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Physical Assessment > Physical Assessment > Flashcards

Physical Assessment Flashcards

1
Q

Hyperresonance

A

loud, booming, low-pitched sound of longer duration found with over inflated air-filled tissue. Ex: pulmonary emphysema

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2
Q

Resonance

A

moderate to loud, low pitched (clear, hollow) sound of moderate duration. Ex: normal lung

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3
Q

Tympany

A

loud, drumlike, high-pitched or moderately long duration found with enclosed air-filled structures. Ex: bowel

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4
Q

Dull

A

soft, muffled, moderate to high-pitched sound of short duration; found with dense, fluid-filled tissue (liver)

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5
Q

Flat

A

very soft, high-pitched sound of short duration, found with very dense tissue. Ex: bone, muscle

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6
Q

Normal RR Newborn

A

30-60

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7
Q

Normal RR Kid

A

20-30

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8
Q

Normal RR Adult

A

12-20

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9
Q

Normal Rate Newborn

A

120-140

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10
Q

Normal Rate Kid

A

70-140

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11
Q

Normal Rate Adult

A

60-100

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12
Q

Normal BP Newborn

A

65/41

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13
Q

Normal BP Kid

A

90/55 - 110/65

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14
Q

Normal BP Adult

A

120/80

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15
Q

Oral Temp

A

98.6

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16
Q

Anal Temp

A

99.6

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17
Q

Axillary Temp

A

97.6

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18
Q

Cranial Nerve #1

A

Olfactory: sense of smell. Have client smell a nonirritating substance.

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19
Q

Cranial Nerve #2

A

Optic: sense of vision for clear (acute) vision near and distant. Test: snellen eye chart and ophthalmoscopic exam.

20
Q

Cranial Nerve #3

A

Oculomotor: pupil constriction, pupils equal in size and equally reactive to light. Test: penlight into eye, follow finger.

21
Q

Cranial Nerve #4

A

Trochlear: move eyes down and inward. Test: penlight into eye, follow finger.

22
Q

Cranial Nerve #5

A

Trigeminal: sensation of face and neck. Test: pin and cotton over forehead, cheek, and jaw; bite down with jaw.

23
Q

Cranial Nerve #6

A

Abducens: lateral movement of eyes. Test: penlight into eye, follow finger.

24
Q

Cranial Nerve #7

A

Facial: able to smile, wrinkle, and taste. Test: facial symmetry, close eyelids, and place substance on tongue.

25
Q

Cranial Nerve #8

A

Acoustic: hearing and balance. Test: Rinne, Webber, stand with eyes close.

26
Q

Cranial Nerve #9

A

Glossopharyngeal: gag reflex, ability to swallow and taste; stimulate gag reflex.

27
Q

Cranial Nerve #10

A

Vagus: able to swallow and speak. Test: say “ah” and observe uvula

28
Q

Cranial Nerve #11

A

Spinal accessory: able to flex and rotate head and shrug shoulders. Test: turn head against resistance.

29
Q

Cranial Nerve #12

A

Hypoglossal: move tongue side to side. Test: stick out tongue.

30
Q

Rinne Test

A

compares bone conduction with air conduction; vibrating tuning fork placed on mastoid process, when client no longer hears sound, position in front of ear canal. Normal: air greater by 2:1.

31
Q

Webber Test

A

assesses bone conduction; vibrating tuning fork placed in middle of forehead; normal sound heard equally in ears.

32
Q

Vesicular

A

soft and low pitched breezy, sounds over peripheral lung fields; inspiration.

33
Q

Bronchovesicular

A

medium-pitched, moderately loud over bronchi; inspiration = expiration

34
Q

Bronchial

A

loud, coarse, blowing sound heard over trachea; expiration is greater

35
Q

Crackles

A

rales; crackling or gurgling sounds that clear with coughing

36
Q

Rhonchi

A

musical sounds or vibrations commonly heard on expiration

37
Q

Wheeze

A

squeaky sounds heard during inspiration and expiration, narrowed airways

38
Q

Pleural friction rub

A

grating sound or vibration heard during inspiration and expiration

39
Q

Aortic

A

right 2nd intercostal

40
Q

Pulmonic

A

left 2nd intercostal

41
Q

Erb’s Point

A

3rd instercostal space left of sternum

42
Q

Tricuspid area

A

4th intercostal space

43
Q

Mitral area

A

5th intercostal space

44
Q

Point of Maximal impulse

A

impulse of the left ventricle felt most strongly, located at left intercostal space in the midclavicular line

45
Q

SI

A

“lubb” closure of tricuspid and mitral valves; dull and low pitched, onset of systole, louder at apex

46
Q

S2

A

“dubb” closre of aortic and pulmonic valves, onset of diastole, loudest at base

47
Q

Murmurs

A

abnormal sounds caused by turbulence within a heart valve; in a vessel, its a bruit

Physical Assessment (2 decks)

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