Physical Exam

Question 1

dorsal surface of hand

Answer 1

Best for sensing heat and temp. difference

Question 2

diaphragmatic breathing

Answer 2

Occurs when diaphragm is contracted

Question 3

abdominal breathing

Answer 3

Same as diaphragmatic breathing

Question 4

thoracic respiration

Answer 4

Achieved chiefly using intercostal muscles

Question 5

paradoxic breathing

Answer 5

Diaphragm moves opposite what it would normally

Question 6

hyperpnea

Answer 6

Increased rate and depth of breathing (regardless of patient’s subjective experience)

Question 7

apnea

Answer 7

Absence of breathing

Question 8

tachypnea

Answer 8

Rapid breathing (more than20/min)

Question 9

bradypnea

Answer 9

Slow breathing (less than12/min)

Question 10

hyperventilation

Answer 10

Rapid, deep breathing (more than20/min)

Question 11

Cheyne-Stokes respirations

Answer 11

Periodic breathing with periods of apnea. Either increased or decreased rate and depth both

Question 12

Kussmaul breathing

Answer 12

Deep, labored, rapid breathing. Type of hyperpnea associated with metabolic acidosis.

Question 13

Pain as fifth vital sign

Answer 13

Re: association with tissue damage, pathophysiologic effect on body systems, patient’s emotional response

Question 14

facies

Answer 14

Combination of facial features that are characteristic of a clinical condition or syndrome . Can be used in the GA section to diagnose, without further examination. Ex: hypo/hyperthyroid, cushinoid, leonine, depressed.

Question 15

avg. adult oral temp

Answer 15

98.6 F (37 C) Average range: 97.3 - 99.5 F

Question 16

avg. adult rectal temp

Answer 16

99.6 F

Question 17

avg axillary temp

Answer 17

97.6 F (usually neonates)

Question 18

avg. tympanic temp

Answer 18

99.6 F (best for 6 mo - 16 years of age)

Question 19

thermometer types

Answer 19

Oral, rectal, axillary, tympanic, forehead

Question 20

hypothermia

Answer 20

body temp less than 35C (95 F)

Question 21

Celsius - Fahrenheit Conversion

Answer 21

Multiply by 2, add 30

Question 22

Fahrenheit - Celsius Conversion

Answer 22

Subtract 30, divide by 2

Question 23

pulse rate

Answer 23

Beats per minute

Question 24

pulse rhythym

Answer 24

regular /irregular / regularly irregular

Question 25

pulse deficit

Answer 25

Difference between apical and radial pulse

Question 26

pulse amplitude

Answer 26

Force with which bolus moves through artery.

Question 27

pulse amplitude scale: 0

Answer 27

absent, not palpable

Question 28

pulse amplitude scale: 1+

Answer 28

diminished, barely palpable

Question 29

pulse amplitude scale: 2+

Answer 29

expected/”normal”

Question 30

pulse amplitude scale: 3+

Answer 30

full, increased

Question 31

pulse amplitude scale: 4+

Answer 31

bounding

Question 32

pulse pressure

Answer 32

Difference between systolic and diastolic pressure (should be 30-50 mmHg)

Question 33

pulsus paradoxus

Answer 33

exaggerated decrease in amplitude of pulse and systolic pressure (more than10 mmHg) during inspiration

Question 34

lanugo

Answer 34

fine, silky hair sometimes covering newborns

Question 35

infant apocrine gland function . . .

Answer 35

is absent

Question 36

increased sebum and apocrine function in adolescents due to?

Answer 36

increased androgens

Question 37

epidermis in elderly . . .

Answer 37

is thinner, flatter, and more permeable

Question 38

dermis in elderly . . .

Answer 38

is less elastic

Question 39

anagen phase of hair growth in elderly . . .

Answer 39

declines, causing less dense and slower growing hair

Question 40

clubbing in fingernails

Answer 40

window disappears; may be indication of: respiratory/cardiovascular disease, cirrhosis, colitis, thyroid disease