Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

physical assessment exam 1 > Physical Assessment Exam 1 > Flashcards

Physical Assessment Exam 1 Flashcards

1
Q

Medical approach versus nursing diagnosis

A

Medical approach: etiology of disease and cure. Nursing Approach: holistic and how the disease impacts the person

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Problem Oriented Records: SOAP

A

S: subjective-Symptoms
O: objective: signs
A: Assess
P: Plan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Interviewing an Older Adult

A

Well lit, warmer room, low voice, assess for pain, loss of appetite, weight loss, dizziness, fatigue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Four types of data collection

A

Comprehensive
Follow-up
Episodic
Emergency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Interview Intro

A

Intro, open ended questions, closed questions (Y/N), responses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Classical History and Physical

A

Intro, Chief Complaint, HPI, PMH, current health, social/occupational, functional status, ROS, PE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Identifying Info

A

Name, DOB, race, gender, ethnicity, Occupation, language

*ID source of info

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Chief Complaint

A

What brings him/her here today. In own words

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

History of Present Illness

A

Onset, Location, Duration, Characteristics, Alleviating/Agrevating Factors, Radiation, Timing, Perception of Symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Past Medical History

A

General, Childhood, Adult, GYN: Gravida, Para, Abortion, Surgery, Accidents/Trauma, Psych

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Current Health

A 
Allergies: Medications, Environmental, Food
Meds: Names and Dose
Habits: Alcohol, Tobacco (Pack years), drug
Exercise
Immunizations
Safety measures
Sleep
Diet: 24 hour recall
Environmental Hazards 
Screening
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Social History

A

Family, relationships, lifestyle, transport, occupation, religion, finances

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Family History

A

Three generations, with key. Note if adopted

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Functional Assessment

A

ADLs: Bathing, transfer, toileting, getting dressed, feeding self
IADLs: cooking, shopping, managing meds and finances, transport

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Review of Symptoms

A

O

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Physical Exam Techniques

A

Inspect, Palpate, Percuss, Ausculation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Vital Signs

A

BP, Pulse, O2 stats, Temp, Pain, Weight/Height, RR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Universal Steps

A

Introduce, wash hands, ID patient in two ways, allergies, falls risk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Alert and Oriented X 3

A

Person, place, and time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Height and Weight

A

Height in CM, Weight in KG
BMI: KG/cm2
Underweight: 30

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Heart Rate

A

60-100 BPM is normal
Assess in: Temporal, carotid, brachial, radial, femoral, apical, posterior tibial, dorsal pedis
Grade: 0= no pulse, 1+=weak pulse, 2+=normal pulse, 3+=bounding pulse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Respiratory Rate

A

Normal: 12-20

>20= tachypnea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Blood Pressure

A

Normal: 120/80
Systolic: contracting, Diastolic: at rest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Influences on BP

A

-Peripheral resistance, Elasticity, cardiac output, volume
-age: no diff til puberty when men’s go up, and women’s go up at menopause
-race: AA tend to have higher than white
Diurnal: Tend to be higher in afternoon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

BP Classification

A

Systolic: Normal= 120, Pre=120-139, Stage 1= 140-159, Stage 2=>160
Diastolic: Normal=80, Pre=80-89, Stage 1= 90-99, Stage 2= >100

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Temperature

A

-Take at: rectal, oral, tympanic, temporal, axillary
-axillary= 1 lower than oral, rectal=1 degree higher than oral, tympanic= 1.4 degrees higher than oral
-Impacted by:
diurnal: higher in afternoon, lowest in AM
menstrual cycle: higher
exercise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

O2 stats

A

closest to 100% as possible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Pain

A

Pain scale on 0-10, FLACC for kids, face scale for non-verbal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Older Adults Vital Signs

A

BP: systolic hypertension with widened pulse pressure
HR: pacemaker cells decrease and affect response to physic stress
RR: unchanged
Temp: decreased baseline temp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Cardiac Risk Factors

A

hypertension, diabetes, overweight, inactivity, smoking (increased BP because of vasoconstriction), age, family history

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Ausculatory gap

A

when you don’t hear sound between systolic and diastolic BP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Orthostatic BP

