -optic neuritis -compressed optic nerve head -concussion

Question 37

If we look in their ears and see a bulging tympanic membrane, what does that mean?

Answer 37

Increased ICP

Question 38

What are the hearing test called?

Answer 38

Webber's test RINNES test

Question 39

What do we use to pre-treat for nasal intubation?

Answer 39

AFRIN

Question 40

Why don't we use nitrous oxide in our crani or Neuro patient?

Answer 40

It diffuses into the sinuses and increases ICP

Question 41

__________ is a thick white patch that is a _________ lesion in the mouth

Answer 41

Leukoplakia precancerous

Question 42

White tongue is _______ & bright red tongue is ___________-

Answer 42

Dehydration Deficiency of iron B12 or niacin

Question 43

What color are your lips with carbon monoxide poisoning?

Answer 43

Cherry red

Question 44

What are leukoplakia caused by?

Answer 44

Smoking and alcohol

Question 45

Spongy gum that bleed easily is what kind of deficiency?

Answer 45

vitamin C

Question 46

If someone doesn't have a normal gag reflex, what should I be fearful of?

Answer 46

Increase risk of aspiration -maybe history of stroke -difficulty swallowing

Question 47

Where is your apical pulse?

Answer 47

L sternum - 5th ICS mid clavicular