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Exam 3( Advanced health assessment) Questions And 100% Accurate Answers.
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XI Spinal Accessory - Answer - shoulder movement - head rotation tests * head/neck rotation against resistance * shrug shoulder against resistance IX Glossopharyngeal - Answer -sensations from throat, taste - swallowing * listen to voice quality, volume, characteristics, articulation...

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  • October 24, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
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Exam 3( Advanced health assessment)
Questions And 100% Accurate Answers.
XI Spinal Accessory - Answer - shoulder movement

- head rotation

tests

* head/neck rotation against resistance

* shrug shoulder against resistance



IX Glossopharyngeal - Answer -sensations from throat, taste

- swallowing

* listen to voice quality, volume, characteristics, articulation of words



X Vagus - Answer - movement of palate, larynx + swallowing, gag reflex

* ask patient to say "ah"

* observe rising of soft palate/uvula

* observe swallow

* check gag reflex



VIII Vestibulocochlear - Answer - hearing, balance

- test one ear at a time

- whisper test - stand behind patient 1-2 feet away, whisper 2 syllable word, increase volume as
necessary



VII Facial - Answer - taste

- facial muscle movement - expressions

- raise eyebrows

- close eyes tight with resistance

,- frown, smile

- show upper and lower teeth

- puff out cheeks with resistance



VI Abducens - Answer - extraocular eye movements

- assess directions of gaze

- moves eyes laterally



V Trigeminal - Answer - mastication + lateral jaw movements

- inspect/palpate TMJ - crepitus or popping

- transmission of stimuli from face

- assess 3 facial areas - upper, middle, lower

- check with light touch, sharp and dull



I Olfactory - Answer - smell

- assess each nostril separately



IV Trochlear - Answer - extraocular eye movements

- 6 cardinal directions

- moves eyes down, and towards nose

- rotates internally



III Oculomotor - Answer - extraocular eye movements

- pupil constrction

- raises eye lid



II Optic - Answer - vision - acuity

- Snellen Chart

-fields by confrontation - flicker finger and ask patient when sees the finger in they field of vision

, murmur - Answer - abnormal heart sound

- made due to turbulent blood flow



Functional / innocent murmur - Answer - non cardiac murmurs related to pregnancy, hyperthyroidism,
exercise, anemia

- common in children

- heard with systole, in the pulmonic area



S4 - Answer - atrial gallop

- fourth heart sound

- occurs in the late diastolic filling due to atrial contraction

- happens just before s1 - difficult to hear

- an impulse just before the systolic apical beat itself

- can occur normally in people older than 40, especially after exercise



s3 - Answer - ventricular gallop

- third heart sound

- listen with bell of stethoscope at apex of heart

- occurs after s1 and s2

- results from the change in blood flow in diastole when rapid filling ends and slow filling starts

- resembles - ken-TUCK-Y y=s3

- can be normal in those under age 40 and trained athletes

- brief mid diastolic impulse



Mitral area - Answer - Apical area

- Apex of the heart

- 5th left intercostal space at the midclavicular line

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