Exam 1
What are the four components of a mental status assessment.
Appearance, Behavior, Cognition, and Thought Process
When is the best time to educate patient to perform self breast exam?
After menstrual period when breasts are smallest and least congested.
This type of configuration is a linear arrangement along unilateral nerve route.
Zosteriform
Turbulent blood flow heard within the heart is called?
Murmur
What are your assessments for cranial nerve XII and what nerve is this?
Hypoglossal Nerve, Inspect forward thrust of protruding tongue, and ask person to say "light, tight, dynamite"
Forward protrusion of sternum, with ribs sloping back at either side and vertical depressions along costochondral junctions
Pectus Carinatum
Name Solid viscera examples
Liver, pancreas, spleen, adrenal glands, kidneys, ovaries, and uterus.
What heart sound is best heard at apex and what is this sound caused by?
S1 heart sound and caused by closure of AV valves
When inspecting the tympanic membrane how should you position the ear and what would be a normal findings of tympanic membrane?
What is increased fremitus, best technique for palpating fremitus, and what are some of causes of increased fremitus?
Increased palpable vibration, ulnar edge of hand or palmar base of fingers, and lobar pneumonia, compression or consolidation of lung tissue.
This is a solid, elevated, hard or soft, larger than 1 cm. May extend deeper into dermis.
Nodule
What are the signs and symptoms of vaginal candidiasis?
Intense pruritus, thick whitish clumpy discharge, "like cottage cheese", not malodorus.
This is the term for high tone frequency loss that occurs with aging
What grade murmur is this: loud,, associated with palpable thrill on chest wall.
Grade 4
This disorder is characterized by pain that is worse in the morning, pain decreases with movement, bilateral with heat, swelling, and painful motions.
Rheumatoid Arthritis
Nonretractable foreskin, so tight that it is impossible to retract over glans?
Phimosis
Name common errors/things to look out for when taking blood pressure measurements
Taking blood pressure when patient is anxious/angry, arm above or below heart, legs crossed, cuff too small or large, inflating cuff not high enough, deflating cuff to quick, waiting 1-2 min before repeating reading
What insufficiency causes deep muscle pain in calf or foot, claudication, pain at rest indicates worsening, and pain worsens with elevation.
Arterial Insufficiency
During abdominal assessment you note a bluish periumbilical color. What is this finding associated with and what is it called.
Occurs with intraperitoneal bleeding and is called Cullen Sign
High pitched, monophonic, inspiratory, crowing sound? What adventitious lung sound is this?
Stridor