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Health Assessment Exam #3 > NRS 202 Exam #3 > Flashcards

NRS 202 Exam #3 Flashcards

1
Q

Contour of Abdomen

A

Scaphoid, Flat, Rounded, Protuberant

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2
Q

Liver Span technique

A

Up to down is resonant to dull

Down to up is tympany to dull

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3
Q

LIVER

A

RUQ 5th intercostal

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4
Q

SPLEEN

A

LUQ 9-11th intercostal

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5
Q

Costovertebral Angle Tenderness

A

Indirect fist percussion on the back side of the patient to percuss kidneys. 12th rib. Tissues vibrate instead of making a sound.

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6
Q

Shifting Dullness

A

Test for ascites. Percuss down the side of the abdomen and if fluid is present then the note will change from tympany to dull when you reach it.

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7
Q

Rebound Tenderness

A

AKA Blumberg Sign. Push hand down at 90 degrees slowly and deep. When you let go there will be sudden rebound. Normal or negative result is no pain.

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8
Q

Inspiratory Arrest

A

AKA Murphy Sign. Specific to the gallbladder. Put fingers under the liver border and have patient take a deep breath. Patient should not have pain.

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9
Q

Iliopsas Muscle Test

A

To test for appendicitis. Lay supine, lift right leg straight up. RN pushes down on right thigh. If there is pain, then there is appendicitis.

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10
Q

Romberg Test

A

Person stands with feet together and arm at the sides, with eyes closed for 20 seconds. Person should not lose balance.

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11
Q

Spinothalamic Tract

A

pain, temperature, and light touch

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12
Q

Posterior Column Tract

A

Vibration, Position, Tactile discrimination (fine touch)

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13
Q

Tacticle Discrimination Tests

A

Stereogenesis, Grapesthesia, two-point discrimination, extinction, point location

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14
Q

Extinction

A

Close eyes, touch opposite sides of the body and patient will tell you where you are touching

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15
Q

Point Location

A

simulataneous touch patient’s body and they tell you where

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16
Q

Reflex Grading Scale

A 
0 = absent
1 = diminished
2 = normal
3 = brisker than average
4 = very brisk, hyperactive
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17
Q

Clonus

A

Short, jerky contractions, not controllable

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18
Q

Biceps Reflex

A

Flexion

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19
Q

Triceps Reflex

A

Extension

20
Q

Brachioradialis Reflex

A

Flexion and supination

21
Q

Quadriceps Reflex

A

Extension

22
Q

Achilles Reflex AKA Ankle Jerk

A

Plantar flexion

23
Q

Plantar Reflex

A

Inversion and flexion

Fanning of the toes is for infants and is a positive Babinski sign

24
Q

Benign Breast Disease

A

Multiple tender masses - about 50% of women have a form of this disease

25
Q

Cancer

A

Solitary, unilateral, nontender mass - hard, dense, and fixed and underlying tissue

26
Q

Fibroadenoma

A

Benign tumors, solitary nontender mass that is solid, firm, rubbery and elastic - freely movable

27
Q

Order of Muskuloskeletal Exam

A

Inspect
Palpate
ROM
Muscle Testing

28
Q

Dislocation

A

Complete loss of contact between bones in a joint

29
Q

Subluxation

A

2 bones in a joint stay in contact but their alignment is off

30
Q

contracture

A

shortening of a muscle, limits ROM

31
Q

Ankylosis

A

stiffness or fixation of a joint

32
Q

Muscle Test Grading Scale

A 
0 = no contraction
1 = slight contraction
2 = full ROM with gravity eliminated (passive motion)
3 = full ROM with gravity
4 = full ROM against gravity, some resistance
5 = full ROM against gravity, full resistance
33
Q

Phalen Test

A

Hold both hands back to back while flexing wrists 90 degrees. People with carpal tunnel will have numbness and burning

34
Q

Tinels Sign

A

Direct percussion of the median nerve at the wrist - burning and tingling is a sign of carpal tunnel

35
Q

Bulge Sign

A

Confirms presence of small amounts of liquid as you try to move the fluid from 1 side of the joint to the other

36
Q

Ballottement of Patella

A

When larger amounts of fluid are present - compress suprapatellar pouch to move fluid into knee joint, push patella against femur - if no fluid is present then the patella is already against the femur

37
Q

McMurray Test

A

Test for meniscal tears - place patient supine, hold heel and flex knee and hip and rotate leg in and out, externally rotate leg - in you hear or feel a click the the test is positive for a meniscal tear

38
Q

Osteoarthritis

A

noninflammatory, localized progressive disorder involving deterioration of articular cartilages and subchondral bone

39
Q

Osteoporosis

A

Decrease in skeletal bone mass occurring when rate of bone resorption is greater than that of bone formation

40
Q

Dyschezia

A

pain due to a local condition (hemarrhoid, fissure) or constipation

41
Q

Melena

A

Black stools

42
Q

steatorrhea

A

excessive fat in the stool, malabsorption of fat

43
Q

Pap smear

A

screens for cervical cancer, NOT endometrial or ovarian cancer

44
Q

Location of Breasts

A

Between 2 and 6th ribs. Anterior to the pectoralis major and serratus anterior muscle

45
Q

Montgomery Glands

A

small elevated sebaceous glands on the areola

46
Q

Cervix

A

Smooth, firm, evenly rounded, somewhat mobile

Health Assessment Exam #3 (1 decks)

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