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