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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
what are the main parts of general inspection
Apparent state of health Outstanding characteristics Speech patterns
26
what do outstanding characteristics include
apparent age, sex, race facial expressions hygiene
27
inability to express self through speech, writing, and/or loss of verbal comprehension
aphasia
28
difficult or defective speech due to impairment of tongue or other muscles or to a loss of motor power
Anarthria/dysarthria
29
difficulty or inability to produce sounds from the larynx
Aphonia/dysphonia
30
what speech patterns should be checked for
pace, clarity, tone, strength
31
what are the broad genres of mental health assessment
``` General appearance is part of this Level of consciousness Cognitive functioning Thought content Emotional status ```
32
what is tested during cognitive functioning
memory: immediate, recent, remote
33
what to ask for immediate memory
Recall information 3-5 minutes after given | Give a list of 3 things for them to remember
34
what to ask for recent memory
Several minutes to several hours ago | What they had for breakfast
35
what to ask for remote memory
Several days to several years ago | History
36
what is asked on the MMSE
orientation, registration, attention/calculation, recall and language
37
what is asked during orientation
What is the (year)(season)(date) (day)(month)? | Where are we (state)(county)(town) (hospital/clinic)(floor)
38
what is asked during registration
Name 3 objects and ask person to repeat them (repeat until can name all 3)
39
what is asked during attention
Serial 7s (stop after 5 answers)
40
what is asked during recall
Ask for the 3 objects repeated above
41
what is asked during language
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
when are MMSE scores abnormal
below 22
43
measurement of man
Anthropometric
44
what are the Anthropometric Measurements
height, weight, ideal body weight,
45
what is the % desirable weight formula
Current weight/DBW x 100
46
BMI formula
(Weight in pounds x 703)/ height in inches2
47
what is an underweight BMI
<18.5
48
what is a normal BMI
18.5-24.9
49
what is an overweight BMI
25-29.9

Health Assessment (28 decks)

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