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Physical Assessment 2 > Final > Flashcards

Final Flashcards

1
Q

what is chadwick sign

A

bluish discoloration of cervix, vagina and labia resulting from increased blood flow
***pregnant

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2
Q

fundal height for 20 weeks

A

umbilicus

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3
Q

neurologic exam is divided into?

A

ALL THE ABOVE

  • mental status
  • motor
  • sensory
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4
Q

patient is unable to close his right eye tight and there is a droop to the right when smiling

  • neuro exam of upper and lower extremities are normal
  • what does the patient have?
A

Bell’s Palsy

***a stroke would only affect the lips

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5
Q

+ romberg test would look like?

A

swaying when eyes are closed
feet together, arms at the side

**patient is fine when they open eyes

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6
Q

cerebelar ataxia–what would the patient be doing?

A

patient sways when eyes are open or closed

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7
Q

how do you test for nystagmus

A

extraocular with six fields of gaze

“H” test

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8
Q

inability to detect cotton whisps over maseter and or jaw is a sign of what?

A

trigeminal nerve CN5 deficit

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9
Q

how to hold the reflex hammer

A

loosely

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10
Q

pronation drift–what a positive sign look like

A

if they pronate and drift the arm down when eyes are closed

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11
Q

finger to nose test–what are we testing for?

A

coordination and fine motor function

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12
Q

a hyperactive reflex response at the ankle describes which term?

A

clonus

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13
Q

patient has a shuffling gait and cogwheel rigidity– what does this patient have

-list some other PE findings they might have

A

Parkinsons

  • pill rolling tremor
  • bradykinesia
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14
Q

26 weeks pregnant, which of the following is most concerning

  1. generalized hair loss
  2. hyperpigmentation rash over maxillary region
  3. nose bleeds
  4. facial edema
A

facial edema

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15
Q

pregnant midline swelling is called

A

diastasis recti

*when the muscles separate and when it heals theres an indentation

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16
Q

what is part of the normal aging process for vision

A

blurring of near vision–presbyopia

**cannot see close up

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17
Q

89 year old coming in for a colonoscopy–which of the following should be considered when doing a screening test?

A

current age of the patient is not considered

**we do not take into account life expectancy

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18
Q

which vaccine is recc in older people?

A

pneumococcal

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19
Q

mini mental screening exam–which of the following is useful to assess memory?

A

3 word/item recall

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20
Q

82 YO brought in from home after seeing her PCP two days ago. she was started on ABX–and now she does not know what year it is or where she is–>what is causing this?

A

Delirium

*infection

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21
Q

what happens to lungs with age related changes?

A

decrease chest wall compliance

22
Q

while performing a physical exam, you flex the patients leg and knee, then straighten it—they have +pain–> what is this sign

A

kernig sign

+meningeal sign

23
Q

with peripheral neuropathy, what is the first sensation that is lost?

A

vibration

*MC in DM

24
Q

assessing level of consciousness in patient, arousal from sleep only ocurs after painful stimuli and verbal responses slow or almost absent. which of the following would you use to describe the patients LOC

A

Stupor

25
Q

what kind of gait would be staggering, unsteady, wide-base and exaggerated difficulty on turns?

A

Cerebellar ataxia

26
Q

what PE finding suggest a pathologic lesion at C5 and C6

A

abnormal biceps reflex

27
Q

PT experiencing right gluteal pain, radiating dwon the posterior leg, in S1 distribution with tingling. Which of the following tests would help confirm the diagnosis?

A

straight leg raise

**sciatica

28
Q

PT complains of not feeling well. he has a 4/4 CAGE questions. what test is most likely positive?

A

asterisks

29
Q 
78 YO pt with PMH of CAD and HTN 
\+HA 
\+left face and arm droop 
BP= 200/130 
Exam he is confused and speech is slurred 
what does PT have
A

stroke

30
Q

eliciting a 2+ reflex is?

A

normal

31
Q

PT is a 56YO with impaired pain sensation, what additional testing is needed

A

deep pressure sensation and check temperature

32
Q

patient is able to touch each finger to the thumb and back—what does this signify?

A

normal cerebellar function

33
Q

DM patient has diminished sensation to sharp touch bilaterally in distal feet–which test finding would you find?

A

diminished vibration

34
Q

progressive subacute onset of lower extremity weakness, hypotonia in each leg–diagnosis?

A

GB

*associated with campylobacter infections

35
Q

tremor that gets worse as you try to get near the object

A

intention tremor

36
Q

brown line down stomach when preg?

A

Linea Nigara

37
Q

normal finding in older patietns?

A

incr in SBP

38
Q

Clara’s daughter brings her in cause she fell at home—which of the following assessments is indicated at this time?

A

all the above

  • vitals
  • review of meds
  • etc
39
Q

what is used for a PT with head trauma?

A

GCS

40
Q

loss of immediate and recent memory with retention of remote memory suggests

A

dementia

41
Q

while assessing a PT, clinicians notices the PT cannot touch their finger to nose and they lose balance when eyes are closed—- this suggests?

A

cerebellar dysfunction

42
Q

CN3 dysfunction would appear how on PE?

A

eyelid ptosis

43
Q

81YO pt comes in for geriatric assessment. daughter notices sudden functional decline and is concerned her dad may have Alzheimer’s. which of the following statements might you tell his daughter?

A

sudden functional decline is often a result of another medical problem–such as an infection

44
Q

ataxia, diplopia and dysarthria are suspicious for ?

A

TIA/stroke

45
Q

Ptosis, myosis and anhidrosis

A

Horner’s syndrome

46
Q

which of the following correctly describes screening recommendations for osteoporosis

A

women age 65 should be screened with a DEXA scan

**bone density scan for women post-menopausal

47
Q

pregnant woman has a healthy BMI, how much weight should she gain?

A

25-35 pounds

48
Q

Which of the following vaccine is unsafe to give during pregnancy

A

varicella

49
Q

fetal movement can be felt by examiner by?

A

24 weeks

mom can start feeling fetal movement by 18-24 weeks

50
Q

which of the following heart murmurs would you hear in old PT

A

aortic stenosis

Physical Assessment 2 (6 decks)

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