Order of Assessment ~CORRECT ANSWER~✓✓Inspection, Palpation,
Percussion and Auscultation. EXCEPT with abdomen
Comprehensive Health History ~CORRECT ANSWER~✓✓chief complaint,
reason for visit, ROS, past medical and surgical history, social history and
family history
Pediatric Body measurements ~CORRECT ANSWER~✓✓length, height,
weight, head circumference fro birth to 36 months
Normal/Hypertension cut off ~CORRECT ANSWER~✓✓<130 normal 140+
hypertension
Fontanel Closure ~CORRECT ANSWER~✓✓posterior 1-2 months, anterior
9mo-2years
otoscope ~CORRECT ANSWER~✓✓adult-up and back, peds- down and
back, using largest speculum that will fit comforably
tympanic membrane ~CORRECT ANSWER~✓✓Cone of light R-5 l-7
,EOM testing ~CORRECT ANSWER~✓✓CN III, IV, VI
AP diameter of chest ~CORRECT ANSWER~✓✓1:2 (AP less than
transverse)
barrel chest ~CORRECT ANSWER~✓✓COPD
Flat or Dull percussion ~CORRECT ANSWER~✓✓effusion or pneumonia
normal resonant percussion ~CORRECT ANSWER~✓✓healthy lung
Hyperressonance (percussion) ~CORRECT ANSWER~✓✓trapped air
crackles/rales ~CORRECT ANSWER~✓✓high pitched, discontinuous
Wheezes ~CORRECT ANSWER~✓✓high-pitched whistling or squeaking
sounds during inspiration or expiration
Rhonchi ~CORRECT ANSWER~✓✓snoring, rumbling sounds heard upon
auscultation of the chest during respiration-low pitched
, tactile fremitus ~CORRECT ANSWER~✓✓• 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 ~CORRECT ANSWER~✓✓the spoken voice sound heard
through the stethoscope, which sounds soft, muffled, and indistinct over
normal lung tissue, clearer over disease
Egophony ~CORRECT ANSWER~✓✓abnormal change in tone of voice that
is heard when auscultating the lungs EE-->AA
UE Arteries ~CORRECT ANSWER~✓✓radial-thumb side, ulnar pinky side
Pulse grading ~CORRECT ANSWER~✓✓0 absent
1+ weak
2+ normal
3+ increased
Percussion and Auscultation. EXCEPT with abdomen
Comprehensive Health History ~CORRECT ANSWER~✓✓chief complaint,
reason for visit, ROS, past medical and surgical history, social history and
family history
Pediatric Body measurements ~CORRECT ANSWER~✓✓length, height,
weight, head circumference fro birth to 36 months
Normal/Hypertension cut off ~CORRECT ANSWER~✓✓<130 normal 140+
hypertension
Fontanel Closure ~CORRECT ANSWER~✓✓posterior 1-2 months, anterior
9mo-2years
otoscope ~CORRECT ANSWER~✓✓adult-up and back, peds- down and
back, using largest speculum that will fit comforably
tympanic membrane ~CORRECT ANSWER~✓✓Cone of light R-5 l-7
,EOM testing ~CORRECT ANSWER~✓✓CN III, IV, VI
AP diameter of chest ~CORRECT ANSWER~✓✓1:2 (AP less than
transverse)
barrel chest ~CORRECT ANSWER~✓✓COPD
Flat or Dull percussion ~CORRECT ANSWER~✓✓effusion or pneumonia
normal resonant percussion ~CORRECT ANSWER~✓✓healthy lung
Hyperressonance (percussion) ~CORRECT ANSWER~✓✓trapped air
crackles/rales ~CORRECT ANSWER~✓✓high pitched, discontinuous
Wheezes ~CORRECT ANSWER~✓✓high-pitched whistling or squeaking
sounds during inspiration or expiration
Rhonchi ~CORRECT ANSWER~✓✓snoring, rumbling sounds heard upon
auscultation of the chest during respiration-low pitched
, tactile fremitus ~CORRECT ANSWER~✓✓• 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 ~CORRECT ANSWER~✓✓the spoken voice sound heard
through the stethoscope, which sounds soft, muffled, and indistinct over
normal lung tissue, clearer over disease
Egophony ~CORRECT ANSWER~✓✓abnormal change in tone of voice that
is heard when auscultating the lungs EE-->AA
UE Arteries ~CORRECT ANSWER~✓✓radial-thumb side, ulnar pinky side
Pulse grading ~CORRECT ANSWER~✓✓0 absent
1+ weak
2+ normal
3+ increased
