ROS, normal ranges, pulse palpations

Question 1

cardio ROS

Answer 1

chest pain, irregular heartbeat, palpitations, leg swelling

Question 2

derm ROS

Answer 2

rashes, skin changes

Question 3

gastro-urinary ROS

Answer 3

blood in urine, pain urinating, incontinence

Question 4

general ROS

Answer 4

changes in weight, fatigue, fever/chills

Question 5

GI ROS

Answer 5

abdominal pain, constipation, diarrhea, nausea/vomiting, difficulty swallowing

Question 6

gyn ROS

Answer 6

change in periods, vaginal discharge, breast pain/discharge

Question 7

HEENT ROS

Answer 7

vision changes, hearing changes, ear pain, sore throat, nasal discharge, ear discharge

Question 8

how is BMI calculated

Answer 8

weight in kg / height in m^2

Question 9

muscular ROS

Answer 9

joint pain or swelling, muscle aches

Question 10

neuro ROS

Answer 10

headache, dizziness, fainting, weakness

Question 11

normal BP

Answer 11

90-120 / 60-80

Question 12

normal HR

Answer 12

60-100 bpm

Question 13

normal pulse Ox range

Answer 13

96-100%

Question 14

normal respiratory rate

Answer 14

12-20 bpm

Question 15

psych ROS

Answer 15

sad, depressed, anxious, trouble with memory

Question 16

respiratory ROS

Answer 16

SOB (lying down or active), wheezing, coughing

Question 17

what BMI range is overweight, obese, and morbidly obese?

Answer 17

overweight: 25-29.9
obese: >30
morbidly obese: >35

Question 18

what BMI range is underweight

Answer 18

<18.5

Question 19

what is considered a fever?

Answer 19

normal temp: 97-99F
fever: >100.4F

Question 20

what is considered hypoxemia?

Answer 20

<88% O2 sat

Question 21

what is normal range of BMI

Answer 21

18.5 - 24.9

Question 22

what range of BP is considered hypotensive?

Answer 22

<90/60

Question 23

what questions to ask regarding pain?

Answer 23

OPQRSTU:
Onset
Precipitating and Palliating factors, Place
Quality (how to describe pain)
Radiation
Severity
Temporal
Understanding (what do you think might have caused it?)

Question 24

where can the brachial artery be palpated?

Answer 24

midarm - medial side between biceps and triceps

anterior to elbow - cubital fossa (medial to biceps tendon - where stethoscope is placed for BP reading)

Question 25

where can the radial artery be palpated?

Answer 25

distal forearm - lateral to anterior forearm tendons (most common pulse reading site)

Question 26

at which rib does the inferior border of the lung lie posteriorly?

Answer 26

10th rib

Question 27

at what vertebral levels are the kidneys found? are they even?

Answer 27

T12-L3 right kidney is usually a little inferior to the left

Question 28

which lung has 3 lobes

Answer 28

right

Question 29

where can you hear mitral valve of the LV (apex of the heart)?

Answer 29

place stethoscope at the left 5th ICS in the mid clavicular line

Question 30

where can the posterior tibial artery be palpated?

Answer 30

between medial malleolus of ankle and calcaneous of heel

Question 31

where can femoral pulse be palpated?

Answer 31

femoral triangle - inferior to inguinal ligament, halfway between ASIS (anterior superior iliac spine) and pubic tubercle

Question 32

where can the dorsalis pedis be palpated?

Answer 32

between extensor tendons of great toe and 2nd digit (top of foot near big toe)