A

Check for patients who have fainted, feel light standing, volume depletion

  • Supine, sitting, standing 2 minute intervals
  • drop in systolic >20 mmHg or pulse increases 20bpm
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Internal Eye

A
  • Sclera: white and outermost layer. Becomes the cornea. Where muscles hold eye intact
  • Choroid: vascular regions. Becomes iris and cilliary body
  • Retina: nural layer
  • Cililary Body: where production of aqueous humor is.
  • Aqueous Humor: passes through posterior chamber through pupil to anterior chamber
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Tarsal Plate

A

Within eyelids, connective tissue that secretes lubricating oils

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Meibomian glands

A

tear fluid that protects conjunctiva and cornea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Palpebral conjunctiva

A

Covers inside of eye lid- clear and moist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Bulbar conjunctiva

A

coats outside of eyelid- clear and moist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

lacrimal apperatus

A

starts at lacrimal gland, secretes tears across the eyes, into puncta, then to nasolacrimal sac, nose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Opthalmoscope view

A

-Optic disc on nasal side: creamy orange to yellowy pink. No papilladema– follow out to four optic vessels (arteries have think line of light), no AV nicking. Macula. Background is clear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Visual Pathways

A

projected by the retina as upsidedown and opposite. Closing of fibers at optic chiasm.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Eye muscles

A 
Superior rectus: cranial nerve III-ocularmotor 
Lateral rectus: CN 6-abducens
Inferior rectus: CN 3
Superior Oblique: CN 4- Trochlear
Inferior oblique-CN 3
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Nerve Palsy

A

CN III. From diabetes, aneurysms, midbrain– inability to elevate of aduct eyes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Cranial Nerves

A

1=olfactory, 2=optic, 3=ocularmotor, 4=trochlear, 5=trigeminal, 6=abducnes, 7= facial, 8=vestibularcochlear, 9=glossopharyngeal, 10=vagus, 11=accessory spinal, 12-hyppoglossal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Infants and Children for Eye Exam Development

A
  1. Macula not developed until 4-8 months but peripheral vision is intact. 2. by 3-4 months eye can fixate 3. most born farsighted, little pigment, small pupils. 4. eyeball full size at age 8
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Older Adult Eye Exam Development

A
  • Skin loses elasticity causing drooping, fat tissues and muscles atrophy- atropine
  • Cornea may show arcus senilis degenerative lipid material around the limbus, pupils decrease in size
  • lens loses elasticity and cannot change shape to accommodate for near vision ( presbyopia),
  • lens discolors and thicken (cataract)
  • Floaters from vitreous humor debris
  • Arcus senilis: degeneration of lipid material around limbus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

Eye Physical Exam

A
  1. Visual fields by confrontation-cranial nerve II
  2. Six cardinal fields of gaze: CN 3 (ocular motor), CN 4: trochlear, CN 6= abducens
  3. Accommodation and Convergence: CN III
  4. Corneal Light Reflex
  5. Consensual and Direct Light reflex: CN II and III
  6. Opthalmascope
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

Strabismus

A

checked during corneal light reflex if light does not show in same spot in both eyes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

Nystagmus

A

Normal in extreme lateral gaze. Seen in six cardinal fields of gaze lateral rectus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

Snellen Test

A

CN II
20/20= normal
20/200= legally blind

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

Myopia

A

Nearsighted: can see near but not far. Eyeball too long

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

Hyperopia

A

Farsighted: can see far but not near. Eyeball too short

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

Eye Inspection

A
  • Lashes: up and out on top, down and out on bottom
  • Pupils are between 3-5mm in size bilaterally
  • Eyebrows: no scaling or lesions
  • Iris: flat and round
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

Anascoria

A

unequal pupil sizes. Can be normal or abnormal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

Accommodation and Convergence

A

-as finger moves in eye should converge and pupil should constrict - as finger moves out pupils should dilate and eyes should diverge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

Palpibral fissure

A

should be in line with the helix of the ear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

Optic Nerve Chiasm cut: Bitemporal hemianopsia

A

temporal vision lost in both eyes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

Optic nerve cut

A

vision lost in eye of cut nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q

Right optic tract: left homonymous hemiahopsia

A

left temporal, right nasal lost

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
59
Q

AV Nicking

A

can be seen on vessels and is caused by hypertension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
60
Q

