Advanced Health Assessment Final,
With Complete Solution
BMI Classifications
Underweight: <18.5
Normal: 18.5-24.9
Overweight: 25.0-29.9
Obesity class
• I: 30.0-34.9
• II: 35.0-39.9
• III: at or over 40
How do you calculate BMI?
Stages of HTN
Normal: under 120/80
Prehypertension: 120-139/80-89
Stage 1: 140-159/90-99
Stage 2: over 160/100
If diabetes or renal disease: goal is under 130/80
Waist Circumference
Risk if over 35in for women
Risk if over 40in for men
Cranial Nerves
1. Olfactory: Sensory
2. Optic: Sensory
3. Occulomotor: Motor
4. Trochlear: Motor
5. Trigeminal: Both
6. Abducens: Motor
7. Facial: Both
8. Acoustic: Sensory
9. Glossopharyngeal: Both
10. Vagus: Both
11. Spinal Accessory: Motor
12. Hypoglossal: Motor
Romberg Test
Stand with hands to the sides and eyes closed, observe swaying
Pronator Drift
Stand with arms out, eyes closed, and hands supine -- watch for hands pronating.
Graphesthesia
The inability to recognize numbers written on the hand. Suggests a lesion in the sensory
cortex.
Astereognosis:
Inability to recognize objects placed in the hand
, Kernig
Flex patient's leg at hip and knee, then straighten the knee. Discomfort behind the knee
during full extension should not cause pain.
Brudzinski
Pt supine, your hands behind pt's head and flex the neck forward, until chin touches the
chest if possible. Neck stiffness with resistance and flexion of hips and knees is a
positive sign. May be a sign of acute bacterial meningitis or subarachnoid hemorrhage
Straight Leg Raising
Lift the straight leg, if pt has low back pain with nerve pain that radiates down the leg =
sciatica from compression of the spinal nerve root as it passes through the vertebral
foramen
Plantar (Babinski) Reflex
Dorsiflexion of the big toe is a positive Babinski response from a CNS lesion in the
corticospinal tract
Finkelstein Test
Pt grabs thumb with hand and you pull down to see if there is tendon tenderness - if
positive, might mean tendonitis
Tinel's Sign
Tap on the Median Nerve
Phalen's Test
Bend wrists at 90 degrees and put back of hands against each other for 1 minute and
see if there is numbness/tingling
Ballotment
Leg extended, compress the suprapatellar pouch and then push the patella sharply
against the femur, watching for fluid returning to the pouch
Bulge Sign
Knee extended, hand on knee above the patella and milk downward. Apply medial
pressure and tap laterally. Watch for a fluid wave
Drawer Sign
Pt supine with knee flexed, your thumbs at the medial/lateral joint line and fingers
wrapped around. Then sharply push/pull, watching for laxity
McMurray Test
Pt supine with knee flexed, one hand medial knee and the other medial ankle. Extend
the leg and laterally rotate, watching for clicking
Directions for Self-Breast Exam
5-7 days after period OR same time every month for menopausal women. Lawn Mower
pattern
What Abdominal locations do you listen for bruits with the Bell of the
stethoscope?
Aoritc, Illiac, Femoral
What Abdominal locations do you listen for bruits with the diaphragm of the
stethoscope?
Epigastric and Renal
Murphey's Sign
Assessing gallbladder, pt will stop breathing d/t pain when pushing up on the liver if
positive.
With Complete Solution
BMI Classifications
Underweight: <18.5
Normal: 18.5-24.9
Overweight: 25.0-29.9
Obesity class
• I: 30.0-34.9
• II: 35.0-39.9
• III: at or over 40
How do you calculate BMI?
Stages of HTN
Normal: under 120/80
Prehypertension: 120-139/80-89
Stage 1: 140-159/90-99
Stage 2: over 160/100
If diabetes or renal disease: goal is under 130/80
Waist Circumference
Risk if over 35in for women
Risk if over 40in for men
Cranial Nerves
1. Olfactory: Sensory
2. Optic: Sensory
3. Occulomotor: Motor
4. Trochlear: Motor
5. Trigeminal: Both
6. Abducens: Motor
7. Facial: Both
8. Acoustic: Sensory
9. Glossopharyngeal: Both
10. Vagus: Both
11. Spinal Accessory: Motor
12. Hypoglossal: Motor
Romberg Test
Stand with hands to the sides and eyes closed, observe swaying
Pronator Drift
Stand with arms out, eyes closed, and hands supine -- watch for hands pronating.
Graphesthesia
The inability to recognize numbers written on the hand. Suggests a lesion in the sensory
cortex.
Astereognosis:
Inability to recognize objects placed in the hand
, Kernig
Flex patient's leg at hip and knee, then straighten the knee. Discomfort behind the knee
during full extension should not cause pain.
Brudzinski
Pt supine, your hands behind pt's head and flex the neck forward, until chin touches the
chest if possible. Neck stiffness with resistance and flexion of hips and knees is a
positive sign. May be a sign of acute bacterial meningitis or subarachnoid hemorrhage
Straight Leg Raising
Lift the straight leg, if pt has low back pain with nerve pain that radiates down the leg =
sciatica from compression of the spinal nerve root as it passes through the vertebral
foramen
Plantar (Babinski) Reflex
Dorsiflexion of the big toe is a positive Babinski response from a CNS lesion in the
corticospinal tract
Finkelstein Test
Pt grabs thumb with hand and you pull down to see if there is tendon tenderness - if
positive, might mean tendonitis
Tinel's Sign
Tap on the Median Nerve
Phalen's Test
Bend wrists at 90 degrees and put back of hands against each other for 1 minute and
see if there is numbness/tingling
Ballotment
Leg extended, compress the suprapatellar pouch and then push the patella sharply
against the femur, watching for fluid returning to the pouch
Bulge Sign
Knee extended, hand on knee above the patella and milk downward. Apply medial
pressure and tap laterally. Watch for a fluid wave
Drawer Sign
Pt supine with knee flexed, your thumbs at the medial/lateral joint line and fingers
wrapped around. Then sharply push/pull, watching for laxity
McMurray Test
Pt supine with knee flexed, one hand medial knee and the other medial ankle. Extend
the leg and laterally rotate, watching for clicking
Directions for Self-Breast Exam
5-7 days after period OR same time every month for menopausal women. Lawn Mower
pattern
What Abdominal locations do you listen for bruits with the Bell of the
stethoscope?
Aoritc, Illiac, Femoral
What Abdominal locations do you listen for bruits with the diaphragm of the
stethoscope?
Epigastric and Renal
Murphey's Sign
Assessing gallbladder, pt will stop breathing d/t pain when pushing up on the liver if
positive.
