Intro to Physical Exam and Instruments

Question 1

What are the six positions of examination?

Answer 1

Sitting, standing, supine (face up), prone (face down), right lateral recumbent and left lateral recumbent

Question 2

Auscultation means:

Answer 2

Using stethoscope to ID sounds of various body structures: lungs, heart, arteries, gastric contents

Question 3

Percussion means:

Answer 3

Tap with 3rd finger over last joint while pads of finger are in contact with surface. Used to ID fluid, air or solid based on sound.

Question 4

Tenants of Osteopathic Structural Exam

Answer 4

Body is unit. Body is able to self-regulate. Structure/function are reciprocally related. Therapy is based on body unity, self regulation and relationship between structure and function.

Question 5

Ophthalmoscope is used to:

Answer 5

visualize inner aspect of eye. Be sure to ID red reflex.

Question 6

Snellen Chart is used to:

Answer 6

Test visual acuity. 20/20 is normal.

Question 7

Otoscope is used to:

Answer 7

Look in ears.

Question 8

Oropharynx examination is looking at:

Answer 8

back of mouth

Question 9

Tuning fork is used in two ways:

Answer 9

hearing evaluation and vibratory sense

Question 10

Reflex Hammer used for:

Answer 10

Deep tendon reflex.

Question 11

Locations of upper extremity deep tendon reflexes:

Answer 11

Biceps (strike your thumb), triceps (triceps ligament), brachioradialis (ligament)

Question 12

Locations of lower extremity deep tendon reflexes:

Answer 12

Patellar reflex and achilles reflex (tendons of both)

Question 13

Sphygmomanometer used to:

Answer 13

check blood pressure, placed over brachial artery

Question 14

Principle of blood pressure test:

Answer 14

air in bladder compresses brachial artery, stopping flow. As cuff deflates, circulation starts moving again. First sound is systolic. When sound stops is diastole.