Final Exam Assessment 610

Question 1

Cardiac Assessment

Answer 1

1. Auscultate and palpate carotids
2. JVD
3. PMI
4. Heart sounds APTM
5. Angle of Louis (I & P)
6. Assess peripheral circulation (I & P cap refill)
7. inspect fingers for clubbing, cyanosis, joints, skin and determine dominant hand
8. assess radial, bracheal, posterior tibialis, dorsalis pedis bulses and grade
9. Inspect bilat LE for vericosities, edema, clubbing, cyanosis (report and grade)

Question 2

Lung assessment

Answer 2

1. Inspect thorax, symmetry with resp (F & B)
2. Percuss lung fields
3. tactile fremitus (“99”)
4. auscultate lungs (8 points)
5. egophony (auscultate “e” at 8 points) (hearing “a” = consolidation)

Question 3

Abdomen assessment

Answer 3

1. Inspect (supine)
2. bowel sounds (B & D)
3. Auscultate for bruit
4. Percuss abdomen x4Q
5. Palpate x4Q (light then deep) (on deep identify organs, liver, gallbladder, spleen, bladder)
6. liver edge and span, dullness to percussion, measure (7 cm)
7. kidneys with ballottement, (deep breath, no tenderness or masses)
8. percuss CV angle (no pain) pain = kidney infection

Question 4

Spine assessment

Answer 4

1. palpate spinous processes for allignment and tenderness
2. palpate paraspinal muscular area and identify parts of the spine (cervical, thoracic, lumbar, sacrum, coccyx)
3. ROM of spine (flexion, extention, lateral bend) in thoracic and lumbar spine
4. identify C7 / T1 and check cervical ROM (head up down and lateral)
5. test proprioception - Rhomberg and pronator drift bilaterally

Question 5

Muscuoskeletal

Answer 5

1. ROM active and passive:
   * fingers, wrists, elbows, shoulders
   * hips, knees, ankles, feet, toes
2. strength and grade
   * UE (squeeze hands, push, pull = strength is a 5
   * LE (Legs out &, feet up against resistance), strength is a 5
3. coordination and motor skills-
   * finger to nose, heel to shin
   * rapid alternating movements bilaterally
4. sensory ability- dull/sharp in all 4 extremities
5. deep tendon reflexes-
   * biceps, triceps, brachioradialis, triceps, patellar, and achilles bilaterally
6. vibratory sense of LE
7. position sense of great toe bilaterally
8. plantar reflex
   ● Toes curled down, plantar reflex intact, Babinski negative bilaterally

Question 6

Cog Exam - assess mental status

Answer 6

• mini cog exam-orientation,
• 3 words,
• phone number,
• birth year, age,
• president,
• serial 7’s back from 100,
• clock drawing test,
• repeat 3 words

Question 7

PMI

Answer 7

Question 8

Cranial Nerves with Names

Answer 8

cranialnerves

CN I - Olfactory
CN II - Optic
CNIII - Occulomotor
CN IV - Tr…abucins
CN V - Trigeminal
CN VI - Abductins
CN VII - Facial
CN VIII - **Auditory / coclear **
CN IX - Glossopharayngeal
CN X - Vagus
CN XI - spinal accessory
CN XII - Hypoglossal

#CranialNerves