week 4: physical examination

Question 1

purpose of the physical examination

‘The purpose is SET in stone’

S___ ___ obtained from ___ during the ___ ___ ___.
E__ ___ ___ of ___ ___ reported from ___
T___ with the ___ ___ ___ it provides basis for ___ ___.

Answer 1

supplements data, patient, health history interview

enables objective validation, subjective data, patient

together, health history interview, care planning

Question 2

preparing the environment for the physical examination remember:

‘pErforM thE pHysicAl after’

E__ ___ & ___ (___). ‘EsPeCially Temperature’
M__ ___ ___ & ___ ‘MINimisE’
E__ adaquate ___ & ___ to ___ ___ the ___
‘Ensure to ALwayS MAP the environment’
H__ ___/___ ___ at an appropriate ___ ___
‘Have BETs And Win Handsomly’
A__ upon a ___ for the assessment
‘Agree on TAking assessment’

Answer 2

ensure privacy & comfort (temperature)

minimise interruptions & external noise

ensure, lighting & space, move around, patient

have bed/examination table, working height

agree, time

Question 3

when preparing the equipment remember
‘CHeck When Preparing & Gathering’

C\_\_ equipment is \_\_\_ \_\_\_ 
H\_\_ equipment in \_\_\_ & \_\_\_ in \_\_\_ of use
W\_\_ equipment that will \_\_\_ the \_\_\_ \_\_\_.
P\_\_ \_\_\_ \_\_\_ before \_\_\_ \_\_\_
G\_\_ the \_\_\_ & \_\_\_ needed

Answer 3

check, functioning properly

have, reach & arranged, order

warm, touch, patient skin

perform hand hygiene, preparing equipment

gather, supplies & instruments

Question 4

physical examination equipment:
‘POSTGRAD’S areN’T ProblematiC, they ProMiSe the PoSSibiTy of mistake is 0, they’re CAreful’

P\_\_ \_\_\_
O\_\_
S\_\_
T\_\_
G\_\_
R\_\_
A\_\_
D\_\_
S\_\_

Answer 4

pulse oximeter
ophthalmoscope
stethoscope
thermometer
gloves
ruler
auriscope
doppler
sphygmomanometer

Question 5

these are ___, don’t forget them in the physical examination equipment

POSTGRAD’s

Answer 5

gloves

Question 6

this is a ____, don’t forget it in your physical examination equipment

POSTGRAD’s

Answer 6

thermometer

Question 7

this is a ___, don’t forget it in your physical examination equiment

POSTGRAD’s

Answer 7

stethoscope

Question 8

this is a ___, don’t forget it in your physical examination equiment

POSTGRAD’S

Answer 8

sphygmomanometer

Question 9

this is a ___ ___, don’t forget it in your physical examination equipment

POSTGRAD’S

Answer 9

pulse oximeter

Question 10

this is a ___, don’t forget it in you physical examination equipment

POSTGRAD’s

Answer 10

doppler

Question 11

this is a ___ ___ ___, don’t forget it in your physical examination equiment

POSTGRAD’S Never forget theSe’

Answer 11

snellen vision chart

Question 12

this is a ___, don’t forget it in your physical examination equipment

POSTGRAD’s

Answer 12

opthalmoscope

Question 13

this is a ___, don’t forget it in your physical examination equipment.

POSTGRAD’s

Answer 13

auriscope

Question 14

this is a ___, don’t forget it in your physical examination equipment.

‘POSTGRAD’S’

Answer 14

specula

Question 15

this is a ___ ___, don’t forget it in your physical examination equipment

POSTGRAD’S Never

Answer 15

nasal speculum

Question 16

physical examination equipment:
‘POSTGRAD’S areN’T ProblematiC, they ProMiSe the PoSSibiTy of mistake is 0, they’re CAreful’

POSTGRAD’S areN’T

N__ ___
T__ ___

Answer 16

nasal speculum

tuning fork

Question 17

physical examination equipment:
‘POSTGRAD’S areN’T ProblematiC, they ProMiSe the PoSSibiTy of mistake is 0, they’re CAreful’

‘POSTGRAD’S areN’T ProblematiC’

P__ ___
C__

Answer 17

percussion hammer

callipers

Question 18

physical examination equipment:
‘POSTGRAD’S areN’T ProblematiC, they ProMiSe the PoSSibiTy of mistake is 0, they’re CAreful’

‘they ProMiSe’

