-
What is the order of
inspection for breast lymph nodes?
- Central to Lateral to
- Pectoral to Sub Scapular
-
Are the testicals and breast perfectly round?
) No they are not often oval
-
What causes gynoclamastia?
- ) hormonal change of
- estrogen, common in young boys (check for distention)
-
What are different positions to examine breast?
- Hands up, Hands on
- hips, hands reinforcing each other.
-
) What is nocturnal
dyspnea?
- Heart failure causing
- pt to wake up after two hours of sleep out of breath from being supine.
-
What is tactile fermitus?
- a palpable vibration that decreases upon
- obstructions like pneumothorax and increases with compression or consolidation
- like lobar pneumonia
-
What part of stethoscope is used for auscultating the chest?
The diaphragm
-
What sac holds the heart?
pericardium
-
Blood flow thru heart goes?
- ) to right atrium to
- right ventricle to pulmonary artery to lungs to pulmonary vein to left atrium
- to left ventricle
-
What are risk factors for heart attack?
- HTN, Cholesterol, Smoking, Diabetes, Family
- History,
-
Where is the Apical pulse?
5th I.C mid clavicular
-
Where is herbs point?
- 3rd I.C.
- immediate left sternum
-
When assessing the carotid what side of stethoscope is used?
) the bell
-
What are the pulses in the foot?
) Dorsal pedialus and posterial tibius
-
Infection in the foot would effect what lymph node?
Inguinal
-
Types of sounds heard with stehoscope?
- Tymphany over
- abdomen, Resonance over Lungs, hyper resonance over abnormal lungs, Dullnes
- over solid organ, Flatness over
- bone.
-
) Organ not located in RUQ?
- stomach, pancreases, appendix, colon, most of
- spleen
-
Order of abdominal
inspection?
- inspection,
- auscultation, percussion, palpation
-
) CVA tenderness is a sign
of?
) kidney infection
-
In a end stage alcoholic what can be expected?
Asictes
-
What is loridosis
- ) correction by
- pregnant woman to counter balance child
-
Know the anatomy of the joints? TMJ
Temporal mandibular joint
-
What does dexiscan do?
Show if a pt has osteoperosis
-
What are the number of the strength scale?
- 1-5 5 is full ROM against resistance and
- gravity
-
What are the numbers to a murmur?
- 1-6 with 6 being
- heard without stethoscope
-
What is the reflex arc controlled
by?
the Spinal cord
-
What does rapid motion
test?
-
What are the cranial nerves of the eye?
II and III and VII controls eye lids
-
How do you check Cranial nerve XI?
) Spinal accessory is checked by shrugging of the shoulder
-
When to do a full neuro?
- Head trauma, weakness in one side, altered
- LOC
-
What to do when you cant
get response on DTR’s
-
The anatomy of the external genitalia?
- Corona, Corpus
- cavernosum, corpus spongiosum, Urethra, bulbourethral gland, prostate scrotum ,
- testis, epididymis, bladder, seminal vesicle, rectum, prostate, vas deferens
-
What is a Direct Hernia?
- Direct inguinal behind and through external
- inguinal ring. Painless and round brought on by heavy lifting , easily reduced
- when supine
-
What to ask older male during GI inspection?
- difficulty peeing, waking up often to pee,
- pain when peeing, inciontinence
-
What causes Large Prostate?
- Hormonal changes
- (BPH) and cancer
-
What can you notice on pt’s when performing a valsalva?
Rectal prolapse or hemroids
-
) What organ is located at the end of the vagina?
) Cervix
-
What changes happen during menopause?
- atrophy of vaginal
- wall, uterus, an ovaries
-
What does Grava, Para and Abortion mean?
- grava is times been pregnant, Para is live
- births and abortions are normal, therapeutic and spontaneous
-
When assessing a teenager for Sexual Hx what is it important
to check for?
Abuse
-
What is a irritated white
discharge from vaginal tract?
- Yeast infection or
- cndadyisis
-
) What is a major hormone
made during pregnanacy and what does it do?
- ) Pregesterone, helps
- protect uterine wall to carry child
-
Where is it best to assess daily living of the elderly?
At their home
-
Most common sense lost in elderly?
-
) What are individuals with disabilities called?
handicap
-
Best position of pat to examine head and neck?
When they are sitting?
-
When do you see plantar flexion of toes?
bibinski test
-
How to differentiate
between rheumatoid arthritis and osteoarthritis?
- Rheumatoid is
- inflammation and symmetry of joints, Osteo is calcification of joints
-
What is eggophony?
a long EEEE sound, abnormal is long AAA sound
-
what is whispered Tranquilily?
- a clear ABC sound is
- abnormal, normal should be muffeled
?
-
What is Bronchophony?
- should hear muffeled
- 99, abnormal is clear 99 sound
-
) What is the pace maker of
the heart?
- SA node, 60 -100
- impulses per minutes
-
What is spinal bifida?
) Non closure back spine
-
What is the hearing nerve and what may cause hearing
problems?
CN VIII and caused by acoustic neuroma
-
What is Pigeon chest?
- ) pronounced point of chest called Pectus Carinatum
-
What are the muscles of the eyes?
- ) superior rectus,
- inferior rectus,Lateral rectus, Medial rectus,inferior oblique, superior
- oblique
-
What is epispadius?
- ) Urethra opening on
- dorsal side of Penis
-
What is Hypospadius?
- Urethra opening in
- ventral side of penius
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