Sensorineural
Name the 5 heart sounds and describe the anatomical locations:
Aortic, Pulmonic, Erbs Point, Tricuspid, Mitral
How long must you listen for bowel sounds before determining "absence"
5 minutes
How will you assess CN II
Optic Nerve
Snellen Chart
Number of cervical vertebrae?
Number of thoracic vertebrae?
7
12
At what age should a child's blood pressure be assessed?
3 years
Assessing cardinal fields of gaze is performed to test _______________
Eye muscle balance
What is the normal AP:Transverse Diameter?
(anterior/posterior:transverse)
1:2
or .75
Positive CVA tenderness may indicate ??
Inflammatory process of kidney
??? pyelonephritis
What does the Romberg test assess?
Balance, Equilibrium
Name 2 assessment techniques used to detect the possible presence of Carpal Tunnel Syndrome
Phalen's Sign x 60 seconds - to assess median nerve compression
Tinnel's Sign - to assess median nerve compression
Ovaries and uterus
shape, consistency, mobility, tenderness
?? masses
The presence of papilledema may indicate ???
Swelling of optic disc....Increased IOP
How will you assess for tactile fremitus?
"99"
use ball of hand or ulnar surface of hand to assess vibration
side-to-side comparison
The presence of rebound tenderness may indicate ??
Acute abdomen...Peritonitis
appendicitis, bowel perforation, etc.
How will you assess CN 5?
Trigeminal nerve
Sensation with cotton ball
Motor function - clench teeth, open/close jaw against resistance, jaw side to side
What do you see?
Olecranon bursitis
Name the 4 sets of axillary nodes that should be assessed during a breast exam (or during any routine exam)
Central Axillary
Lateral Axillary
Subscapular
Pectoral
What do you see?
Impacted Cerumen
Presence of an S4 heart sound may indicate?
Hypertensive heart disease
Cardiomyopathy
?? AS
Pulmonary HTN
A positive Murphy's sign may indicate...
acute cholecystitis
Name 2 techniques that can be performed to assess for meningeal irritation
Brudzinski's sign (flexion of neck - observe reaction by hips/knees - flexion of hips/knees = + sign)
Kernig's sign (flexion of hip/knee followed by extension - pain behind knee = + sign)
Tennis elbow is correctly termed:
lateral epicondylitis
At what age should all males begin self-testicular examinations?
15
Name the lymph nodes of the head and neck
Explain the technique for auscultation of the carotid arteries
Bell of stethoscope
Hold breath after expiration
What may a positive Psoas sign indicate?
Describe this technique
Appendicitis
Name and locate 5 deep tendon reflexes (DTRs)
Triceps, Biceps, Brachioradialis (supinator), Patellar, Achilles (Plantar)
What is a McMurray test? (Hint...knee)
Tests for stability of the meniscus (medial)
A positive Babinski is only normal in what age group?
What do you see?
A late systolic murmur may indicate the presence of ??
Mitral Valve Prolapse
What is a positive Rovsing's sign?
Evaluation for acute appendicitis >>> deep palpation in LLQ
Pain in RLQ = + sign
How will you assess stereognosis?
This is a technique to assess sensation
Normal leg discrepancy is less than _____ (measurement)
1 cm
Average heart rate for a 1 month old?
Average heart rate for 1 year old?
120-160
100 -140