week 4: physical examination Flashcards

1
Q

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 ___ ___.

A

supplements data, patient, health history interview

enables objective validation, subjective data, patient

together, health history interview, care planning

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2
Q

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’

A

ensure privacy & comfort (temperature)

minimise interruptions & external noise

ensure, lighting & space, move around, patient

have bed/examination table, working height

agree, time

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3
Q

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
A

check, functioning properly

have, reach & arranged, order

warm, touch, patient skin

perform hand hygiene, preparing equipment

gather, supplies & instruments

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4
Q

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\_\_
A
pulse oximeter
ophthalmoscope
stethoscope
thermometer
gloves
ruler
auriscope
doppler
sphygmomanometer
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5
Q

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

POSTGRAD’s

A

gloves

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6
Q

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

POSTGRAD’s

A

thermometer

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7
Q

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

POSTGRAD’s

A

stethoscope

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8
Q

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

POSTGRAD’S

A

sphygmomanometer

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9
Q

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

POSTGRAD’S

A

pulse oximeter

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10
Q

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

POSTGRAD’s

A

doppler

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11
Q

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

POSTGRAD’S Never forget theSe’

A

snellen vision chart

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12
Q

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

POSTGRAD’s

A

opthalmoscope

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13
Q

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

POSTGRAD’s

A

auriscope

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14
Q

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

‘POSTGRAD’S’

A

specula

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15
Q

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

POSTGRAD’S Never

A

nasal speculum

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16
Q

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__ ___

A

nasal speculum

tuning fork

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17
Q

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__

A

percussion hammer

callipers

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18
Q

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

‘they ProMiSe’

P__
M__ ___
S__

A

pentorch

marking pen

scales

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19
Q

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__ ___

A

protective equipment

snellen vision chart

specular

tongue depressors

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20
Q

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

‘they’re CAreful’

C__ A__

A

cotton applicators

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21
Q

physical examination equipment:

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

A
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22
Q

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

A

tuning fork

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23
Q

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

A

percussion hammer

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24
Q

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

A

tongue depressor

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25
Q

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

A

pentorch

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26
Q

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

A

ruler/tape measure

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27
Q

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

A

marking pen

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28
Q

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

A

callipers

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29
Q

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

A

PE

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30
Q

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

A

scales/measuring pole

31
Q

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

A

cotton applicators/specimens

32
Q

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 ____ & ____.

A

explain, purpose, procedures

comfortable, pain

minimise position

responses

tolerance

directly & honestly

33
Q

positioning the patient

This is _____.

A

standing

34
Q

positioning the patient

This is _____.

A

sitting

35
Q

positioning the patient

This is _____.

A

supine

36
Q

positioning the patient

This is _____ _____.

A

sims position

37
Q

positioning the patient

This is _____.

A

lithotomy

38
Q

positioning the patient

This is _____.

A

dorsal recumbant

39
Q

positioning the patient

This is _____.

A

prone

40
Q

positioning the patient

This is _____ _____ _____.

A

knee to chest

41
Q

4 physical assessment techniques:

Physical - PAtIent

P__
P__
A__
I__

A

palpation, percussion, auscultaion, inspection

42
Q

you ____ for auscultation & percussion techniques

A

listen

43
Q

you ___ & ___ for inspection techniques

A

look & smell

44
Q

you ____ for palpation techniques

A

feel

45
Q

In a physical examination, the order is

___ > ___ > ___ > ___ > (circle)

A

look, listen, smell, feel

46
Q

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

A

breath, heart, blood, bowel

47
Q

auscultation can be ____ or ____

A

direct or indirect

48
Q

____ auscultation could be ____ to an expiratory wheeze

A

direct, listening

49
Q

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

A

indirect, hearing

50
Q

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

A

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

51
Q

____ auscultation uses a ____ & ____

A

indirect, diaphragm & bell

52
Q

with a diaphragm you press ____ ____ against the patient’s skin, it is used to detect ___-___ sounds

e.g., ____ & ____ sounds

A

reasonably firmly, high-pitched, beath & bowel

53
Q

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

A

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

54
Q

auscultation sounds:

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

A

pitch, frequency

intensity, amplitude, loud or soft

duration, length, time, last

quality: type, blowing, gurgling, wheezing

55
Q

____ palpation precedes ____ palpation.

____ areas are percussed/palpated ____.

technique should be ____ & ____.

A

light, deep

tender, last

slow, systematic

56
Q

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.

A

tapping, tenderness, sounds, density

organ borders, organ shape, position, consistency

skilled touch, trained ear

direct or indirect

57
Q

____ 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 ____.

A

direct, tapping, 1 to 2, striking, ulnar surface

rapid, wrist, arm

tenderness, vibrations

58
Q

____ 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.

A

indirect, stricking, object

chest, abdomin, density

middle, non-dominant, firmly

interphalangeal joint, struck, middle, dominant

59
Q

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

A

flat, dull

dull, thud like/muffled

resonance, clear, hollow

hyper-resonance, booming

tympany, drum

60
Q

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

A

flat

61
Q

liver, spleen and heart would all produce ____ percussion sounds

A

dull

62
Q

normal lung tissue would produce ____ percussion sounds

A

resonance

63
Q

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

A

hyper-resonance

64
Q

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

A

tympany

65
Q

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

____, ____, ____, ____, ____, ____

‘TTMMCD’

A

texture, temperature, moisture, motion, consistency, distension

66
Q

for fine discrimination or pulsations you would use your _____

A

fingertips

67
Q

for vibrations you would use the ____ or ____ surface

A

palmar/ulnar

68
Q

for temperature you would use the ____ surface

A

dorsal

69
Q

for light palpation the skin is depressed ____ with ____ ____.

Do not palpate ____ ____.

A

1cm, finger pads,

pulsating masses

70
Q

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 ____.

A

advanced practitioners

2 to 4cm firm, deep

one, on top, pressure

internal organs and masses

71
Q

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 ____ ____.

A

advanced professionals

assess deep abdominal organs

2, each side, organ

upper, pressure, lower, deep structures

72
Q

fingertips are used for ____ ____ & ____

A

dine discrimination, pulsations

73
Q

the palma/ulnar surface is used for _____

A

vibrations

74
Q

the dorsal surface is used to detect _____

A

temperature