Glaucoma

A

increased interocular pressure

61
Q

Papilledema

A

increased inter cranial pressure

62
Q

Skin functions

A

protect, temperature regulation, sensory perception, wound repair, absorption and excretion, synthesize vitamin D

63
Q

Skin Structure

A

Epidermis- stratified squamous epithelial cells
Dermis: vascula
Subcutaneous

64
Q

Eccrine Glands

A

All over body, open directly to skin surface

65
Q

Apocrine glands

A

groin and axillary. open below skin surface. smelly

66
Q

Terminal hair

A

thick, long, dark

67
Q

Vellus hair

A

all over body, short, fine, colored

68
Q

Skin considerations for infants and children

A

birthmarks, change in color as newborn, rash, sores, diaper rash, burns, bruises, contagions, sun exposure and prevention

69
Q

Skin considerations for older adults

A

acne, changes, delayed wound healing, skin pain, falls, diabetes, peripheral vascular disease, self care

70
Q

Normal Variations in Skin

A

Temporary Pallor: Cold, or afraid

Temporary Erythmea: embarrassed or hot

71
Q

Widespread change in skin color

A
  • Jaundiced: increased billirubin. Seen in upper palate and sclera first. Ex. Chirossis
  • Pallor: raynauds, shock, anemia
  • Cyanosis: blue. due to decreased perfection of O2 rich blood. Global: CHF, sepsis. Local: hypothermia
  • Erythmea: from excess blood supply to capillaries of skin. from blushing or infection
72
Q

Developmental Considerations in skin

A
  • Mongolian spots
  • cafe au lait spot- benign expect for it being more than 1.5 cm
  • Acne: peaks in teens
  • Older adults: wrinkles, increase in fragile blood supply, dry skin, skin repairs more slowly
  • temporary cyanosis: will balance. normal in infants short term
73
Q

Senile Lengitines

A

liver spots

74
Q

Skin Temp

A
  • check with doors of hand bilaterally
  • hypothermia: Local: IV or cast, Global: shock
  • Hyperthermia: Local: infection, Global: fever
75
Q

Skin Moisture

A
  • Diaphoreses: with anxiety, fear, chest pain

- dryness: dehydrates, lips, cracked, dry mucous membrane

76
Q

Texture

A

Rough, scaly
Thick versus thin
telling in thyroid conditions

77
Q

Edema

A

Swelling from increased fluid in interstitial tissue

  • grade 1+-4+, push 4-5 seconds. How long does it stay dented for?
  • Cause: DVT, CHF, lymphedema, orthostatic
78
Q

Mobility

A

Easy of skin rising

79
Q

Turgor

A

ability to promptly return to place when released after tenting. if skin tents for a while dehydrated

80
Q

Wound Assessment

A

Appearance, Dressing, Drainage

81
Q

Diagnostic Approach to Lesions

A
  • distribution: local, universal, symmetric
  • Kind: Primary or secondary
  • Other- Color (red, violet, brown), sharpness of edge, surface contour( dome, pedunculated, spire), geometric shape
82
Q

Primary Skin Lesion Pairs

A
  1. macule and patch 2. papule and plaque 3. node and tumor 4. wheal and urticaria 5. vesicle and bulla 6. pustule and cyst
83
Q

Macule

A

flat, non-palpable, change in color

84
Q

Patch

A

Large macule. > 1cm ex. senile lentigo, mongolian spot, cafe au lait spot

85
Q

Papule

A

circumscribed, superficial thickening of the epithelial cells, palpable, elevated.

86
Q

Plaque

A

flat, elevated surface often formed by coalessing of papules. >.5cm ex. psoriasis, lichen, planus

87
Q

Nodule

A

Soft or firm, extends into dermis, mass, elevated

88
Q

Tumor

A

Soft or firm mass, extends into dermis, benign or malignant, ex lipoma or hemangioma

89
Q

Wheal

A

superficial, transient, undefined boarders, erythmatous. ex. bug bite or allergic reaction

90
Q

Urticaria

A

wheals coalessing, pruritic, varies in size ex. hives

91
Q

Vesicle

A

contains clear free fluid, circumscribed, elevated, superficial up to 1cm ex. herpes, chicken pox, contact dermatitis

92
Q

Bulla

A

Larger vesicle, uniocular, superficial in epidermis, thin walled > 1 cm ex. burn, friction blister .

