techiques of physical examination & pt assessment (group 2) Flashcards

1
Q

What does physical examination consists of?

A

examination techniques

measurement of vital signs

assesment of vital signs

assesment height and weight

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2
Q

Four techniques commonly used in physical examination?

A

inspection

palpation

auscultation

percussion

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3
Q

What are significant findings on inspection?

A

hygiene

clothing

skin color

body language

position

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4
Q

Why do PARAMEDICS need to palpate?

A

to asses for the following:

texture

masses

fluids

crepitus and assessing

skin temparature

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5
Q

Define percussion?

A

Evaluation of the presence of AIR or FLUIDS in body tissues.

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6
Q

What divice is use for auscultation?

A

Stethoscope

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7
Q

What is auscultation used for?

A

blood pressure

evaluate breath sounds

evaluate bowel sounds and

heart sounds

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8
Q

Name the components of physical examination?

A

mental status

general survey

vital sings

neurological exam

chest

abdomen

extremities and posteriorly

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9
Q

What are the three main sings of distress in adult patients?

A

cardiorespiratory insuffiency

pain

anxiety

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10
Q

What are the possible causes of Pallor skin in adults?

A

shock

dehydration

fright

cardiorespiratory insuffiency

cold environment

cyanosis

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11
Q

What does yellow skin color indicates?

A

Liver disease

Heamolysis

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12
Q

What does red skin color indicates?

A

Fever

Inflamation

Carbon Monoxide poisoning

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13
Q

Name the blood pressure measurments sites?

A

Radial artery

Dorsalis pedis artery

Brachial artery

Posterior tibial artery

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14
Q

Where can temperature be measured on the human body?

A

Orally temp measurement

Axillary temp measurement

Tympanic temp measurements

Rectal temp measurements

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15
Q

What does a dilated or unresponsive pupil indicates?

A

Cardiac arrest

Central nervous system injury

Hypoxia or anoxia

Drug use

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16
Q

What does unequal pupils indicates (one dilated or unresponsive)

A

Cva

Head injury

Direct trauma to the eye

Eye medications

17
Q

In abnormal nail findings, what does clubbing of the fingertips indates?

A

Chronic cardiac or respiratory disease

18
Q

How can the paramedic assess visual acuity?

A

By asking the patients to read printed material

Count fingers

Distinguish between light and dark

Use of various eye charts

19
Q

What organs can be palpated in the right upper quadrant?

A

Liver and galbladder

Duodenum

Head of pancreas

Right adrenal gland

Portion of right kidney

Portions of ascending and transverse colon

Pylorus

20
Q

What findings are considered abnormal during a peripheral vascular assessment

A

Pale or cyanotic skin

Swollen or asymetrical extremities

Weak or diminished pulses

Skin cold to touch

Absence of hair growth

Pitting edema

21
Q

What five categories does a neurological exam consists of?

A

Mental status

Speech

Cranial nerves

Motor and sensory system

Reflexes

22
Q

What are the four priorities of patient assessment?

A

Initial assessment (recognize life threatening conditions)

Focused history

Detailed physical examanation

Ongoing assessment

23
Q

What are the purpose of ongoing assessment?

A

Reassess mental status

Reassess airway

Monitor breathing for rate and quality

Reassess circulation

Reastablish patient priorities

24
Q

Define anisocoria?

A

Uneqaul pupils

25
Q

What does turgor refers to?

A

Elasticity of the skin (which normally decreases with age)

26
Q

Tented skin that does not return to its normal position may indicate?

A

Dehydration

27
Q

Define Mydriasis?

A

Dilation of pupils

28
Q

Define miosis?

A

Constricted pupils

29
Q

What does hyperresonance on percussion mean?

A

Air filled lung (Copd or pneumothorax)

30
Q

What does a bruit sound indicate?

A

Adventitous sound or murmur of arterial or venous origin, it is common in carotid or femoral arteries

(indicative of atherosclerosis)