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Health Assessment Final Exam > Health Assessment Final Exam > Flashcards

Health Assessment Final Exam Flashcards

1
Q

Assess Lymph Nodes Head and Neck

A

Pre and Post Auricular, suboccipital, Tonsilar, submandibular, submental, superficial cervical, deep cervical chain, super clavicular

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2
Q

Palpating the carotid arteries

A

rate, rhythm, amplitude

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3
Q

Auscultating the carotid arteries

A

abnormal finding bruit or whooshing sound

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4
Q

Inspecting for Jugular distention

A

normal findings - no pulstations or visible distention

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5
Q

Signs of Venous or Arterial Insufficiency

A

Venous punched out, round, smooth well defined borders, pain worse w/activity or at night
Arterial Irregularly shaped, uneven, shallow wound, pain may or may not be present

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6
Q

types of joints

A

Fused, ball and socket, hinge, gliding plane (wrist, ankle), condyloid (fingers), pivot (neck, wrist, forearm)

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7
Q

Flexion

A

flex

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8
Q

Extension

A

extend

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9
Q

abduction

A

Away from midline

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10
Q

Aduction

A

Towards midline

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11
Q

Supination

A

hands up to hold soup

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12
Q

Pronation

A

rotate towards midline

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13
Q

plantar flexion

A

foot point toes

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14
Q

Dorsiflexion

A

lift toes

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15
Q

Medial rotation

A

foot turns inward

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16
Q

lateral rotation

A

foot turns outward

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17
Q

Eversion

A

sole away from midline

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18
Q

inversion

A

sole toward midline

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19
Q

Elevation

A

Shoulder shrug

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20
Q

Gait

A

Normal findings 1.5 m, contralateral, smooth, even, symmetrical
Abnormal ataxia (poor muscle control) foot drop, unequal etc.

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21
Q

Grading Muscle Strength

A

0 - unable to move in gravity eliminated position
1 - contract muscle slightly
2 - able to move in gravity eliminated position
3 - able to move against gravity
4 - able to move with some resistance
5 - able to move with full resistance

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22
Q

ROM lower extremities

A

hip - flexion, extension, abduction, aduction,
Knee - flexion, extension
Ankle - dorsiflexion, plantar flexion
Foot - inversion, eversion

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23
Q

CNI

A

Olfactory

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24
Q

CNII

A

Optic

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25
Q

CNIII

A

Oculomotor

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26
Q

CNIV

A

Trochlear

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27
Q

CNV

A

Trigeminal (jaw)

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28
Q

CNVI

A

Abducens (eye laterally)

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29
Q

CNVII

A

Facial

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30
Q

CNVIII

A

Acuoustic

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31
Q

CNIX

A

Glossopharyngeal (swallowing

32
Q

CNX

33
Q

CNXI

A

Spinal accessory (neck, shoulders)

34
Q

CNXII

A

Hypoglosseal (tongue)

35
Q

Visual receptive deficit

A

cannot recognize spoken word

36
Q

Expressive Aphasia

A

Inability to express words

37
Q

Global Aphasia

A

Impaired comprehension and expression

38
Q

Apraxia

A

inability to articulate using tongue, lips, Broca’s area

39
Q

Dysphonia

A

hoarseness or whisper

40
Q

Dysarthia

A

Inability to articulate

41
Q

Glasgow Coma Scale

A

3-15, 15 = awake and oriented

42
Q

Level of consciousness

A

Mini mental status exam, oriented to person, time, place, situation

43
Q

CNVII

A

face, smile, frown, puff cheeks, eyes do not open with resistance

44
Q

Abnormal Findings Muscle Strength

A

Hypotonia, Hypertonia, Flaccidity, Rigidity, Spasticity, hemiparesis, parapalegic, quadripalegic, Decorticate posturing (arms drawn up), decerbrate posturing

45
Q

Risk Factors for Breast Cancer

A

family hx, BRCA1 and BRCA2, age, obesity, alcohol, ht, dense breast tissue, long menstrual periods, oral contraceptives, childless, birth after 30

