PE

Question 1

Neurological Normal:
Alert

Answer 1

Neurological Abnormal:
Somnolent (Drowsy)
Confused
Responsive to voice
Responsive to painful stimuli
Unresponsive to voice and pain

Investigated: Conversing with pt

Question 2

Neurological Normal:
Orientated x 4

Answer 2

Neurological Abnormal:
Disorientated to person, place, time, or situation.

Investigated: Asking ?

Question 3

Neurological Normal:
Speech

Answer 3

Neurological Abnormal:
Aphasia (Expressive or Receptive) Dysarthria

Investigated: Person is able to speak and understand when spoken to.

Question 4

Neurological Normal:
Motor Strength 5/5 and Symmetric

Answer 4

Neurological Abnormal:
Pronator drift

Investigated: visual
grip or lower extremity strength is felt by the clinician.

Question 5

Neurological Normal:
Sensation Intact

Answer 5

Neurological Abnormal:
Hypoesthesia (decreased sensation)
Numbness (absence sensation)

Investigated: Asking

Question 6

Neurological Normal:
Reflexes 2+ and symmetric

Answer 6

Neurological Abnormal:
0= Absent
1+= Hypoactive

3+=Increased
4+=Un sustained clonus

Investigated: Visual/ using a rubber malet to strike different points on the pt body and observe response.

Question 7

Constitutional Normal:
No Acute Distress (NAD)

Answer 7

Constitutional Abnormal:
Mild/Moderate/Severe Distress

Question 8

Constitutional Normal:
Well developed, Well nourished

Answer 8

Constitutional Abnormal:
Cachectic, Emaciated, Malnourished

Question 9

Constitutional Normal:
Alert

Answer 9

Constitutional Abnormal:
Somnolent, Obtunded, Unresponsive

Question 10

Cardiovascular Normal:
Regular Rate

Answer 10

Cardiovascular Abnormal:
Tachycardia >100 bpm
Bradycardia <60 bpm

Investigated: Auscultating

Question 11

Cardiovascular Normal:
Regular Rhythm

Answer 11

Cardiovascular Abnormal:
Irregular rhythm (atrial fibrillation)

Investigated: Auscultating

Question 12

Cardiovascular Normal:
Heart Sounds Normal

Answer 12

Cardiovascular Abnormal:
Murmurs
Rubs (pericarditis)
Gallops (ventricular failure/hypertrophy)
Extrasystoles

Investigated:
Auscultating

Question 13

Respiratory Normal:
No respiratory distress

Answer 13

Respiratory Abnormal:
Mild/Moderate/Severe Respiratory DIstress
Tachypnea
Accessory muscle use
Pursed lip breathing (emphysema)

Investigated:
Visual

Question 14

Respiratory Normal:
Clear to Auscultation bilaterally

Answer 14

Respiratory Abnormal:
Diminished breath sounds
Wheezes (asthma or emphysema)
Rales (Crackles) (pulmonary edema)
Rhonchi (COPD, pneumonia, bronchitis)

Investigated: Auscultating