Methods of Physical Examination

Question 1

Physical Examination

Answer 1

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

Question 2

Physical Exam Assessment

Answer 2

Complete Physical
Body System
Body Part

Question 3

Methods of Physical Exam

Answer 3

Inspection
Palpation
Percussion
Auscultation

Question 4

Inspection

Answer 4

visual examination of a person

an objective data/examination

Question 5

Palpation

Answer 5

Examining by touch

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

Question 6

Best for determinizing temperature?

Answer 6

Dorsa of hands

Question 7

Sensitive for fine tactile discrimination?

Answer 7

tips of finger

Question 8

Detects small localized movements

Answer 8

Distal palmar

Question 9

Best for thrills and bruit

Answer 9

Distal palmar of the MCP joints

Question 10

Best for heaves and lifts

Answer 10

proximal palmar aspect of the MCP joints

Question 11

Detecting vocal vibrations

Answer 11

……….

Question 12

What you should palpate last?

Answer 12

Most painful area should be the last one to be palpated

Question 13

Percussion

Answer 13

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

Question 14

Indirect, mediate or bimanual percussion

Answer 14

commonly used in examining the thorax and the abdomen

commonly used

plexor and pleximeter

Question 15

In percussion, non dominant part of the hand is called

Answer 15

Pleximeter

Question 16

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

Answer 16

Plexor (yung pang-strike)

Question 17

Direct or immediate percussion

Answer 17

only uses plexor

not commonly used

Question 18

Less dense organ

Answer 18

produces hyper resonant sound

Question 19

more dense organ

Answer 19

produces a flat sound

Question 20

loudest sound

Answer 20

emphysema

Question 21

most quiet

Answer 21

muscles

Question 22

Dull

Answer 22

liver
consolidated lung or pneumonia
atelectatic lungs
pleural effusion

soft to moderate loudness and duration, thudlike

Question 23

Flat

Answer 23

Muscle
thigh
bones

Question 24

Tympany

Answer 24

Stomach
gastric Bubble

loud, moderate duration and drum like

Question 25

Resonant

Answer 25

Normal Lung long, long, hollow

Question 26

Hyperresonant

Answer 26

emphysema, pneumothorax very loud, long, boomlike

Question 27

topographic sound

Answer 27

there are changes in the sound depending on the area example from xiphoid process to umbilicus has different sound

Question 28

First Percussion

Answer 28

most commonly used to elicit tenderness from the liver or kidneys

Question 29

Ulnar surface of the fist

Answer 29

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

Question 30

Auscultation

Answer 30

examination by listening for sounds produced

Question 31

Acoustic stethoscope

Answer 31

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

Question 32

chest piece

Answer 32

consists of 2 sides: Bell and diaphragm

Question 33

bell

Answer 33

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

Question 34

diaphragm

Answer 34

has semi-rigid cover that filters low-pitched sounds s1 and s2 sounds

Question 35

lab Dub sounds/ normal sounds

Answer 35

s1 and s2

Question 36

Stethoscope Tubing

Answer 36

thick-walled to eliminate room noises

Question 37

In stethoscope, very narrow tubes are

Answer 37

very narrow tubes carry low frequency best

Question 38

In stethoscope, very wide tubes are

Answer 38

very wide tubes transmit high frequency best

Question 39

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

Answer 39

TRUE!!!!

Question 40

Earpiece

Answer 40

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

Question 41

Stethoscope and hands must be warm prior to examination

Answer 41

TRUE!!!

Question 42

Standard maneuver and positioning during examination

Answer 42

RIGHT SIDE

Question 43

Used in patients with hypotension

Answer 43

Trendelenburg Position

Question 44

Asked patient to reach her toes/ level the waist

Answer 44

Ben Over Position

Question 45

Part of stethoscope that has low frequency?

Answer 45

Bell - chest piece

Question 46

Part of stethoscope that has low frequency?

Answer 46

Diaphragm - chest piece