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Physical Assessment > Exam 1: Labs & Bates Videos > Flashcards

Exam 1: Labs & Bates Videos Flashcards

1
Q

(fatigue/weakness) is a relatively non specific symptom with many causes and can be associated with sustained stress, grief, and hard work. It should be seriously addressed if it relates to anemia, thyroid disorder, depression, or cardiac ischemia

A

fatigue

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2
Q

(fatigue/weakness) denotes a loss of muscle power and understand what areas effect the patient and if there is a loss of sensory or neurological symptoms

A

weakness

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3
Q

What are the seven attributes of every symptoms

A

location, quality, quantity, timing, setting, remitting or exacerbating, associated manifestations

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4
Q

What are the questions to ask a patient regarding weight gain?

A

How is your weight compared to a year ago? Why do you think your weight has changed? What would you like to weight?

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5
Q

What aspects should we be looking for during the general survey

A

level of consciousness, skin, facial expression, odors, and BMI

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6
Q

What type of odors should we notice during the general survey

A

fruity smell that occurs in diabetes or alcohol

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7
Q

If the BMI is greater than 35, where should be measure be done at?

A

Measure the patient’s waist circumference just above the hips

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8
Q

What are concerning measurements of circumference for BMI for males and females

A

Males = greater than 40inches Female = greater than 35 inches

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9
Q

If a patient’s BMI is lower than _____, investigate anorexia, bulimia, and other medical conditions

A

18.5

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10
Q

How should you properly size a BP cuff?

A

The width of the bladder should be 40% of upper arm circumference (12-14cm) The length of the bladder should be 80% of upper arm circumference

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11
Q

How to estimate how high to raise the BP cuff pressure

A

First estimate systolic pressure by palpating the radial artery. Inflate the cuff until the pulse disappears, then add 30mmHg to it

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12
Q

What are you listening for during measurement of BP

A

The K sounds. Listen for the first two beats on the arm until they go away or sound muffled

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13
Q

How do you assess orthostatic hypotension

A

A drop is systolic blood pressure of 20 millimeters or greater, or in a diastolic blood pressure of 10 millimeters or greater within 3 minutes of standing

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14
Q

What are the two ways to assess respiratory rate

A
  1. visual inspection 2. Listening over the trachea with a stethoscope
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15
Q

What is a normal respiratory rate

A

20 bpm

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16
Q

What is a normal body temperature of a person

A

37 degrees C 98.6 degrees F

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17
Q

What are the four types of skin pigements

A

melanin, carotene, oxyhemoglobin and deoxyhemoglobin

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18
Q

which skin pigment is brownish and is genetically determined and can be increased by the sun

A

melanin

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19
Q

Which skin pigment is golden yellow found in subcutaneous fat and heavily keratinized areas

A

Carotene

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20
Q

Which skin pigment is bright red and found in arteries and proximal capillaries

A

oxyhemoglobin

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21
Q

Which skin pigment is darker and bluer found in the distal capillaries and veins

A

deoxyhemoglobin

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22
Q

Which part of the nail is attached to the nail bed and gets its pick color from the bed

A

the nail plate

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23
Q

What is the whitish moon on the nail called

A

lunula

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24
Q

Which part of the nail covers 1/4 of the nail plate`

A

nail root

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25
Q

Which part of the nail extends from proximal nail fold and acts as a seal from external mositure

A

cuticle

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26
Q

When does clubbing of the nails occur

A

when the nail plate is greater than 180 degrees and is convex

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27
Q

What is name of the yellowish tint in sclera that indicated liver damage

A

jaundice

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28
Q

How to assess skin mobility

A

pinch and grab a skin fold to how well it brings up

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29
Q

How to assess skin turgor

A

After pinch and grabbing skin upward, not the speed to which the skin returns back to place

30
Q

Describe a macule lesion

A

flat on the skin

31
Q

Describe a vesicle lesion

A

palpable and fluid filled like herpes

32
Q

Describe a papule lesion

A

raised like in psoriasis

33
Q

How to examine nevi

A

look for pigmented lesions and apply the ABCDj(E) rule

34
Q

What do we do when we asses the skin of the face

A

Inspect and palpate for temperatur

35
Q

What do we do when we asses the skin of the neck

A

inspect and palpate lymph nodes

36
Q

What do we do when we assess the skin of the arms

A

inspect the skin and check for skin mobility and turgor

37
Q

What do we do when we assess the skin of the hands/nails

A

Inspect nails and check for capillary refill

38
Q

Where are the preauricular lymph nodes found

A

in front of the ears

39
Q

Where are the posterior auricular lymph nodes found

A

behind the ears

40
Q

Where are the occipital lymph nodes found

A

at the base of the skull posteriorly

41
Q

Where are the tonsillar lymph nodes found

A

at angle of jaw

42
Q

Where are the submandibular lymph nodes found

A

midway between angle of jaw and tip of mandible

43
Q

Where are the submental lymph nodes found

A

just behind the chin

44
Q

Where are the superficial cervical lymph nodes found

A

superficial to sternomastoid

45
Q

Where are the posterior cervical lymph nodes found

A

along anterior edge of trapezius

46
Q

Where are the deep cervical lymph nodes found

A

deep to sternomastoid (hook thumb and fingers around either side of muscle)

47
Q

where are the supraclavicular lymph nodes found

A

along upper edge of clavicle

48
Q

Where is the thyroid area found

A

Just above and either side of sternal notch

49
Q

Name and describe this type of lesion

A

Bulla: greater than 1cm with serous fluid

50
Q

What type of lesion is this

A

cyst

51
Q

What type of lesion is this

A

Fissure

52
Q

What type of lesion is this

A

macule

53
Q

What type of lesion is this

A

nodule

54
Q

What type of lesion is this

A

papule

55
Q

What type of lesion is this

A

patch

56
Q

What type of lesion is this

A

plaque

57
Q

What type of lesion is this

A

plaque

58
Q

What type of lesion is this

A

pustule

59
Q

What type of lesion is this

A

ulcer

60
Q

What type of lesion is this

A

vesicle

61
Q

What is #1

A

preauricular

62
Q

What is #2

A

post auricular

63
Q

What is #3

A

Submental

64
Q

What is #4

A

Submandibular

65
Q

What is #5

A

Deep cervical

66
Q

What is #6

A

Tonsillar

67
Q

What is #7

A

Occipital

68
Q

What is #8

A

Superficial cervical

69
Q

What is #9

A

Posterior cervical

70
Q

What is #10

A

Supraclavicular

Physical Assessment (8 decks)

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