Head to toe exam Flashcards

1
Q

What is the first step of the exam?

A

Wash your hands

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2
Q

What position is the patient in for taking vitals?

A

Seated in a chair with feet flat on the floor

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3
Q

What are the steps for taking vitals?

A

Radial pulses
BP by palpation
BP by auscultation

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4
Q

What position should the patient take after vitals are completed?

A

Sitting up on end of exam table

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5
Q

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

A

Extremities
Head and neck
Chest
Breast

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6
Q

What are the steps in examining the upper extremities?

A

Inspect/palpate
Passive ROM
Active ROM
Strength

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7
Q

What are the steps in the head/neck exam?

A
General appearance
Cranial nerves
Ears
Nose
ROM
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8
Q

What are the components of general appearance?

A

Inspect head/neck

Inspect eyelids, conjunctiva, sclera

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9
Q

What are the cranial nerve II tests?

A

CN II: visual acuity and visual fields

Pupillary response to light

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10
Q

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

A

Extraocular muscle movements: Follow finger moving in H shape
Accomadation

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11
Q

What is the cranial nerve V test?

A

Light touch to 3 zones of face

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12
Q

What is the cranial nerve VII test?

A

Have patient raise eyebrows, smile

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13
Q

What is the cranial nerve VIII test?

A

Hearing: make noise with fingers

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14
Q

What is the cranial nerve X test?

A

Have patient open mouth, say aaaaa, and cough

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15
Q

What is the cranial nerve XI test?

A

Shrug shoulders and turn head

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16
Q

What is the cranial nerve XII test?

A

Protrude tongue, look for asymmetry

17
Q

What exams are done using the otoscope?

A

Ear and nose exams

18
Q

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

A

Upper extremities,

Shoulders and neck

19
Q

What areas are inspected from behind the patient?

A

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

20
Q

What are the steps for examining the chest and lungs?

A

Inspection
Percuss spine
Percuss lung field
Auscultate lung

21
Q

What are the components of the breast exam?

A

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

22
Q

Describe the positioning of the patient during the breast exam.

A

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

23
Q

Following the breast exam, what is the next step?

A

Measure JVP with patient at 30 degree angle

24
Q

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

A

Laying flat on the table

25
Q

What are the components of the thorax exam?

A
Palpate carotid arteries
Auscultate carotid arteries
Palpate suprasternal notch
Inspect precordium
Identify and measure PMI
Auscultate heart at 5 locations
26
Q

What are the components of the abdominal exam?

A
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
27
Q

What area is examined after the abdomen?

A

The inguinal region

28
Q

What are the steps of the inguinal exam?

A

Palpate superficial inguinal lymph nodes
Palpate femoral pulses
Auscultate femoral pulses

29
Q

What are the steps for examining the lower extremity?

A

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

30
Q

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

A

Have patient stand, inspect back ROM

31
Q

What is the final step of the exam?

A

Wash your hands