46
Q

Abnormal Vaginal Discharge

A

Bacterial Vaginosis, Candidiasis, Chlamydia, Trichomoniasis,

47
Q

Breast self exam

A

week after menses, regularly, taking shower or flat surface

48
Q

Cervical Cancer Screen

49
Q

Palpating female breasts

A

Circular, radial, or vertical strip (superior), arm above head, palpate shape, consistency, location size, moveable or fixed, tenderness

50
Q

Male urinary symptoms

A

difficulty starting stream, hesitancy, urinary retention (BPH), frequency, penile sores, lesions or discharge

51
Q

Erectile dysfunction

A

linked to diabetes, heart disease, hypertension

52
Q

Male external genitalia abnormal findings

A

lesions, warts, herpes, Jock itch (tinea cruris), penile cancer, phimosis (foreskin cannot retract), balanitis (inflamed head), epispadias/hypospadias (urine exits from abnormal location), Scrotum -swelling, lesions, empty, small Anus - hemmorrohoids, rectal bleeding, protrusion of rectal mucosa, inguinal hernia

53
Q

Testicular self exam

A

bath or shower, roll between fingers, feel for epididymis, palpate for lumps

54
Q

ROME III

A

2 or more - 1/4 of defecations = straining, hard stool, incomplete evacuation, blockage, manuel extraction, and fewer than 3 bms per week

55
Q

rectal cancer symptoms

A

change in bowel habits, bowel does not empty, pencil like stools, blood in stool, abdominal discomfort, unexplained weight loss, fatigue

56
Q

causes of rectal bleeding

A

anal fissures, hemorrhoids, polyps, anal fistula, anal cancer

57
Q

Newborn ear infection

A

more prone because Eustachian tube is shorter wider and more horizontal

58
Q

APGAR

A

Appearance, Pulse, Grimace, Activity, Respiration
Normal score of 5

59
Q

Newborn heart rate

A

120-160, count one full minute

60
Q

Newborn Respiratory Rate

A

30-60 breaths per minute

61
Q

Neonate Reflexes

A

sucking, rooting, plamar, moro (splayed arms), plantar, babinski (finger up foot, toes flare), stepping

62
Q

newborn peripheral pulses

A

brachial and femoral present and equal

63
Q

nutritional history

A

pica (eating nonfood)

64
Q

Child bowel elimination

A

Encopresis, child resists having bowel movement

65
Q

developmental approach to pediatric assessment

A

Toddler near parent, parent removes clothes, minimal physical contact
preschooler, parent near, child undresses self, engage child in exam
school age, sit on table, ask child direct questions, undress self, genitals last
teen, may prefer parent leaves, treat as adult, undress in privacy

66
Q

child otoscope

A

less than 3, pinna down and back
older than 3, pinna up and back

67
Q

early pregnancy signs

A

amenorrhea, breast tenderness, fatigue, nausea/vomiting, frequent urination

68
Q

Pregnancy psychosocial HX

A

anxiety, depression, mood changes, appetite, medications/substance abuse, infectious diseases, accidents/falls, animals in the house

69
Q

Leopolds maneuver

A

Vertex is head down

70
Q

measuring fundal height

A

after 20 weeks should be equal to weeks ie 21 weeks should be 21 cm abnormal if 2 above or below

71
Q

Auscultate fetal heart rate

A

doppler 120-180

72
Q

Elderly cardio changes

A

heart muscle thinner, decreased strength, S3 or S4 sounds could be heart failure, Atrial fibrillation most common arrhythmia, vasculature becomes more rigid

73
Q

Elderly skin changes

A

thinner, more fragile, blood vessels more fragile, fat layer thins, less insulation, increased wrinkling

74
Q

Elderly respiratory changes

A

decreased lung expansion, alveoli decrease, less elasticity, decreased cough reflex, lungs less able to fight off infection

75
Q

Geriatric Syndrome

A

anorexia, dementia, dizziness, falls, frailty, gait instability, impaired vision/hearing, malnutrition, Parkinsons, pressure ulcers, sleep complaints, vertigo

76
Q

Elderly psychosocial assessment

A

living arrangements, functional, health promotion, driving, alcohol use, elder abuse, sexuality
DDD dementia, delirium, depression

Health Assessment Final Exam (1 decks)

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