Maryville Advanced Health Assessment Comprehensive
Q&A (Exams 1-4)
Terms in this set (71)
The MMSE is a Mini Mental Status Exam. It is used to assess a
person's mental status and specifically aid in the diagnosis of
DEMENTIA. It includes the following categories: orientation,
registration, attention and calculation, recall (memory),
What is the MMSE and why is it confrontation naming, repetition, comprehension, "read and perform
used? the command" task, and a task to "write any sentence".
Scoring: 30 is maximum score.
>26 is not associated with dementia.
20 or less may be associated with dementia.
Difficulty with speech. Can be expressive (difficulty
speaking/communicating your thoughts), receptive (difficulty
What is aphasia? understanding speech of another person), or global (both
expressive and receptive). Expressive aphasia may show as a
patient being non-verbal, or they could use inappropriate words,
have word salad, word-finding, etc.
Test to rule out cholecystitis.
While palpating the patient's abdomen (deep palpation), instruct
What is Murphy's sign and how do
them to take a deep breath.
you test it?
Positive sign: Patient will halt respiration when their inflamed and
painful gallbladder comes in contact with your hand.
What tests are used to identify Valgus and varus stress tests
medial and lateral collateral
ligament injuries?
What tests are used to identify ACL: anterior drawer test or
anterior and posterior cruciate Lachman test PCL: posterior
ligament injuries? (ACL and drawer test
PCL)
, Girls: Start puberty between ages 9-12. Puberty is complete at
At what age does puberty begin either breast development stage 4 or pubic hair development stage
in boys and girls and at what 5, whichever comes first.
age does it end?
Boys: Start puberty between ages 10-13.
At what age can a child draw a Three years old
circle?
What is menorrhagia? Normal interval between periods, but heavy flow during menses.
Phalen test- ask patient to flex wrists downward and hold dorsal
surfaces of hands together for one minute. Positive finding is
numbness/tingling in fingers.
Tinel test- Tap the median nerve with your finger. Positive finding is
What are the tests for Carpal tingling sensation radiating from wrist to hand along that median
Tunnel Syndrome? How are they nerve.
performed?
Katz hand diagram- pt. marks location of paresthesias/pain on diagram.
Thumb abduction test- Have patient hold hand palmar side up and
raise their thumb perpendicular to it. Press against thumb to assess
muscle strength (tell patient to not let you push their thumb down).
Positive finding is weakness. Full resistance to your downward
pressing is expected in the average person.
Used to detect flexion contractures of the hip masked by excessive lumbar
lordosis.
What is the Thomas test used for
and how is it performed? Have patient lie supine with one leg fully extended on the
table and the other leg with the knee flexed to the chest. Observe
that they are able to keep their extended leg flat on the table.
Positive finding is if the patient keeps lifting the extended leg off
the table (indicates flexion contracture).
Used to detect weak hip abductor muscles.
What is the trendelenberg test used Ask the patient to stand and balance on one foot at a time, then
for and how is it performed? switch to the other foot. Watch from behind and observe for any
asymmetry or change in the level of the iliac crest. Positive finding
if iliac crest drops on the side of the lifted leg (indicates hip
abductor muscles on weight bearing side are weak).
How do you differentiate CVA tenderness and fever are present in pyelonephritis
pyelonephritis from
uncomplicated UTI?
Ask the patient to clench their teeth together and palpate the
How do you assess Cranial Nerve V muscles of the jaw/TMJ (motor assessment); sensory assessment of
(Trigeminal)? CNV can be done by sharp vs dull sensation on chin, cheek, scalp.
Corneal reflexes are only tested when patient is unconscious but
this is for cranial nerve V function as well.
Q&A (Exams 1-4)
Terms in this set (71)
The MMSE is a Mini Mental Status Exam. It is used to assess a
person's mental status and specifically aid in the diagnosis of
DEMENTIA. It includes the following categories: orientation,
registration, attention and calculation, recall (memory),
What is the MMSE and why is it confrontation naming, repetition, comprehension, "read and perform
used? the command" task, and a task to "write any sentence".
Scoring: 30 is maximum score.
>26 is not associated with dementia.
20 or less may be associated with dementia.
Difficulty with speech. Can be expressive (difficulty
speaking/communicating your thoughts), receptive (difficulty
What is aphasia? understanding speech of another person), or global (both
expressive and receptive). Expressive aphasia may show as a
patient being non-verbal, or they could use inappropriate words,
have word salad, word-finding, etc.
Test to rule out cholecystitis.
While palpating the patient's abdomen (deep palpation), instruct
What is Murphy's sign and how do
them to take a deep breath.
you test it?
Positive sign: Patient will halt respiration when their inflamed and
painful gallbladder comes in contact with your hand.
What tests are used to identify Valgus and varus stress tests
medial and lateral collateral
ligament injuries?
What tests are used to identify ACL: anterior drawer test or
anterior and posterior cruciate Lachman test PCL: posterior
ligament injuries? (ACL and drawer test
PCL)
, Girls: Start puberty between ages 9-12. Puberty is complete at
At what age does puberty begin either breast development stage 4 or pubic hair development stage
in boys and girls and at what 5, whichever comes first.
age does it end?
Boys: Start puberty between ages 10-13.
At what age can a child draw a Three years old
circle?
What is menorrhagia? Normal interval between periods, but heavy flow during menses.
Phalen test- ask patient to flex wrists downward and hold dorsal
surfaces of hands together for one minute. Positive finding is
numbness/tingling in fingers.
Tinel test- Tap the median nerve with your finger. Positive finding is
What are the tests for Carpal tingling sensation radiating from wrist to hand along that median
Tunnel Syndrome? How are they nerve.
performed?
Katz hand diagram- pt. marks location of paresthesias/pain on diagram.
Thumb abduction test- Have patient hold hand palmar side up and
raise their thumb perpendicular to it. Press against thumb to assess
muscle strength (tell patient to not let you push their thumb down).
Positive finding is weakness. Full resistance to your downward
pressing is expected in the average person.
Used to detect flexion contractures of the hip masked by excessive lumbar
lordosis.
What is the Thomas test used for
and how is it performed? Have patient lie supine with one leg fully extended on the
table and the other leg with the knee flexed to the chest. Observe
that they are able to keep their extended leg flat on the table.
Positive finding is if the patient keeps lifting the extended leg off
the table (indicates flexion contracture).
Used to detect weak hip abductor muscles.
What is the trendelenberg test used Ask the patient to stand and balance on one foot at a time, then
for and how is it performed? switch to the other foot. Watch from behind and observe for any
asymmetry or change in the level of the iliac crest. Positive finding
if iliac crest drops on the side of the lifted leg (indicates hip
abductor muscles on weight bearing side are weak).
How do you differentiate CVA tenderness and fever are present in pyelonephritis
pyelonephritis from
uncomplicated UTI?
Ask the patient to clench their teeth together and palpate the
How do you assess Cranial Nerve V muscles of the jaw/TMJ (motor assessment); sensory assessment of
(Trigeminal)? CNV can be done by sharp vs dull sensation on chin, cheek, scalp.
Corneal reflexes are only tested when patient is unconscious but
this is for cranial nerve V function as well.
