N332 Physical Assessment Exam #1

Front 1

difficult and labored reathing, often described as shortness fo breath

Back 1

dyspnea

Front 2

SOB that begins or increases when pt. lies down, often relieved by propping on pillows

Back 2

orthopnea

Front 3

always deep & most often rapid breathing that is associated w/ metabolic acidosis

Back 3

kussmal breathing

Front 4

the palpable vibration of the chest wall that results from speech or other verbalizations

Back 4

tactile fremitus

Front 5

low-piched, low-intensity breath sounds heard over healthy lung tissue

Back 5

vesicular breath sounds

Front 6

moderate pitch & intensity breath sounds heard over major bronchi

Back 6

bronchovesicular sounds

Front 7

breath sounds more pronounced during expiration. they are deeper more rumbling, and are more likely to be prolonged, continuous & less discrete

Back 7

rhonchi

Front 8

abnormal breathsounds characterized by discrete discontinuous sounds, lasting just a few milliseconds, which are heard mainly during inspiration. May be fine or coarse

Back 8

crackles

Front 9

contractions of the heart, particularly the ventricles, resulting in forceful flow of blood into both systemic & pulmonary circulation

Back 9

systole

Front 10

the time b/n 2 contractions of the heart when the muscles relax & the chambers fill with blood

Back 10

diastole

Front 11

the point where the apical impulse is most readily seen or felt

Back 11

point of maximal impulse (PMI)

Front 12

a heart sound audible with the stethoscope, generated by disruptions in the passage of blood withing the heart of bv's

Back 12

murmur

Front 13

tricupid & mitral valves. situated b/n atria & ventricles

Back 13

atrioventricular valves

Front 14

pulmonic & aortic valves; situated b/n the ventricles & the pulmonary artery & aorta

Back 14

semilunar valves

Front 15

the fibroserous membrane covering the heart and roots of the great vessels. fluid is present between the inner and outer layers providing easy, low friction mov't

Back 15

pericardium

Front 16

a sound audible through stethoscop, resulting from rubbing of opposed, inflamed serous surfaces

Back 16

friction rub

Front 17

the level @ which the jugular venous pulse is visible when the pt. is lying @ a 30-45 degree angle; gives an indication of right artial pressure

Back 17

jugular venous pressure/distention

Front 18

excessive accumulation of fluid in the cells or tissues of the body

Back 18

edema

Front 19

an unexpected audible swishing sound or murmur over an artery

Back 19

bruit

Front 20

the formation or presence of a blood clot w/in a blood vessel or w/in the heart

Back 20

thrombosis

Front 21

What are the 8 characteristics of heart mumurs which should be assessed?

Back 21

Timing/duration; pitch; intensity; pattern; quality; location; radiation; respiratory phase variations

Front 22

what ht murmurs can you hear best @ the apex?

Back 22

mitral stenosis, mitral valve prolapse, mitral regurgitation

Front 23

Where would you listen for pulmonic stenosis or tricuspid stenosis?

Back 23

pumonic area & tricuspid area, respectively

Front 24

Where are the various valves located (when viewing pt. anteriorly)?

Back 24

Tricuspid is on the right ventricle.
Aortic is at the center.
Pulmonic is the top (base)- left atrium.
Mitral is below the pulmonic

Front 25

What topics from ROS history could you question a patient in order to assess the CV system?

Back 25

chest pain, fatigue, cough, difficulty breathing, loss of consciousness, diet/nutrition, exercis/lifestyle

Front 26

what are the thoracic imaginary lines?

Back 26

anterior axillary, mid-clavicular, midsternal (anteriorly); scapular, vertebral lines, posterior axillary lines (posteriorly); midaxillary line (laterally).

Front 27

What are the lobes of the lungs?

Back 27

RUL, RML, RLL, LUL, LLL

Front 28

What are the fissures of the lungs?

Back 28

Right Horizontal, right & left oblique

Front 29

What are 5 topics from ROS history about which you could question a pt. in order to assess respiratory system:

Back 29

SOB, chest pain, coughing, chronic pulmonary disease

Front 30

What's the outside of the ear called?

Back 30

auricle

Front 31

What's the top of the auricle?

Back 31

helix

Front 32

Below that the helix?

Back 32

antihelix

Front 33

rounded-out flat, inside part of outer ear

Back 33

concha

Front 34

the part outside the external auditory meatus?

Back 34

tragus

Front 35

the part of ear opposite the tragus?

Back 35

antitragus

Front 36

the earlobe is called?

Back 36

the lobule

Front 37

What's the bottom of the downward-facing BLM on the TM?

Back 37

umbo

Front 38

What's the downward-facing BLM on the TM?

Back 38

manubrium

Front 39

What's the top membrane of the TM?

Back 39

pars flaccida

Front 40

what's the top part of the y-shaped BLM on the TM?

Back 40

short process of malleus

Front 41

what's the BLM that's in the upper left quadrant of the TM?

Back 41

the junction of incus & stapes

Front 42

what's the thing that hangs down the back of your throat?

Back 42

the uvula

Front 43

the part of nose just inside nostrals?

Back 43

nasal vestibule

Front 44

what are the 3 areas above the nasal vestibule in the nasal area?

Back 44

inferior, middle & superior turbinates

Front 45

What's the sinus behing the superior turbinate?

Back 45

sphenoid sinus

Front 46

What is the sinus anterior to the sphenoid sinus?

Back 46

Ethmoid sinuses

Front 47

what're the cheek sinuses called?

Back 47

maxillary sinus

Front 48

What is the muscle on top of the eye called in the side-view? on the bottom?

Back 48

medial rectus muscle- top. Lateral rectus = bottom

Front 49

What's the outer surface of the iris called?

Back 49

cornea

Front 50

what's the pit in the retina called?

Back 50

macula

Front 51

what's the inner corner of your eye called?

Back 51

inner canthus

Front 52

What's the organ b/n your nose & eye?

Back 52

lacrimal sac

Front 53

where does the lacrimal sac drain into?

Back 53

nasolacrimal duct

Front 54

what's the outer edge of the iris called?

Back 54

limbus

Front 55

what's the white of the eye called?

Back 55

sclera

Front 56

what's the gland above the outside edge of the eye?

Back 56

lacrimal glands

Front 57

he mucous membrane that lines the inner eyelid and the exposed surface of the eyeball.

Back 57

conjunctiva

Front 58

What 2 things might you notice in ophthalmoscopic exam of eyes in pt. w/ hypertension?

Back 58

cotton wools spots & papilledema

Front 59

What 2 things might you notice in ophthalmoscopic exam of eyes in pt. w/glaucoma?

Back 59

increased cupping of optic nerve & redness of eye

Front 60

What 2 things might you notice in ophthalmoscopic exam of eyes in pt. w/ diabetes?

Back 60

dot hemorrhages or microaneurysms & development of new vessels from retina toward vitreous humor

Front 61

the axilla, nipples, genital area & ears are the ________ sweat glands

Back 61

apocrine

Front 62

what ar the 2 major layers of the epidermins?

Back 62

stratum coneum & cellular stratum

Front 63

what is infection/inflam. of the epiglottis?

Back 63

epiglottitis