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Health Assessment > Health Assessment Ch. 30 > Flashcards

Health Assessment Ch. 30 Flashcards

1
Q

What is PMI?

A

Point of Maximum Impulse

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2
Q

Apical Impulse/PMI

A

Where the apex of the heart touches the anterior chest wall at the 5th intercostal space

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3
Q

Atrophied

A

A muscle that has reduced in size and feels soft when palpated

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4
Q

What is cerumen?

A

Ear wax

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5
Q

Clubbing

A

Bulging of tissue at the nail base

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6
Q

Hypertonicity

A

When there is resistance with passive movement of a muscle

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7
Q

Hypotonicity

A

A muscle with little tone. The extremity’s position is determined by gravity

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8
Q

Induration

A

Skin hard (remember positive TB results induration is measured in millimeters)

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9
Q

Peristalsis

A

The movement of contents through the intestines

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10
Q

Polyps

A

Tumor like growth or purulent drainage

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11
Q

Ptosis

A

Drooping of an eyelid over the pupil (cause by edema of damage to the third cranial nerve)

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12
Q

Stenosis

A

The narrowing of arteries

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13
Q

Syncope

A

Circulatory arrest

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14
Q

Turgor

A

Elasticity of the skin

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15
Q

Systole

A

The ventricles contract and eject blood from the left ventricle into the aorta and from the right ventricle into the pulmonary artery

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16
Q

Diastole

A

The ventricles relax, the atria contract to move blood into the ventricles and fill the coronary arteries

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17
Q

When examining the heart have the PT in the ________ or __________ position.

A

supine

Fowler’s

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18
Q

Heart sound position 1

A

Aortic - Right second intercostal space

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19
Q

Heart sound position 2

A

Left second intercostal space

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20
Q

Heart sound position 3

A

Second Pulmonic/Erb’s Point - Left third intercostal space

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21
Q

Heart sound position 4

A

Tricuspid - Left fourth intercostal space

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22
Q

Heart sound position 5

A

Mitral - Left of midclavicular, fifth intercostal space

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23
Q

Regarding pulse strength what is considered normal?

A

2

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24
Q

Use __________ to palpate?

A

fingertips

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25
Q

Use these to test for pitting.

A

thumbs

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26
Q

Edema is part of the __________ system?

A

cardiovascular

27
Q

____________ around the ankle and foot area is a sign of venous inefficiency or right side heart failure.

A

Edema

28
Q

Orthostatic Hypotension/Postural Hypotension is a drop in systolic by ______mm or a drop in diastolic by __________mm.

A

20 sys

10 dia

29
Q

JVD should be assessed from what position?

A

Supine

30
Q

Two ways to inspect the musculoskeletal system are

A

inspection and palpation

31
Q

Kyphosis

A

Curvature of the upper (thoracic) spine

32
Q

Lordosis

A

Curvature of the lower spine

33
Q

What are the two types of ROM?

A

active and passive

34
Q

Flexion

A

Decrease the angle between two adjoining joints

35
Q

Extension

A

Increasing the angle between two adjoining joints

36
Q

Hyperextension

A

Move beyond the resting extending position

37
Q

Describe pronation

A

Ventral/Front surface is face down

38
Q

Supination

A

Ventral/Front surface is face up

39
Q

Abduction

A

Extremity movement away from midline

40
Q

Adduction

A

Extremity movement toward midline

41
Q

Eversion

A

Turning a body part away from midline

42
Q

Inversion

A

Turning a body part toward midline

43
Q

Dorsiflexion

A

Flexion of the toes or foot upward

44
Q

Plantarflexion

A

Bending the toes or foot downward

45
Q

What are you assessing for when examining musculoskeletal structures?

A
  1. Range of motion
  2. Muscle strength
  3. Tone
  4. Joint and muscle condition
46
Q

When assessing, compare body parts on the ______________

A

opposite side

47
Q

On the ROM grading scale, ____ is full ROM

A

5

48
Q

What techniques are used for assessing GI/GU?

A

Inspection
Auscultation
Palpation

49
Q

When listening to bowel sounds, what is the order?

A

LRQ → URQ → URQ → LRQ

50
Q

Listen to bowel sounds for how long?

A

2-20 seconds

51
Q

Only chart an absents of bowel sounds after listen to all four quadrants for how long.

A

20 minutes

52
Q

Make sure the PT __________ before palpating the abdomen.

A

voids

53
Q

RA stands for

A

room air

54
Q

O2 stands for

A

Oxygen

55
Q

SAT stands for

A

saturation

56
Q

Bronchial Breath Sounds are heard over the __________.

A

trachea

57
Q

Bronchovesicular Breath Sounds are best heard posteriorly between the ________or anteriorly lateral to the ________.

A

scapulae, sternum

58
Q

Vesicular sounds are best heard over the __________ of the lungs

A

periphery

59
Q

What are the puberty ages for women?

A

8-20

60
Q

Pelvic exams are needed every ________ for women who are sexually active or over the age of _________?

A

year, 21

61
Q

Men starting at age _______ should perform testicular exams every _________?

A

15, monthly

62
Q

Colorectal exams for men and women should begin at what age?

A

45

63
Q

Three components to calculate overall nutritional status during the assessment are:

A

Height
Weight
BMI

Health Assessment (11 decks)

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