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18 Cards in this Set
- Front
- Back
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List everything in the armamentarium.
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1) Mirror
2) Gauze 3) BP cuff 4) Stethoscope 5) Thermometer 6) Watch w/ second hand 7) PPE |
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What do you appraise during an extra oral exam?
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1) Stature/nutritional status
2) Gait and posture 3) Upper extremities 4) Vital signs 5) Head - all visible stuff, facial symmetry, rashes, lesions, palpate submental, submandibular, cervical lymph nodes, TMJ, nose/paranasal sinuses |
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What are the vital signs?
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Blood pressure
Temperature (not necessarily taken unless pt has infection) Pulse Respiratory Height and weight (reported) |
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Blood pressure:
1) How do you determine it? 2) Equipment required? 3) Normal blood pressure? 4) Describe the process of taking it |
1) Auscultatory determination by vibrations of blood as they pass through blood vessels (Korotkoff sounds)
2) Stethoscope and sphygmomanometer. 3) 120/80 mmHg (120 = systolic, 80 = diastolic) 4) Inflate cuff to 30 mmHg, listen for first sound (systolic) until sound disappears (diastolic). Place diaphragm of stethoscope over radial artery in antecubital fossa, cuff ABOVE fossa. Record the arm that you're taking it in. |
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Blood pressure:
1) Where should the arm be relative to the heart? 2) Can patient be in supine position? 3) Legs? 4) What is considered hypertension? 5) Pre-hypertension? |
1) At level of heart
2) Yes, must be recorded 3) Must be uncrossed 4) diastolic of 90+ (140/90) 5) Diastolic 80-89 |
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What is pulse?
Where should you take it from? What is normal resting rate? Abnormalities in pulse can indicate what? What must be recorded? |
A peripheral measurement of heart rate and rhythm
Both radial and carotid (anterior to sternocleidomastoid) area 72 bpm, 60-100 Arrhythmia Strength or weakness of pulse |
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What is normal temperature?
What is a common cause of elevated temperature? |
98.6 + or - .05 degrees F
Infection |
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What do you look at in the neck during an extraoral exam?
Where do you stand during the exam? What position should the patient be in? |
1) Muscles
2) Lymph node 3) Thyroid gland 4) Trachea 5) Carotid artery Behind the patient, patient in semi reclined position. Start from outside in, ask if they feel any pain, tenderness, lumps, bumps.. |
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What are the two ways you can examine the TMJ?
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Auscultate and palpate.
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What is important for examining tonsils?
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Positioning.
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How can you examine the hard palate?
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Indirect visual, direct visual, palpation
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How can you examine the soft palate?
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Indirect visualization, palpation.
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How do you examine the tongue?
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Visual inspection, palpation
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Where do most cancers of the mouth start?
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Borders of the tongue. Grab it, pull it out, palpate.
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How do you examine the lips?
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Palpate, visual
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How do you examine the buccal mucosa?
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Milk the parotid gland
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What are the five types of ulcers?
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1) Sloping
2) Punched out 3) Undermined 4) Shallow enduration 5) Deep enduration |
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What is the most important thing you're looking for in a tooth exam?
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Mobility
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