Test #3 Flashcards

(53 cards)

1
Q

What are abnormal bowel sounds?

A

high pitch, distention bowel sounds mean bowel obstruction

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2
Q

Where do you listen for bowel sounds?

A

all 4 quadrants of the abdomen

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3
Q

Define Rebound.

A

a sensation of pain felt when pressure is suddenly removed

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4
Q

How do you percuss the spleen?

A

have to turn the patient on their right side and percuss on the left side below the ribs. Should hear dullness

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5
Q

How do you palpate the spleen?

A

you can only feel the spleen if it is 3 times the normal size, it is normal not to feel the spleen

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6
Q

How do you percuss the liver?

A

Scratch test, you can find the edge of the liver by this.

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7
Q

How do you palpate the liver?

A

push up under the ribs. The normal size of the liver is 6-12 cm.

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8
Q

How do you percuss the kidneys?

A

posteriorly below the rib cage

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9
Q

How do you palpate the kidneys?

A

posteriorly or deep palpation

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10
Q

How do you percuss the aorta?

A

Its hard to percuss the aorta because it is deep, you need to percuss from the back

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11
Q

How do you palpate the aorta?

A

deep palpation, is there is rebound = very bad

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12
Q

What are some techniques on relaxing your patient?

A

put chin to chest, clinch teeth,

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13
Q

How do you check for hernias on your patient?

A

palpation & inspection

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14
Q

Describe the muscle strength grading scale.

A
0 paralyzed
1 contract muscle, but cannot move it
2 move it, but cannot move it against gravity
3 move it up against gravity
4 move it against some resistance
5 against full resistance
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15
Q

What is the normal arm and leg difference measurements?

A

1 cm

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16
Q

Describe Gait

A

a person’s manner of walking

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17
Q

Describe stride length

A

is the average length of one step, that is, the distance between your right and left foot contacting the ground.

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18
Q

Describe base support

A

area of ground surface covered by the body silhouette in an erect subject; the wider the base of support, the greater the stability of the erect body; the centre of gravity is more easily maintained within the base of support

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19
Q

How do you assess balance

A

Romberg Test

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20
Q

How do you assess coordination

A

fluid movement, no issues walking

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21
Q

How do you assess accuracy of movement

A

fluid movement, no issues walking

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22
Q

Define Romberg Test

A

stand with feet together, hands by side, close eyes
if they have a problem they will fall
no problem they will stay up, a little sway is okay.

23
Q

Describe Lordosis

A

excessive inward curvature of the spine.

seen in pregnant people

24
Q

Describe Scoliosis

A

abnormal lateral curvature of the spine, shows an “S”

25
Describe Kyphosis
excessive outward curvature of the spine, causing hunching of the back.
26
What are some carpal tunnel tests
Phalen Test: test for carpal tunnel put back side of hands together and if you have pain/numbness you have it. Tinel Test: test for carpal tunnel tap on nerve and if you feel electrical shock, you have it
27
What are some fluid on the knee tests
Bulge Sign: excess fluid in knee | Patelar Tap: test fluid in the knee joint
28
Describe ROM of the major joints
``` Pivot: skull meets spine Hinge: elbow & knee Condyloid: wrist and fingers Plane/gliding: vertebrae Ball and socket: hip & shoulder Saddle: thumb ```
29
What are some normal changes with aging
weaker, osteoarthritis, degenerative joint disease, osteoporosis (porous bone) occurs more in women, shrinking (normal 1 cm every 10 years after 40) if you’re losing too much there's a problem, hunch back (kyphosis).
30
Define Goniometer
an instrument for the precise measurement of angles
31
What is the Pre-Hospital Stroke Assessment
Cincinnati Stroke Scale
32
Define the different types of sensory: superficial
Light touch: cotton balls Pain: pins, tooth picks, paper clips Temperature: hot on one, cold on the other. temperature & pain run on the same tract, don’t have to do both; one or the other.
33
Describe the 1st cranial nerve
olfactory: sensory smell
34
Describe the 2nd cranial nerve
optic: sensory sight
35
Describe the 3rd cranial nerve
oculomotor: pupils; extra-ocular muscles
36
Describe the 4th cranial nerve
trochlear: extra-ocular muscles
37
Describe the 5th cranial nerve
trigeminal: facial sensations & motor, muscles of mastication (forehead, cheek, & chin)
38
Describe the 6th cranial nerve
abducen: extra-ocular muscles
39
Describe the 7th cranial nerve
facial: motor, facial muscles, sensory, taste anterior tongue. (making faces)
40
Describe the 8th cranial nerve
acoustic: hearing (balance)
41
Describe the 9th cranial nerve
glossopharyngeal: swallowing, voice, gag reflex, taste posterior tongue
42
Describe the 10th cranial nerve
vagus: swallowing, voice, gag reflex
43
Describe the 11th cranial nerve
accessory: motor, neck muscles
44
Describe the 12th cranial nerve
hypoglossal: motor, tongue muscle
45
What is the DTR (deep tendon reflexes) normal responses
``` Checking the reflex's of the spinal cord. Biceps (flexion) Triceps (extension) Brachioradialis (supinates/flexion) Patellar (extension) Achilles (plantar flexion) ```
46
Describe Babinski Refles
fanning out of toes; okay in babies, bad in adults
47
Describe the Glasgow coma scale
(higher the score, the better): universal scale, determines level of consciousness
48
Describe orientation
who they are, where are they
49
Describe Memory
president, what today's date is
50
Describe Mental status
are they acting normal towards family; drooling, etc
51
Define the different types of sensory: deep
Vibratory sensations: tuning fork place on bony part | Kinesthetics: able to sense body position in space.
52
Define the different types of sensory: discriminatory
Stereognosis: identify object by touch, with eyes closed Graphesthesia: write something in their hand & have them identify what you wrote. draw a number or letter. 2 point discrimination: two tooth picks, only feel 1 have a problem. Point localization: point to where the person is pushing/touching. Extinction: ability to feel on both sides. Neglect: don’t feel the other side, could be sitting on their hand
53
Grading scale of Deep Tendon Reflexes
``` 0-bad 1- slow 2-normal 3- hyperactive 4-bad ```