Physical Assessment

Question 0

Position to examine head and neck, anterior thorax and lungs, breast, axillae, heart, abdomen, extremities, pulses. (Laying on back)

Answer 0

Supine

Question 1

Position used to assess head & neck, back, posterior thorax & lungs, anterior thorax & lungs, breast, axillae, heart, vital signs, and upper extremities

Answer 1

Sitting

Question 2

Position to examine head and neck, anterior thorax and lungs, breasts, axillae, heart, abdomen. (Laying on back with knees flexed)

Answer 2

Dorsal recumbent

Question 3

Position to examine female genitalia and gnital tract. (On back, knees flexed in air)

Answer 3

Lithotomy

Question 4

Position to examine rectum and vagina

Side laying, top leg bent and over bottom leg

Answer 4

Sims

Question 5

Position to examine musculoskeletal system

Laying on tummy

Answer 5

Prone

Question 6

Position to examine the heart. Laying on side

Answer 6

Lateral recumbent

Question 7

This position is used to examine the rectum. Knees flexed, bum in air

Answer 7

Knee-chest

Question 8

Tapping the skin with the fingertips to vibrate underlying tissues and organs

Answer 8

Percussion

Question 9

Involves listening to sounds the body makes to detect variations from normal.

Answer 9

Auscultation

Question 10

+1 Edema

Answer 10

2mm depth

Question 11

+2 edema

Answer 11

4mm depth

Question 12

+3 edema

Answer 12

6mm depth

Question 13

+4 edema

Answer 13

8mm depth

Question 14

Non-blanching, pinpoint-size, red or purple spots on the skin caused by small hemorrhages in the skin layers. May indicate serious clotting issues, drug reactions or liver disease

Answer 14

Petechiae

Question 15

Sound heard in dependent lobes, right & left lung bases. Caused by random sudden reinflation of groups of alveoli; disruptive passage of air through small airways.

Answer 15

Crackles

Question 16

Heard over trachea and bronchi.
Caused by muscular spasm, fluid, or mucous in larger airways; new growth or external pressure causing turbulence.
Low loud rumbling during inspiration or expiration.

Answer 16

Rhonchi

Question 17

What is the diaphragm oh the stethoscope used to hear?

Answer 17

Normal low-pitched lub-dub

Question 18

What is the bell of the stethoscope used to hear?

Answer 18

High pitched abnormal heart sounds S3 S4

Question 19

Gas in stomach or intestine

Answer 19

Tympany

Question 20

Heard all over lungs
Caused by high velocity air flow through severely narrowed or obstructed airway
High pitches continuous musical sounds are like a squeak heard continuously during inspiration or expiration. Usually louder on expiration

Answer 20

Wheeze

Question 21

Heard over anterior lateral lung field if patient is sitting upright
Caused by inflamed pleura.
Dry running or grating quality heard during inspiration or expiration

Answer 21

Pleural friction rub

Question 22

The apex usually touches the anterior chest wall at approximately the fourth to fifth intercostal space just medial to the midclavicular line

Answer 22

Apical impulse or point of maximum impulse (PMI)

Question 23

A continuous palpable sensation that resembles the purring of a cat

Answer 23

Thrill

Question 24

When the lumen of a blood vessel is narrowed, it disturbs the blood flow. As blood passes through the narrowed section, it creates turbulence, causing a blowing or swishing sound

Answer 24

Bruit

Question 25

Normal sounds of stomach

Answer 25

Borborygmi

Question 26

What is the normal hourly urine output

Answer 26

30 mL