Exam 3 - advanced health assessment (100% correct answers)
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Grado
Advanced health assessment
Institución
Advanced Health Assessment
XI Spinal Accessory correct answers - shoulder movement
- head rotation
tests
* head/neck rotation against resistance
* shrug shoulder against resistance
IX Glossopharyngeal correct answers -sensations from throat, taste
- swallowing
* listen to voice quality, volume, characteristics, arti...
Exam 3 - advanced health assessment (100% correct answers)
XI Spinal Accessory correct answers - shoulder movement
- head rotation
tests
* head/neck rotation against resistance
* shrug shoulder against resistance
IX Glossopharyngeal correct answers -sensations from throat, taste
- swallowing
* listen to voice quality, volume, characteristics, articulation of words
X Vagus correct answers - 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 correct answers - 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 correct answers - 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 correct answers - extraocular eye movements
- assess directions of gaze
- moves eyes laterally
V Trigeminal correct answers - 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 correct answers - smell
- assess each nostril separately IV Trochlear correct answers - extraocular eye movements
- 6 cardinal directions
- moves eyes down, and towards nose
- rotates internally
III Oculomotor correct answers - extraocular eye movements
- pupil constrction
- raises eye lid
II Optic correct answers - vision - acuity
- Snellen Chart
-fields by confrontation - flicker finger and ask patient when sees the finger in they field of vision
murmur correct answers - abnormal heart sound
- made due to turbulent blood flow
Functional / innocent murmur correct answers - non cardiac murmurs related to pregnancy, hyperthyroidism, exercise, anemia
- common in children
- heard with systole, in the pulmonic area
S4 correct answers - 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 correct answers - 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 correct answers - Apical area
- Apex of the heart
- 5th left intercostal space at the midclavicular line
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Tricuspid area correct answers - 4th left intercostal space at the left sternal border All People Enjoy Time Magazine
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