PHYSICAL EXAM
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| show | The process whereby the examiner uses the hands to feel for body movement, lumps, masses, and skin characteristics.
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| True or False : Palpation is always deep but never light. | show 🗑
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| show | Requires the examiner to place a finger firmly against a body part and strike that finger with a fingertip from the other hand.
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| show | Flat, dull, resonant, hyperressonant, and tympanic.
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| Describe a flat percussion note. | show 🗑
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| Describe a dull percussion note. | show 🗑
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| show | Over the liver or a tumor.
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| show | It is loud, low in pitch, and has a long duration.
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| show | Dull
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| show | It is very loud, lower in pitch, longer in duration, and commonly heard over an emphysematous lung.
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| show | It is loud and drumlike, with a high pitch.
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| show | Inspection, Palpation, Percussion, and Auscultation.
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| Is auscultation a visual or physical technique? | show 🗑
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| show | A flat tone.
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| Observing respiration pattern of a patient is done in what step of the chest assessment process? | show 🗑
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| show | Subcutaneous Emphysema.
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| show | Vesicular
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| While doing your inspection on a patient you notice his chest bows out at the sternum, similar to that of a pigeon. You would chart this as what kind of abnormality? | show 🗑
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| Scoliosis is most often seen during an inspection of a patient. What is scoliosis? | show 🗑
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| What are the lung sounds assessed by auscultation? | show 🗑
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| show | The palpation of the vibrations of the chest wall as a patient speaks.
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| show | Bronchitis
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| What are the adventitious breath sounds most commonly heard during auscultation? | show 🗑
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| show | An increased work of breathing (WOB).
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| show | The Glasgow Coma Scale
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| show | Asleep, sluggish response to stimulus.
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| show | Brain death
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| show | Full consciousness.
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| What does P.E.A.R.L.A. stand for? | show 🗑
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| show | A decreasing level of consciousness.
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| show | Resulting from a painful stimulus of a comatose patient with a low-level brain stem compression.
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| show | Results when a painful stimulus is applied to a comatose patient with a lesion in the mesencephalic region of the brain.
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| Can medication cause pupils to dilate or constrict? | show 🗑
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| show | Cerebral edema and brain stem compression.
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| show | They constrict.
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| show | FALSE, Dilation and constriction happens in both eyes equally.
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| show | Heart rate and rhythm, extra sounds, and murmurs.
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| True or False: Clubbing of fingers occurs with COP. | show 🗑
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| In what condition does the chest wall move outward on expiration and inward on inspiration? | show 🗑
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| show | They are attempting to decrease the resistance to airflow through the nostrils.
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| Why may you see individuals with emphysema using pursed-lip breathing during the expiratory phase? | show 🗑
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| A teenager that has been in a car accident is admitted to the hospital. The first thing you notice is that her right pupil is dilated and the left is constricted. What can you determine may be wrong with her from this? | show 🗑
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| show | To make sure the lungs are expanding equally.
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| Define stridor. | show 🗑
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| What kind of sound can crackles be classified as? | show 🗑
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| The chest wall over laying the heart is known as what? | show 🗑
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| show | Interspaces
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| How are normal heart sounds classified? | show 🗑
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| When you hear S1 (lub) what exactly is happening to the heart? | show 🗑
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| show | Dub
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| show | Is very faint and may not be heard in all positions.
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| show | Blowing, rasping, harsh, coarse, grating, whistling, or musical.
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| show | Crackles (Rales)
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| show | The lung tissue that is normally aerated is "made solid" by filling with fluid, mucus, pus, or cellular debris.
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| show | A voice sound that is elicited when the examiner auscultates over as area of suspected consolidation and asks the patient to say the words ninety-nine.
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| show | There is consolidation in the lungs, because normally this sound is muffled.
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| show | There is consolidation in the lungs.
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| A respiration pattern faster than 20 breaths per minute is clinically called what? | show 🗑
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| In children stridor is commonly associated with what? | show 🗑
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| show | Pneumothorax, atelectasis, lung resection, or main stem intubation.
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| show | Examiner should place their thumbs along each coastal margin at the patients back.
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| What is the term used to describe diminished skin color accompanying anemia? | show 🗑
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| While examining a patient you notice plethora at the skin surface. Why would plethora occur and what can you assume the patients condition is? | show 🗑
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| show | In the sclera of the eyes.
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| show | Forward curvature of the spine.
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| show | Lordosis
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| show | Kyphosis
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| show | They extend above above the scapulae on both sides of the thorax. (Not on scapulae, listen between scapulae and spine)
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| Abnormalities of the thorax can be significant factors in what kinda of disease? | show 🗑
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| show | 3
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| show | 2
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| show | 10
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| Name the segments of the right upper lobe of the lung? | show 🗑
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| You over hear a Dr. say the word Lingula. You can assume he is talking about which lung? | show 🗑
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| Where is the 4th intercostal space in a male? | show 🗑
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| What muscles are normally used for ventilation? | show 🗑
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| show | Kyphoscoliosis
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| While doing palpation for tracheal positioning you notice the trachea is shifted. What can be the reasoning for this shift? | show 🗑
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| How many TRUE ribs does the normal human body have? | show 🗑
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| show | Ribs 8-12
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| Which ribs are called the FLOATING ribs? | show 🗑
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| show | Helps to detect pressure changes within the right atrium.
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| Using the Ramsay Sedation Scale you chart the patient's response as responding to commands only. What level is this according to the scale? | show 🗑
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| What sound you listen for while performing a cardiac auscultation? | show 🗑
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| Where can extra heart sounds S3 and S4 be heard? | show 🗑
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| show | Cyanosis, Pallor, Plethora, and Jaundice.
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| A patient has a breathing rate lower than 12 breaths per min. the term for this is? | show 🗑
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| Define Paltypnea. | show 🗑
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| show | When an individual must sit or stand in order to breath.
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| A patient tells you he is most comfortable sleeping in a chair. This is most likely associated with which breathing pattern? | show 🗑
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| What disease is often found with an Orthopnea breathing pattern? | show 🗑
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| show | Cheyne-Stokes breathing
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| show | Pectus Carinatum
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| show | It is depressed and deviated somewhat like a funnel. (A funnel shaped sternum.)
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| A tympanic tone has what kind of duration? | show 🗑
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| show | One or two blows.
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| show | Upper part. Larynx and trachea.
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| A fingers that appear full, fleshy, and vascular are termed? | show 🗑
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| A yellowish skin color is associated with what condition? | show 🗑
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| A blueish skin color is associated with what condition? | show 🗑
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| show | It would be at the 6th rib
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Created by:
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