NBCE Part 4 Clinical & Set-Ups
Study online at https://quizlet.com/_8hx6rk
1. Case History - Identifying Data (name, age, etc.)
- Chief Complaint
- Present Illness (OPPQRST)
- Past History
- (SHITM)
- Family History
- Occupational History
- Social History
- Review of Systems
2. Vitals - Temperature
- Pulse
- Respiration
- Blood Pressure
- Height
- Weight
3. Blood Pressure How to do Blood Pressure:
1. Patient seated
2. Arm elevated (doctor braces patient's wrist)
3. Empty air from cuff, wrap tight on patient
4. Palpatory systolic (on the way up until disappears)
5. Place stethoscope in ears
6. Pump 30-40 higher
7. Auscultate to O (recording true systolic/diastolic values)
4. Physical Exam - Skin Exam XXX
- Eye Exam
- Nose Exam XXX
- Ear Exam
- Mouth & Throat Exam XXX
- Endocrinology Exam XXX
, NBCE Part 4 Clinical & Set-Ups
Study online at https://quizlet.com/_8hx6rk
- Genital Exam XXX
- Lymphatic Exam
- Peripheral Exam
- Lung Exam
- Heart Exam
- Abdominal Exam
5. Eye Exam: CN III, Cardinal Field of Gaze
IV, VI
6. Eye Exam: CN II & - Direct (ipsilateral eye)
III - Indirect ( contralateral eye)
7. Eye Exam: CN II Accommodation: Converge & Constrict
& III Accommo-
dation reflex
8. Follow up ques- - headaches?
tions to a + Eye - trouble reading?
Exam? - last eye exam?
- normally wear glasses/contacts?
9. Ear Exam: Weber - Preform WEBER first
& Rhinne - Then preform Rhinne on the EAR that CAN HEAR
- *Every case has been Meinier's disease* (ask: ringing?, deafness?, dizzyness?)
10. Lymphatic Exam: palpate w/ 3 fingers
palpation
- *Neck* (EENT questions)
- Supraclavicular (ROS)
- *Axillary* (breast, chest, and arms questions) 4 walls
- Inguinal (legs/STDs)
11.
, NBCE Part 4 Clinical & Set-Ups
Study online at https://quizlet.com/_8hx6rk
Peripheral Vascu- *3 of them/ Seated*
lar Exam (PVE): - Unlar
upper extremity - Radial
palpation - Subclavian
- Carotid
- Temporal
12. Peripheral Vascu- *Supine*
lar Exam (PVE): - Femoral
lower extremity - Popliteal
palpation - Posterior Tibial
- Dorsal Pedis
13. Peripheral Vascu- - Capillary Refill
lar Exam (PVE): - Allen's Test
special tests - Claudication Test
- Buerger's test
- Homan's test
14. Peripheral Vascu- *BELL*
lar Exam (PVE): - @ carotid bifurcation (c4)
auscultation - bruit
-turbulance
15. Heart Exam: pal- *A* - 2nd right intercostal space (parasternal)
pate & auscultate *P* - 2nd left intercostal space (parasternal)
valve sites E - *NOT A VALVE*
*T* - 4th/5th left intercostal space ( parasternal)
*M* - 5th left intercostal space (midclavicular) *location of the apical pulse*
16. Heart Exam: PER- a) Left side (lateral to medial) 3, 4, & 5 intercostal spaces
CUSSION (bor- b) Right side (superior to inferior) right sternal border
ders of the heart)
, NBCE Part 4 Clinical & Set-Ups
Study online at https://quizlet.com/_8hx6rk
17. Abdominal Aorta Auscultate with bell
Exam
Palpate lateral to medial
18. Lung Exam: Pos- *SEATED*
terior Thoracic - Respiratory Excursions/expansion
Palpation - *Tactile Fremitus* ("99"):
19. Lung Exam: Pos- "Scan APEX (3 taps)
terior Thoracic
Percussion *Sounds*
- Flat: tumor/collapse
- Dull: fluid
- Resonant: normal
- Hyperresonant: Air (COPD)
*Diaphragmatic Expansion*
20. Lung Exam: Pos- - deep breath
terior Thoracic - whispered pectoriloquy ("1,2,3")
Auscultation - bronchophony ("99")
- egophony ("E")
21. Lung Exam: Ante- - Fremitus ("99")
rior Thorax - Percussion
- Auscultation
22. Abdominal - Bowel sounds (diaphragm) indicates: borborygmi
Exam:
auscultation - Vessels (bell) aorta, renal & iliac; indicates: vessel turbulence
23. - 9 quadrants
- organ size (liver & spleen)
