PT Assessment

Question 1

URQ major organs:
ULQ major organs:
LLQ major organs:
LRQ major organs:

Answer 1

= Liver, Gallbladder
= Spleen, Pancreas, Stomach
= Colon
= Appendix

Question 2

Loss of Peripheral Pulses often indicates:

Answer 2

= decompensating shock.

Question 3

Bronchophony is:
Indicating:

Answer 3

=PT’s spoken voice sounds louder & clearer than normal when auscultated w/ stethoscope
=often indicating lung consolidation

Question 4

Finger Clubbing:
Often indicates:

Answer 4

= finger clubs” distal finger rounded & proximal nail feels spongy.
= chronic hypoxia found in cardiopulmonary diseases and lung cancer.

Question 5

Skin tugor test:
Norm/ skin=
Poor turgor (tenting)=
Decreased mobility=

Answer 5

= pulling skin fold over bony prominence then releasing it.
= immediately returns to its original state.
= results from dehydration
= suggests edema or scleroderma, a progressive skin disease

Question 6

What is 2nd assessment?
Consists of 3 elements:

Answer 6

= Process which quantifiable/objective info is obtained
from a PT for his/her overall state of health.
= 1. Detailed head-toe exam, 2. complete set of vital signs, 3. History/narrative SAMPLE/ OPQRRST/DCAPBLSTIC

Question 7

General assessment

Answer 7

intuitive evaluation of your patient. It is also known as your “view from the door.”

Question 8

1st assess/ A check for:

Answer 8

= AMS, confusion, apprehension, or agitation

Shortness of breath while speaking

=Retractions (supraclavicular/sternal, intercostal)
= Asymmetric chest m-nt
= Accessory M. use (neck, abdominal)
=Cyanosis
=Audible sounds
=Abnormally rapid, slow, or shallow breathing
= Nasal flaring

Question 9

Cheyenne Stokes B pattern:
Biots B pattern:
Both mean possible:

Answer 9

= series of increasing & decreasing breaths followed w/ period of apnea
= short, gasping, irregular breaths ”random” & “fish out of water”
= brainstem injury or +ICP

Question 10

Pri/ assess/ C- initial exam:

Furthermore exam pulse:

Furthermore exam CTC:

Skin CTC:

Answer 10

= pulse, skin, & any hemorrhaging
= pulse: rate, regularity, strength, pattern, quality,
= pink, warm, dry

Question 11

Endotracheal intubation 4 indications: 1.
2. =
3.=
4.=

Answer 11

=1. in or going into Resp/ arrest
=2. Resp/ failure (hypoxic or hypercapnic)
=3. in or going into Cardiac arrest
=4. Airway swelling (anaphylaxis; airway burns)

Question 12

Oxygenation 3 needs=

Answer 12

intact airway, adequate vent & respiration

Question 13

Set up for intubation needs:

Answer 13

Adjunct airway, Suctioning, Stylet/Bougee, 1 size below & above size of ETT & Laryngoscope Blade, Capnography, BVM w/ oxy/, Stethoscope, C-Collar

Question 14

colorimetric changes color after how many breathes:

Answer 14

6 ventalations

Question 15

Doing surgical Cricothyrotomy steps: Step 1.
Step 2:

Answer 15

= 1. Palpate inferior portion of thyroid & cricoid cartilage then stabilize
= 2. Make 2-4 cm vertical midline skin incision over cricothyroid
= 3. Make 1 to 2 cm horizontal incision cutting through cricothyroid
=4. Use curved hemostat spread incision open to Insert bougie (caudally) & remove scalpel
=5. Insert ETT (6.0 or 7.0) or Shiley trachT (6.0 or 8.0) over bougie & into the opening
=6. Advance tube just until the cuff disappears & Inflate cuff
=7. Attempt to ventilate and confirm placement.
=8. Secure tube, reconfirm placement, evaluate patient.

Question 16

PA order: 1.
2..
3.
4.

Answer 16

=1. Scene Size up
=2. Primary Asess/ ABCs
=3. 2nd Assess then History
=4. determine to Stay or play

Question 17

2nd assess/ order:

Answer 17

1. Visual, 2. Palpation, 3. Percussion, 4. Auscultation

Question 18

~SBP site numbers: -Carotid:
Femoral:
Radial:

Answer 18

= 80
= 70
= 60

Question 19

Shock 5 catagories:

Answer 19

= Hypovolemic, Cardiogenic, Distributive, Obstructive, Respiratory/ metabolic,

Question 20

Compensated Shock:

Decompensating Shock:

Answer 20

= HR: Elevated or normal BP: Norm or slightly decreased, RR: Increased, Skin: Not warm, pale, possibly sweaty
= HR: lowering, BP: Lowering, RR: none or irregular, Skin: Cool, pale, clammy, or cyanotic

Question 21

Palpating direct & deep:
Direct & soft:

Answer 21

= ABDMN organs, Pelvis, Head, Peripheral bones,
= ABDMN, pos/ trauma, S-column, Lymph & Sinus sites

Question 22

Vocal/ Tactile Fremitus:

Decreased Fremitus & indicates:
Increased Fremitus & indicates:

Answer 22

= chest wall changes in intensity of vibrations saying 99 indicating underlying lung pathology
= Softer vibrations: Pneumothorax, Air in plueras,
= Enhanced vibrations: Lung consolidation (EX pneumonia)

Question 23

equal chest & rise eval:

Answer 23

:Locate 10th rib. (find lowest rib & move up 2 ribs)

Question 24

Auscultating (heart) sounds sites:
Bruits:
APE To Man

Answer 24

= Carotid
= 2nd ICS-RS, 3rd ICS-LS, 4th ICS-LS, 5th ICS-L-Midclavicular line

Question 25

Auscultating (lungs) Sounds Sites:

Answer 25

Top to bottom R-side then L-side

Question 26

TO DOs in A of ABCs
Note:

Answer 26

MENTAL STATUS, Visual inspection & move airways IN, insert airway IN
= Nares, Teeth, Anatomical mouth structures, Cricothyroid

Question 27

TO DOs in B of ABCs:

Note:

Answer 27

Visual chest rise/fall & symmetry, Give oxy IN, Note smells, Listen for breathing, Auscultate lungs, Intubate IN
= Rate, Pattern, quality, active or passive, lung sounds

Question 28

TO DOs in C of ABCs:
Note:

Answer 28

= Visual truck & peripheral, Fix LT hemorrhage IN, CTC
= Skin condition/color abnorm/s, Temp, PR: rate rhythm regularity strength equality, peripheral edema

Question 29

Waddell’s triad consists of:

Answer 29

= Child Head, chest, femur trauma from autoPED

Question 30

Virchow’s triad is & consists:

Answer 30

= DVT: old age, pregnancy, prolonged immobility, trauma, obesity

Question 31

Cushings triad:

Answer 31

= increased SBP, decreased HR, irregular RR from SC or brainstem damage

Question 32

Beck’s Triad=:

Answer 32

= Muffled heart tones (NarrowingHR), JVD, Hypotension> C-Tampenode

Question 33

APGAR (newborn usually)=

Answer 33

= appearance, pulse, grimace, activity respirations

Question 34

Kussmaul’s sign:

Answer 34

=+ JVD> pericarditis, restrictive cardiomyopathy, or severe R-sided heart failure.

Question 35

Stroke Assess:

Answer 35

= FAST Face Arms Speech Time> drooping, drifting/weakness, slurred,

Question 36

Trousseau’s sign=

Answer 36

Ca binding too much and flexing in in hands “gay hand penguin”