Head To Toe

Question 1

inspect face and head for shape

Answer 1

normocephalic
skin color
eyes and eyebrows symmetrical

Question 2

inspect nose and lips

Answer 2

nose is midline
lips are symmetrical pink and even

Question 3

check for patency

Answer 3

each nare is patent, no obstructions noted
no sepum deviation

Question 4

inspect and palpate scalp

Answer 4

hair color
no lesions or infestations
texture
evenly distributed

Question 5

palpate maxillary and frontal sinus

Answer 5

“any pain or tenderness?”

Question 6

palpate temporal artery

Answer 6

2+ bilaterally

Question 7

inspect neck and trachea

Answer 7

trachea is midline
no accessory muscle use

Question 8

inspect lymph nodes

Answer 8

non palpable
non tender

Question 9

palpate external ears (pinna, tragus, mastoid process)

Answer 9

no swelling, redness, or tenderness

Question 10

test pupillary reflexes direct and consensual

Answer 10

cranial nerve II and III intact

Question 11

UPPER EXTREMETIES

Question 12

inspect skin and symmetry

Question 13

palpate temp

Question 14

inspect and palpate nails

Answer 14

cap reflex- brisk
no clubbing
nail color

Question 15

palpate radial pulses

Answer 15

2+ bilaterally

Question 16

THORAX

Question 17

inspect for JVD @ 30 degrees

Answer 17

no JVD

Question 18

palpate carotid artery

Answer 18

2+ bilaterally

Question 19

Auscultate carotid artery for bruit (bell)

Answer 19

no bruit noted bilaterally

Question 20

listen to trachea for bronchial sounds (diaphragm)

Answer 20

bronchial sounds clear and even bilaterally

Question 21

inspect anterior thorax, precordium

Answer 21

skin color
symmetry
no lifts or heaves
respirations are unlabored and even

Question 22

access for tenting

Answer 22

no tenting

Question 23

Auscultate anterior thorax (vesicular and bronchovesicular)

Answer 23

clear and equal bilaterally

Question 24

Auscultate posterior thorax (vesicular and bronchovesicular)

Answer 24

clear and equal bilaterally

Question 25

auscultate 5 heart sounds and identify location

Answer 25

S1 and S2 sounds heard

Question 26

Apical pulse rate and rhythm

Answer 26

78 bpm and regular

Question 27

Auscultate heart sounds with bell
@ mitral area– turn pt on left side

Answer 27

no extra heart sounds
no S3 and S4 heard

Question 28

ABDOMEN

Question 29

inspect contour and symmetry

Answer 29

contour is flat
no peristalsis
visible abdominal aortic pulsations
2 horizontal scars noted superior to umbilicus, they are well healed, no redness or swelling

Question 30

Auscultate bowel sounds starting in RLQ (diaphragm)

Answer 30

bowel sounds present and active in all four quadrants

Question 31

Auscultate for vascular sounds (aorta, renal, and iliac)(bell)

Answer 31

No bruits

Question 32

percuss- zigzag pattern

Answer 32

tympany

Question 33

lightly palpate

Answer 33

“any pain or tenderness?”
abdominal wall is relax
no pain or tenderness noted

Question 34

LOWER EXTREMITIES