Physical exam Questions Flashcards
What is the formula for converting Celsius to fahrenheit?
F = (9/5)C +32
What is normal body temperature?
98.6 F
Normal axillary body temp?
0.6 C or 1 F lower than oral
What is normal rectal temperature?
0.4 to 0.5 C or 0.7 to 0.9 F higher than oral
What is normal tympanic temperature?
0.8 C or 1.4 F higher than oral.
True or false: if you label how you got the temperature, you do not have to convert it to its oral equivalent.
True
Afebrile
97 - 100.4 F (rectal)
Febrile
> 100.4 F rectal
Pyrexia
Fever
Hyperpyrexia
Extreme elevated temperature – 106 F or above
Hypothermia
Extreme lower temp –95 F or below
How long to take a pulse if it is irregular
MUST do it for the full minute. (normal = 60-100 bpm)
Where is the apical pulse
Over the apex of the heart
What are the terms for the pulse scale?
0-4 0= absent 1= diminished 2= normal 3 = full, increased 4 = bounding, aneurysmal
Eupnea
12-20 breaths per minute (normal)
Hyperpnea/hyperventilation
> 20 breaths per minute, with DEEP inspirations
Tachypnea
> 20 breaths per minute, normal inspirations.
Normal BP
120/80
How to diagnose HTN.
if >60 y.o., <90.
Must have three readings over three days.
When using BP cuff, how to measure for correct size?
width = 0.33 to 0.5 of limb circumference
Bladder length - 2x width
Children - width = 2/3, length = .8 to 1.0 length
Conversion from cm to inch
2.54 cm = 1 in
Conversion from pound to kg
2.2 lbs = 1 kg
When are respiratory hygiene techniques needed?
At the initial point of contact for anyone with a cough
Dorsal recumbent position
for genital or rectal check – laying onback with knees bent
Lithotomy position
Pelvic exam position
Lateral recumbent
Laying on side with legs bent (think fetal position)
Light palpation
about 1 cm in pressure
Deep palpation
4 cm in pressure