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What is objective data? - CORRECT ANSWER -What you detect during
the examination, lab info, and test data
All physical exam findings or signs
What is subjective data? - CORRECT ANSWER -What the patient tells
you
The symptoms and history from chief complaint and ROS
What are the steps in preparing for the physical exam? - CORRECT
ANSWER -reflect on your approach to the patient
adjust the lighting and environment
check equipment
make the patient comfortable
observe standard and universal precautions
choose the sequence, scope, and positioning of exam
Cardinal techniques of examination - CORRECT ANSWER -inspection
palpation
percussion
auscultation
inspection - CORRECT ANSWER -close observation of the details of the
patient's appearance, behavior, and movements such as facial
expression, mood, body habitus and conditioning, skin conditions such
as petechiae or ecchymoses, eye movements, pharyngeal color,
symmetry of thorax, height of jugular venous pulsations, abdominal
contour, lower extremity edema
Palpation - CORRECT ANSWER -tactile pressure from the palmar fingers
or fingerpads to assess areas of skin elevation, depression, warmth, or
tenderness, lymph nodes, pulses, contours and sizes of organs and
masses, crepitus in the joints
Percussion - CORRECT ANSWER -Use of the striking or plexor finger,
usually the third, to deliver a rapid tap or blow against the distal
pleximeter finger, usually the distal third finger of the left hand laid
against the surface of the chest or abdomen, to evoke a sound wave,
such as resonance or dullness from the underlying tissue or organs
sound wave generates a tactile vibration against the pleximeter finger
Auscultation - CORRECT ANSWER -use of the diaphragm and bell of
stethoscope to detect the characteristics of the heart, lung, bowel
sounds, including location, timing, duration, pitch, and intensity
permits detection of bruits or turbulence over arterial vessels
What is aspects of the head to toe exam should be sitting? - CORRECT ANSWER - general
VS
HEENT
Thorax and lungs
breasts
musculoskeletal
murmur of aortic insufficiency
What part of the head to toe is lying supine with HOB 30 degrees? - CORRECT ANSWER -Cardiovascular (JVP, carotid upstrokes and bruits, PMI, s1 s2, murmurs
What part of Head to toe is lying supine to left side - CORRECT ANSWER -S murmur of mitral stenosis
what part of head toe is lying supine? - CORRECT ANSWER -breasts and axillae
abdomen
peripheral vascular
What is validity of evaluating diagnostic tests? - CORRECT ANSWER -the initial step in evaluating a diagnostic test to determine whether it provides valid results
example: biopsy to evaluate lung nodule
What is sensitivity of evaluating diagnostic tests? - CORRECT ANSWER -is the probability that a person with disease with a positive test
What is specificity of evaluating diagnostic tests? - CORRECT ANSWER -the probability that non-diseased person has negative test
What are the techniques of Guided Questioning? - CORRECT ANSWER -Moving from open-ended to focused questions
Using questioning that elicits a graded response
asking a series of questions, one at a time
offering multiple choices for answers
clarifying what the patient means
encouraging with continuers
using echoing
What is FIFE? - CORRECT ANSWER -feelings
ideas
function
expectations
Seven attributes of a symptom - CORRECT ANSWER -location
quality
quantity
timing
onset
remitting or exacerbating factors
associated manifestations
