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Assessment Exam 1 > Physical Exam > Flashcards

Physical Exam Flashcards

(75 cards)

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1
Q

What are the two most important illicit drugs we must know if the patient takes before surgery?

A

Cocaine and meth

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2
Q

QI measure for temperature post-operatively?

A

96 degrees F or 35.5 degrees C

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3
Q

Define Anthropometry

A

The study of proportions and measurements of the human body

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4
Q

What are the measurements for anthropometry

A

Height, weight, mid-arm circumference, and abdominal girth

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5
Q

Standard adult respiratory rate

A

10-18 breaths per minute

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6
Q

What should you keep in mind when taking an axillary temperature?

A

It is 1 degree F lower than core temp

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7
Q

Who may benefit for a lung cancer screening (CT scan) pre-operatively?

A

A 30-pack year smoker > 55 years old

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8
Q

How many cigarettes are in a pack?

A

20

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9
Q

What disease might one contract from faulty AC or hot tubs?

A

Legoinnaire’s

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10
Q

What are the 5 skills of physical assessment?

A

Inspection, palpation, percussion, auscultation, and olfaction

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11
Q

What are the three types of palpation?

A

Light, deep, and bimanual

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12
Q

How far do you depress for light palpation?

A

1-2 cm

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13
Q

How far do you depress for deep palpation?

A

4-5 cm

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14
Q

What is bimanual palpation?

A

Palpation with both hands. Commonly used to “trap” an organ such as breast tissue, spleen, kidneys, uterus, and ovaries

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15
Q

What is deep palpation used for most commonly?

A

Abdominal palpation

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16
Q

What are the three types of percussion?

A

Mediate or Indirect, immediate, and fist

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17
Q

What is the plexor and what is the pleximiter?

A

Plexor is the striking finger and pleximeter is the finger being struck

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18
Q

When is mediate/indirect percussion used?

A

When examining the abdomen or thorax

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19
Q

How do you perform immediate percussion?

A

By tapping with the fingers

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20
Q

When is immediate percussion performed?

A

On infant thoraxes or sinuses

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21
Q

When is fist percussion used?

A

To evaluate tenderness in the back or kidneys

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22
Q

How do you perform fist percussion?

A

Placing one hand flat and striking with a fist

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23
Q

What sound might you hear from an air-containing space, enclosed area, gastric air bubble, or puffed-out cheek?

A

High pitch, tympanic sound/ Loud, moderate, and drumlike

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24
Q

What sound might you hear from normal lungs?

A

Low-pitched resonance. Moderately loud, with a long hollow quality.

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25
What sound might you hear form emphysematous lungs?
Very low hyper resonance. Very loud, with a long booming quality.
26
What will you hear if you percuss a liver?
High pitched dullness, soft to moderate in intensity. Thudlike
27
What will you hear if you percuss muscle?
Short, flat high pitch, with soft intensity and flat quality.
28
Jaundice is caused by? What can we assume from someone who is jaundiced?
Elevated bilirubin. Liver impairment
29
Essentially, what is cholestasis?
Interruption of the flow of bile from the liver
30
Spoon nails are commonly associated with...
Anemia
31
Clubbing of nails is commonly associated with...
CV/lung disease
32
The combination of clubbing and joint issues is
RA or hypertrophic osteoarthopathy
33
Which two conditions may cause brittle hair?
Cushing's and PCOS
34
What device is used to inspect abnormalities of the eyes?
Ophthalomoscope
35
Horner's Syndrome is
A disruption of nerve pathways in the face/eyes
36
Pupil differences are not uncommon in this block
Intrascalene
37
Define anhidrosis
Lack of or very little sweat
38
Anhidrosis may be d/t
Sympathetic block
39
Horner's Syndrome most commonly causes
Ptosis
40
What is the first reflex to be lost during induction of anesthesia?
Eyelash
41
What is happening to the eye during stage II of anesthesia?
Pupil is partially dilated and there is presence of roving eyeball
42
What causes the hazy blue/white/gray opaque ring in elderly patients? What is it called?
Arcus senilis. It is caused by the deposition of phospholipids and cholesterol in the peripheral cornea
43
Where do you place the base of the tuning fork during a Rinne test?
Around the bone of the ear
44
Where do you place the base of the tuning fork during a Weber test?
Midline on the top of the head
45
What medication/s can be given prior to nasal intubation to minimize hemorrhage and help numb the area?
Afrin, cocaine, and phenylephrine
46
Define leukoplakia
Thick, white patches in the mouth that may be precancerous
47
Bright red tongue is a symptom of
Vitamin B-12 and niacin deficiency
48
We utilize transillumination for
Visualization of the sinuses
49
Cherry red lips are a sign of
Carbon monoxide poisoning
50
Pallor of the lips may be caused by
Anemia
51
Spongey gums bleed easier and may be a sign of
Vitamin C deficiency
52
When inspecting the pharynx you do this
Ask the patient to phonate
53
What test examines the function of the sternocleidomastoid muscle?
Flexion and extension of the neck
54
What do the trapezius muscles help us do?
Turn our heads left and right/side to side
55
What conditions may cause differences in radial pulses?
AAA, devices, fractures, or subclavian steal syndrome
56
How do you palpate apical pulse?
Locate the 5th ICS left of the sternum and move laterally to the left midclavicular line
57
What is it called when a man's urethral opening is somewhere other than the tip?
Hypospadius
58
Abnormal discharge from male or female?
Kidney stones - often cause pus buildup
59
Excess magnesium may cause
Loss of deep tendon reflexes
60
Damage to which nerve is responsible for foot drop
Peroneal nerve
61
What considerations do we have when performing a spinal for someone with Lordosis?
Avoid midline approach, as spinous processes are "stacked" on one another.
62
A kid in a Cotrel cast may have trouble with
Ventilation
63
A VAN test includes
Vision, aphasia, neglect
64
The Romberg test
Tests balance
65
What is included in the vision portion of the VAN test?
Visual acuity in the four quadrents
66
What is included in the aphasia portion of the VAN test?
Identify two objects, repeat after me twice, and follow two commands.
67
What is included in the neglect portion of the VAN test?
Forced gaze assessment and sensation test
68
What must be completed first in the VAN test?
Palms up, hold arms out straight
69
The pronator drift test is performed by asking the patient to
Hold their arms out straight, palms down
70
Biceps reflex should result in
Flexion
71
Triceps reflex should result in
Extension
72
The patellar reflex should result in
Extension
73
Achilles reflex should result in
Plantar flexion
74
Plantar reflex should result in
Plantar flexion of all toes
75
Gluteal reflex should result in
Anal sphincter contraction

Assessment Exam 1 (5 decks)

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