6007 test 2

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6007 test 2
2013-11-06 21:31:21
6007 test

6007 test 2
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  1. What valve is in the RLQ?
    Ileocecal valve
  2. How many times/min should bowel sounds occur?
  3. What should should predominate on abd percussion?
  4. Sound of percussion over liver and spleen?
  5. Where is the liver?
    Right midclavicular line, 5th ICS-costal margin
  6. Where is the spleen?
    Left midaxillary line, around 9-11 ICS
  7. How far do you press in light abd palpation?
    1cm using 4 fingers close together
  8. How far do you press in deep abd palpation?
    5-8cm. Use both hands for obese.
  9. Where is tenderness on abd palpation normal?
    Sigmoid colon
  10. Where do you start palpation on abd?
    RUQ, then go clockwise
  11. Is the spleen normally palpabe?
    No-has to be 3x normal size to be felt
  12. Where can you palpate kidney?
    Left cannot be felt. "Duckbill" pt at their rt flank to feel right
  13. What is rebound tenderness?
    On abd assessment--pain on release of palpating pressure
  14. How do you assess for ascites in abd?
    Have pt hold hand on opposite side, then hit the side you're on. If they have ascites, will feel the fluid hit your hand.
  15. Name the ear tests for bone/air conduction.
    Rinne and Weber
  16. How is mental status best inferred?
    THru assessment of individual's behavoirs
  17. What are the 4 main headings of the mental status exam?
    Appearance, Behavoir, Cognition, Thought Processes
  18. Assessing for posture, body movements, dress, and grooming are what part of the mental status exam?
  19. LOC, facial expressions, speech, mood/affect are what part of the mental status exam?
  20. Orientation, attention span, recent/remote memory are what part of the mental status exam?
  21. How to assess new learning?
    Tell pt 4 words then ask them to repeat them after 5, 10, and 30 mins.
  22. Thought content and perceptions are what part of the mental status exam?
    Thought processes
  23. What tool is used to measure joint ROM?
  24. A 0 on the muscle strength scale indicates:
    no detection of muscular contraction
  25. A 1 on the muscle strength scale indicates:
    Barely detectable contraction w/observation or palpation
  26. A 2 on the muscle strength scale indicates
    Active movement without gravity
  27. A 3 on the muscle strength scale indicates
    Active movement against gravity only
  28. A 4 on the muscle strength scale indicates
    Active movement against gravity and SOME resistance
  29. A 5 on the muscle strength scale indicates
    Active movement against full resistance without evident fatigue
  30. What is abduction?
    Moving arms away from the body
  31. What is adduction?
    Moving arms toward the body
  32. What is pronation?
    Turning palm down
  33. What is supination?
    Turning palm up
  34. What is eversion?
    Moving the pinkie toe up
  35. What is inversion?
    Moving the great toe up
  36. What is external rotation?
    Moving the foot away from the midline
  37. What is internal rotation?
    Moving the foot towards midline
  38. A positive Thomas test is indicated by
    Flexion of hip reveals flexion deformity in opposite hip
  39. Most common motion dysfunction of hip disease?
    Limitation of abduction of hip when supine
  40. McMurray's test
    Hear or feel a click -- positive for a torn meniscus
  41. What is the ballottemet test for?
    Joint effusion--if fluid, a tap will transmit and be felt on other side
  42. What is dorsiflexion?
    Pulling toes toward head
  43. What is plantar flexion?
    Putting the gas down
  44. Phalen's test
    Hold hands back to back at 90 angle. In pts w/Carpel tunnel, this produces numbness and burning
  45. Name two parts of neuro assessment
    CNS and PNS
  46. What does CNS consist of
    Brain and spinal cord
  47. What does PNS consist of
    12 cranial nerves and 31 spinal nerves
  48. What nerves carry messages TO CNS
    Sensory afferent fibers
  49. What nerves carry messages away from CNS
    efferent fibers
  50. How are reflexes graded?
    4 point scale with 4 very brisk, 3 more brisk, 2 normal, 1 diminished, and 0 no response
  51. What is clonus?
    Set of short, jerking contractions