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Patient Assessment (Exam 3) > Physical Assessment Techniques (Ch. 6) > Flashcards

Physical Assessment Techniques (Ch. 6) Flashcards

1
Q

What are the 4 techniques for assessment?

A
  • inspection
  • palpation
  • auscultation
  • percussion
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2
Q

T or F: you should watch for emotional and mental status at the beginning of the encounter

A

False. You should watch through the history and physical assessment

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3
Q

What 3 elements does inspection depend on?

A
  • good lighting
  • adequate time
  • curiosity for looking beyond the obvious
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4
Q

T of F: the pads of your fingers are more sensitive than the tips

A

True

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5
Q

Which area of your hand is better for sensing vibrations?

A

The palm

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6
Q

Which area of your hand is better for evaluating temperature?

A

The back of the hand

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7
Q

How deep is light palpation?

A

1cm

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8
Q

How deep is deep palpation?

A

4cm

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9
Q

How deep does percussion produce sound waves?

A

4-6cm deep

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10
Q

Where should your fingers lie when percussing the chest?

A

Between the ribs, and parallel to them

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11
Q

Where should the earpieces of your stethoscope point when in use?

A

Anteriorly

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12
Q

T of F: In the abdomen, you should auscultation first, then palpate

A

True

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13
Q

What are the 4 main vital signs?

A
  • Heart Rate
  • Blood Pressure
  • Respiration
  • Temperature
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14
Q

Another word for circulatory

A

Hemodynamic

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15
Q

What are the 9 places you can find a pulse?

A
  • temporal
  • carotid
  • brachial
  • radial
  • ulnar
  • femoral
  • popliteal
  • dorsalis pedis
  • posterior tibial
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16
Q

What is the formula for BP?

A

Cardiac Output x Systemic Vascular Resistance = Blood Pressure

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17
Q

How long should you wait to take BP if you r patient has recently been smoking, exercising or eating?

A

5-10 minutes

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18
Q

When is a tilt test considered positive?

A
  • When pulse rate increases by 10-20BPM

- When systolic BP decreases by 10-20mmHg

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19
Q

When is a rectal thermometer preferred?

A
  • when the pt. is 6y/o or younger

- when a patient has an altered L.O.C.

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20
Q

Which is the least accurate place to measure temperature?

A

Axillary

21
Q

How long is ideal stethoscope tubing?

A

30-40cm (short tubing)

22
Q

True or False: aneroid sphygmomanometers are more accurate than mercury sphygmomanometers

A

False. Mercury Sphyaofijasiofj’s (fuck the spelling) are more accurate

23
Q

T or F: Glass thermometers break easily and cannot record temps below 36*C

A

True

24
Q

What is Broselow Tape?

A

A measuring tape for infants that provides important information regarding airway equipment and medication doses based on your patients length

25
Q

What is the major disadvantage of the cardiac monitor?

A

It cannot tell you if the heart is pumping efficiently, effectively, or at all

26
Q

Where does jaundice first present?

A

In the sclera of the eye

27
Q

What kind of skin would you most likely find eczema or psoriasis?

A

Thick skin

28
Q

What does poor turgor result from?

A

Dehydration

29
Q

What does a mass that pulsates in all directions suggest?

A

An aneurysm

30
Q

How far away should a pt. be from a visual acuity wall chart?

A

6m

31
Q

How far away should you hold a visual acuity card from a pt.?

A

35cm from face

32
Q

In the score 20/20, what does the first and second number mean?

A
  • First number = distance away from chart

- Second number = distance a normal eye can read the line

33
Q

What is proptosis?

A

A protruding eye

34
Q

What is ptosis?

A

A drooping eye

35
Q

What percentage of people have Anisocoria? (unequal pupils)

A

20%

36
Q

T or F: Nystagmus is defined as a fine jerking of the eyes

A

True

37
Q

What colour should the tympanic membrane be?

A

A pearly, translucent grey

38
Q

If erosion of the nasal septum occurs, what drug is suspected to cause this?

A

Cocaine

39
Q

What is epistaxis

A

A nose bleed

40
Q

What part of the tongue are malignancies more likely to occur on?

A

The bottom and sides of the tongue

41
Q

What are 3 chest wall abnormalities?

A
  • Funnel chest
  • Pigeon chest
  • Barrel chest
42
Q

What are 2 signs of chronic lung disease?

A
  • Calloused elbows from tripodding

- Finger clubbing

43
Q

Where should you listen to the heart sounds “lub” vs. “dub”

A
  • “Lub” is sound 1 and can be heard at the apex of the heart

- “Dub” is sound 2 and can be heard at the base of the heart

44
Q

What is normal venous pressure?

A

1-2cm

45
Q

What are two examples of late signs of intra abdominal bleeding?

A
  • Cullen’s sign

- Grey-Turner sign

46
Q

T of F: The lower the edema, the more severe the problem

A

False. The higher the edema, the more severe the problem

47
Q

What are 4 ways to test memory and attention?

A
  • Digit span
  • Serial events
  • Spelling backwards
  • Memory
48
Q

What is the Romberg test?

A

Ask your patient to stand with feet together and her eyes open. Have her close eyes for 20-30seconds. Observe ability to remain upright with final swaying and no support

Patient Assessment (Exam 3) (4 decks)

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