Head to toe exam

Question 1

What is the first step of the exam?

Answer 1

Wash your hands

Question 2

What position is the patient in for taking vitals?

Answer 2

Seated in a chair with feet flat on the floor

Question 3

What are the steps for taking vitals?

Answer 3

Radial pulses
BP by palpation
BP by auscultation

Question 4

What position should the patient take after vitals are completed?

Answer 4

Sitting up on end of exam table

Question 5

What segments of the exam are conducted with the patient seated at the end of the exam table?

Answer 5

Extremities
Head and neck
Chest
Breast

Question 6

What are the steps in examining the upper extremities?

Answer 6

Inspect/palpate
Passive ROM
Active ROM
Strength

Question 7

What are the steps in the head/neck exam?

Answer 7

General appearance
Cranial nerves
Ears
Nose
ROM

Question 8

What are the components of general appearance?

Answer 8

Inspect head/neck

Inspect eyelids, conjunctiva, sclera

Question 9

What are the cranial nerve II tests?

Answer 9

CN II: visual acuity and visual fields

Pupillary response to light

Question 10

What is the test for cranial nerves III, IV and VI?

Answer 10

Extraocular muscle movements: Follow finger moving in H shape
Accomadation

Question 11

What is the cranial nerve V test?

Answer 11

Light touch to 3 zones of face

Question 12

What is the cranial nerve VII test?

Answer 12

Have patient raise eyebrows, smile

Question 13

What is the cranial nerve VIII test?

Answer 13

Hearing: make noise with fingers

Question 14

What is the cranial nerve X test?

Answer 14

Have patient open mouth, say aaaaa, and cough

Question 15

What is the cranial nerve XI test?

Answer 15

Shrug shoulders and turn head

Question 16

What is the cranial nerve XII test?

Answer 16

Protrude tongue, look for asymmetry

Question 17

What exams are done using the otoscope?

Answer 17

Ear and nose exams

Question 18

What ROM tests are conducted with the patient seated at the end of the table?

Answer 18

Upper extremities,

Shoulders and neck

Question 19

What areas are inspected from behind the patient?

Answer 19

Head and neck:salivary glands, lymph nodes, Palpate trachea, Palpate thyroid gland
Chest/Lungs

Question 20

What are the steps for examining the chest and lungs?

Answer 20

Inspection
Percuss spine
Percuss lung field
Auscultate lung

Question 21

What are the components of the breast exam?

Answer 21

Inspection: arms at 3 locations
Palpate axillary nodes
Palpate breasts with vertical stripe method

Question 22

Describe the positioning of the patient during the breast exam.

Answer 22

Begin with them seated upright at end of table for inspection and axillary node exam.
Lay them flat for breast palpation

Question 23

Following the breast exam, what is the next step?

Answer 23

Measure JVP with patient at 30 degree angle

Question 24

How should the patient be positioned for the thorax and abdomen exam?

Answer 24

Laying flat on the table

Question 25

What are the components of the thorax exam?

Answer 25

``` Palpate carotid arteries Auscultate carotid arteries Palpate suprasternal notch Inspect precordium Identify and measure PMI Auscultate heart at 5 locations ```

Question 26

What are the components of the abdominal exam?

Answer 26

``` Inspect abdomen Auscultate abdomen Palpate abdomen superficially, and then deeply Palpate for liver tip, spleen tip Percuss liver span Palpate for kidneys Palpate for spleen with patient on side ```

Question 27

What area is examined after the abdomen?

Answer 27

The inguinal region

Question 28

What are the steps of the inguinal exam?

Answer 28

Palpate superficial inguinal lymph nodes Palpate femoral pulses Auscultate femoral pulses

Question 29

What are the steps for examining the lower extremity?

Answer 29

Passive and active ROM Strength Edema Dorsalis pedis and posterior tibial pulse

Question 30

Once the lower extremity exam is complete, what is the next step?

Answer 30

Have patient stand, inspect back ROM

Question 31

What is the final step of the exam?

Answer 31

Wash your hands