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NU 650 Final Exam 2024_2025 fully solved & updated
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NU 650 Final Exam 2024_2025 fully solved & updated
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NU 650 Final Exam 2024/2025 fully solved& updated
Order of Assessment - ANSWER-Inspection, Palpation, Percussion and
Auscultation. EXCEPT with abdomen
Comprehensive Health History - ANSWER-chief complaint, reason for visit, ROS,
past medical and surgical history, social history and family history
Pediatric Body measurements - ANSWER-length, height, weight, head
circumference fro birth to 36 months
Normal/Hypertension cut off - ANSWER-<130 normal 140+ hypertension
Fontanel Closure - ANSWER-posterior 1-2 months, anterior 9mo-2years
otoscope - ANSWER-adult-up and back, peds- down and back, using largest
speculum that will fit comforably
tympanic membrane - ANSWER-Cone of light R-5 l-7
EOM testing - ANSWER-CN III, IV, VI
AP diameter of chest - ANSWER-1:2 (AP less than transverse)
barrel chest - ANSWER-COPD
Flat or Dull percussion - ANSWER-effusion or pneumonia
normal resonant percussion - ANSWER-healthy lung
, Hyperressonance (percussion) - ANSWER-trapped air
crackles/rales - ANSWER-high pitched, discontinuous
Wheezes - ANSWER-high-pitched whistling or squeaking sounds during
inspiration or expiration
Rhonchi - ANSWER-snoring, rumbling sounds heard upon auscultation of the
chest during respiration-low pitched
tactile fremitus - ANSWER-• INCREASED FREMITUS
- Means there is liquid or solid inside the lungs (consolidation such as with
pneumonia)
- Remember Liquid or solid transmits vibrations better than air
• DECREASED FREMITUS
Means air trapping such as with emphysema or bronchial obstruction.
Bronchophony - ANSWER-the spoken voice sound heard through the
stethoscope, which sounds soft, muffled, and indistinct over normal lung tissue,
clearer over disease
Egophony - ANSWER-abnormal change in tone of voice that is heard when
auscultating the lungs EE-->AA
UE Arteries - ANSWER-radial-thumb side, ulnar pinky side
Pulse grading - ANSWER-0 absent
1+ weak
2+ normal
3+ increased
4+ bounding
palpate bilaterally
PMI - ANSWER-point of maximal impulse mid-clavicular and 5th ICS
S1 - ANSWER-normal, closure of AV, Start of systole, loudest at Apex,
contraction of ventricles
S2 - ANSWER-normal, closure of semilunar, end of systole, loudest at base, filling
of ventricles
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