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HNG515 > Physical Exam > Flashcards

Physical Exam Flashcards

1
Q

Professionalism

A
  1. Washes hands
  2. Introduces self to patient
  3. confirms patients name
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2
Q

Vitals signs

A
  1. STATING BP 120/70
  2. Radial pulse 70
  3. Respirations 18
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3
Q

Head

A
  1. STATING I inspected and then palpated scalp head & hair
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4
Q

Eyes

A
  1. STATING I inspected the eyes and retracted the eyelids
  2. Evaluate extraocular muscle function in 6 directions
  3. Check for convergence
  4. Observes pupillary response to light B/L
  5. Check for near reflex (accommodation)
  6. Test visual fields by confrontation 4 quadrants for each eye
  7. Assess visual acuity with snellen chart
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5
Q

Eyes part 2 (opthalmoscopic exam)

A
  1. STATING “I dimmed the light before exam & asked the patient to focus straight ahead. I examined the right eye with my right eye and the left eye with my left eye. I asked the patient to look directly at light and observed the macular bilaterally”
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6
Q

Ears

A
  1. STATING “I examined your ears B/L with the otoscope

2. STATING “I tested the patients auditory acuity and performed the whisper test B/L”

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7
Q

Nose

A
  1. STATING “Nasal patency tested bilaterally”
  2. STATING “Nasal vaults inspected w/ nasal speculum on otoscope”
  3. STATING “palpated & percussed front & maxillary sinuses for tenderness”
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8
Q

Mouth

A
  1. STATING“I inspected pt’s lips, teeth, gums, and tongue
  2. STATING “Floor of mouth and base of tongue inspected while the pt’s mouth was open, patient lifted the tongue to the roof of their mouth”
  3. STATING “Posterior pharynx inspected”
  4. STATING “Observed elevation of palate as pt said ahh”
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9
Q

Neck

A
  1. STATING “The following lymph nodes were palpated:
    around ears, anterior cervical chain, posterior cervival chain, supraclavicular & axillary”
    2.STATING “thyroid palpated”
  2. STATING“Carotids individually palpated bilaterally”
  3. STATING “carotids auscultated bilaterally while the pt held their breath”
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10
Q

Back

A
  1. inspects spine for curvature
  2. palpates vertabrae
  3. performs fist percussion for CVA tenderness
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11
Q

Thorax

A
  1. Palpate lung fields B/L & symmetrically on skin – Anteriorly & Posteriorly
  2. Percusses lung fields B/L & symmetrically on skin –
    Anteriorly & Posteriorly
  3. Instruct patient to take deep breaths through open mouth and then auscultate lung fields B/L & symmetrically on skin– Anteriorly & Posteriorly
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12
Q

Heart <3

A
  1. Palpates PMI

2. Auscultate all 4 areas: aortic, pulmonic, mitral, & triscuspid

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13
Q

Abdomen

A
  1. **AUSCULTATES BEFORE MANIPULATION**
  2. Percusses x4 quads
  3. palpates x4 quads lightly then deeply
  4. feel midline for aorta
  5. ausculate midline for bruit
  6. percusses liver span
  7. palpates liver
  8. palpates spleen
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14
Q

Arms

A
  1. Inspects & palpates both arms including joints, hands, & fingers
  2. tests strength- flexion & extension against resistance in: shoulders, elbows, wrists
  3. tests hand muscles: grip strength, finger spread, break rings
  4. palpates radial pulse B/L
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15
Q

Legs

A
  1. Palpate both legs including joints & feet
  2. Tests strength- flexion & extension against resistance in thighs, knees, & ankles
  3. palpates lower extremity pulses- dorsalis pedis & plantar?
  4. Checks for leg edema (presses finger on pretibial)
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16
Q

Cranial Nerves

A
  1. CN5: STATING “I palpated the pts clenched masseter muscles & tested upper/middle/lower facial sensation bilaterally”
  2. CN7: Instruct pt to raise eyebrows & puff out cheeks
  3. CN9: Test shoulder shrug against resistance
  4. STATING “Observed pt’s midline protrusion of tongue”
17
Q

Reflexes

A

TEST BILATERALLY

  1. biceps
  2. triceps
  3. brachioradialis
  4. patellar
  5. achilles
  6. plantar/babinski
18
Q

Cerebellar

A
  1. STATING tested finger to nose bilaterally
  2. tests rapid alternating hand movement
  3. Tests heel to shin
  4. performs romberg test
  5. observes gait
  6. observes tandem gait
19
Q

Sensory

A
  1. explain what is sharp and what is dull
  2. test in hands, test in feet b/l
  3. tests position sense in feet b/l
20
Q

Encounter closure

A
  1. summarized info to pt
  2. asked if there were any final questions or concerns
  3. maintained appropriate hand hygiene

HNG515 (5 decks)

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