Unit 6 - IPPA

Question 1

What does the I stand for in IPPA

Answer 1

Inspection

Question 2

What does the first P stand for in IPPA

Answer 2

Palpation

Question 3

What does the second P stand for in IPPA

Answer 3

Percussion

Question 4

What does the A stand for in IPPA

Answer 4

Auscultation

Question 5

What is “Concentrated Watching”?

Answer 5

Inspection

Question 6

What needs the use of visual, auditory and olfactory senses?

Answer 6

Inspection

Question 7

What detects majority of physical signs?

Answer 7

Inspection

Question 8

What uses your sense of touch?

Answer 8

Palpation

- Use light, slow, and gentle movements

Question 9

What are you looking for during palpation?

Answer 9

Texture, temperature, moisture of skin. 
Lumps & Bumps 
Vibration/Pulsations 
Rigidity, Crepitations
Tenderness or pain

Question 10

What are you palpating for with the use of your fingertips only?

Answer 10

Fine tactile discrimination palpation for skin texture, swelling, pulsation and presence of lumps.

Question 11

What are you palpating with the use of your fingers and thumbs (grasping) only?

Answer 11

Detects position, shape, and consistency of an organ or mass.

Question 12

Why would you use the dorsa (backs of hands and fingers) for palpation?

Answer 12

Determining temperature.

Question 13

Why would you use the base of your fingers, palmar or ulnar (Palm of hand)?

Answer 13

Vibrations

Question 14

Tapping the person’s skin with short, sharp strokes to assess for underlying structures.

Answer 14

Percussion

Question 15

What is Indirect Percussion?

Answer 15

The striking hand contacts the stationary hand which its fixed on the persons skin.

Question 16

Where do you strike the stationary hand in indirect percussion?

Answer 16

Just behind the nail bed or at the distal interphalangeal joint.

Question 17

What is an example of an resonant sound from percussion?

Answer 17

Air filled lungs.

Pitch - Low
Amplitude - Medium-loud
Quality - Clear, hollow

Question 18

What is an example of an Hyperresonant sound from percussion?

Answer 18

Child’s Lungs

Pitch - Lower
Amplitude - Louder
Quality - Longer

Abnormal finding in adults

Question 19

What is an example of a Tympany sound from percussion?

Answer 19

Over air-filled viscus (stomach & intestines)

Pitch - High
Amplitude - Loud
Quality - Musical and drum like

Question 20

What in an example of a Dull sound from percussion?

Answer 20

Dense organ such as the spleen or liver.

Pitch - Soft
Amplitude - High
Quality - Muffled thud

Question 21

What is an example of a Flat sound from percussion?

Answer 21

When no air is present, over thigh muscle, bone, or tumours.

Pitch - Very soft
Amplitude - High
Quality - An instant stop of sound, absolute dullness.

Question 22

What is a Diaphragm, and what is it used for in auscultation?

Answer 22

The larger end on a stethoscope. Used for hearing high-pitched sounds like heart sounds.

Ensure to press firmly to surface

Question 23

What is a bell, and what is it used for in auscultation?

Answer 23

Smaller end of a stethoscope. Used for low pitch sounds such as heart murmurs. Press lightly, just enough to seal on the surface.

Question 24

What should you consider in your setting for the assessment?

Answer 24

The space
Exam
Equipment
Environment

Question 25

What is the best approach in examining an Infant?

Answer 25

Position - Lay baby flat on the table with parent close by Prep - Best to wait 1 -2 hours after feeding, keep eye contact and make sure hands and room are warm. Sequence - Least invasive first, if asleep listen to lung, abdomen first. Check the moro (startle) reflex last.

Question 26

What is the best approach in examining a toddler?

Answer 26

Position - Sitting up on parents lap with their assistance. Prep- Engage parent first, then give attention to child. Parent should help undress the child as many not trust you entirely. Sequence - Collect objective data first while keeping an eye on the child. Lease invasive first; invasive last (eye, ear, throat)

Question 27

What is the best approach to examine a Pre-school aged child?

Answer 27

Position - Keep parent close by, may hold child. Prep- Use short simple sentences, allow them to play with the equipment to make them comfortable. Compliment child for cooperating. Sequence - Leave eye/ear/throat exam for last

Question 28

What is the best approach in examining a school aged child?

Answer 28

Positon - Use bed or table, parent may or not be present Prep- Table about what you are doing and how the body works. Have the child undress themselves. Sequence - Head to toe

Question 29

What is the best approach in examining an adolescent?

Answer 29

Position - Use bed or table Prep- Be aware of comments regarding the body Sequence - Progress from head to toe.