HA final pt 2

Abdominal assessment technique

GU assessment technique

Physical assessment techniques and findings for renal stone

What is pyelonephritis?

What is hematuria?

What is pyuria

Whats dysuria

Whats malodorous urine

Sign and symptoms of uti

Physical assessment techniques and findings for acute appendicitis

Red flag finding for liver cirrhosis

Why does liver failure cause an increased risk of bleeding

What are ascetics and jaundice?

What is ascites and jaundice indicative of

Whats hematemesis

What's hematochezia?

Whats melena

Physical finding or upper gi bleed

Physical finding of lower gi bleed

Physical assesmnt finding stroke

Physical assessment finding Bell's palsy

Anticipated intervention of pneumothorax

Physical assessment findings of pneumothorax

What is lice/nits

What is hair casts

What is dandruff

What is tinea capitis

What is alopecia

Fontanelles—anterior or posterior

What does sunken fontanell mean

What does bulging fontanell mean

Assessment finding of Cushing's syndrome

Hypothyroidism assessment findings

Hyperthyroidism assessment findings

Fundoscopic exam and retinal structures

Which part of the nervous system controls pupil dilating and constriction?

What medications can affect pupillary responses?

How to assess PERRLA

CRNAIAL NERVES assesed with eyes

What is accommodation

What is confrontation

What chart used for distant vision?

What chart used for near vision

What is light reflex?

What is starbisimus?

What is nystagmus

What is ptosis

Physical assessment findings for tonsillitis

Physical assessment findings for trismus

Can trismus be an airways issue in the setting of throat swelling and pooling secretions?

Physical assessment: peritonsillar abscess (deviation of uvula)

What are exudates

What is thrush

What is oral hairy leukoplakia?

What is angiedma?

What historial information (medication list) would support angioedema?

What is dysphagia?

What is odynophagia

List and specify location of primary lymph node found in head and neck. Region

Cone reflex in right ear

Cone reflex in left ear

Normal tympanic membrane

AbNormal tympanic membrane

Presentation of epistaxis and first aid

Concerns of unilateral pupil dilation

3 sections

Eye opening

Verbal repsonse

Motor response

15 is best score 3 or less Is unresponsive

Glasgow coma scale

Parts of eye seen through ophthalmoscope

Optic disk retinal vessel macula

What's expressive aphasia? and where is it targeted

Understand but cannot verbalize it

Fronatal lobe (broca’s area)

What's receptive aphasia? and where is it targeted

Do not understand what is said but can speak meaninglessly. Word salad

Temporal lobe (wernickes area)

Early neurological warning signs

Change in orientation/level of consciousness

Straighten a bent knee, and it cuase severe pain and resistance

What is this sign of

Kernig sign

Menigitis and subarachnoid hemmorhage

Flex neck, which automatically causes hips and knees to bend upward in pain

What is this sign of

Brudzinski sign

Menigitis and subarachnoid hemmorhage

What does BEFAST mean

Signs of acute stroke

Balance- loss of suddenly

Eyes—sudden loss of vision

Face—uneven smile, facial drop

Arm-sudden unilateral arm weakness or drift

Speech—slurred, confused dysphagia

Time—call 911

Stand with arms at side and close eyes to test balance for 30-60 seconds.

WANT A NEGATIVE TEST

Romberg test

How to test cerebellar function (coordination)

Finger-to-nose test, shin-to-heel (pt in supine) rapid alternating movement, tandem walking

What is stereognosis

Feeling and naming a familiar object

What is grapthesia

Tracing number on palm and have the pt identify it.

What is ABCT evaluation

Appearance, behavior, (mood/affect, LOC, speech, expression), cognition (orientation, attention span, memory, learning), thought process (logical reasoning)

What is lethargic consciousness

Sleepy. Easily aroused by voice or touch

What is obtunded consciousness

Between lethargy and stupor

mild-to-moderate alertness reduction, confusion, and slow responsiveness to stimulation

What is stupor consciousness

Vigorous painful stimuli, minimum verbal response

What is coma consciousness

Unarousable and unresponsive to stimuli

What is recent memory and how to test

Short-term

Ask about recent meal or how they got to appointment or the weather.

What is remote memory and how to test

Memory about years ago—confirm with record or family

Ask DOB, past job, historical event

What is judgement and how to test

Understand consequences and decision-making skills.

Ask what they would do if they found stamped envelope.

What is abstract thinking and how do you test it?

What is new memory, and how do I test it?

What is mini cog how to do it and what it mean

A brief questionnaire to screen adult for dementia is not a diagnostic tool.

1- tell pt to remember 3 unrelated words.

2- draw a clock at a specific time.

4- repeat the 3 words

0-2 point mean positive cognitive impairment; a 3-5 point is low likelihood, but monitor.

What's the Mini-Mental State Examination (MMSE)?