Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

patient assessment > Vol. 3 Ch. 5: Secondary Assessment > Flashcards

Vol. 3 Ch. 5: Secondary Assessment Flashcards

0
Q

the process in which a paramedic places a hand on a body part, then sharply taps a distal knuckle with the tip of another finger is known as:

A

percussion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
1
Q

You can test for visual acuity without a visual acuity card by:

A

having the patient count your raised fingers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

physical examination techniques DO NOT include:

A

association

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is included in an examination of the cardiovascular system?

A

auscultate for carotid bruits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

one sign of gonorrhea in males is a(n):

A

profuse, yellow discharge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

during the abdominal exam, areas that are known to be painful or tender should be examined:

A

last

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is the best technique for evaluating plantar reflexes?

A

stroke the lateral aspect of the sole of the foot from heel to ball, curving medially

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

your patient is complaining of numbness and hand pain that wakes him; what does he likely have?

A

carpal tunnel syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is an abnormal characteristic in the appearance of oral mucosa?

A

patches of white

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

a condition marked by exaggerated lumbar concavity is called:

A

lordosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

you can test the oculomotor, trochlear, and abducens nerves by:

A

evaluating the patient’s extraocular movements

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

by placing the tip of the index finger in the depression in front of the tragus and asking the patient to open his mouth, the paramedic can evaluate the:

A

temporomandibular joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

increased fremitus over part of the patient’s chest wall may indicate:

A

pneumonia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

the standard sequence for examining the chest is:

A

inspect, palpate, percuss, auscultate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the sequence of a joint examination?

A

inspection, palpation, passive range of motion, range of motion against gravity, range of motion against resistance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what guideline should be observed when examining a 1-3 year-old patient?

A

focus on the vital areas as indicated by the chief complaint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

assessing for bronchophony is important if the patient has abnormal or absent lung sounds because its presence can reveal:

A

fluid in the lungs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

the fourth heart sound, S4, is:

A

an atrial gallop sound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

the loss of muscle tone results in:

A

flaccidity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

dullness in the chest during percussion of the 3rd to 5th intercostal spaces can be attributed to the location of the:

A

heart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what is an abnormal finding in the pupils?

A

slow but equal reaction to light

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

A patient with bilateral discolored skin over the mastoid process is suspected to have a:

A

basilar skull fracture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

pleural effusion is characterized by the presence of:

A

fluid in the pleural space

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

skin color is best evaluated by observing the:

A

nail beds and conjunctiva

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

cyanosis is caused by increased:

A

deoxyhemoglobin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

which sound is produced when the tricuspid and mitral valves close during systole?

A

S1

26
Q

nasal flaring is an indication of:

A

respiratory distress

27
Q

for you to assess for JVD, your patient should be ________ at a ___-degree angle.

A

sitting, 45

28
Q

the sounds auscultated when assessing the BP are the ________ sounds.

A

Korotkoff

29
Q

What is the best position of a patient for an abdominal exam?

A

supine with the head and knees supported by pillows

30
Q

While you are assessing for a Babinski response, the patient’s big toe dorsiflexes and the other toes fan out. This indicates a _______ response, which is ________.

A

positive, abnormal

31
Q

During questioning, a patient describes a series of events that do not match what observers noted. This is an example of:

A

confabulation

32
Q

what is included in the examination of the mouth?

A

looking under the tongue

33
Q

what is the pulse pressure?

A

the difference between systolic and diastolic BPs

34
Q

areas of a neurological exam DO NOT include the:

A

cranium

35
Q

during the cardiac cycle, the S2 heart sound indicates the _______ of the _________ valves

A

closing, aortic and pulmonic

36
Q

A tear in the tracheobronchial tree or a pneumothorax can be characterized by __________ in the neck.

A

subcutaneous emphysema

37
Q

the crunching sound that is made when unlubricated skeletal parts rub against each other is called:

A

crepitation

38
Q

a white, curdlike vaginal discharge is typical of:

A

candidiasis

39
Q

When you ask a patient to puff out her cheeks, show her upper and lower teeth, and raise her eyebrows, which cranial nerve are you evaluating?

A

VII, the facial nerve

40
Q

after inspecting the penis and scrotum, your next step would be to:

A

inspect the glans

41
Q

upon auscultation of bowel sounds, you hear high-pitched gurgles and clicks lasting around 10 seconds; this indicates:

A

normal sounds

42
Q

normal pediatric respiratory and heart rates _____ as children grow older.

A

decrease

43
Q

rales, or crackles, would be most typically auscultated in patients with:

A

CHF

44
Q

Pitting edema that is 1/2 to 1 inch deep is __________ pitting edema.

A

+3

45
Q

Which body system would you gain the least information about during an abdominal exam?

A

musculoskeletal

46
Q

while speaking, your patient shifts rapidly from topic to topic without realizing that his thoughts are not connected is NOT a sign of:

A

depression

47
Q

lesions found in the lips may indicate:

A

skin cancer

48
Q

what is FALSE regarding the s3 heart sound?

A

it is a high-pitched sound heard at the end of diastole

49
Q

Asking a patient to state her name, the month and her address is assessing her:

A

memory and attention

50
Q

A patient who responds to your questions with clear speech but completely inappropriately indicates:

A

receptive aphasia

51
Q

the physical exam process of inspection begins:

A

as soon as you see the patient

52
Q

to evaluate equal chest expansion, your hands should be placed bilaterally on the:

A

posterior chest wall at the level of T10

53
Q

Auscultation for bowel sounds should be done:

A

in all four quadrants

54
Q

as part of the mental status exam, assessing a patient’s mood can be accomplished by:

A

observing verbal and nonverbal behavior

55
Q

when auscultating the breath sounds of a patient with pleurisy, you might expect to hear:

A

friction rub

56
Q

examination of the eyes includes checking the symmetry of:

A

pupil size, shape and contour

57
Q

to detect rebound tenderness in the abdomen, press:

A

slowly, then release quickly

58
Q

The S3 ventricular heart sound is characterized by the sound:

A

lub-dub-dee

59
Q

when a patient has fingernails on one hand that are well manicured, yet ragged and torn on the other and a beard groomed on one side and not on the other, this suggests:

A

brain lesion

60
Q

Your patient cannot move any muscles below his knees, indicating a spinal cord injury at the level of:

A

L2

61
Q

when you are percussing the chest, your finger should lie ________ to and ________ the ribs

A

parallel, between

62
Q

where should you listen for S1 heart sounds?

A

at the apex of the heart, along the lower left sternal border

63
Q

A female patient is complaining of arm pain. You inspect and palpate her arms and find no abnormalities. Your next step in the physical exam is to:

A

evaluate range of motion

patient assessment (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions