REGIS. NU 650 FINAL EXAM STUDY GUIDE COMPLETE SOLUTION GUIDE FOR THE FINALS NEW SOLUTION

Order of Assessment - CORRECT ANSWER Inspection, Palpation, Percussion and Auscultation. EXCEPT with abdomen Comprehensive Health History - CORRECT ANSWER chief complaint, reason for visit, ROS, past medical and surgical history, social history and family history Pediatric Body measurements - CORRECT ANSWER length, height, weight, head circumference fro birth to 36 months Normal/Hypertension cut off - CORRECT ANSWER 130 normal 140+ hypertension Fontanel Closure - CORRECT ANSWER posterior 1-2 months, anterior 9mo-2years otoscope - CORRECT ANSWER adult-up and back, peds- down and back, using largest speculum that will fit comforably tympanic membrane - CORRECT ANSWER Cone of light R-5 l-7 EOM testing - CORRECT ANSWER CN III, IV, VI AP diameter of chest - CORRECT ANSWER 1:2 (AP less than transverse) barrel chest - CORRECT ANSWER COPD Flat or Dull percussion - CORRECT ANSWER effusion or pneumonia normal resonant percussion - CORRECT ANSWER healthy lung Hyperressonance (percussion) - CORRECT ANSWER trapped air crackles/rales - CORRECT ANSWER high pitched, discontinuous Wheezes - CORRECT ANSWER high-pitched whistling or squeaking sounds during inspiration or expiration Rhonchi - CORRECT ANSWER snoring, rumbling sounds heard upon auscultation of the chest during respiration-low pitched tactile fremitus - CORRECT 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 - CORRECT ANSWER the spoken voice sound heard through the stethoscope, which sounds soft, muffled, and indistinct over normal lung tissue, clearer over disease Egophony - CORRECT ANSWER abnormal change in tone of voice that is heard when auscultating the lungs EE--AA UE Arteries - CORRECT ANSWER radial-thumb side, ulnar pinky side Pulse grading - CORRECT ANSWER 0 absent 1+ weak 2+ normal 3+ increased 4+ bounding palpate bilaterall