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Advanced Health Assessment; EXAM 1; The P.E. and Associated Documentation
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Describe the steps of physical assessment - correct answer IPPA; inspection, palpation, percussion, auscultation Describe the percussion sound and give an example: Tympanic - correct answer Intensity: Loud Pitch: High Duration: Moderate Quality: Drumlike Example: gastric bubble Describe the percussion sound and give an example: Hyperresonant - correct answer Intensity: very loud Pitch: Low Duration: Long Quality: Broomlike Example: Emphysema lungs Describe the percussion sound and give an example: Resonant - correct answer Intensity: loud Pitch: Low Duration: Long Quality: Hollow Example: healthy lungs Describe the percussion sound and give an example: Dull - correct answer Intensity: soft to mod Pitch: mod to high Duration: moderate Quality: thudlike
Example: over liver Describe the percussion sound and give an example: Flat - correct answer Intensity: soft Pitch: high Duration: short Quality: very dull Example: over muscle In what order do you perform percussions? - correct answer from areas of resonance to dullness Which surface of the hand to use for assessing temperature - correct answer dorsal (back) of hand Which surface of the hand to use for assessing vibrations - correct answer ulnar surfaces of hands and fingers Which surface of the hand to use for assessing qualities of a mass - correct answer palm surface of fingers and finger pads (not fingertips) Bell of stethoscope detects which sounds - correct answer low pitched sounds with light pressure high pitched sounds with firm pressure Diaphragm of stethoscope detects which sounds - correct answer high pitched sounds such as 2nd heart sound What does it test: ophthalmoscope - correct answer eyes What does it test: Snellen chart - correct answer vision from a far distance What does it test: Rosenbaum - correct answer vision from close up (E, X, O)