Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Anatomy and Radiology - Test 1 > Introduction to Physical Exam > Flashcards

Introduction to Physical Exam Flashcards

1
Q

Two tiers of investigation

A

Screening for new patients

Extended or problem based

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Examination Techniques

A

Inspection (observation)
Percussion
Palpation
Auscultation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Observation

A

Least mechanical part of physical exam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

More diagnoses made during which part of physical exam?

A

Inspection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Observation includes

A

What you see, hear, olfactory diagnosis, emotions, dress and hygeine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Inspection general appearance

A 
State of consciousness
Signs of distress
Apparent state of health 
Skin
Dress and grooming
Facial expression 
Gai and posture 
Motor activity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Olfactory diagnosis can help with

A

Certain diseases
Ingestion of toxins
Certain infections

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Percussion

A

Method of physical examination in which the surface of the body is struck to emit sounds that vary in quality according to the density of the underlying tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Density and tone relationship

A

More dense, quieter tone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Sound waves arise from how deep in body tissue?

A

4 to 6 cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Sonorous percussion

A

Determines density

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Definitive percussion

A

Maps extent of border of an area

Easier to move from resonance to dullness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Uses of percussion

A

Sonorous
Definitive
ID area of tenderness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Direct

A

Strinking finger, hand, or lunar aspect of fist against body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Indirect

A

Dominant middle finger used as a hammer to strike the distal joint of non-dom middle finger

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Tympany

A

Gastric Air bubble

Similar to sound against side of mouth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Hyperressonance

A

Emphysemic lung

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Resonance

A

Healthy lung

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Dullness

A

Liver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Flatness

A

Muscle, thigh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Tractile sense

A

Finger pads more sensitive than finger tips

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Vibratory sense

A

Ulnar aspect of hands, palmer metacarpaphalngeal joints

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Position and consistency

A

grasping fingers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Temperature

A

Dorsum of hand

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Qualities elicited by palpatation

A 
Texture 
Moisture
Temperature
Masses 
Precordial Cardiac thrust 
Crepitus (crunch of knee)
Tenderness
Vocal fremitus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Stethoscope mechanism

A

Conveys vibrating column of air from body wall to ears and does not amplify
Excludes outside noise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

heart and lung sound frequency

A

60-3000

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Hearing range

A

30-20000

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Components of stethoscope

A

Chest piece
Rubber tubing
Angled biaurals
Ear pieces

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Bell piece

A

Transmits all sounds
Good for low pitches
Lightly touch test
Rubber edge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Diaphragm

A

Filters out low
Better for high pitch
Press firmly

32
Q

Where to hold stethoscope

A

Between second and third fingers

33
Q

Point ear pieces toward…..

A

the nose

34
Q

Ophthalomoscope

A

Lenses and mirrors with a light source and various apertures

35
Q

Opthalomoscope apertures

A

Small - small pupils
Red free filter - green beam
Slit - elevation of lesions
Grid - size of lesions

36
Q

Otoscope

A

Speculum narrows and directs beam of light into ears

Can be used for nasal exam too

37
Q

Auditory tuning fork

A

500-1000 HZ

38
Q

Vibratory tuning fork

A

128 HZ

39
Q

3 types of reflex hammers

A

Tomahawk
Babinski
Neurologic

40
Q

Sphygomanometer size

A

Width - 40% arm cicumference

Length - 80% arm circumference

41
Q

Normal oral temp

A

98.6

42
Q

Normal axillary temp

A

97.6

43
Q

Normal rectal temp

A

99.6

44
Q

Normal aural temp

A

99.6

45
Q

Which temp is least and most accurate

A

Least - Axillary

Most - Rectal

46
Q

Pyrexia

A

Fever

47
Q

Hyperpyrexia

A

Greater than 106

48
Q

Hypothermia

A

Less than 95

49
Q

Flase temp measurements

A

Smoking or drinking hot/cold liquid
Rapid resp rate
Failure to use thermometer correctly

50
Q

How to record temp

A

Temp, location, (type of thermometer)

51
Q

Which artery to compress for pulse?

A

Radial

52
Q

Regular pulse

A

Evenly spaced beats

53
Q

Regularly irregular

A

Regular pattern with skipped beats

54
Q

Irregularly irregular

A

Chaotic with no real pattern

55
Q

Tachycardia

A

Pulse greater than 100 BPM

56
Q

bradycardia

A

Pulse less than 60 BPM

57
Q

Normal HR

A

50-100 BPM

58
Q

How to do respiration

A

Don’t tell patient and just observe breathing…normal or labored?

59
Q

Normal respiratory rate

A

14-20 breaths per minute

60
Q

Tachypnea

A

Rapid respiration

61
Q

Diastole

A

Blood flows into ventricles

62
Q

Systole

A

Blood flows out of ventricles

63
Q

Systolic BP

A

Pressure generated by LV during systole when LV ejects blood into aorta

64
Q

Diastolic BP

A

Pressure generated by blood remaining in arterial tree during diastole

65
Q

Pulse pressure

A

Systolic-diastolic

66
Q

Why is BP not 0?

A

When ventricle shuts, there is elasticity of aorta that causes recoil

67
Q

Which part of stehoscope for BP

A

Bell

68
Q

BP technique

A 
no caffeine, tobacco, vigorous activity for 30 min
Sit for 5-10 min 
Back supported, feet flat on ground, 
room quiet and warm, 
arm rested and free of clothing, 
Arm at level of heart
Arm supported
69
Q

Which artery for BP?

A

Brachial artery

70
Q

Bottom of cuff should be how far above crease of cubital fossa?

A

2.5 cm

71
Q

Arrow points toward

A

brachial artery

72
Q

How to estimate systolic BP

A

Palpate radial artery and pump cuff til you cannot feel

73
Q

Where to start BP cuff pressure

A

30 + estimated systolic

74
Q

Auscultatory gap

A

Causes underestimation of BP by going silent before diastolic pressure present

75
Q

Causes of increased BP

A 
Loose or too small of cuff 
Bladder ballooning outsdie cuff
Smoking 
Caffeine
Being cold 
Athersclerosis 
White coat
Circadian variations
Physcial activity
Artery below heart
76
Q

Falsely decrease BP

A

Brachail artery too high
Too large of cuff
Circadian

Anatomy and Radiology - Test 1 (21 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions