Skills Exam Flashcards

1
Q

Blood pressure difference between arms of more than 10-15 mmHg indicates _______

A

subclavian steal syndrome

aortic dissection

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2
Q

The Korotkoff sounds are relatively ___ pitch and are generally better heard with the ___ of the stethoscope

A

low

bell

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3
Q

Blood pressure difference arms of _____ mmHg is normal

A

5 - 10 mmHg

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4
Q

To measure heart rate, count the rate over radial pulse for ____ seconds. If rate is fast, slow or irregular, count for ____ seconds

A

30

60

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5
Q

Normal respiratory rate is ____. Describe rhythm, depth, effort

A

20 breaths/min

regular/irregular

shallow, gasping

normal, labored

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6
Q

Prolonged expiration indicates ___

A

COPD

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7
Q

What are you checking for in skin examination?

A

color, moisture, temperature, texture, mobility/turgor, lesions

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8
Q

During skin exam, what areas of the body should be examined for color/

A

fingertips, lips, mucous membranes

palms, soles

lips, oral mucosa, tongue

sclera

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9
Q

Describe normal pupils

A

3-5mm diameter
round
symmetrical

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10
Q

What are the tests for pupillary reactions to light ?

A

Direct reaction
Consensual reaction
Near response

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11
Q

Presence of lid lag indicates ______

A

hyperthyroidism

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12
Q

The Tug test tests for _____

A

otitis externa

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13
Q

In Weber Test, if sound lateralizes to good ear it indicates ________. If sound materializes to bad ear it indicates _________

A

sensorineural hearing loss

conductive hearing loss

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14
Q

If thyroid gland feels enlarged on palpation what is the next exam?

A

auscultation over lateral lobes to detect bruit

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15
Q

Abnormal chest expansion during respiration indicates _______

A

chronic fibrosis of the underlying lung or pleura, pleural effusion, lobar pneumonia, pleural pain with associated splinting, and unilateral bronchial obstruction

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16
Q

Absent or decreased vocal fremitus indicates ________

A

an obstructed bronchus; COPD; pleural effusion, fibrosis, pneumothorax or tumor

17
Q

During examination of the abdomen, what is inspected?

A

skin, umbilicus, contour of abdomen, symmetry, peristalsis, pulsations

18
Q

A positive fluid wave indicates ________

A

ascites

19
Q

The JVP is measured in centimeters above the ________

A

sternal angle