General
A patient denies tobacco usage. This is considered what type of data collection
What is Subjective Data
Swollen turbinates, purulent discharge from nares, facial pressure describes this
What is acute sinusitis?
This lung has three lobes.
What is the right lung?
Sitting, Supine, and Left Lateral decubitus positions
What are the patient positions for cardiovascular assessment?
A small flat spot (<1 cm)
What is a macule?
What is objective data?
Visual aid chart to measure visual acuity from a distance the patient can see versus what a normal person can see at a certain distance.
What is a Snellen Chart?
These lung sounds are soft in intensity, relatively low in pitch, and heard normally over most of both lungs
What are vesicular sounds?
This valve is best heard in left lateral decubitus at the cardiac apex
What is the mitral valve?
Small palpable collection of neutrophils or keratin that appears white
What is a pustule?
This section of the SOAP note includes Diagnosis and/or differential diagnosis
What is the Assessment section?
The largest salivary gland located in front of the ear
What is the parotid gland?
This transmitted voiced sound is assessed by asking the patient to say "ninety-nine" in a normal speaking voiced while the nurse practitioner auscultates with the diaphragm of the stethoscope.
What is bronchophony?
This is located in the left 5th intercostal space, 7 to 9 cm lateral to the sternum.
What is the PMI?
Asymmetry, Border Irregularity, Color variations, Diameter > 6 mm, Evolving
What are the ABCDEs of skin lesions?
This part of a SOAP note includes patient education and discussion related to follow-up.
What is the plan section?
This test is used to examine air conduction versus bone conduction when assessing the ears
What is the Rinne test?
These breath sounds are usually loud in intensity, relatively high in pitch, and heard mainly over the manubrium.
What are bronchial sounds?
This extra heart sound is considered a "ventricular gallop"
What is S3?
Stuck-on and verrucous, may be darkly pigmented
What is a seborrheic keratosis lesion?
This type of documentation is completed when someone is establishing care or has not been seen in several years.
What is a comprehensive health history?
This test is used to test for lateralization of sounds when assessing the ear
What is the Weber test?
This transmitted voiced sound is assessed by asking the patient to whisper "ninety-nine" while the nurse practitioner auscultates with the diaphragm of the stethoscope.
What is whispered pectoriloquy?
These two murmurs are diastolic murmurs and are always considered an abnormal finding warranting a referral.
What is Aortic Regurgitation and Mitral Stenosis?
Often easier to feel than to see; Superficial keratotic papules “come and go” on sun-damaged skin
What is actinic keratosis?