Head to Toe

Question 1

Head - Inspection (2)

Answer 1

1. Entire head
2. Scalp

Question 2

Intro/Professional behaviors (5)

Answer 2

1. Greeting, state name,
2. Patient identifiers name and DOB
3. What you can expect
4. Privacy, safe environment, HIPAA
5. Hand washing

Question 3

Head - Palpation (5)

Answer 3

1. Entire head
2. temporomandibular joint in motion
3. frontal sinus (eyebrow)
4. ethmoid sinus (nose bridge)
5. maxillary sinus (upper cheek)

Question 4

Head - NEURO Ax (2)

Answer 4

1. Cranial Nerve V - sensation, pin prick cheeks, cotton whisp cheeks
2. Cranial Nerve VII - muscles, smile, frown, puff cheeks, clench jaw

Question 5

Ear Ax (2)

Answer 5

1. Inspect and palpate outer ear
2. Cranial Nerve VIII - whisper test (cover one ear, whisper 6 random letters/numbers)

Question 6

Nose Ax (3)

Answer 6

1. Nose
2. Nasal passages
3. Nostril patency

Question 7

Mouth Inspection (5)

Answer 7

1. Lips
2. Tongue
3. Tonsils
4. Posterior pharynx
5. Palate

Question 8

Mouth NEURO Ax (2)

Answer 8

1. Cranial Nerve IX/X - say “ahh”/ swallow
2. Cranial Nerve XII - tongue mvmt side-to-side

Question 9

Eye Ax (6)

Answer 9

1. Lids
2. Conjunctivae
3. Pupillary size and response to light
4. Accommodation
5. Cranial Nerve III/IV/VI - Extraocular muscles (EOM) Look up, down, left, right, to tip of nose.
6. Cranial Nerve II - Peripheral vision

Question 10

Neck - Palpation of Lymph Nodes (10)

Answer 10

1. Preauricular
2. Superficial parotid
3. Occipital
4. Posterior auricular
5. Mastoid
6. Submandibular
7. Submental
8. Superficial anterior cervical
9. Superficial posterior cervical
10. Supraclavicular

Question 11

Neck - Ax (5)

Answer 11

1. Tracheal position
2. Thyroid palpation
3. Auscultate carotid arteries
4. ROM - cervical spine
5. Cranial Nerve XI - shoulder shrug

Question 12

Chest - Inspection/Palpation (4)

Answer 12

1. Chest wall during inspiration and expiration.
2. Tactile fremitus “say 99”
3. Chest wall crepitus/masses
4. chest wall skin turgor

Question 13

Chest - Percussion (4)

Answer 13

1. Apices R/L
2. Upper Lobes R/L
3. Middle Lobes R/L
4. Lower Lobes R/L

Question 14

Chest - Auscultation (6)

Answer 14

1. Apices POSTERIOR R/L
2. Upper Lobes POSTERIOR R/L
3. Middle Lobes POSTERIOR R/L
4. Lower Lobes POSTERIOR R/L
5. Upper Lobes ANTERIOR R/L
6. Lower Lobes ANTERIOR R/L

Question 15

Heart - Palpation (3)

Answer 15

1. Apical impulse
2. Capillary refill - Fingers bilaterally
3. Capillary refill - Toes bilaterally

Question 16

Heart - Auscultation (5x3)

Answer 16

SEATED / SUPINE / LEFT LATERAL
1. Aortic
2. Pulmonic
3. Erbs
4. Tricuspid
5. Mitral

Question 17

Heart - Pulses bilateral (4)

Answer 17

1. Brachial (bilateral)
2. Radial (bilateral)
3. Posterior tibial (bilateral)
4. Dorsalis pedis (bilateral)

Question 18

Abdomen Ax (4)

Answer 18

1. Contor, color
2. Auscultate all 4 Q
3. Percussion all 4 Q
4. Palpate all 4 Q: LIGHT & DEEP

Question 19

Musculoskeletal - palpation (2)

Answer 19

1. skin temperature UPPER and Lower
2. Joint pain/swelling UPPER and Lower

Question 20

Musculoskeletal - Ax (6)

Answer 20

ROM and Strength
1. Shoulders bilateral
2. Hands bilateral
3. Wrist bilateral
4. Hips bilateral
5. Knees bilateral
6. Ankles bilateral

Question 21

Neuro Ax (6)

Answer 21

1. Heel walking
2. Toe walking
3. Rhomberg test (eyes closed, stand on one foot)
4. Graphesthesia (write letter A on hand)
5. Stereognosis (key in hand)
6. Cerebellar function/Coordination (finger to nose)

Question 22

Neuro Reflexes (6)

Answer 22

1. Biceps
2. Triceps
3. Brachioradialis (wrist)
4. Patellar (knee)
5. Achilles
6. Babinski-plantar