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17 Cards in this Set

  • Front
  • Back
Name the first 11 parts of the physical Exam. (Hint: includes two position changes)
1. Introduction (1-3))

2. Position change: patient sits facing examiner (4)

3. Vital measurements (5-7)

4. Head (8-10)

5. Eyes (11-18)

6. Ears (10-21

7. Nose (22-23)

8. Throat and Mouth (24-33)

9. Neck (34-40)

10. Position change: examiner moves behind patient (41) before thyroid exam

11. Back & Lungs (43-50)
Name the 3 parts of the introduction
1. introduce self

2. wash hands

3. observe general appearance, skin, nutritional status, hygiene and comfort level

(1-3)
Name the 3 parts of the vital signs.
BP

Radial Pulse

Respiration

(5-8)
Name the 3 parts of the Head exam
Inspect hair and scalp

Palpate cranium

Inspect facial symmetry

(8-10)
Name the 8 parts of the Eye Exam
Lids & Palpebral fisure (CN II)- inspect lid for drooping, infection, swelling crusting, masses.... ask patient to close eyes to inspect P. Fisure (do lids approximate?)

conjuctiva - Inspect for inflammation, pallor, pigmentation, swelling masses, hemorrhage)

Sclera and cornea - inspect for sclerea:hyperemia, discoloration.. cornea: clear

Extra Ocular movement (CN III, IV, VI) - Test

Visual fields to confrontation - Test

Visual acuity - Test

Pupils (PERRLA) & Cornea - inspect

Opthalmoscopic Exam: (Funduscopic exam) - cup:disc

(11-18)
Name the 3 parts of the Ears Exam
External Ear -inspect

Otoscope: auditory canal & tympanic membrane - Inspect

Hear test

(19-21)
Name the 2 parts of the Nose Exam
Septum - inspect

Turbinates & Mucosa inspecdt
Name the 10 parts of the Throat and Mouth Exam
Lips - Inspect for color, swelling, ulcers

buccal mucosa - Inspect lesions or color changes, inflammation

gums & teeth - Inspect gums: stippled, pink and firm... Inspect teeth carries malocclusion

tongue & tongue protrusion - Inspect masses or ulcerations, protrusion (CN XII)

Hard & Soft Palate - Inspect - intact, ulcerations, masses


Hard & Soft Palate - elevation with pronation... uvula stays midline (CN IX and X)

tonsils & tonsilar fossae - Inspect for enlargement, exudate

Pharynx - Inspect infection

Facial Muscles: show teeth wrinkle forehead

Jaw clench - test

(24-33)
Name the 9 part of the Neck exam (including position change)
Neck & Jugular veins - Inspect for venous distention

Neck ROM (flexion, extension, rotation

Shoulder shrug test (CN XI)

Trachea - palpate

Carotids - Asucultate

Carotid Pulses - Palpate

Lymph nodes: anterior cervical, posterior, submandibular - palpate

Postion change: move behind patient

suprclavicular lymph nodes

Thyroid
Name the 10 parts of teh Back and Lungs Exam

(Including the position change)
Shape of back - Inspect

Spine - Inspect

Spine, for tenderness - palplate

Chest Excursion - evaluluate

Posterior Fremitus - palpate

Posterior lung fields - percuss

Apices - Auscultate

Posterior lung fields - auscultate

Postion Change: Patient lies -Examiner on right side

Auxillary nodes
Name the Last 9 parts of the physical exam
13. Heart and lungs

14. Abdomin

15. Lower extremities

16. Position change: patient sits up

17. Upper extremities

18. Mental status exam

19. Neuromuscular exam

20. Position change: patient stands up

21. Wash hands
Name the 5 parts of the Heart and Lung exam
Precordium (Point of Maximal Impulse -PMI, Symmetry) - inspect

Precordium (PMI, heaves, thrills) - palpate

Base - (aortic and pulmonary areas) - auscultate

Left Sternal border & apex - auscultate

anterior lung fields - auscultate

(53-57)
Name the 10 parts of the abdominal exam
abdominal shape and scars - inspect

Bowel sounds, aorta, renal arteries -Auscultate

Liver and spleen - percuss

Four Abdominal quadrants - light palpation


Four Abdominal quadrants - deep palpation

Liver - palpate

Spleen - palpate

Aorta - Palpate

Inguinal nodes - palpate (speak only)

Femoral arteries - palpate (speak only)

(58-67)
Name the 9 parts of the Lower Extremities exam
Thighs and legs - inspect

Knees and Feet - inspect

Calves for tenderness - palpate

Ankles for edema - inspect

Ankles for edema - palplate

Dorsalis pedis pulses - palplate

Posterior Tibial Pulses - palpate

Hips and knees ROM test

Hips and Knees - Strength Test

(68-76)
Name the 4 parts of teh Upper Extremities Exam

(Include postion change)
Position change: patient sits up

Hands and Nails - inspect

Arms and shoulders - inspect

Shoulders, elbows, wrists, hands ROM Test

Shoulders, elbows, wrists, hands - Strength Test
Name the 3 parts of the Mental status Exam
Assess orientation to Person, Place and Time

Assess short term memory

Assess ability to calculate

(82-84)
Name the 18 parts of the neuromuscular exam

(including conclusion)
Bicep reflex test

Triceps reflex test

Brachioradialis reflex

Vibration sense in hands - test

Postion sense in hands - Test

Knee reflex - test

Ankle reflex - test

Plantar reflex - test

Finger to nose - corrdination test (both sides)

Heel to shin - corrdination test

Vibration sense in toes - test

Position sense in toes - test

Touch sensation on fingers and toes

Pain sensation on fingers and toes

Gait test

Observe posture

Spine ROM test

Wash hands