H&P Finals Skills Assessment Verbal Statements

Question 1

Inspecting the lungs (Posterior)

Answer 1

Rate
Rhythm of respiration
Shape
Symmetry
Use of accessory muscles
Deformities
Skin Lesions

Question 2

Inspecting and palpating the lungs (Posterior)

Answer 2

Chest expansion with deep inspiration

Question 3

When auscultating the lungs POSTERIORLY, instruct the patient to

Answer 3

Breathe deep with MOUTH OPEN
CROSS ARMS across chest

Question 4

Inspecting the lungs (Anterior)

Answer 4

Anterior chest for rhythm and respiratory effort during quiet breathing and with deep inspiration

Question 5

Palpating the lungs (Anterior)

Answer 5

Tenderness, masses, lesions

Question 6

When auscultating the lungs ANTERIORLY, instruct the patient to

Answer 6

Breathe deep with MOUTH OPEN

Question 7

Inspecting the heart for

Answer 7

Precordium for pulsations or heaves

Question 8

Palpating the heart

Answer 8

with ball of hands = “heaves or thrills”

with fingertips = “point of maximal impulse, noting size and intensity.” (MUST DO IN LEFT LATERAL DECUBITUS)

Epigastric and sternal notch = “for pulsations” (MUST DO SUPINE)

Question 9

Inspecting the neck vessels

Answer 9

Jugular veins and carotid pulsations (30deg elevation supine)

Question 10

Auscultate carotid for

Answer 10

bruits

Question 11

Inspecting abdomen for

Answer 11

Lesions, scars, contour, symmetry, pulsations, and umbilicus for location and hernia

Question 12

During the abdominal exam, you must always

Answer 12

Monitor the patient’s face throughout the exam!

Question 13

Auscultating the abdominal quadrants

Answer 13

Listening for bowel sounds

Question 14

Auscultating the abdominal vessels

Answer 14

Listening for bruits