ASPE prep

Question 1

Introduction/general survey tasks

Answer 1

all necessary equipment
aseptic technique
introduce self
pt apparent state of health
level of conscious
any signs of distress (pallor or diaphoresis)
pt dress, grooming, and personal hygiene
ask about their height, weight, and vital signs

Question 2

inspection of the lungs and thorax

Answer 2

shape and configuration
symmetry
A/P ratio
quality of respirations

Question 3

palpation of the lungs and thorax

Answer 3

palpate entire chest
anterior and posterior chest expansion

Question 4

Percussion of thorax and lungs

Answer 4

general anterior percussion
general posterior percussion

Question 5

auscultation of lungs and thorax

Answer 5

anterior and posterior

Question 6

consolidation techniques of lungs and thorax

Answer 6

ego phony
bronchopony
whispered pectriloquy

Question 7

cardio and PVS inspection

Answer 7

precordium
pallor, diaphoresis
JVD (inspect or state how to calculate)

Question 8

palpation of cardio and PVS

Answer 8

PMI
carotid pulse
radial pulse
brachial pulse
femoral pulse
posterior tibial
dorsalis pedis

Question 9

auscultation of Cardio

Answer 9

cardiac auscultation with bell AND diaphragm
carotids
cap refill, general edema

Question 10

inspection of abdominal

Answer 10

contour
symmetry
umbilicus
prescene or absence of pulsations

Question 11

auscultation of abdomen

Answer 11

perform general ausculataion of all quadrants

Question 12

percussing the abdomen

Answer 12

general percussion for tympany or dullness
CVA tenderness

Question 13

palpating the adbomen

Answer 13

light palpation
deep palpation
liver
kidneys
spleen
aorta

Question 14

testing cranial nerves II, III, IV, VI

Answer 14

six extraocular movements, convergence, static finger wiggle
pupillary response by near reaction and light

Question 15

testing cranail nerve V

Answer 15

palpate temporal and masseter muscles while clenching jaw

Question 16

testing cranial nerve VII

Answer 16

raise eyebrows, frown, tight eye closure, show teeth, smile, puff cheeks

Question 17

testing cranial nerves IX, X

Answer 17

assess rise of palate and uvula

Question 18

testing cranial nerves XI

Answer 18

shoulder shrug
sternoclediomastoid muscle strength

Question 19

assessing cerebellar function

Answer 19

balance test- heel to toe, romberg test

coordination
finger to finger test
finger to nose test

Question 20

deep tendon reflex assessment 0-4

Answer 20

biceps
triceps
brachioradialis
patellar
achilles

Question 21

romberg test

Answer 21

The patient should first stand with feet together and eyes open and then close both eyes for about 30 seconds without support. Note the patient’s ability to maintain an upright posture. Normally any swaying is minimal.

Question 22

percussion techniques

Answer 22

7 spots on both left and right