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35 Cards in this Set
- Front
- Back
True of False
Depressions that appear in all nail beds are usually caused by a systemic disease. |
True
p. 590 |
|
When examining the eyes, the first thing you want to test for is?
|
Visual Acuity
p. 590 |
|
When testing your pt's visual fields, you want to the pt to follow your finger left,right, up, and down. These directions are also known as?
|
Four quadrants
p. 591 |
|
A sluggish pupil suggests pressure on the ____ nerve (CN-___), from intracranial pressure.
|
Oculomoter nerver
CN-III p. 594 |
|
Bilateral sluggishness may indicate global ____ to the brain tissue or an adverse derug reaction.
|
hypoxia
p. 594 |
|
Constricted pupils suggest _____, while fixed and dilated pupils usually mean _____.
|
Opiate overdose
brain death p. 594 |
|
Pain or tenderness in the mastoid process could suggest ______ such as otitis or mastoiditis
|
Infection
P. 596 |
|
What are you examining when you see a "cone of light"?q
|
Normal eardrum
p. 598 |
|
The normal color of the tempanic membrane is?
|
White to pinkish gray
p. 598 |
|
Blood behind the eardrum is usually what color, and it usually indicates local trauma, barotrauma, of basilar skull fracture.
|
Purple or bluish
p. 599 |
|
What are the medical terms for a runny nose and a nose bleed?
|
Rhinitis- runny nose
Epistaxis- nose bleed p. 600 |
|
If a pt has a coating on the toungue, it could be a sign of ____
|
dehydration
p. 600 |
|
When examining a pt's mouth, the following fluids/unusual matter suggests what?
a)Coffee-grounds material b)Pink-tinged sputum c) Green or yellow phlegm |
a) Upper GI bleed
b) Acute pulmonary edema c) respiratory infection p.603 |
|
When examining lymph nodes:
a)Tender, swollen, and mobile suggest? b)Hard or fixed nodes suggest? |
a) Inflammation due to infection
b) malignancy p. 603 |
|
If a pt has chronic pulmonary disease, the chest wall abnormality that the pt will most likely to have is?
A) Pigeon Chest B) Funnel Chest C) Barrel Chest |
C) Barrel Chest
p. 605 |
|
When inspecting the intercostal spaces, what is the difference between retractions and bulging?
|
Retractions is airflow impeded during inspiration
Bulging is airflow impeded during exhalation p. 605 |
|
Name 5 abnormal breath/lung sounds?
|
Crackles/rales
Wheezez Rhonchi Stridor Pleural Friction Ribs p. 606-608 |
|
What are the 3 types of tests that you would conduct to assess the pt's voice sounds?
|
Bronchophony- adnormal clarity of voice sounds
Whispered pectoriloquy- abnormal calrity of whispers Egophony- abnormal tone of pts sounds p 608 |
|
True of False
In cases of a tension pneumothorax the trachea will move to the affected side. |
False
the trachea will deviate away from the affected side p. 609 |
|
True of False
In cases of pulmonary fibrosis and atelectasis the trachea will tug toward the affected side |
True
p.609 |
|
During diastole, the pressure in the atria is ______ than the pressure in the ventricle
|
Greater
p. 609 |
|
If you feel vibration or humming (thrills) when palpating for a pulse, you should listen at that area for bruits. What is bruits?
|
Bruit- the sound of turbulent blood flow around a partial blockage
p. 610 |
|
Normal Venous pressure is __ to __ cm
|
1-2 cm
p. 610 |
|
Describe the following heart sounds:
S1 S2 Split S1 Split S2 S3 S4 |
S1: "lub"
S2: "dub" Split S1: "la-lub" Split S2: "da-dub" S3: "lub-dub-dee" (Kentucky) S4: "dee-lub-dub" (Tennessee) p610-612 |
|
When assessing the abdomen, always examine the areas of tenderness and pain?
|
Last
p. 612 |
|
Always ____, before percussing and palpating
|
Auscultate
p 612 |
|
To confirm bruits in the abdomen, use the ____ of your stethoscope
|
Bell
p613 |
|
Name the 5 steps in evaluating joints
|
1- Inspection
2- Palpation 3- Passive range of motion 4- Range of motion against gravity 5- Range of motion against resistance p. 616 |
|
What 4 movements test the ankle joint's stability
|
1- Dorsiflexion
2- Plantar flexion 3- inversion 4- eversion p. 621 |
|
Name 3 abnormalities of the spine
|
1- Lordosis (swayback)
2- Kyphosis (hunchback) 3- Scoliosis (Lateral curvature) p 625 |
|
Yellow or brittle nails or poor color in the fingertips indicates______
|
Chronic Arterial Insufficiency
p 625 |
|
To palpate for pitting edema, press firmly with your thumb for ____ secs. over the area tested, the pit should disappear w/in ____ secs
|
5 seconds p 627
10 seconds p. 6289 |
|
Name the 5 areas that the nervous system exam covers
|
1- Mental status and speech
2- Cranial Nerves 3- Motor system 4- Sensory system 5- Reflexes p 629 |
|
When evaluating the pts Mental Status and speech, Name 6 things that you will be trying to assess
|
1- Apperance and behavior
2- Speech and Language 3- Mood 4- Thought and Perceptions 5- Insight and Judgement 6- Memory and Attention p 630-631 |
|
Name the 3 grades that memory can be divided into
|
Immediate
Recent Remote p 631 |