Introduction to PE

Question 1

lighting optimal for inspecting structures s/a jugular venous pulse, thyroid gland, and the apical pulse of the heart; lighting at an angle

Answer 1

tangential lighting

Question 2

examination 3 general goals

Answer 2

1. Maximize patient’s comfort
2. Avoid unnecessary changes in position
3. Enhance clinical efficiency

Question 3

standard position for examination; advantages:

1. more reliable estimation of jugular venous pressure
2. palpating hand rests more comfortably on the apical impulse
3. right kidney is frequently more palpable than left
4. examining tables are frequently positioned to accommodate a right-handed approach

Answer 3

examining patient from the right side

Question 4

if you suspect kidney infection, percuss ____

Answer 4

posteriorly over the costovertebral angles

Question 5

nervous system 5 segments

Answer 5

mental status
cranial nerves
motor system
sensory system
reflexes

Question 6

cut-out holes or clippers may indicate ____

Answer 6

gout

Question 7

untied shoes/slippers suggests ____

Answer 7

edema

Question 8

unkempt appearamce may be seen in ____

Answer 8

depression and dementia

Question 9

chewed fingernails may reflect ____

Answer 9

stress

Question 10

genital and rectal exam in women position

Answer 10

lithotomy

Question 11

genital and rectal exam in men position

Answer 11

standing and bending forward or lying on his left side