Term
| Four basic physical exam techniques: |
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Definition
| Inspection, palpation, auscultation, and percussion. |
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Term
| What part of the hands are more sensitive for detecting masses, fluid, position, consistency, size and crepitus? |
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Definition
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Term
| What should you use to assess tactile fremitus? |
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Definition
| Use the palm of your hand because the skin is thin and more sensitive. |
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Term
| What is tactile fremitus? |
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Definition
| Palpable vibrations of the chest during coughing or talking. |
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Term
| When recording/reporting lung sounds, you should note: |
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Definition
| Abnormal sound, location, and timing during the respiratory cycle. |
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Term
| You will usually perform auscultation last except... |
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Definition
| Acute abdomen. Auscultate before percussion and palpation. |
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Term
| A weak and thready pulse is a sign of: |
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Definition
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Term
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Definition
| Normal rate of respiration, but deeper. |
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Term
| Define: Cheyne-Stokes Respirations |
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Definition
| Respirations which cycle through increase, decrease then absence. |
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Term
| Define: Biot's Respirations |
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Definition
| Respirations with rapid, deep gasps with periods of apnea. |
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Term
| Define: Kussmaul's Respirations |
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Definition
| Rapid and deep respirations. |
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Term
| Define: Apneustic Respirations |
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Definition
| Prolonged inspiration with shortened expiration. |
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Term
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Definition
| Normal rate and depth of respirations. |
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Term
| What are Korotkoff sounds? |
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Definition
| The sounds of blood hitting the arterial walls that you auscultate when you take your patient's blood pressure. |
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Term
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Definition
| Difference between the Systolic and Diastolic values of blood pressure. |
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Term
| A rising pulse pressure indicates... |
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Definition
| Increasing intracranial pressure - the body's attempt to perfuse the brain. |
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Term
| A narrowing pulse pressure suggests? |
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Definition
| Tamponadte, tension pneumothorax, or hypovolemic shock. |
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Term
| If a patient moves to a supine position, and the pulse raises 10-20 bpm, or BP drops 10-20 mmHg when you sit the patient up, what should you suspect? |
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Definition
| This indicates significant blood loss. This is considered a positive "Tilt Test" or orthostatic hypotension. |
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Term
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Definition
-Patient goes supine, pulse rate increases by more than 10-20 bpm.
-Patient sits up, and BP drops by more than 10-20 mmHg. |
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Term
| At what temperature do brain cells die and possibly cause seizures? |
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Definition
| 105 Degrees F or 41 Degrees C |
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Term
| When is a rectal thermometer the preferred method of obtaining a temperature? |
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Definition
| Child younger than 6 years old. |
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Term
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Definition
| Abnormal sound on auscultation. |
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Term
| What part of your stethescope maximizes your ability to auscultate BP, heart sounds or arterial bruits? |
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Definition
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Term
| What part of your stethescope maximizes your ability to auscultate lung or bowel sounds? |
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Definition
| The bell side is recommended. |
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Term
| What features in a stethescope will maximize your ability to auscultate sound? |
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Definition
-Rigid diaphragm cover
-Thick, heavy, short tubing.
-Always angle earpiece towards the nose. |
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Term
| What would an otoscope be used for? |
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Definition
| To visualize the tympanic membrane (eardrum). It has a light source, a speculum, and a magnifying glass that you insert into the ear canal. |
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Term
| What would you use to visualize a tympanic membrane? |
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Definition
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Term
| What is the significance of a bitter almond scent on your patient's breath? |
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Definition
| It may be a classic finding for cyanide poisoning. |
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Term
| If you are unsuccesful in obtaining a blood pressure, how long should you wait before reinflating the cuff? |
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Definition
| You should wait 30 seconds for the blood pressure to normalize. Failure to wait will render an inaccurate reading. |
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Term
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Definition
| It is hemoglobin in its state with lower oxygen levels. It is a dark blue, which gives the skin its cyanotic look during hypoxia. |
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Term
| If a patient has jaundice, how should the color change present itself? |
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Definition
| Jaundice will usually occur with the sclera first, then it will start manifesting in the rest of the body. This would indicate severe liver disease. |
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Term
| If a patient presents with a yellowish tint to the palms of his hands, soles of his feet, and his face, but NOT the sclera, what could this possibly be? |
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Definition
| Carotanemia is a harmless nutriontal condition caused by a diet high in carrots and yellow vegetables or fruits. |
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Term
| How would the skin present in patients with Hyperthyroidism? |
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Definition
| The would have oily skin. |
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Term
| How would a patient's skin present if there was bleeding subcutaneously? |
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Definition
| Localized warmth in the area. |
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Term
| How would the skin present in a patient with Eczema? |
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Definition
| They would have thick skin. |
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Term
| How would the skin of a patient who is dehydrated present? |
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Definition
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Term
| How would the skin in a patient with Scleroderma present? |
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Definition
| The patient's skin would have decreased mobility. The patient would have reddish scaley skin present. This condition can effect blood vessels and internal organs. |
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Term
| What you expect to find in a malignant mass? |
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Definition
| Upon palpation, you will find that it is affixed to a specific structure and immobile. Also noting color and border. An irregular border and dark color also suggests a malignancy. |
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Term
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Definition
| Abnormal facial hair growth in women, usually caused by a hormonal imbalance. |
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Term
| What is the difference between dandruff and nits (lice eggs)? |
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Definition
| Dandruff will flake off easily, while nits will hang on the shaft of the hair. |
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Term
| How do you evaluate a patient's Temporomandibular joint (TMJ)? |
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Definition
| Place one finger in front of the tragus, and upon the patient opening their mouth, the finger should fall into the depression. Palpate for crepitus, and normal range of motion. |
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Term
| How far away from the face do you hold the card to evaluate visual acuity? |
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Definition
| Approximately 14 inches away. |
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Term
| Define direct response in terms of checking the retina? |
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Definition
| Direct response is shining a light into any eye, and evaluate the retinas reaction to the light. |
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Term
| Define consensual response in terms of checking the retina of the eye. |
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Definition
| Consensual response is shining a light into one eye, and |
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