Health Assessment Exam 2 (Jarvis Ch. 8 & 11)
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True or False: Auscultation is always done last in a
physical exam. - Answer-False. Auscultation is done
immediately after inspection in a GI inspection. The order
of these skills varies with each body system.
Inspection is...
A. tapping the person's skin with short, sharp strokes to
assess underlying structures.
B. concentrated watching.
C. the use of your sense of touch to assess texture,
temperature, moisture, organ location and size, selling,
vibration, pulsation, rigidity, spasticity, crepitation,
presence of lumps or masses, and presence of
tenderness or pain.
D. listening to sounds produced by the body - Answer-
Inspection is concentrated watching. It begins the moment
you first meet the person and develop a general survey.
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True or False: You cannot use a patient's body as his or
her own control with inspection because every human's
body is uniquely asymmetric. - Answer-False: With
inspection you must learn to use each person as his or her
own control and compare the right and left side of the
body. The two sides are nearly symmetric.
True or False: Inspection is the least useful tool in the
physical examination and yields very little information. -
Answer-Inspection reveals a lot of information
True or False: With inspection is is ok to touch the patient.
- Answer-False: Avoid touching the patient with inspection.
What information can you obtain with inspection about a
patient's age? - Answer-Are they appropriately developed
for their age? Do they look much older or much younger?
What information can you obtain with inspection about a
patient's skin color? - Answer-Oxygenation --> are they
cyanotic? Do they have an injury? Do they have a rash?
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What information can you obtain with inspection about a
patient's position? - Answer-Are they sitting comfortably?
Are they sitting uncomfortably? Are they avoiding sitting
and standing?
Which of the following senses will NOT be used during
your physical examinations?
A. Touch
B. Hearing
C. Smell
D. Taste
E. Sight - Answer-D. Taste
True or False: The pleximeter is used for palpation. -
Answer-False. The pleximeter is used for percussion. The
pleximeter is the middle finger of the stationary hand,
which is hyperextended with the distal joint and tip placed
firmly against the person's skin.
True or False: The pleximeter is the middle finger of your
striking hand. - Answer-False. The pleximeter is the middle
finger of your stationary hand. The striking finger (or the
plexor) is the middle finger of your striking hand.
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True or False: The stethoscope magnifies body sounds,
making them easier to evaluate. - Answer-False. The
stethoscope does not magnify sound. The stethoscope
blocks out extraneous room sounds.
The slope of the earpiece of the stethoscope should point
___ ___ your nose. - Answer-The slope of the earpiece of
the stethoscope should point forward toward your nose.
What are the 4 skills required for a physical examination? -
Answer-Inspection, Palpation, Percussion, and
Auscultation
What information can you obtain with inspection about a
patient's dress? - Answer-Is it appropriate for the setting?
Ex. Dressed like a slob or lack of hygiene could indicate
depression. Ex. Worn out or dirty clothes could indicate
financial issues and cannot afford to buy new ones.
What information can you obtain with inspection about a
patient's mood? - Answer-Are they upset? Anxious? Is
their mood appropriate giving the context? (Laughing while
being given bad news is not normal.)