Shared Flashcard Set

Details

OSCE
Physical Exam #2
68
Medical
Professional
02/18/2012

Additional Medical Flashcards

 


 

Cards

Term
What's another name for the papillae of the ducts of the submandibular gland?
Definition
Wharton's duct 
Term
What's another name for the opening of the parotid gland?
Definition
Stenson's duct
Term
What are the contents of the anterior triangle?
Definition

SCM

midline

mandible

Term
Where is the thyroid normally located?
Definition
between C5 and T1
Term
What are the components of the external ear?
Definition

helix

antihelix

lobule

tragus

Term
What direction do you pull the ear when examing?
Definition
up, out and back
Term
What's the purpose of finding the posterior axillary line?
Definition

-to help locate findings vertically and horizontally around the thorax

Term
How high does the apex of the lung come anteriorly?
Definition
2-4 cm above inner third of clavicle
Term
Where is the lower border of the lung anteriorly?
Definition
6th rib
Term
What's the location of the lung laterally?
Definition
8th rib at the midaxillary line
Term
What's the posterior location of the lung?
Definition
T10
Term
How far does the lung descend during breathing?
Definition
5-6 cm
Term
Where is the oblique lobe located?
Definition

T3 spinous process (posteriorly)

6th rib in midclavicular line (anteriorly)

Term
How many lobes does the right lung have?
Definition
3
Term
Location of the horizontal fissure?
Definition
anteriorly runs from the 4th rib and the then to 5th in midaxillary line
Term
Does the right middle lung have a posterior projection?
Definition
no
Term
Where do you place your thumbs when testing for respiratory expansion?
Definition
10th rib
Term
When percussing where should one begin?
Definition

at the top of the lung 

also, compare right to left side

Term
Where is tracheal breath sound heard?
Definition
over the trachea
Term
bronchial breath sound
Definition
over the manubrium
Term
bronchovesicular breath sound
Definition
betwen the scapula
Term
vesicular breath sound
Definition
throughout rest of the lung
Term
What are the normal breath sounds?
Definition

trachea

bronchial

bronchovesicular

vesicular

Term
When testing for auscultation what part of the stethoscope should you use?
Definition
diaphragm
Term
What's the location of the base of the heart?
Definition
below sternal angle
Term
Where is the apex located?
Definition

apex is the tip of the LV

midclavicular line (5th intercostal space)

Term
where is the aortic area
Definition
right 2nd intercostal space
Term
Where is the pulmonic area
Definition
left 2nd intercostal space
Term
Surface projection of precordium of right atrium
Definition
right heart border from right 2nd ICS to 3rd or 4th ICS
Term
precordium of right ventricle
Definition

-RV occupies most of anterior cardiac surface

Term
surface projection on the precordium of LV
Definition

-left lateral border of anterior cardiac surface

Term
What 4 factors influcence arterial BP?
Definition

1. LV stroke volume

2. distensibility of aorta and large arteries

3. Peripheral and Vascular resistance

4. Blood volume

Term
What's the appropriate width of the BP cuff?
Definition
40% circumference of patients arm
Term
What's the appropriate length of the bladder for BP?
Definition
80% circumference of patients arm
Term
What happens if cuff is too small?
Definition
BP elevated
Term
What does the maximal height of the internal jugular vein represent?
Definition
right atrial pressure
Term
Where is spliting of S2 best heard?
Definition
left 2nd intercostal space (pulmonic area)
Term
What's the lateral border of the rectus abdominus muscle?
Definition
linea semilunaris
Term
Where is the umbilicus located
Definition
L3-L5
Term
inguinal ligament
Definition
from pubic tubercle to ASIS
Term
How long is the colon?
Definition
5 feet
Term
Where does the colon begin?
Definition
RLQ
Term
Pathway of colon
Definition

1.) begins in RLQ

2.) turns into ascending colon ascending to hepatic flexure (9th intercostal space)

3) transverse colon travels from hepatic to splenic flexure in LUQ

4) becomes descending colon and turns into cecum at pelvic brim

Term
What's the longest and most mobile part of colon?
Definition
transverse colon
Term
Where is the spleen located?
Definition

LUQ at level of 9-11th rib

posterior to left midaxillary line

Term
What are the dimensions of the kidney?
Definition

-11cm long

-5-6cm wide

-3cm thick

-4-5 cm from midline at T12 through L1

Term
What protects the kidney?
Definition
11th and 12th ribs posteriorly
Term
Which kidney is lower?
Definition
right
Term
abdominal aorta
Definition

-begins at T12-L1

-bifurcates at L4

-10 cm long

-2.5cm diameter

Term
How many bowel sounds are there/minute?
Definition
5-34
Term
Where are the horizontal superficial inguinal lymph nodes located?
Definition

inferior to iguinal ligament

-drain superficial portions of lower abdomen and buttock, external genitalia (except testes), anal canal, perineal area and lower vagina

Term
Where are the vertical inguinal lymph nodes located?
Definition

-medial and parallel to femoral artery

-below inguinal ligament

-drain the distal leg

Term
Where are hands placed for palpation of liver?
Definition
at level of umbilicus, lateral to rectus abdominus
Term
liver span
Definition
6-12cm
Term
Hand placements for kidney palpation
Definition

-right hand below costal margin in RUQ, lateral to RA

-left hand below and parallel to 12th rib

Term
Where is thyroid normally located?
Definition
between C5 and T1
Term
What does the tragus lie in front of?
Definition
external auditory meatus
Term
Waht direction do you pull the ear when examining?
Definition
up, out and back
Term
What's another name for the pre-auricular lymph nodes?
Definition
parotid lymph nodes
Term
What's another name for the post auricular lymph nodes?
Definition
mastoid
Term
What is the landmark for the superficial cervical lymph nodes?
Definition
SCM
Term
What's the purpose of tactile fremitus?
Definition
-to detect palpable vibrations in lung
Term
What's the purpose of percussion?
Definition

-to determine presence of fluid filled lungs or mass

-can detect 5-7cm deep

Term
What are transmitted voice sounds a sign of?
Definition
airless lung or consolidated lung
Term
What's the origin and insertion of the rectus abdominus?
Definition

-originates at pubic crest and inserts onto the anterior surface of ribs 5-7 and xiphoid process

Term
Where do you begin to percuss for liver?
Definition
umbilicus
Term
What is found in the anatomical snuff box?
Definition

-abductuor pollicis longus

-extensor pollicis longus

-scaphoid bone

-radial artery

Term
Where is the tibial tubercle located?
Definition
inferior to patella
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