(Test 1: 2.) Introduction to Physical Exam at Instruments

Question 1

What two issues with the size of a blood pressure cuff will give a falsely high blood pressure reading?

Answer 1

A cuff that is too large on a large arm

or cuff that is too small on a normal arm.

Question 2

What are the appropriate dimensions for a blood pressure cuff?

Answer 2

The length of the cuff’s bladder should be at least 80% of the circumference of the patient’s arm

The width of the cuffs bladder should be at least 40% of the length of the arm.

Question 3

What two errors in taking blood pressure will result in a falsely low blood pressure reading?

Answer 3

Holding the brachial artery above the heart,

using a cuff that is too large on a small arm.

Question 4

When should a provider wash their hands?

Answer 4

When hands are visibly dirty

after using the toilet

when exposed to potential spore forming pathogens (C.Diff)

Question 5

When do we use the ophthalmoscope’s red free light?

Answer 5

When we are trying to visualize vessels and / or hemorrhages (improves contrast and makes the retina look black-and-white)

Question 6

What is an ausculatory gap?

How is it documented?

Answer 6

A gap between the systolic and diastolic pressure readings.

Reported as systolic over diastolic within ausculatory gap from (beginning of the gap) – (end of the gap)

Question 7

When should you wear disposable gloves?

Answer 7

Gloves should be worn if there is obvious blood or body fluid

(Be sure to wash your hands before and after wearing gloves)