2
REGIS. NU 650 FINAL EXAM STUDY
GUIDE COMPLETE SOLUTION GUIDE
FOR THE FINALS NEW SOLUTION 2021-
2022.
Order of Assessment - CORRECT ANSWER Inspection, Palpation,
Percussion and Auscultation. EXCEPT with abdomen
Comprehensive Health History - CORRECT ANSWER chief complaint, reason for
visit, ROS, past medical and surgical history, social history and family history
Pediatric Body measurements - CORRECT ANSWER length, height,
weight, head circumference fro birth to 36 months
Normal/Hypertension cut off - CORRECT ANSWER <130 normal 140+ hypertension
Fontanel Closure - CORRECT ANSWER posterior 1-2 months, anterior 9mo-2years
otoscope - CORRECT ANSWER adult-up and back, peds- down and back, using
largest speculum that will fit comforably
tympanic membrane - CORRECT ANSWER Cone of light R-5 l-7
EOM testing - CORRECT ANSWER CN III, IV, VI
,2
AP diameter of chest - CORRECT ANSWER 1:2 (AP less than transverse)
barrel chest - CORRECT ANSWER COPD
Flat or Dull percussion - CORRECT ANSWER effusion or pneumonia
normal resonant percussion - CORRECT ANSWER healthy lung
, 2
Hyperressonance (percussion) - CORRECT ANSWER trapped air
crackles/rales - CORRECT ANSWER high pitched, discontinuous
Wheezes - CORRECT ANSWER high-pitched whistling or squeaking sounds during
inspiration or expiration
Rhonchi - CORRECT ANSWER snoring, rumbling sounds heard upon auscultation of
the chest during respiration-low pitched
tactile fremitus - CORRECT ANSWER • INCREASED FREMITUS
- Means there is liquid or solid inside the lungs (consolidation such as with pneumonia)
- Remember Liquid or solid transmits vibrations better than air
•DECREASED FREMITUS
Means air trapping such as with emphysema or bronchial obstruction.
Bronchophony - CORRECT ANSWER the spoken voice sound heard through the
stethoscope, which sounds soft, muffled, and indistinct over normal lung tissue,
clearer over disease
Egophony - CORRECT ANSWER abnormal change in tone of voice that is heard
when auscultating the lungs EE-->AA
UE Arteries - CORRECT ANSWER radial-thumb side, ulnar pinky side
REGIS. NU 650 FINAL EXAM STUDY
GUIDE COMPLETE SOLUTION GUIDE
FOR THE FINALS NEW SOLUTION 2021-
2022.
Order of Assessment - CORRECT ANSWER Inspection, Palpation,
Percussion and Auscultation. EXCEPT with abdomen
Comprehensive Health History - CORRECT ANSWER chief complaint, reason for
visit, ROS, past medical and surgical history, social history and family history
Pediatric Body measurements - CORRECT ANSWER length, height,
weight, head circumference fro birth to 36 months
Normal/Hypertension cut off - CORRECT ANSWER <130 normal 140+ hypertension
Fontanel Closure - CORRECT ANSWER posterior 1-2 months, anterior 9mo-2years
otoscope - CORRECT ANSWER adult-up and back, peds- down and back, using
largest speculum that will fit comforably
tympanic membrane - CORRECT ANSWER Cone of light R-5 l-7
EOM testing - CORRECT ANSWER CN III, IV, VI
,2
AP diameter of chest - CORRECT ANSWER 1:2 (AP less than transverse)
barrel chest - CORRECT ANSWER COPD
Flat or Dull percussion - CORRECT ANSWER effusion or pneumonia
normal resonant percussion - CORRECT ANSWER healthy lung
, 2
Hyperressonance (percussion) - CORRECT ANSWER trapped air
crackles/rales - CORRECT ANSWER high pitched, discontinuous
Wheezes - CORRECT ANSWER high-pitched whistling or squeaking sounds during
inspiration or expiration
Rhonchi - CORRECT ANSWER snoring, rumbling sounds heard upon auscultation of
the chest during respiration-low pitched
tactile fremitus - CORRECT ANSWER • INCREASED FREMITUS
- Means there is liquid or solid inside the lungs (consolidation such as with pneumonia)
- Remember Liquid or solid transmits vibrations better than air
•DECREASED FREMITUS
Means air trapping such as with emphysema or bronchial obstruction.
Bronchophony - CORRECT ANSWER the spoken voice sound heard through the
stethoscope, which sounds soft, muffled, and indistinct over normal lung tissue,
clearer over disease
Egophony - CORRECT ANSWER abnormal change in tone of voice that is heard
when auscultating the lungs EE-->AA
UE Arteries - CORRECT ANSWER radial-thumb side, ulnar pinky side
