detailed steps

Question 1

step 1

Answer 1

introduce self
confirms patient ID
washes hands
cleans stethoscope

Question 2

step 2

Answer 2

general 
observes patient for habitus, posture
observe patient for level of comfort/signs of distress
observe eyes for corneal arcus
observes lips for cyanosis 
observes nails for clubbing

Question 3

step 3

Answer 3

vitals
takes/verifies temp
palpates bilateral radials
count radial pulse
count respiration
takes BP bilaterally
takes set of postural vital signs (BP and pulse)

Question 4

step 4

Answer 4

lungs
auscultation of posterior lungs with diaphragm
percussion of posterior lungs
palpates pre-sacral edema

Question 5

step 5

Answer 5

A: inspects precordium
B: ausculates with diaphragm 
-apex
-left sternal border
-pulmonic area
-aortic area
-right sternal border 
-aorta
-renal arteries 
C: palpates
-apex
-left sternal border 
-pulmonic area
-aortic area
D: palpates and auscultates femoral arteries
E: Auscultation with bell
-apex
-left sternal border 
-carotids while patient hold breath

Question 6

step 6

Answer 6

auscultates with diaphragm

• apex
• left sternal border
• pulmonic area
• aortic area

Question 7

step 7

Answer 7

A: inspects and IDs external jugular veins
B: palpates:
-livers edge (bimanual)
-livers edge (percuss span)
-hepatojugular 
-aorta 
C: inspects lower extremites
-skin color changes/ulcers
-hair loss
-varicosities
-nail changes
D: palpates
-calf tenderness, cords, warmth
- pretibial edema 
-dorsalis pedis bilateral
-posterial tibial bilateral
-homans sign