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Assessment > Physical Assessment 1/21-1/23 > Flashcards

Physical Assessment 1/21-1/23 Flashcards

Test 1

1
Q

Who must participate in anesthesia time out?

A

Pt or a family member

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2
Q

Oral/axilliary temperature should be 1 degree ______ than core temperature

A

less

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3
Q

How many packs of cigarette per day is problematic?

A

0.5 to 1

There are 20 in a pack

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4
Q

Whats the difference between light and deep palpation?

A

light: feel under the skin
-1-2cm

deep: detect and masses
-4-5 cm
-fingers held at greater angle

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5
Q

What do we use bimanual palpation for? What else should we consider?

A

Eval spleen, kidney, breasts, uterus, ovary

may want to consider other imaging

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6
Q

When would we use immediate vs indirect percussion?

A

indirect: abd or adult thorax

immediate: sinus or infant thorax

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7
Q

Describe sound: Tympany

A

Loud & high pitch

location: air containing space
-enclosed area
-gastric bubble
-puffed out cheek

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8
Q

Describe sound: Resonance

A

Moderate - loud & low pitch

location: normal lungs (hollow)

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9
Q

Describe sound: hyper resonance

A

Very loud & very low pitch

Location: emphysema lungs

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10
Q

Describe sound: dullness

A

Soft - moderate & high pitch

Location: liver

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11
Q

Describe sound: Flatness

A

Soft & high pitch

location: Muscle

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12
Q

Half of the body cynanotic means ____

A

PE

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13
Q

Yellow is a ______ problem & orange is a ______ problem

A

liver

pancreas

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14
Q

If I suspect a problem with the liver, what else should I be fearful of?

A

Clotting abilities

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15
Q

________ is a harmless form of jaundice. What causes this?

A

Pseudojaundice

excess beta-carotene

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16
Q

What are 2 inherited condition that cause jaundice?

A

Crigler-Najjar syndrome
-Dubin-Johnson syndrome

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17
Q

Vitiligo is an ___________ disorder.

A

Autoimmune

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18
Q

______ Is the opposite of nail clubbing. It is also know as _________. What is this a sign of?

A

Koilonychia

Spoon nails

iron-deficiency anemia

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19
Q

Nail clubbing is associated with heart and ______ diseases

A

lung

20
Q

_________- is an inflammation of the skin around the nail due to staph or fungus

A

Paronychia

21
Q

Beau’s lines on the nails are commonly associated with _______

A

Systemic illness
-prolonged exposure to start an environmental factors
-chronic disease

22
Q

What can cause hirsutism?

A

Polycystic ovary syndrome
-Cushing syndrome (high levels of hormone cortisol)
-congenital adrenal hyperplasia
-tumors
-medications

23
Q

An orbital fx is a ________. Why?

A

Medical emergency

entrapped ocular muscle

24
Q

What is Exophthalmos?

A

abnormal protrusion of one or both eyeballs from the eye socket

25
Q

What is Strabismus?

A

cross eyed

26
Q

Ectropion of the eyelid is when it ________ and entropion is when it _______

A

turns out

turns in

27
Q

What is anisocoria?

A

pupils 2 different sizes

28
Q

How does succs affect the eye?

A

Increases IOP

29
Q

What eye condition is succ contraindicated in?

A

Any open globe Sx

30
Q

_______ constricts pupils & _________ dilates them

A

opioids

Anticholinergics

31
Q

What is the visual acuity test called?

A

Snellings test

32
Q

How does corneal abrasions vs damage to the optic nerve affect your vision?

A

Corneal abrasion: blurry vision

Optic nerve injury: can’t see at all

33
Q

_____________ agents interact with glaucoma

A

Anticholinergic

34
Q

T/F: glaucoma affects peripheral vision

A

T

35
Q

T/F: cataracts affects peripheral vision

A

F

It decreases visual acuity

36
Q

What can cause peripheral vision loss?

A

Glaucoma
-retinitis pigmentosa
-eye strokes or occlusions
-detached retina
-stroke
-optic neuritis
-compressed optic nerve head
-concussion

37
Q

If we look in their ears and see a bulging tympanic membrane, what does that mean?

A

Increased ICP

38
Q

What are the hearing test called?

A

Webber’s test
RINNES test

39
Q

What do we use to pre-treat for nasal intubation?

A

AFRIN

40
Q

Why don’t we use nitrous oxide in our crani or Neuro patient?

A

It diffuses into the sinuses and increases ICP

41
Q

__________ is a thick white patch that is a _________ lesion in the mouth

A

Leukoplakia

precancerous

42
Q

White tongue is _______ & bright red tongue is ___________-

A

Dehydration

Deficiency of iron B12 or niacin

43
Q

What color are your lips with carbon monoxide poisoning?

A

Cherry red

44
Q

What are leukoplakia caused by?

A

Smoking and alcohol

45
Q

Spongy gum that bleed easily is what kind of deficiency?

A

vitamin C

46
Q

If someone doesn’t have a normal gag reflex, what should I be fearful of?

A

Increase risk of aspiration
-maybe history of stroke
-difficulty swallowing

47
Q

Where is your apical pulse?

A

L sternum - 5th ICS mid clavicular

Assessment (7 decks)

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