NU 650 Final Exam UPDATED ANATOMY QUESTIONS AND 100% CORRECT ANSWERS A+ GRADED

Order of Assessment ans: Inspection, Palpation, Percussion and Auscultation. EXCEPT with abdomen Comprehensive Health History ans: chief complaint, reason for visit, ROS, past medical and surgical history, social history and family history Pediatric Body measurements ans: length, height, weight, head circumference fro birth to 36 months Normal/Hypertension cut off ans: 130 normal 140+ hypertension Fontanel Closure ans: posterior 1-2 months, anterior 9mo-2years otoscope ans: adult-up and back, peds- down and back, using largest speculum that will fit comforably tympanic membrane ans: Cone of light R-5 l-7 EOM testing ans: CN III, IV, VI AP diameter of chest ans: 1:2 (AP less than transverse) barrel chest ans: COPD Flat or Dull percussion ans: effusion or pneumonia normal resonant percussion ans: healthy lung Hyperressonance (percussion) ans: trapped air crackles/rales ans: high pitched, discontinuous Wheezes ans: high-pitched whistling or squeaking sounds during inspiration or expiration Rhonchi ans: snoring, rumbling sounds heard upon auscultation of the chest during respiration-low pitched tactile fremitus ans: • 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 ans: the spoken voice sound heard through the stethoscope, which sounds soft, muffled, and indistinct over normal lung tissue, clearer over disease Egophony ans: abnormal change in tone of voice that is heard when auscultating the lungs EE--AA UE Arteries ans: radial-thumb side, ulnar pinky side Pulse grading ans: 0 absent 1+ weak 2+ normal 3+ increased 4+ bounding palpate bilaterally PMI ans: point of maximal impulse mid-clavicular and 5th ICS S1 ans: normal, closure of AV, Start of systole, loudest at Apex, contraction of ventricles S2 ans: normal, closure of semilunar, end of systole, loudest at base, filling of ventricles S3 ans: third heart sound (normal in pregnant young adults, and children), gallop S4 ans: extra heart sound, end of diastole, indicative of disease-AFIB murmur grading scale ans: I-Barely Audible II-Quiet, Clearly Audible III-moderately Loud IV-loud, thrill V-Very loud, can palpate thrill VI-Very loud, thrill palpable and visible clubbing ans: bulbous enlargement of distal phalanges of fingers and toes that occurs with chronic cyanotic heart and lung conditions edema scale ans: 1+ = disappears rapidly. 2+ = last 10-15 seconds. 3+ = lasts more than one minute. 4+ = lasts 2-5 minutes. These are signs used in what scale? normal/abnormal findings spleen ans: normal=tympanic, dullness could be enlargement not normally felt on exam Blumberg Sign: Rebound Test ans: peritoneal inflammation, hurts more when release from palpation shifting dullness ans: a sign of free peritoneal fluid wherein the dullness of percussion shifts, generally from one side to the other, as the patient is turned from side to side. Psoas sign ans: RLQ pain with extension of right thigh indicative of appendicitis Obturator sign ans: RLQ on internal rotation of right thigh indicative of appendicitis assessment of hernia ans: pt may report a lump. observe pt while lying and standing, hernia may disappear while lying. ask pt to strain or perform Valsalva maneuver and observe for bulging. absent bowel sounds may indicate strangulation. cardinal signs of Musculoskeletal disease ans: pain, erythema, swelling, increased warmth, deformity, loss of function Scoliosis ans: abnormal lateral curvature of the spine kyphosis ans: excessive outward curvature of the spine, causing hunching of the back. Knock-knee (genu valgum) ans: Legs curved inward so knees come together as person walks bow-legged ans: knees too far apart anatomic snuffbox ans: landmark depression on the radial aspect of the dorsal wrist; overlays the scaphoid bone Impingement Sign ans: POSITIVE: pain in the shoulder INDICATES: overuse injury to the supraspinatus and possibly biceps tendon Drop Arm Test ans: identifies tear and/or full rupture of rotator cuff Allen test ans: determining the patency of the radial and ulnar arteries by compressing one artery site and observing return of skin color as evidence of patency of the other artery Phalen's sign ans: Tingling, numbness, or pain in the fingers within 60 seconds of performing Phalen's maneuver, a diagnostic test for carpal tunnel syndrome Tinel's sign ans: A distal tingling sensation on percussion of median nerve of the inner wrist; characteristic of carpal tunnel syndrome Drawer Test - knee ans: Patient supine, examiner flexes the hip and the knee of the patient's affected leg until the foot is flat on the table. Examiner sits on the foot of thepatient's afectedleg. Examinergrasps behindthe patient'sflexed knee and exerts a pushing and pulling pressure into the affected knee.