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Physical Exam Skills > HTT Exam > Flashcards

HTT Exam Flashcards

1
Q

Intro

A

Wash hands
Greet Patient
Introduce self as Student Doctor

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2
Q

Extras

A

Examine from R side of table
Draping
“Normal and healthy”

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3
Q

Skin/ Hair/ Nails

A

Verbalize looking at UE and LE
Scalp/ Hair
Nails
Clubbing at Eye level

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4
Q

Eyes

A

Lids and Lashes
Conjunctiva/Sclera (pt pull down)
PERRL
Ophthalmoscopic Exam

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5
Q

Ophthalmoscopic Exam

A 
Dimmed lights in room
R eye to R eye
15 deg from midline
Hand to stabilize and support
Red Reflex
Blood vessel
Follow to optic disc
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6
Q

Ears

A

External (including behind)
Tympanic Membrane BILATERALLY
Weber or Rinne Test

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7
Q

Nose

A

Speculum in nose BILATERALLY

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8
Q

Head Exam

A 
Scalp/ Hair
Eyes
Ears
Nose
Mouth
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9
Q

Prior to head exam

A

Skin

Nails

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10
Q

Oral Exam

A

Oral Cavity (light and tongue blade)
Posterior Pharynx- Make pt say AHHH
TMJ- open and close jaw

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11
Q

Oral Exam

A

Oral Cavity (light and tongue blade)
Posterior Pharynx- Make pt say AHHH
TMJ- open and close jaw

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12
Q

Order flow of HTT Exam

A 
Visible skin
Nails
Scalp/ Hair
Eyes
Nose
Mouth
Neck
Cardiac
Lungs
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13
Q

Order flow of HTT Exam (18)

A 
Visible skin
Nails
Scalp/ Hair
Eyes
Nose
Mouth
Cranial Nerves
Neck
Cardiac
Lungs
Axilla
Abd
Some Lower Extremity
Upper Extremity
Reflexes
Remaining Lower Extremity
Standing structural
Cerebellar
Spinal ROM
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14
Q

Neck Exam

A

Lymph Nodes

Thyroid (water, move trachea to palp each lobe)

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15
Q

Neck Exam

A

Lymph Nodes
Thyroid (water, move trachea to palp each lobe)
ROM
Strength

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16
Q

Cardiac Exam

A

Auscultate Aortic Post (2-3 space, R)
Auscultate Pulmonic Post (2-3 space, L)
Auscultate Tricuspid Post (5 space, L border)
Auscultate Mitral Post (5 space, L midclav)
Palpate Apical Impulse/ PMI
*ALL ON SKIN
Carotid Bruits (VERBALIZE BELL, hold breath)

17
Q

Lung Exam

A

Percuss on skin (BILAT: 3 posterior, 1 lateral)
Auscultate on skin (BILAT: 2 each side, side 2 side)
Costovertebral Tenderness (BILATERAL)

18
Q

Axilla Exam

A

Lymph nodes
Anterior, Posterior
Apical and Brachial
*only one side needed

19
Q

Abdominal Exam

A 
Inspect (say 2 things: no areas of discoloration or obvious distention)
Auscultate Bowel Sounds (4 quadrants)
Palpate (4 quads, shallow to deep)
Palpate Liver
McBurney's Point (appendix)
Murphy's Sign (gallbladder)
20
Q

Cranial Nerve Exam

A

1- olfactory
2- visual acuity
3,4,6- EOM (H)
5- Motor and sensory (3 areas of face, temporalis/ master)
7- 2 per hemisphere (raise brows, close eyes tight, smile, puff out cheeks)
8- close eyes, finger rub
9, 10- tongue out, say ah, swallow (uvula midline, palate raises)
11- shrug shoulders, turn head (against resistance)
12- tongue out, side to side

21
Q

Upper Extremities

A 
Sensory Light touch (eyes closed, 2 points)
Sensory Vibratory (bony prominence)
Sensory Proprioception (eyes closed, up/down/neutral)
Radial Pulse
Shoulder (1 strength, 2 ROM)
Elbow (1 strength, 2 ROM)
Wrist (1 strength, 2 ROM)
Hand (1 strength, 2 ROM)
22
Q

Testing Reflexes (7 total)

A 
Biceps
Brachioradialis
Triceps
Patellar
Achilles
*only unilateral required
*Babinski and Clonus in after abd LE exam
23
Q

Lower Extremity after abdominal exam

A 
Pitting edema (BILATERAL)
Dorsalis Pedis Pulse (BILATERAL)
Ankle (1 strength, 2 ROM)
Foot (1 strength, 2 ROM)
Babinski Reflex (unilateral)
Test for Clonus (unilateral)
*last 2 unilateral
Sit up for hip strength
24
Q

Standing Structural Exam Requirements

A

Either:

  • palpate for scoliosis
  • HTT landmarks
25
Q

Cerebellar Exam (6)

A

Finger to Nose (2 points each hand, full extend)
Pronator Drift (eyes closed, hands out)
Rapid Alternating Movements
Heel-to-Shin (while seated)
Romberg’s Test (close eyes, protect patient)
Heel-to-Toe Walking

26
Q

Remaining Lower Extremity Exam

A

Sensory Light touch (eyes closed, 2 points)
Sensory Vibratory (bony prominence)
Sensory Proprioception (eyes closed, up/down/ neutral)
Hip ROM
Knee (1 strength, 2 ROM)

27
Q

Rinne Test

A 
Tuning fork behind ear
Count seconds and Alert when stops
Move to in front of ear and count seconds
2:1 is normal
Examines Conductive Hearing function
28
Q

Weber Test

A

Tuning fork top of head

Both sides equal?

Physical Exam Skills (3 decks)

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