Hospital exam

Question 1

What are the parts to the hospital exam?

Answer 1

Lungs 
Heart 
Abdomen
Cervical
Thoracic inlet 
Thoracic Diaphragm
Thoracic region
Rib exam
Lumbar region
Viscerosomatic reflex question
Rib Regional exam
Pelvis
Extremity exam

Segmental Dx (Cervical or Rib/Thoracic)- designated by grader

Question 2

In what position is the entire exam?

Answer 2

Supine

Question 3

What is done in the lung section?

Answer 3

Auscultate designated posterior lung field

Comments: wheezing/crackles OR other breath sounds

Question 4

What is done in the Heart section?

Answer 4

Auscultate the heart valves

Comments: rate, rhythm, murmurs and extra heart sounds

Question 5

What is done in the abdomen section?

Answer 5

Inspect skin
Auscultate all 4 quadrants
Comments: bowel sounds hypoactive/normoactive/ hyperactive
Percuss all 4 quadrants Comments: tympanic/dull
Palpate all 4 quadrants
Comments: masses/tenderness to palpation/
rebound or guarded Correct order of abdominal exam

Question 6

What is done in the Cervical exam?

Answer 6

TART Level(s) \_\_\_\_\_ R L
Correct palpation

Question 7

What is done in the thoracic inlet?

Answer 7

T1 nml Rot: R L

Supraclavicular Fossa Restriction nml

Question 8

What is done in Thoracic Diaphragm?

Answer 8

Nml Restriction: R L bilat

Question 9

What is done in thoracic region?

Answer 9

TART Level(s) \_\_\_\_\_ R L Correct palpation
Rotational Diagnosis (Level \_\_\_)

Question 10

What is done in the Rib exam?

Answer 10

Posterior Rib Angles, ribs 1-8 (supine)

Tenderness and prominence Correct palpation

Question 11

What is done in the Lumbar region?

Answer 11

L1-L5 TART Level(s) _____ R L
Correct palpation
Rotational Diagnosis (Level ___) sym Rot: R L

Question 12

What is done on the rib regional Exam?

Answer 12

Ribs 1-12
Nml 
inh/exh
Full respiration cycle
Correct hand placement/Ergonomics/Vantage Point

Question 13

What is done on the pelvis exam?

Answer 13

SI joint TA(R)T R L
Passive motion testing (vertical axes)
ASIS (Levels, Inflare/Outflare) Correct palpation

Question 14

What is done on the extremity exam?

Answer 14

(performed bilaterally) Lower Extremity:
Asymmetry [hip, knee, ankle]
Tenderness [hip, knee, ankle] Correct palpation
Upper Extremity:
Asymmetry [shoulder, elbow, wrist] Tenderness [shoulder, elbow, wrist]
1-2 3 1-2 3 1
nmlinhexhRL nmlinhexhRL nmlinhexhRL nmlinhexhRL nmlinhexhRL
Correct palpation

Question 15

What are the parts of the Post op exam?

Answer 15

Lungs 
Heart 
Abdomen
Cervical
Thoracic inlet 
Thoracic Diaphragm
Thoracic region
Rib exam
Lumbar region
Viscerosomatic reflex question
Rib Regional exam
Wound exam 
LE exam

Segmental Diagnosis: Cervical or Ribs/Thoracic (Designated by the grader based

Question 16

What is done in the wound exam?

Answer 16

verbalize that you would examine at least 2 of the following: redness, edema, discharge, temperature, and dehiscence

Question 17

What is done in the LE exam

Answer 17

Check skin temperature of foot

Assess for pre-tibial edema

Check for Homan’s sign OR Lisker’s sign

Check and grade pedal pulses (D.P. or P.T.)

Check capillary refill 0 Comment on refill time < 2 seconds

Examination performed Bilateral