93
Q

Pustule

A

circumscribed, superficial elevated cavity, containing turbia fluid (pus). Up to 1cm. ex acne, impetigo

94
Q

Cyst

A

Extends into dermis subcutaneous layer, encapsulated pus filled cavity. >1 cm ex. sebaceous cyst

95
Q

Secondary Skin Lesions

A

Crust, fissure, scale, erosion, ulcer, excoriation, scar, atrophic scar, lithification, keloid

96
Q

Crust

A

thickened or dried residue from broken vesicle or pustule.. Red, brown, honey colored, yellow. Ex. eczema, impetigo, herpes simplex

97
Q

Scaling of tine pedis

A
  • dry or greasy
  • compact desiccated flakes of skin
  • shedding of dead excess keratin cells
  • silvery or white
98
Q

Fissure

A

Linear cracks with abrupt edges, extends into dermis, can be dry or moist ex. athlete’s foot, anal fissure

99
Q

Ulcer

A

Circumscribed depression extending into dermis, irregular shape, may bleed, scars ex. stasis ulcer, pressure sore

100
Q

Erosion

A

superficial circumscribed loss of epidermis. Leaves shallow scooped out depression. Moist but no bleeding. Health without scarring because not in dermis. ex. stage 2 pressure sore

101
Q

Excoriation

A

From scratching. Superficial. ex. insect bites, varicella, scratch

102
Q

Scar

A
  • after reduction or fractrure
  • replacement of normal tissue with fibrous connective tissue
  • permanent change
103
Q

Atrophy

A
  • Depressed skin level resulting from loss of tissue
  • thinning of epidermis with loss of normal skin furrows
  • > skinny translucent skin
    ex. senile skin, arterial insufficiency, striae
104
Q

Lithenification

A

thickening and toughening of skin due to intense starting. Tightly packed set of papule. Causes increased visibility of superficial skin markings ex. long standing eczema, atopic dermatitis

105
Q

Keloid scar

A

hypertrophic scar, elevation by excess scar tissue beyond original injury

106
Q

Shapes and configurations of Lesions

A
  • annular
  • confluent- running together
  • discrete- single
  • grouped-cluster
  • gyrate: twisted, coiled
  • target: iris like, ex lyme
  • linear: a line
  • polycyclic: circular growing together
  • zosterform- along dermatome, nerve route
107
Q

Vascular lesions

A

petechiae, purpua, ecchymosis, cherry angioma, spider angioma, telanglestasia, nevis falmmus (port wine stain)

108
Q

Petechiae

A

tiny red macule of blood in skin . Less than 3mm

109
Q

Purpua

A

larger macule or papule. blood filled lesions that doesn’t blanche. .3-1 cm

110
Q

Ecchymosis:

A

small hemoragic spot in skin or mucous membrane. Larger than a petechiae. Non-elevated. Rounded or irregular blue or purple patch. 1cm. Escape of blood into tissues from ruptured blood vessels

111
Q

Cherry Angioma

A

Also called Campbell de Morgan spots
• Small bright red papules and of no consequence
• Benign angiomas common on the trunks of the middle-aged and elderly

112
Q

Spider angioma

A

Stellate telangiectases that look like spiders with legs radiating from a central, often palpable feeding vessel.
• If diagnosis in doubt, press on center with slide and lesion will disappear.
• If many on trunk check liver function. May be normal in faces of children or erupt in pregnancy.

113
Q

Telangiectasia

A

Term refers to permanently dilated and visible vessels in the skin
• They can appear as linear, punctate or stellate crimson-purple markings
• Can be caused by nifedipine

114
Q

Nevus Fammeus-Port Wine stain

A

Present at birth
• Caused by dilated dermal capillaries
• Pale, pink to purple macules
• Mostly on face and trunk

115
Q

Viral Herpes:

A

Simplex 1: primary infection
Simplex 2: herpes progenitalis
Varicella: chickenpox
Herpes Zoster- shingles

116
Q

Skin Cancer Warning Signs

A 
Assymetry
Boarders are irregular
Color is mottled
Diameter greater than 6mm
Elevated
Enlargement
117
Q

Basal Cell Carcinoma on forehead

A

-Most common malignancy
• Locally invasive and destructive
• Slow growing rarely metastasized
• Almost translucent, dome-shaped papule with overlying telangiectasias

118
Q

Squamous Cell carcinoma on chest

A

-Invasive malignancy
• Commonly found on head, neck or hands
• May arise from actinic keratosis (red, elevated) or de novo.