P__
M__ ___
S__

Answer 18

pentorch

marking pen

scales

Question 19

physical examination equipment:
‘POSTGRAD’S areN’T ProblematiC, they ProMiSe the PoSSibiTy of mistake is 0, they’re CAreful’

‘the PoSSibiliTy of mistake is 0’

P__ ___
S__ ___ ___
S__
T__ ___

Answer 19

protective equipment

snellen vision chart

specular

tongue depressors

Question 20

physical examination equipment:
‘POSTGRAD’S areN’T ProblematiC, they ProMiSe the PoSSibiTy of mistake is 0, they’re CAreful’

‘they’re CAreful’

C__ A__

Answer 20

cotton applicators

Question 21

physical examination equipment:

‘POSTGRAD’S areN’T ProblematiC, they ProMiSe the PoSSibiTy of mistake is 0, they’re CAreful’

Question 22

This is a ___, don’t forget it in your physical examination equiment

Answer 22

tuning fork

Question 23

This is a ___, don’t forget it in your physical examination equiment

Answer 23

percussion hammer

Question 24

This is a ___, don’t forget it in your physical examination equiment

Answer 24

tongue depressor

Question 25

This is a ___, don't forget it in your physical examination equiment

Answer 25

pentorch

Question 26

This is a ___, don't forget it in your physical examination equiment

Answer 26

ruler/tape measure

Question 27

This is a ___, don't forget it in your physical examination equiment

Answer 27

marking pen

Question 28

This is a ___, don't forget it in your physical examination equiment

Answer 28

callipers

Question 29

This is a ___, don't forget it in your physical examination equiment

Answer 29

PE

Question 30

This is a ___, don't forget it in your physical examination equiment

Answer 30

scales/measuring pole

Question 31

This is a ___, don't forget it in your physical examination equiment

Answer 31

cotton applicators/specimens

Question 32

preparing the patient you must ____ the ____ and ____ of the examination. Make sure the patient is ____ & free from ____. Sequence the exam in ____ ____ changes. Monitor the patients ____ throughout the examination. Pace the examination according to the patient's ____. Answer patient questions ____ & ____.

Answer 32

explain, purpose, procedures comfortable, pain minimise position responses tolerance directly & honestly

Question 33

positioning the patient This is _____.

Answer 33

standing

Question 34

positioning the patient This is _____.

Answer 34

sitting

Question 35

positioning the patient This is _____.

Answer 35

supine

Question 36

positioning the patient This is _____ _____.

Answer 36

sims position

Question 37

positioning the patient This is _____.

Answer 37

lithotomy

Question 38

positioning the patient This is _____.

Answer 38

dorsal recumbant

Question 39

positioning the patient This is _____.

Answer 39

prone

Question 40

positioning the patient This is _____ _____ _____.

Answer 40

knee to chest

Question 41

4 physical assessment techniques: Physical - PAtIent P__ P__ A__ I__

Answer 41

palpation, percussion, auscultaion, inspection

Question 42

you ____ for auscultation & percussion techniques

Answer 42

listen

Question 43

you ___ & ___ for inspection techniques

Answer 43

look & smell

Question 44

you ____ for palpation techniques

Answer 44

feel

Question 45

In a physical examination, the order is ___ > ___ > ___ > ___ > (circle)

Answer 45

look, listen, smell, feel

Question 46

auscultation involves ____ to ____ produced in the body such as ___, ___, ___ & ___ sounds.

Answer 46

breath, heart, blood, bowel

Question 47

auscultation can be ____ or ____

Answer 47

direct or indirect

Question 48

____ auscultation could be ____ to an expiratory wheeze

Answer 48

direct, listening

Question 49

____ auscultation could be ____ the sounds made by gas/fluid in the bowel

Answer 49

indirect, hearing

Question 50

auscultation requires a good ____ with ____ fitting ear pieces, ____ not longer than ____, ___ & ___, ___ ___ ___.

Answer 50

stethoscope, snug, tubing, 15 inches, bell & diaphragm, rubber tubing intact

Question 51

____ auscultation uses a ____ & ____

Answer 51

indirect, diaphragm & bell

Question 52

with a diaphragm you press ____ ____ against the patient's skin, it is used to detect ___-___ sounds e.g., ____ & ____ sounds

Answer 52

reasonably firmly, high-pitched, beath & bowel

Question 53

a bell is used to detect ____-____ sounds e.g., ____ & ____ sounds, you press ____ over body part, ___ ___ enough to ____.

