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REGIS NU650/NU 650 Final Exam SG(100% Graded)
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REGIS NU650/NU 650 Final Exam SG(100% Graded)
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REGIS NU650/NU 650 Final Exam SG (100% Graded)Order of Assessment - (answers)Inspection, Palpation, Percussion and
Auscultation. EXCEPT with abdomen
Comprehensive Health History - (answers)chief complaint, reason for visit,
ROS, past medical and surgical history, social history and family history
Pediatric Body measurements - (answers)length, height, weight, head
circumference fro birth to 36 months
Normal/Hypertension cut off - (answers)<130 normal 140+ hypertension
Fontanel Closure - (answers)posterior 1-2 months, anterior 9mo-2years
otoscope - (answers)adult-up and back, peds- down and back, using largest
speculum that will fit comforably
tympanic membrane - (answers)Cone of light R-5 l-7
EOM testing - (answers)CN III, IV, VI
AP diameter of chest - (answers)1:2 (AP less than transverse)
barrel chest - (answers)COPD
Flat or Dull percussion - (answers)effusion or pneumonia
normal resonant percussion - (answers)healthy lung
,Hyperressonance (percussion) - (answers)trapped air
crackles/rales - (answers)high pitched, discontinuous
Wheezes - (answers)high-pitched whistling or squeaking sounds during
inspiration or expiration
Rhonchi - (answers)snoring, rumbling sounds heard upon auscultation of the
chest during respiration-low pitched
tactile fremitus - (answers)• 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 - (answers)the spoken voice sound heard through the
stethoscope, which sounds soft, muffled, and indistinct over normal lung tissue,
clearer over disease
Egophony - (answers)abnormal change in tone of voice that is heard when
auscultating the lungs EE-->AA
UE Arteries - (answers)radial-thumb side, ulnar pinky side
Pulse grading - (answers)0 absent
, 1+ weak
2+ normal
3+ increased
4+ bounding
palpate bilaterally
PMI - (answers)point of maximal impulse mid-clavicular and 5th ICS
S1 - (answers)normal, closure of AV, Start of systole, loudest at Apex,
contraction of ventricles
S2 - (answers)normal, closure of semilunar, end of systole, loudest at base,
filling of ventricles
S3 - (answers)third heart sound (normal in pregnant young adults, and children),
gallop
S4 - (answers)extra heart sound, end of diastole, indicative of disease-AFIB
murmur grading scale - (answers)I-Barely Audible
II-Quiet, Clearly Audible
III-moderately Loud
IV-loud, thrill
V-Very loud, can palpate thrill
VI-Very loud, thrill palpable and visible
clubbing - (answers)bulbous enlargement of distal phalanges of fingers and toes
that occurs with chronic cyanotic heart and lung conditions
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