ADVANCED HEALTH ASSESSMENT FINAL EXAM COMPREHENSIVE STUDY GUIDE

BMI Classifications Underweight: 18.5 Normal: 18.5-24.9 Overweight: 25.0-29.9 Obesity class • I: 30.0-34.9 • II: 35.0-39.9 • III: at or over 40 How do you calculate BMI? Stages of HTN Normal: under 120/80 Prehypertension: 120-139/80-89 Stage 1: 140-159/90-99 Stage 2: over 160/100 If diabetes or renal disease: goal is under 130/80 Waist Circumference Risk if over 35in for women Risk if over 40in for men Cranial Nerves 1. Olfactory: Sensory 2. Optic: Sensory 3. Occulomotor: Motor 4. Trochlear: Motor 5. Trigeminal: Both 6. Abducens: Motor 7. Facial: Both 8. Acoustic: Sensory 9. Glossopharyngeal: Both 10. Vagus: Both 11. Spinal Accessory: Motor 12. Hypoglossal: Motor Romberg Test Stand with hands to the sides and eyes closed, observe swaying Pronator Drift Stand with arms out, eyes closed, and hands supine -- watch for hands pronating. Graphesthesia The inability to recognize numbers written on the hand. Suggests a lesion in the sensory cortex. Astereognosis: Inability to recognize objects placed in the hand Kernig Flex patient's leg at hip and knee, then straighten the knee. Discomfort behind the knee during full extension should not cause pain. Brudzinski Pt supine, your hands behind pt's head and flex the neck forward, until chin touches the chest if possible. Neck stiffness with resistance and flexion of hips and knees is a positive sign. May be a sign of acute bacterial meningitis or subarachnoid hemorrhage Straight Leg Raising Lift the straight leg, if pt has low back pain with nerve pain that radiates down the leg = sciatica from compression of the spinal nerve root as it passes through the vertebral foramen Plantar (Babinski) Reflex Dorsiflexion of the big toe is a positive Babinski response from a CNS lesion in the corticospinal tract Finkelstein Test Pt grabs thumb with hand and you pull down to see if there is tendon tenderness - if positive, might mean tendonitis Tinel's Sign Tap on the Median Nerve Phalen's Test Bend wrists at 90 degrees and put back of hands against each other for 1 minute and see if there is numbness/tinglin