Subjective Assessment
Four questions that can be asked within the general review of systems are...
Any recent weight loss?
Any recent weight gain?
How are you sleeping at night?
Have you had a fever?
Have you had any chills?
PERRLA stands for...
Pupils are:
Equal (in size)
Round
Reactive to light (constrict when light shined directly in to them)
Accommodating (pupil converges and constricts when object is brought closer to the face)
3 items that can be used to describe general appearance
Grooming
Hygiene
Eye Contact
Posture
Dressing
This is only ever palpated unilaterally to avoid an adverse event
Carotid arteries
This location is where the S1 and S2 heart sounds are heard equally
Erb's Point, 3rd ICS on the left sternal border
What are the 4 elements you need to know about a patient's medication?
Name/Brand
Dosage
Route
Frequency
The allen test is performed to assess ____
Patency of the ulnar and radial arteries
_____ are movements that are sometimes observed over the abdomen while the patient is lying flat
Peristaltic waves
This is the type of sound heard over bones,
Flatness
This spot should be auscultated for 60 seconds and compared with the peripheral (radial) pulse
What is apical impulse
The _____ assessment should always be addressed in the _____ assessment
subjective, objective
Murphy's sign is performed by... to assess..?
Ask patient to take deep breath
Palpate right subcostal area
If pain when inspiration, sign of gallbladder inflammation
The abdomen should be inspected while the patient is in the ____ and ____ position
Sitting and lying
Tympany is heard over what area of the body
Abdomen- intestines, stomach
This side of the stethoscope should be used to auscultate for bruits
Bell
What vaccines should you ask your patient about?
Flu
Tetanus
Pneumonia
Rovsing's sign assesses whether there is ....
Acute appendicitis
Palpate left lower quadrant, if pain is radiated to right lower quadrant
Visible (and sometimes palpable) chest wall impulses are also known as this
Heaves
Resonance is the sound elicited during percussion over this area
Lungs
This quadrant should be palpated first in the abdomen
Right lower quadrant
The four elements of a CAGE assessment are:
Have you ever felt like you needed to cut down on your drinking?
Have you ever felt annoyed by other peoples criticism of your drinking?
Have you ever felt guilty about your drinking?
Have you ever needed an eye openener?
Cranial nerve ____ is assessed via gagging/swallowing reflexes
Cranial nerve 9
Skin discoloration commonly caused by a bruise or bleeding underneath the skin
What is ecchymosis?
The proper order of the physical exam is
IPPA except for GI/GU- IAPP
These sounds are characterized by inspiratory sounds that last longer than expiratory sounds, are soft and low-pitch sounding, and usually located over most fields.
What are vesicular lung sounds