the physical exam

Question 1

what info. is considered subjective?

Answer 1

history chief complaint review of systems

Question 2

what info is considered objective?

Answer 2

physical exam findings lab results

Question 3

what are the 7 attributes of a symptom?

Answer 3

CLORIDE character or quality location onset radiation intensity duration exacerbation or alleviation

Question 4

what should you do at the beginning of the exam

Answer 4

wash your hands clean your stethescope

Question 5

what are the 4 cardinal techniques of examination

Answer 5

inspection palpatation percussion auscultation

Question 6

what are instrumental ADLs ?

Answer 6

using telephone, shopping managing money

Question 7

what does an asterisk mean in ROS (Review Of Systems)?

Answer 7

there is some positive response to a question

Question 8

In the physical exam, what is the “plexor”? the “pleximeter”?

Answer 8

plexor - striking finger pleximeter - finger against chest, abdomen, back

Question 9

How to calculate BMI?

Answer 9

weight (kg)/height (m^2)

Question 10

What are the BMI ranges?

Answer 10

25 is overweight >30 is obese

Question 11

how would you assess the peripheral vascular system?

Answer 11

palpate fermoral pulses palpate inguinal lymph nodes inspect for lower extremity edema, discoloration, vericose veins, or ulcers

Question 12

what labs are in a complete blood count (CBC)?

Answer 12

White blood cell Red blood cell Hemoglobin Hematocrit Mean corpuscular volume (MCV) Platelet count

Question 13

Normal values for WBC

Answer 13

4,500 - 10,000 cell/mL

Question 14

Normal values for RBC

Answer 14

4 - 5.5 x 10^6

Question 15

Normal values for Hemoglobin

Answer 15

12 - 16.5 g/dL

Question 16

Normal values for Hematocrit

Answer 16

36 - 50 %

Question 17

Normal values for MCV

Answer 17

80 - 100

Question 18

Normal values for platelet

Answer 18

100,000 - 450,000 plt

Question 19

What labs are in a CMP (complete metabolic panel)

Answer 19

Na K Cl Mag Ca HCO3 BUN Creatinine (Cr) Glucose Phosphate albumin Total Bilirubin Alkaline phosphate AST/ALT

Question 20

Normal values for Na

Answer 20

135 - 147 (mEq/L)

Question 21

Normal values for K

Answer 21

3.5 - 5.2 (mEq/L)

Question 22

Normal values for Cl

Answer 22

95 - 107 (mEq/L)

Question 23

Normal values for Mag

Answer 23

1.6 - 2.4 (mEq/L)

Question 24

Normal values for Ca

Answer 24

8.8 - 10.3 (mEq/L)

Question 25

Normal values for HCO3

Answer 25

23 - 29 (mEq/L)

Question 26

Normal values for BUN

Answer 26

7 - 20 mg/dL

Question 27

Normal values for Cr

Answer 27

0.5 - 1.4 mg/dl

Question 28

normal values for glucose

Answer 28

60 - 110 mg/dL

Question 29

What labs are used to determine clotting tendancy of blood?

Answer 29

PT 10 - 14 s PTT (intrinsic pathway) 25-39 s INR = PT test / PT normal 0.8 - 1.2

Question 30

what is being tested in a pregnancy test?

Answer 30

hcG (made by placenta) norm 0-5 ml (not pregnant)

Question 31

Draw a fishbone diagram

Answer 31