Physical Exam Intro

Question 1

What does Head-to-toe Approach include?

Answer 1

General assessment
Vitals
Integumentary System
HEENT
Neck & Lymphatics
Respiratory System
Cardiovascular System
Abdominal Region
Musculoskeletal
Neurological
Sensitive exams (genital/rectal exams)

Question 2

What does a general assessment include?

Answer 2

State of health (nutritional status)
LOC
Distress
Skin coloration
Facial expression
Posture, gait, and motor function
Body & breath odor
Hygiene

Question 3

What does + pallor mean?

Answer 3

pale

Question 4

What does + jaundice mean?

Answer 4

yellow

Question 5

What does + erythema mean?

Answer 5

red

Question 6

What does + cyanosis mean?

Answer 6

blue

Question 7

If an elderly pt exhibits symptoms of poor hygiene this may indicate…

Answer 7

early onset dementia

Question 8

If a pt exhibits no facial expression through duration of medical visit this may indicate…

Answer 8

Parkinson’s disease

Question 9

What does an artificial fruity breath odor mean?

Answer 9

Pt is exhibiting diabetic ketoacidosis and should be sent to ER immediately

Question 10

How do you calculate BMI?

Answer 10

kg/(m)² or lbs/(in)²(703)

Question 11

What are the 4 principles of any general assessment?

Answer 11

inspection, palpation, auscultation, and percussion

Question 12

What is psoriasis?

Answer 12

It is a very common autoimmune disorder, not just a skin disease. It can occur anywhere on the body, scalp, nails, etc. It is a chronic illness that may cause arthritis or heart problems

Question 13

What does psoriasis look like?

Answer 13

Question 14

What can you palpate for?

Answer 14

tenderness, mass, lesion, pulse, body region temp., etc

Question 15

Which general assessment principle will you do the least?

Answer 15

Percussion, it takes a lot of practice to learn and do it properly

Question 16

What is the purpose of percusson?

Answer 16

Typically, its used to listen for whether or not there is fluid in the lungs

Question 17

How do you practice percussion?

Answer 17

Place left hand on back of pt and use the 3rd finger (plexar finger)

The right hand will tap the plexar finger on opposite hand at the distal end using the pleximeter finger

Question 18

Label the stethescope: what is A?

Answer 18

Question 19

Label the stethescope: what is B?

Answer 19

Question 20

Label the stethescope: what is C?

Answer 20

Question 21

Label the stethescope: what is D?

Answer 21

Question 22

Label the stethescope: what is E?

Answer 22

Question 23

What side do you start on when you first begin examining a pt?

Answer 23

right side

Question 24

What does PVD stand for? Pay special attention to which patients?

Answer 24

PVD is peripheral vascular disease

Look out for this in pt with heart disease and diabetes