Test 1 6007 COMPLETE

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mckenzielarmstrong
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236391
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Test 1 6007 COMPLETE
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2013-09-23 20:01:31
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Test 6007
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Test 1 6007
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  1. The angle of Louis is also called
    Manubriosternal junction
  2. Angle of Louis is located below
    the suprasternal notch
  3. Angle of Louis is located at the articulation of
    the manubrium and the body of the sternum
  4. Angle of Louis' is useful place to start counting ribs b/c
    it is continuous with the second rib
  5. Angle of Louis' signifiance to RESPIRATORY system
    marks the tracheal bifurcation into the right and left main bronchi
  6. Angle of Louis' signifiance to CARDIO system
    corresponds with the upper border of the atria
  7. Costal angle is formed by
    meeting at the xyphoid process of the rt. And lft. costal margins
  8. ideal costal angle degrees
    90 degrees or less. (angle increases with chronic overinflation).
  9. Vertebra prominens marks what vertebra
    C7
  10. How to find vertebra prominens
    flex head and feel for most prominent bony spur at the base of the neck
  11. Pigeon chest
    Pectus carinatum
  12. Funnel chest
    Pectus excavatum
  13. Lung percussion: Begin at __ of lungs and move toward
    Apex, Diagraphm
  14. Normal sound on lung percussion
    Resonance
  15. Abnoral sound on lung percussion
    Hyperresonance or dull
  16. Normal lung sounds
    Vesicular, bronchovesicular, bronchial
  17. Where aer bonchial sounds abnomral?
    in lung fields
  18. Where are bronchiovesicular sounds abnormal?
    Lung fields
  19. bronchophony
    Client says “99” and sound is clear (b/c over fluid filled area)
  20. Whispered pectoriloquy
    Client whispers “99” and sound is clear & distinct
  21. Chest pain assessment: PQRST
    Precipitating events, quality of pain, radiation, severity, timing
  22. Bruits
    humming or buzzing
  23. Arterial pulses correspond w/ ventricular
    Systole
  24. Normal jugular vein
    Distention is absent with pt seated or slightly distended when pt supine
  25. Where is aortic valve
    2nd ICS right sternum
  26. Where is pulmonic valve
    2nd ICS left sternum
  27. where is Erb's point
    3rd ICS left sternum
  28. Where is tricuspid valve
    4th-5th ICS left sternum
  29. Where is mitral valve
    5th ICS left midclavicular line
  30. Thirlls are
    palpable vibration
  31. What do we palpate mitral valve area for?
    Point of maximual impulse (absence in 1/2 of adults)
  32. What valvues close at S1
    Mitral and tricuspid (aka AV)
  33. S1 signals the beggining of
    ventricular systole
  34. S1 is loudest at
    mitral (apex) and tricuspid
  35. S1 sounds like
    lubb (soft)
  36. Split S1 is normal in
    young adults
  37. What valves close at S2
    pulmonic and aortic (aka SL)
  38. S2 signals the beginning of
    ventircular diastole
  39. S2 is loudest at
    aortic & pulmonic sites (the base)
  40. S2 sounds like
    Dubb; sharp
  41. Extra sounds are best heard with __ of sthescope
    bell
  42. S3 is called
    ventricular gallop
  43. S3 is heard
    closely after S2
  44. S3 is caused by
    decreased complaince of ventricles during filling
  45. S3 can be normal in what age group
    children & young adults
  46. S4 is called
    atrial gallop
  47. When is S4 heard
    Just before S1
  48. S4 is caused by
    atrial contraction
  49. S4 can be normal in what age group
    Adults younger than 40
  50. Pericardial fiction rub is inflammation of
    Parietal & visceral surfaces
  51. Pericardial fiction rub sounds like
    sandpaper rubbing together
  52. Where is Pericardial fiction rub best heard?
    Apex and left lower sternal border
  53. How can we differeniate btwn pericardial & plerual rub?
    Have pt hold breath and listen
  54. How many heart sites should we auscultate?
    5
  55. How are murmers graded?
    I/VI to VI/VI
  56. how loud is a I/VI murmer?
    faint
  57. How loud is a VI/VI murmur?
    Very. Heard w/o stethoscope
  58. How long should cap refill be?
    <3sec
  59. Edema of +1 is
    nonpitting
  60. Edema of +4 is
    pitting
  61. Normal ABPI is
    1.0
  62. ABPI of <0.9 indicates
    some arterial diseaase
  63. ABPI of between 0.5 and 0.9 indicates
    Some claudication. Needs further evaluation
  64. ABPI of <0.5 indicates
    severe arterial disease
  65. 0 pulse
    Absent
  66. 1+ pulse
    Weak
  67. 2+ pusle
    Normal
  68. 3+ pulse
    Increased
  69. 4+ pulse
    bounding
  70. Thrill
    Narrowed vessel vibration
  71. 6 Ps of arterial occlusion
    Pain, pallor, pulselessness, parasthesia, poikilothermia, paralysis
  72. How can wound drainage be described?
    serous, purulent,s erosanguinous, sanguinous
  73. Stage 1 PU:
    Intact skin, nonblanchable, localized redness
  74. Stage 2 PU:
    Partial skin loss, Superficial
  75. Stage 3 PU:
    Full thickness skin loss, SQ fat may show, can have tunnelling
  76. Stage 4 PU:
    full-thickness tissue loss, exposed bone or muscle, often has tunnelling
  77. Breath sounds in Lateral thorax
    vesicular
  78. Vesicular sounds like
    soft, breezy.
  79. Vesicular ration
    3:1
  80. Where vesicular heard
    over periphery of lung
  81. Bronchovesicular sounds like
    blowing sounds. Medium intensity
  82. Bronchovesicular ratio
    1:1
  83. Bronchovesicular heard
    over Heart posteriorly btwn scapulae & anteriorly over bronchioles lateral to sternum at 1st and 2nd intercostal spaces
  84. Bronchial sounds like
    loud and high pitched.
  85. Bronchial ratio
    2:3
  86. Bronchial heard
    only over trachea
  87. Bronchovesicular AND vesicular sounds are normally heard
    over the posterior thorax
  88. Adventitious sounds caused by
    air passing thru moisture, mucus, narrowed airways, alveoli suddenly reinflatting, inflammation between pleurl linings
  89. Crackles are found
    in right and left lung bases
  90. Fine crackels sound like
    high pitched fine, short, rackling noises
  91. Fine crackles are heard when during respiratory cycle
    at end of inspiration
  92. Medium crackels sound like
    lower, moister
  93. Medium crackels are herard when durign resp cycle
    during middle of inspiration
  94. Coarse crackels sound like
    loud, bubbly
  95. Coarse crackles are heard when during resp cycle
    heard during inspiration
  96. Rhonchi are heard physically
    over trachea and bronchi
  97. Rhonchi sound like
    Loud rumbling noise.
  98. where are Wheezes heard physically
    Over all lung fields
  99. What do wheezes sound like
    High pitched, musical. Continuous
  100. When are wheezes loudest
    expiration
  101. Pleural friction rub heard over (physically)
    anterior lateral lung field
  102. PLeural friction rub sounds like
    Dry, rubbing/grating

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