PHYSICAL ASSESSMENT

Question 1

Involves using the senses of vision, smell, and hearing to observe and detect any normal of abnormal findings

Answer 1

Inspection

Question 2

This technique is used from the moment that you meet the client and continuous throughout the examination

Answer 2

Inspection

Question 3

Consists of using parts of the hand to touch and feel

Answer 3

Palpation

Question 4

9 CHARACTERISTICS OF PALPATION:

Answer 4

1. Texture
2. Degree of tenderness
3. Temperature
4. Moisture
5. Mobility
6. Consistency
7. Strength pulses
8. Size
9. Shape

Question 5

3 DIFFERENT TYPES OF HANDS

Answer 5

•Fingerpads
•Ulnar or palmar surface
•Dorsal (back) surface

Question 6

These types of hands is used for fine discriminations: pulses, texture, size, consistency, shape, crepitus

Answer 6

Fingerpads

Question 7

This types of hands used for vibrations, thrills, fremitus

Answer 7

Ulnar or palmar surface

Question 8

This type of hand is used for temperature

Answer 8

Dorsal (back) surface

Question 9

•Very light or no depression

•Feel the surface structure using a circular motion

•Use this technique to feel for pulses, tenderness, surface skin texture, temperature, and moisture

Answer 9

LIGHT PALPATION

Question 10

Place your dominant hand lightly on the surface of the structure

Answer 10

To perform light palpation

Question 11

Depress the skin surface 1- 2 cm (0.5-0.75 in.) with your dominant hand, and use a circular motion to fill for easily palpable body organs and masses.

Answer 11

Moderate palpation

Question 12

Place your dominant hand on the skin surface and your non dominant hand on the top of your dominant hand to apply pressure

Answer 12

Deep palpation

Question 13

This should result in a surface depression between 2.5 and 5 cm ( 1 and 2 in)

Answer 13

Deep palpation

Question 14

This allows you to feel very deep organs or structures that are covered by thick

Answer 14

Deep palpation

Question 15

Use two hands, placing one on each side of the body part (e.g., uterus, breast, spleen) being palpated

Answer 15

Bimanual palpation

Question 16

Use one hand to apply pressure and the other hand to feel the structure.

Answer 16

Bimanual palpation

Question 17

Involves tapping body parts to produce sound waves.

Answer 17

Percussion

Question 18

These sound waves or vibration enable the examiner to assess underlying structures

Answer 18

Percussion

Question 19

Percussion has 5 several different assessment uses, including the following:

Answer 19

•Eliciting pain

•Determining location, shape, and size

•Determining density

•Determining abnormal masses

•Eliciting reflexes

Question 20

Percussion helps detect inflamed underlying structures

Answer 20

Eliciting pain

Question 21

If an inflamed area is percussed, the client’s physical response may indicate or the client will report that the area feel, tender, sore or painful

Answer 21

Eliciting pain

Question 22

Percussion note changes between borders of an organ and it’s neighboring organ can ellicit

Answer 22

Determining location, size, and shape

Question 23

Percussion helps determine whether an underlying structure is filled with air or fluid or is a solid structure

Answer 23

Determining density

Question 24

Percussion can detect superficial abnormal structures or masses

Answer 24

Detecting abnormal masses

Question 25

Percussion vibrations penetrate approximately 5 cm deep

Answer 25

Detecting abnormal masses

Question 26

Deep masses do not produce any change in the normal percussion vibrations

Answer 26

Detecting abnormal masses

Question 27

Deep tendon reflexes are elicited using the percussion hammer

Answer 27

Eliciting reflexes

Question 28

Four types of palpation

Answer 28

•Light palpation •Moderate palpation •Deep palpation •Bimanual palpation

Question 29

Is the direct topping of a body part with one or two fingertips to elicit possible tenderness

Answer 29

Direct percussion

Question 30

Is used to detect tenderness over organs by placing one hand flat on the body surface and using the fist of the other hand to strike the back of the hand flat on the body surface

Answer 30

Blunt percussion

Question 31

Is the most commonly used method of percussion

Answer 31

Indirect or mediate percussion

Question 32

Is a type of assessment technique that requires the use of stethoscope to listen for heart sounds, movement of blood through the cardiovascular system, movement of bowel, and movement of air through the respiratory tract

Answer 32

Auscultation

Question 33

A stethoscope is used because this body sounds are not audible to the human ear

Answer 33

Auscultation

Question 34

The sounds detected using ______ are classified according to the intensity, pitch, duration, quality of the sound

Answer 34

Auscultation

Question 35

Three types of percussion

Answer 35

•Direct percussion •Blunt percussion •Indirect or mediate percussion