Answer 53

low-pitched, heart, vascular, lightly, just firmly, seal

Question 54

auscultation sounds: ____: ____ of vibrations ____: ____, described as ____ or ____ ____: ____ of ____ the sound ____ ____: ____ of sound e.g., ____, ____, ____

Answer 54

pitch, frequency intensity, amplitude, loud or soft duration, length, time, last quality: type, blowing, gurgling, wheezing

Question 55

____ palpation precedes ____ palpation. ____ areas are percussed/palpated ____. technique should be ____ & ____.

Answer 55

light, deep tender, last slow, systematic

Question 56

percussion is the ____ of a portion of the body to elicit ____ or ____ that vary with the ____ of the underlying structures. It assists in locating ____ ____, identifying ____ ____, ____ & ____. It requires a ____ ____ & a ____ ____. May be ____ or ____ depending on the reason why the assessment is being conducted.

Answer 56

tapping, tenderness, sounds, density organ borders, organ shape, position, consistency skilled touch, trained ear direct or indirect

Question 57

____ percussion involves ____ with ____ to ___ fingertips or ____ using the ____ ____ of a closed fist. The strike is ____ & the movement is from the ____ not the ____. Used to detect ____ through ____.

Answer 57

direct, tapping, 1 to 2, striking, ulnar surface rapid, wrist, arm tenderness, vibrations

Question 58

____ percussion is the ____ of an ____ (finger) held against the body area to be examined. Used over ____ or ____ to indicate the ____ of the underlying structures ____ finger of ____-____ hand is pressed ____ on the patients skin The ____ ____ is ____ with the ____ finger of of the ____ hand.

Answer 58

indirect, stricking, object chest, abdomin, density middle, non-dominant, firmly interphalangeal joint, struck, middle, dominant

Question 59

percussion sounds ____: ____ sound produced by dense tissue e.g., muscle or bone - no air present ____: ____ like/____ sound produced by dense tissie e.g., liver, spleen, heart ____: ____, ____ sound produced by air, e.g., normal lung tissue ____-____: ____ sound e.g., children's lungs, lung affected by emphysema ____: ____ like sound produced from air filled stomach e.g., intestine, gastric air bubble or puffed-out cheek

Answer 59

flat, dull dull, thud like/muffled resonance, clear, hollow hyper-resonance, booming tympany, drum

Question 60

muscle or bone with no air present is likely to produce ____ percussion sounds

Answer 60

flat

Question 61

liver, spleen and heart would all produce ____ percussion sounds

Answer 61

dull

Question 62

normal lung tissue would produce ____ percussion sounds

Answer 62

resonance

Question 63

children's lungs or a lung affected by emphysema would produce ____-____ percussion sounds

Answer 63

hyper-resonance

Question 64

intestine, gastric air bubble or puffed-out cheek would all produce ____ percussion sounds

Answer 64

tympany

Question 65

palpation involves ____ & ____ body parts with the ____ to determine the following characteristics: ____, ____, ____, ____, ____, ____ 'TTMMCD'

Answer 65

texture, temperature, moisture, motion, consistency, distension

Question 66

for fine discrimination or pulsations you would use your _____

Answer 66

fingertips

Question 67

for vibrations you would use the ____ or ____ surface

Answer 67

palmar/ulnar

Question 68

for temperature you would use the ____ surface

Answer 68

dorsal

Question 69

for light palpation the skin is depressed ____ with ____ ____. Do not palpate ____ ____.

Answer 69

1cm, finger pads, pulsating masses

Question 70

deep palpation should only be used by ____ ____. The skin is depressed ____ to ____ with ____, ____ pressure ____ hand may be used ___ ___ of the other to exert the required amount of ____. used to feel ____ ___ and ____.

Answer 70

advanced practitioners 2 to 4cm firm, deep one, on top, pressure internal organs and masses

Question 71

Bimanual palpation should only be used by ____ ____. It is used to ____ ____ ____ ____. ____ hands are used, one ___ ___ of the body part or ____ being felt ____ hand applies ____ whilst the ____ one is used to detect ____ ____.

Answer 71

advanced professionals assess deep abdominal organs 2, each side, organ upper, pressure, lower, deep structures

Question 72

fingertips are used for ____ ____ & ____

Answer 72

dine discrimination, pulsations

Question 73

the palma/ulnar surface is used for _____

Answer 73

vibrations

Question 74

the dorsal surface is used to detect _____

Answer 74

temperature