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Health Assessment > Module 3 > Flashcards

Module 3 Flashcards

1
Q

Use of Eyes and Nose

Continuous throughout the physical examination

A

inspection

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2
Q

uses of fingers and hands

A

palpation

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3
Q

types of palpation

A

Light: about 1 cm depth
Deep: about 4 cm depth

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4
Q

The ulnar surfaces of hands and fingers
ball of the hand
metacarpo-phalangeal joints

A

vibration (palpation)

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5
Q

Dorsal surface of hands

A

temperature (palpation)

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6
Q

(Indirect)
Fingers and Fist
Used to determine percussion notes

A

mediate

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7
Q

direct
Fingers and Fist
Used to determine tenderness (flank, sinus)

A

immediate

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8
Q

Loudest, Drum-like

Gastric bubble

A

tympany

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9
Q

Boom-like

Emphysematous lungs

A

hyperresonance

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10
Q

Hollow

Normal lung tissue

A

resonance

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11
Q

Thud-like

Organs

A

dull

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12
Q

Quietest, Very dull

Muscles, bones

A

flat

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13
Q

Use Stethoscope and Ears

A

Auscultation

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14
Q

lying with the face up

A

supine

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15
Q

lies on their back with their knees bent up in an outward position while their feet are planted flat on the ground

A

Dorsal recumbent

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16
Q

examinations involving the pelvis and lower abdomen, as well as a common position for childbirth

A

Lithotomy

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17
Q

Best for assessing the entire perianal area if patient is in the bed

A

lateral sims

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18
Q

lies flat with the chest down and back up

A

prone

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19
Q

Concave cap: Transmits low-pitched sounds best
“Bellow”
Light pressure

A

bell of stethoscope

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20
Q

Flat: Transmits high-pitched sounds best

Firm pressure

A

diaphragm of stethoscope

21
Q

Snellen chart

E chart or Picture chart

A

far vision (tested at 20)

22
Q

Rosenbaum chart

A

near vision (tested at 14)

23
Q

four parts of the general assessment

A

General Inspection
Mental Status Assessment
Nutritional Assessment
Vital Signs

24
Q

what does general inspection begin with

A

observation

25
Q

what are the main parts of general inspection

A

Apparent state of health
Outstanding characteristics
Speech patterns

26
Q

what do outstanding characteristics include

A

apparent age, sex, race
facial expressions
hygiene

27
Q

inability to express self through speech, writing, and/or loss of verbal comprehension

A

aphasia

28
Q

difficult or defective speech due to impairment of tongue or other muscles or to a loss of motor power

A

Anarthria/dysarthria

29
Q

difficulty or inability to produce sounds from the larynx

A

Aphonia/dysphonia

30
Q

what speech patterns should be checked for

A

pace, clarity, tone, strength

31
Q

what are the broad genres of mental health assessment

A 
General appearance is part of this
Level of consciousness
Cognitive functioning
Thought content 
Emotional status
32
Q

what is tested during cognitive functioning

A

memory: immediate, recent, remote

33
Q

what to ask for immediate memory

A

Recall information 3-5 minutes after given

Give a list of 3 things for them to remember

34
Q

what to ask for recent memory

A

Several minutes to several hours ago

What they had for breakfast

35
Q

what to ask for remote memory

A

Several days to several years ago

History

36
Q

what is asked on the MMSE

A

orientation, registration, attention/calculation, recall and language

37
Q

what is asked during orientation

A

What is the (year)(season)(date) (day)(month)?

Where are we (state)(county)(town) (hospital/clinic)(floor)

38
Q

what is asked during registration

A

Name 3 objects and ask person to repeat them (repeat until can name all 3)

39
Q

what is asked during attention

A

Serial 7s (stop after 5 answers)

40
Q

what is asked during recall

A

Ask for the 3 objects repeated above

41
Q

what is asked during language

A

Name a pencil and watch
Repeat the following: “No ifs, ands, or buts” [
Follow a 3-stage command.
“Take a paper in your right hand, fold it in half, and place it on the floor”
Read and obey the following: “CLOSE YOUR EYES”
Write a sentence
Copy a design: Draw 2 intersecting pentagons.

42
Q

when are MMSE scores abnormal

A

below 22

43
Q

measurement of man

A

Anthropometric

44
Q

what are the Anthropometric Measurements

A

height, weight, ideal body weight,

45
Q

what is the % desirable weight formula

A

Current weight/DBW x 100

46
Q

BMI formula

A

(Weight in pounds x 703)/ height in inches2

47
Q

what is an underweight BMI

A

<18.5

48
Q

what is a normal BMI

A

18.5-24.9

49
Q

what is an overweight BMI

A

25-29.9

Health Assessment (28 decks)

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