Study online at https://quizlet.com/_8hx6rk
1. Case History - Identifying Data (name, age, etc.)
- Chief Complaint
- Present Illness (OPPQRST)
- Past History
- (SHITM)
- Family History
- Occupational History
- Social History
- Review of Systems
2. Vitals - Temperature
- Pulse
- Respiration
- Blood Pressure
- Height
- Weight
3. Blood Pressure How to do Blood Pressure:
1. Patient seated
2. Arm elevated (doctor braces patient's wrist)
3. Empty air from cuff, wrap tight on patient
4. Palpatory systolic (on the way up until disappears)
5. Place stethoscope in ears
6. Pump 30-40 higher
7. Auscultate to O (recording true systolic/diastolic values)
4. Physical Exam - Skin Exam XXX
- Eye Exam
- Nose Exam XXX
- Ear Exam
- Mouth & Throat Exam XXX
- Endocrinology Exam XXX
, NBCE Part 4 Clinical & Set-Ups
Study online at https://quizlet.com/_8hx6rk
- Genital Exam XXX
- Lymphatic Exam
- Peripheral Exam
- Lung Exam
- Heart Exam
- Abdominal Exam
5. Eye Exam: CN III, Cardinal Field of Gaze
IV, VI
6. Eye Exam: CN II & - Direct (ipsilateral eye)
III - Indirect ( contralateral eye)
7. Eye Exam: CN II Accommodation: Converge & Constrict
& III Accommo-
dation reflex
8. Follow up ques- - headaches?
tions to a + Eye - trouble reading?
Exam? - last eye exam?
- normally wear glasses/contacts?
9. Ear Exam: Weber - Preform WEBER first
& Rhinne - Then preform Rhinne on the EAR that CAN HEAR
- *Every case has been Meinier's disease* (ask: ringing?, deafness?, dizzyness?)
10. Lymphatic Exam: palpate w/ 3 fingers
palpation
- *Neck* (EENT questions)
- Supraclavicular (ROS)
- *Axillary* (breast, chest, and arms questions) 4 walls
- Inguinal (legs/STDs)
11.
, NBCE Part 4 Clinical & Set-Ups
Study online at https://quizlet.com/_8hx6rk
Peripheral Vascu- *3 of them/ Seated*
lar Exam (PVE): - Unlar
upper extremity - Radial
palpation - Subclavian
- Carotid
- Temporal
12. Peripheral Vascu- *Supine*
lar Exam (PVE): - Femoral
lower extremity - Popliteal
palpation - Posterior Tibial
- Dorsal Pedis
13. Peripheral Vascu- - Capillary Refill
lar Exam (PVE): - Allen's Test
special tests - Claudication Test
- Buerger's test
- Homan's test
14. Peripheral Vascu- *BELL*
lar Exam (PVE): - @ carotid bifurcation (c4)
auscultation - bruit
-turbulance
15. Heart Exam: pal- *A* - 2nd right intercostal space (parasternal)
pate & auscultate *P* - 2nd left intercostal space (parasternal)
valve sites E - *NOT A VALVE*
*T* - 4th/5th left intercostal space ( parasternal)
*M* - 5th left intercostal space (midclavicular) *location of the apical pulse*
16. Heart Exam: PER- a) Left side (lateral to medial) 3, 4, & 5 intercostal spaces
CUSSION (bor- b) Right side (superior to inferior) right sternal border
ders of the heart)
, NBCE Part 4 Clinical & Set-Ups
Study online at https://quizlet.com/_8hx6rk
17. Abdominal Aorta Auscultate with bell
Exam
Palpate lateral to medial
18. Lung Exam: Pos- *SEATED*
terior Thoracic - Respiratory Excursions/expansion
Palpation - *Tactile Fremitus* ("99"):
19. Lung Exam: Pos- "Scan APEX (3 taps)
terior Thoracic
Percussion *Sounds*
- Flat: tumor/collapse
- Dull: fluid
- Resonant: normal
- Hyperresonant: Air (COPD)
*Diaphragmatic Expansion*
20. Lung Exam: Pos- - deep breath
terior Thoracic - whispered pectoriloquy ("1,2,3")
Auscultation - bronchophony ("99")
- egophony ("E")
21. Lung Exam: Ante- - Fremitus ("99")
rior Thorax - Percussion
- Auscultation
22. Abdominal - Bowel sounds (diaphragm) indicates: borborygmi
Exam:
auscultation - Vessels (bell) aorta, renal & iliac; indicates: vessel turbulence
23. - 9 quadrants
- organ size (liver & spleen)
