Vol. 3 Ch. 5: Secondary Assessment Flashcards
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:
percussion
You can test for visual acuity without a visual acuity card by:
having the patient count your raised fingers
physical examination techniques DO NOT include:
association
What is included in an examination of the cardiovascular system?
auscultate for carotid bruits
one sign of gonorrhea in males is a(n):
profuse, yellow discharge
during the abdominal exam, areas that are known to be painful or tender should be examined:
last
what is the best technique for evaluating plantar reflexes?
stroke the lateral aspect of the sole of the foot from heel to ball, curving medially
your patient is complaining of numbness and hand pain that wakes him; what does he likely have?
carpal tunnel syndrome
what is an abnormal characteristic in the appearance of oral mucosa?
patches of white
a condition marked by exaggerated lumbar concavity is called:
lordosis
you can test the oculomotor, trochlear, and abducens nerves by:
evaluating the patient’s extraocular movements
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:
temporomandibular joint
increased fremitus over part of the patient’s chest wall may indicate:
pneumonia
the standard sequence for examining the chest is:
inspect, palpate, percuss, auscultate
what is the sequence of a joint examination?
inspection, palpation, passive range of motion, range of motion against gravity, range of motion against resistance
what guideline should be observed when examining a 1-3 year-old patient?
focus on the vital areas as indicated by the chief complaint
assessing for bronchophony is important if the patient has abnormal or absent lung sounds because its presence can reveal:
fluid in the lungs
the fourth heart sound, S4, is:
an atrial gallop sound
the loss of muscle tone results in:
flaccidity
dullness in the chest during percussion of the 3rd to 5th intercostal spaces can be attributed to the location of the:
heart
what is an abnormal finding in the pupils?
slow but equal reaction to light
A patient with bilateral discolored skin over the mastoid process is suspected to have a:
basilar skull fracture
pleural effusion is characterized by the presence of:
fluid in the pleural space
skin color is best evaluated by observing the:
nail beds and conjunctiva
cyanosis is caused by increased:
deoxyhemoglobin
which sound is produced when the tricuspid and mitral valves close during systole?
S1
nasal flaring is an indication of:
respiratory distress
for you to assess for JVD, your patient should be ________ at a ___-degree angle.
sitting, 45
the sounds auscultated when assessing the BP are the ________ sounds.
Korotkoff
What is the best position of a patient for an abdominal exam?
supine with the head and knees supported by pillows
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 ________.
positive, abnormal
During questioning, a patient describes a series of events that do not match what observers noted. This is an example of:
confabulation
what is included in the examination of the mouth?
looking under the tongue
what is the pulse pressure?
the difference between systolic and diastolic BPs
areas of a neurological exam DO NOT include the:
cranium
during the cardiac cycle, the S2 heart sound indicates the _______ of the _________ valves
closing, aortic and pulmonic
A tear in the tracheobronchial tree or a pneumothorax can be characterized by __________ in the neck.
subcutaneous emphysema
the crunching sound that is made when unlubricated skeletal parts rub against each other is called:
crepitation
a white, curdlike vaginal discharge is typical of:
candidiasis
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?
VII, the facial nerve
after inspecting the penis and scrotum, your next step would be to:
inspect the glans
upon auscultation of bowel sounds, you hear high-pitched gurgles and clicks lasting around 10 seconds; this indicates:
normal sounds
normal pediatric respiratory and heart rates _____ as children grow older.
decrease
rales, or crackles, would be most typically auscultated in patients with:
CHF
Pitting edema that is 1/2 to 1 inch deep is __________ pitting edema.
+3
Which body system would you gain the least information about during an abdominal exam?
musculoskeletal
while speaking, your patient shifts rapidly from topic to topic without realizing that his thoughts are not connected is NOT a sign of:
depression
lesions found in the lips may indicate:
skin cancer
what is FALSE regarding the s3 heart sound?
it is a high-pitched sound heard at the end of diastole
Asking a patient to state her name, the month and her address is assessing her:
memory and attention
A patient who responds to your questions with clear speech but completely inappropriately indicates:
receptive aphasia
the physical exam process of inspection begins:
as soon as you see the patient
to evaluate equal chest expansion, your hands should be placed bilaterally on the:
posterior chest wall at the level of T10
Auscultation for bowel sounds should be done:
in all four quadrants
as part of the mental status exam, assessing a patient’s mood can be accomplished by:
observing verbal and nonverbal behavior
when auscultating the breath sounds of a patient with pleurisy, you might expect to hear:
friction rub
examination of the eyes includes checking the symmetry of:
pupil size, shape and contour
to detect rebound tenderness in the abdomen, press:
slowly, then release quickly
The S3 ventricular heart sound is characterized by the sound:
lub-dub-dee
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:
brain lesion
Your patient cannot move any muscles below his knees, indicating a spinal cord injury at the level of:
L2
when you are percussing the chest, your finger should lie ________ to and ________ the ribs
parallel, between
where should you listen for S1 heart sounds?
at the apex of the heart, along the lower left sternal border
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:
evaluate range of motion
