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BPE > Methods of Physical Examination > Flashcards

Methods of Physical Examination Flashcards

1
Q

Physical Examination

A

an organized systematic process of gathering OBJECTIVE DATA through had to toe examination

Not necessarily mean that there is disease,; checks the well being of a patient

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2
Q

Physical Exam Assessment

A

Complete Physical
Body System
Body Part

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3
Q

Methods of Physical Exam

A

Inspection
Palpation
Percussion
Auscultation

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4
Q

Inspection

A

visual examination of a person

an objective data/examination

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5
Q

Palpation

A

Examining by touch

Feels for texture, size, consistency and location of body parts or masses

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6
Q

Best for determinizing temperature?

A

Dorsa of hands

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7
Q

Sensitive for fine tactile discrimination?

A

tips of finger

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8
Q

Detects small localized movements

A

Distal palmar

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9
Q

Best for thrills and bruit

A

Distal palmar of the MCP joints

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10
Q

Best for heaves and lifts

A

proximal palmar aspect of the MCP joints

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11
Q

Detecting vocal vibrations

A

……….

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12
Q

What you should palpate last?

A

Most painful area should be the last one to be palpated

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13
Q

Percussion

A

examination of the body by tapping it with the fingers or striking the surface of the body

eliciting a characteristic percussion note

COMPARE ONE SIDE TO THE OPPOSITE SIDE

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14
Q

Indirect, mediate or bimanual percussion

A

commonly used in examining the thorax and the abdomen

commonly used

plexor and pleximeter

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15
Q

In percussion, non dominant part of the hand is called

A

Pleximeter

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16
Q

In percussion, the tip of the middle finger which acts as the pivot joint

A

Plexor (yung pang-strike)

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17
Q

Direct or immediate percussion

A

only uses plexor

not commonly used

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18
Q

Less dense organ

A

produces hyper resonant sound

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19
Q

more dense organ

A

produces a flat sound

20
Q

loudest sound

A

emphysema

21
Q

most quiet

A

muscles

22
Q

Dull

A

liver
consolidated lung or pneumonia
atelectatic lungs
pleural effusion

soft to moderate loudness and duration, thudlike

23
Q

Flat

A

Muscle
thigh
bones

24
Q

Tympany

A

Stomach
gastric Bubble

loud, moderate duration and drum like

25
Q

Resonant

A

Normal Lung

long, long, hollow

26
Q

Hyperresonant

A

emphysema, pneumothorax

very loud, long, boomlike

27
Q

topographic sound

A

there are changes in the sound depending on the area

example from xiphoid process to umbilicus has different sound

28
Q

First Percussion

A

most commonly used to elicit tenderness from the liver or kidneys

29
Q

Ulnar surface of the fist

A

delivers a firm blow indirectly or directly into the organ being testes such as liver, spleen and kidney

30
Q

Auscultation

A

examination by listening for sounds produced

31
Q

Acoustic stethoscope

A

operate on the transmission of sound from the chest piece via air filled hollow tubes to the listeners ears

32
Q

chest piece

A

consists of 2 sides: Bell and diaphragm

33
Q

bell

A

primarily used in detecting long pitch sound s3 and s4

shallow shell - smaller internal volume, better low pitch sound

wider bell - better in transmitting low pitch sound

34
Q

diaphragm

A

has semi-rigid cover that filters low-pitched sounds

s1 and s2 sounds

35
Q

lab Dub sounds/ normal sounds

A

s1 and s2

36
Q

Stethoscope Tubing

A

thick-walled to eliminate room noises

37
Q

In stethoscope, very narrow tubes are

A

very narrow tubes carry low frequency best

38
Q

In stethoscope, very wide tubes are

A

very wide tubes transmit high frequency best

39
Q

In optimal acoustics, the length of the tubing should not exceed 12 inches or 30cm

A

TRUE!!!!

40
Q

Earpiece

A

should be directed a little bit forward and should snugly fit the users ears

to avoid air leak, plastic or rubber earpiece should completely impinge on the external auditory meatus

41
Q

Stethoscope and hands must be warm prior to examination

A

TRUE!!!

42
Q

Standard maneuver and positioning during examination

A

RIGHT SIDE

43
Q

Used in patients with hypotension

A

Trendelenburg Position

44
Q

Asked patient to reach her toes/ level the waist

A

Ben Over Position

45
Q

Part of stethoscope that has low frequency?

A

Bell - chest piece

46
Q

Part of stethoscope that has low frequency?

A

Diaphragm - chest piece

BPE (7 decks)

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