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Physical Assessment > Test Contents > Flashcards

Test Contents Flashcards

1
Q

CN I

A

Olfactory nerve

Sensory for smell

Smell test

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2
Q

CN II

A

Optic nerve

Sensory for vision

  1. Snellen eye chart
  2. Confrontation for visual fields
  3. Opthalamoscope (red light reflex, retinal background, arteries/veins, optic disc, physiologic cup, macula, fovea)
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3
Q

CN III
CN IV
CN VI

A

III - occulomotor
IV - trochlear
VI - abducens

motor for extraoccular eye muscles

  1. cardinal fields of gaze
  2. corneal light reflex
  3. cover/uncover
  4. PERRL (direct and consentual)
  5. accomodation
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4
Q

CN V

A

trigeminal

sensory to skin on face
motor for face muscles

  1. soft/sharp sensation
  2. corneal reflex
  3. jaw movement
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5
Q

CN VII

A

facial

sensory to 2/3 anterior tongue
motor to for facial movement

  1. taste test
  2. move face (raise eyebrows, puff cheeks, smile, etc.)
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6
Q

CN VIII

A

vestibulocochlear

sensory for hearing

  1. whisper test
  2. weber test
  3. rinne test
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7
Q

CN IX, CN X

A

IX - glossopharyngeal
X - vagus

sensory and motor
IX - taste posterior 1/3 tongue
X - sensation posterior 1/3 of tongue
both - swallowing, phonation

  1. taste test
  2. gag reflex
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8
Q

CN XI

A

spinal accessory

motor to shoulder muscles

  1. shrug shoulders against resistance
  2. rotate head against resistance
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9
Q

CN XII

A

hypoglossal

motor for tongue movement

  1. protrude tongue
  2. push tongue against cheek
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10
Q

head/face symmetry

A
  1. hair
  2. scalp
  3. skull
  4. face
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11
Q

head/face sinuses

A
  1. palpate mastoid

2. palpate frontalfrontal

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12
Q

head/face TMJ

A

assess ROM and pain/clicking

or deffer to airway

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13
Q

ear inspection

A
  1. auricle
  2. pinna
  3. mastoid
  4. tug test
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14
Q

ear otoscope

A

LIGHTS OFF

  1. external auditory canal
  2. tympanic membrane
  3. cone of light
  4. ossicle
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15
Q

nose

A

WITH LIGHT

  1. mucosa
  2. turbinates
  3. patency (completed in CNs)
  4. septum
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16
Q

throat/mouth inspection (not airway)

A

WITH LIGHT

  1. lips
  2. buccal mucosa
  3. gums
  4. teeth
  5. roof
  6. floor
  7. tonsils
  8. tongue
  9. oropharynx
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17
Q

airway

A
  1. mallampati
  2. tongue
  3. hard palate
  4. receding mandible
  5. large front teeth
  6. mouth opening/TMJ
  7. thyromental distance
  8. ROM
  9. tracheal deviation
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18
Q

neck inspection

A
  1. symmetry
  2. masses
  3. deviation
  4. obvious goiter
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19
Q

neck palpation

A
  1. goiter
  2. tracheal deviation
  3. nodes
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20
Q

posterior chest inspection

A
  1. size
  2. shape
  3. symmetry
  4. lesions
  5. nevi
  6. structural abnormalities (kyphosis, lordosis, scoliosis)
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21
Q

posterior chest palpation

A
  1. tenderness
  2. respiratory expansion
  3. tactile fremitus
22
Q

posterior chest percussion

A
  1. lung fields

2. CVA tenderness

23
Q

posterior chest auscultation

A
  1. lung fields
  2. egophany
  3. bronchophany
  4. whispered voices
24
Q

anterior chest inspection

A
  1. size
  2. shape
  3. symmetry
  4. retractions
  5. structural abnormalities (pectus excavatum, pectus carinatum)
25
Q

anterior chest assessment

A
  1. rate

2. rhythm

26
Q

anterior chest palpation

A
  1. tenderness
  2. respiratory expansion
  3. tactile fremitus
27
Q

anterior chest percussion

A
  1. lung fields
28
Q

anterior chest ascultation

A
  1. lung fields
29
Q

CV inspection

A
  1. pulsations
  2. lifts
  3. heaves
30
Q

CV describe

A
  1. all 6 precordial points
  • aortic - 2nd ICS right sternal border
  • pulmonic - 2nd ICS left sternal border
  • Erb’s - 3rd ICS left sternal border
  • tricuspid - 4th ICS left sternal border
  • mitral - 5th ICS left midclavicular line
  • epigastric - under the xiphoid process slightly laterally
31
Q

CV palpation

A
  1. thrills

2. apical impulse - at mitral point

32
Q

CV best sounds

A
  • S1, S3, S4, MVP - all over mitral area
  • S2 - aortic area
  • split S1 - tricuspid
  • split S2 - pulmonic
  • S3, S4, MVP best in left lateral
  • mitral regurg and aortic stenosis in systole
33
Q

CV valsalvar

A
  • listen over mitral with hand on abdomen
  • louder = MVP
  • quieter or diminishes = aortic stenosis
34
Q

CV ascultate

A
  1. supine 6 precordial DIAPHRAGM
  2. supine mitral area with BELL
  3. left lateral mitral area with BELL
  4. sit up, lean forward, exhale with DIAPHRAGM for aortic murmur
  5. bruits over carotid (3) and abdominal with BELL
35
Q

CV assess

A
  1. pulses
  2. edema
  3. temp, turgor, refill
36
Q

abdomen assess

A
  1. contour
  2. striae
  3. rashes
  4. dilated veins
37
Q

abdomen reflexes

A
  1. upper (T8-T10)

2. lower (T10-T12)

38
Q

abdomen ascultate

A
  1. quadrants
  2. friction rub
  3. venous hum
39
Q

abdomen percuss

A
  1. quadrants
  2. liver - size
  3. spleen
40
Q

abdomen palpate

A
  1. light
  2. deep
  3. liver
  4. spleen
41
Q

abdomen special tests

A 
appendicitis:
1. psoas
2. obtorator
3. rebound
4. Rovsing's
cholecystitis:
1. Murphy's
42
Q

musculoskeletal ROM

A
  1. fingers
  2. wrists
  3. elbows
  4. shoulders
  5. neck
  6. spine
  7. hips
  8. knee
  9. ankle
  10. toes
43
Q

musculoskeletal special tests - knee

A
  1. varus
  2. valgus
  3. anterior drawer
  4. posterior drawer
  5. McMurray’s
44
Q

musculoskeletal special tests - CTS

A
  1. tinels

2. phalens

45
Q

musculoskeletal special tests - rotator cuff

A
  1. ROM
  2. strength against resistance
  3. apley scratch
  4. arm drop
46
Q

musculoskeletal special tests - scoliosis

A
  1. inspection/assess curve
  2. shoulder alignment
  3. pelvis alignment
  4. scapula winging
  5. lean over
47
Q

neuro DTRs

A
  1. brachioradialis - C5-C6
  2. biceps - C5-C6
  3. triceps C6-C7
  4. patellar - L2-L4
  5. Achilles - S1
48
Q

neuro special tests - meningial signs

A
  1. babinski
  2. brudenski
  3. kernigs
49
Q

neuro special tests - coordination

A
  1. gait
  2. rapid alternating movements
  3. point to point
  4. romberg
  5. pronator drift
50
Q

neuro special tests - sensory

A
  1. position sense
  2. vibration
  3. pain/light touch
51
Q

neuro special tests - discriminative sensation

A
  1. stereognosis

2. graphesthesia

Physical Assessment (2 decks)

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