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Physical Exam 2 > Practical exam 1: GU, ABG, ACLS > Flashcards

Practical exam 1: GU, ABG, ACLS Flashcards

1
Q

When to wear gloves for clinical breast exam?

A

Only if weeping/excoriated lesions

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2
Q

Need a chaperone for clinical breast exam?

A

Yes

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3
Q

What to verbalize for PT position for inspection part of clinical breast exam?

A

Seated, disrobed at waist

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4
Q

What to assess for in inspection of clinical breast exam? (Hint: 4)

A
  1. Skin changes
  2. Size/symmetry
  3. Countour
  4. Nipple characteristics (inverted or not)
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5
Q

4 PT maneuvers in inspection of clinical breast exam?

A
  1. Arms at side
  2. Arms overhead
  3. Hands pressed at hips
  4. Lean forward
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6
Q

PT position for palpation of clinical breast exam?

A

Supine, one arm above head, shoulder raised with towel, undrape one breast

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7
Q

Pattern and fingers for palpation of clinical breast exam?

A

Vertical stripe patters with 2, 3, and 4 fingers

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8
Q

How to palpate in clinical breast exam?

A

Small concentric circles

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9
Q

What to palpate in clinical breast exam?

A

Entire breast including periphery, tail of spence (armpit area), and axilla

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10
Q

Which 3 lymphnodes to palpate for malignancy in clinical breast exam?

A
  1. Supraclavicular
  2. Infraclavicular
  3. Axillary regions
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11
Q

What to verbalize for findings consistent with malignancy in clinical breast exam? (Hint: 5)

A
  1. Hard
  2. irregular shape
  3. dimpling of overlying skin
  4. nipple retraction
  5. non-tender mass
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12
Q

Need gloves and chaperone for male GU exam?

A

Yes

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13
Q

Position for inguinal hernia in male GU exam?

A

Standing

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14
Q

Where to place index finger for inguinal hernia?

A

Near inferior scrotal sack. Move digit up near inguinal canal following spermatic cord up to inguinal ligament. Feel for external ring.

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15
Q

What to tell mannequin/patient while checking for bulges in inguinal hernia?

A

Grunt/cough and valsalva

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16
Q

If external ring is large enough what to do in male GU exam?

A

Palpate near ext ring with valsalva for bulges

17
Q

Position for assessing femoral hernia?

A

Standing

18
Q

Where to place fingers in femoral hernia assessment?

A

Anterior thigh/femoral canal region

19
Q

How to assess for femoral hernia?

A

Tell PT to valsalva (grunt/cough). Assess for pulse, bulging, tenderness, swelling.

20
Q

3 indications for Arterial Blood Gas?

A
  1. General diagnostic, therapeutic purposes
  2. Exacerbation of COPD and asthma
  3. After hyperventilation/CPR
21
Q

4 CIs for Arterial Blood Gas?

A
  1. Aterial pulse not palpable
  2. Negative result of Allen’s Test
  3. Superficial landmarks not visible
  4. Presence of arterial dz
22
Q

How to do Allen’s Test prior to Arterial Blood Gas?

A

Make fist, occlude radial and arteries at wrist with thumbs, open hand.

23
Q

What to verbalize for normal Allen’s Test?

A

“Normal ulnar artery if the hand flushes red in 3-5 seconds after taking pressure off ulnar artery.”

24
Q

What to verbalize for abnormal Allen’s Test?

A

Flushing delayed or part of hand pale then do not perform radial puncture.

25
Q

Position for penis and scrotum exam?

A

Standing or supine

26
Q

How to inspect base and prepuce of penis?

A

Base for excoriation or inflammation

Prepuce=ask PT to retract and look for smegma. Check glans penis for ulcers, scars, nodules, and inflammation.

27
Q

How to inspect scrotum?

A

Lift to view posterior surface. Check for scrotal contous, swelling, lumps, and veins.

28
Q

How to palpate scrotum?

A

Palpate each testis and epididymis for size, shape, consistency, tenderness, nodule, and swelling (hydrocele)

29
Q

4 things to transilluminate scrotum for?

A
  1. Inguinal hernia
  2. Varicocele
  3. Testicular tumor
  4. Hematoma
30
Q

How to assess cremasteric reflex

A

Stroke medial thigh briskly inferiorally downwarn fashion with reflex hammer. Testis on that side move upward. DOES NOT HAPPEN WITH TORSION!

Physical Exam 2 (5 decks)

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