Midterm Exam

Question 1

Cranial nerve #1

Answer 1

Olfactory
Make patient smell cotton ball

Question 2

Cranial Nerve #2

Answer 2

Optic
Uses eye chart, testing each eye separately, PERRLA,- equal, round, reactive to light, accommodating, peripheral vision

Question 3

Cranial Nerve #3

Answer 3

Oculormoter - eye movement
Can they follow an H with your hands

Question 4

Cranial Nerve #4

Answer 4

Trochlear- eyelid movement
Crossing eyes, pencil to the nose

Question 5

Cranial Nerve #5

Answer 5

Trigeminal - nerve has 3 branches
1-ophthalmic, 2= maxillary, 3=mandicular
Put cotton ball to eye, fasical sensation, and chewing

Question 6

Cranial Nerve #6

Answer 6

Abducens- pupillary response
Direct and consensual eye dilation response

Question 7

Cranial Nerve #7

Answer 7

Facial

Question 8

Cranial Nerve #8

Answer 8

Vestibulocochlear - hearing and balance
See if they hear fingers rubbing 2 feet away
Tonning fork
Balance
Romberg test- patient stands feet together and palms up, push down on arms

Question 9

Cranial Nerve #9

Answer 9

Glossopharyngeal -
Say ah- do you see normal soft palette and uvula

Question 10

Cranial Nerve #10

Answer 10

Vagus -
Stick tongue out and go side to side

Question 11

Cranial Nerve #11

Answer 11

Accessory - Spinal accessory nerves
Patient turns head left/right against resistance
Have them shrug

Question 12

Cranial Nerve #12

Answer 12

Hypoglossal
Gag reflex

Question 13

Signs and Symptoms of Stroke

Answer 13

BEFAST
B = balance
Loss of balance/headache
E= eyes
Loss of vision
F= Face
Face look uneven
A = Arm
Weakness
S= Speech
Difficulty
T = Time
To call 911

Question 14

Signs and Symptoms of Pneumothorax

Answer 14

Sudden onset of SOB, anxiety or difficult breathing
Lung collapsing will sound really hollow
Diminished breathing sounds of affected side
Distended neck veins
Hypotension
Low pulse Ox
Cyanosis

Question 15

Signs of Hypertensive Crisis

Answer 15

Larger then 180 over 120
Headache
Vision issues
Noose bleedis
Blood in urine
Cardiac arrhythmia
Confusion
Nauaea, vomit, doping of face, slurred speech, pupils dilated, seizure

Question 16

Hypertension

Answer 16

BP to high

Question 17

Hypotention

Answer 17

BP to low

Question 18

Subjective

Answer 18

Everything patient tells you

Question 19

Objective

Answer 19

Everything found in physical exam

Question 20

Normal BP

Answer 20

less the 120/80

Question 21

Elevated BP

Answer 21

btwn 120-129 / less then 80

Question 22

High BP (stage 1)

Answer 22

btwn 130-139 / 80-89

Question 23

High BP (stage 2)

Answer 23

btwn 140 or higher / 90 or higher

Question 24

Hypertensive Crisis

Answer 24

Higher then 180/120

Question 25

What is ABCDE of dermatology

Answer 25

A= Asymapty
Is it equal
B= Boarders
Smooth and well demarcated
C= Color
One solid color
D= Diameter
Diamater no larger then 6mm
E= Elevation
Or evolution, uneven surface

Question 26

Order of Physical Exam:

Answer 26

1. Blood pressure, Repository rate, pulse rate
2. TM’s (eyes/ears), weber rinne
3. Cranial Nerve Exam
4. Lung exam and kidney tenderness exam

Question 27

What is Perrla

Answer 27

P=pupil
E=equal
R=round
R/L= reactive to light
A= accommodating