119
Q

Melanoma

A

superficial or nodular spreading

120
Q

Hair Objective findings

A

Inspect and palpate for color, texture, distribution, lesions or nevi

121
Q

Hirsutism

A

More terminal hair where vellum hair should be. Check for Polycystic ovarian syndrome

122
Q

Nails Objective

A

Check for clubbing and pitting. Make sure capillary refill is less than 3 seconds

123
Q

Abnormal nail

A

spoon nail, beasts lines, swollen, springy

-with age nails get more rigid, split, and become thicker

124
Q

Head: Objective

A

Inspect for symmetry, size, contour
palpate for lumps, bumps, lesions
–Palpebral fissure in line with helix of ear
-nasal labial folds: symmetric

125
Q

Bones of head

A

Frontal, Parietal (2), temporal (2), occiptial

-join at uncle which are immobile sutures

126
Q

Temporal mandibular joint

A

open and close to assess for crepitus and popping

127
Q

C7-Vertebra prominance

A

easy locating spot on spine

128
Q

Facial Muscles

A
  • Innervated by cranial nerve 5 and 7
  • Frontalis, temporalis, masseter
  • assess masseter
129
Q

Temporal artery

A

pulse present and equal bilaterally, grade pulse. No induration should be present

130
Q

Cranial Nerve 7

A
  • Facial
  • Motor
  • Smile, frown, puff cheeks
  • try to pull up closed eye lids
131
Q

Cranial Nerve 5

A
  • Trigeminal
  • Sensory: six cotton ball spots
  • masseter muscle
132
Q

Neck Objective

A
  • masses, bulges, pulsation
  • jugular venous distention
  • lymph nodes
  • trachea
  • carotids
  • cranial nerve XI
  • Thyroid gland: anterior, posterior, ausculate
133
Q

EOMI

A

Extraocular muscles intact

134
Q

PERLA

A

pupils equal and reactive to light and accommodation

135
Q

Pulsation of Jugular Vein

A

abnormal if blood squirt is high in vein, short of breath, and edema present

136
Q

Neck Muscles

A
  • Sternomastoid and Trapezeus
  • Sternomastoid: move head in rotation and flexion
  • Trapezeus: moves shoulders and extends and turns heard-
  • inervated by CN 7
137
Q

Anterior Triangle

A

in front of sternomastoid

138
Q

posterior trianlge

A

between sternomastoid and trapezeus

139
Q

Lymph nodes in head and neck role

A

located in groups, ovals of lymphatic tissue

  • in subcutaneous tissues
  • superficial nodes are easily palpable
  • suck up damaged cells and invade organisms though lymph nodes before returning back to heart
140
Q

Assessing lymph nodes

A

1-2cm, soft, moveable

141
Q

Group 1 of LN

A

preauricular, posterior auricular, suboppcipital

142
Q

Group 2 of LN

A

tonslir, submandibular, submental

143
Q

Group 3 of LN

A

supercervical, posterior cervical, deep cervical

144
Q

Group 4 of LN

A

supra and infra clavicular

145
Q

Palpate trachea

A

normally midline. Palpate for shift

-index finger on sternal notch, slip off to each side. Should be symmetric

146
Q

Carotid artery

A
  • palpate and ausculate
  • lower or upper 1/3 of neck b/c carotid sinus at middle that stimulates heart
  • 1 side at a time
  • listen for bruit– wishing of turbulent blood flow-> stenosis or ballooning which is abnormal
147
Q

Examine CN XI

A

Spinal Accessory: trapezeus and sternomastoid

-hunch against pressure and turn against resistance

148
Q

Palpate thyroid

A
  • ask to bend head forward or to the right
  • use fingers of L hand to push trachea right
  • feel with R finger between trachea and muscle
  • ask to swallow
  • check for symmetry, bruit, nodules
  • 1 nodule can be cancerous, more usually aren’t

physical assessment exam 1 (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions