What is the normal RR to HR ratio? - ANSWER 1:4
How much should the lower border of the liver drop with deep breath? - ANSWER 2-3 cm
Distance person is from chart is what a normal person can see at 20 feet - ANSWER 20/20
vision
Abnormal breath sounds - ANSWER Crackles
Rhonchi
Wheezes
Friction Rub
Mediastinal crunch
What sound indicates COPD/Emphysema or restrictive lung disease? - ANSWER
Decreased diaphragmatic excursion
What are some abnormal findings of aging ears, nose and throat? - ANSWER Presbycusis
Conductive hearing loss
Abnormal findings of aging eyes - ANSWER Macular degeneration
Decreased accommodation
Cataracts d/t compressed fibers
What is macular degeneration? - ANSWER Decreased central vision
1
,How do you detect macular degeneration? - ANSWER Use Amsler grid
What is decreased accommodation called? - ANSWER Presbyopia, focusing power
What are abnormal findings of aging in HEENT? - ANSWER Neck pain
Crepitus
Dizziness
Jerkiness
Limitation of movement
What are abnormal respirations? - ANSWER Tachypnea
Bradypnea
Hyperpnea
Kussmaul
Hypopnea
Cheyne-Stokes
What are absent bowel sounds? - ANSWER No sounds after 5 minutes of continuous
listening
What does absent bowel sounds mean? - ANSWER If it's associated with abdominal pain
and rigidity, it's a surgical emergency.
What does a normal ear look like? - ANSWER Uniform pink
Hair on the outer 2/3
Some cerumen
No lesions
2
, No discharge
No foreign bodies
TM is translucent and pearly gray
Landmarks visible
Adult Otoscopic Exam - ANSWER Pull auricle upward and back
What are the landmarks of the ear? - ANSWER Umbo
Handle of Malleus
Light Reflex
Concavity at umbo
What is the relationship between AC and BC sound? - ANSWER Air-conducted should be
2x as long as bone-conducted.
Altered resonance - ANSWER bronchophony
whispered pectoriloquy
egophony
What does an anterior pointed cervix indicate? - ANSWER Retroverted uterus
What does a prominent lateral pulsation suggest? - ANSWER Aortic aneurysm
How do you identify an aortic regurgitation murmur? - ANSWER Heard with diaphragm
with pt sitting and leaning forward.
How can you hear an Austin-Flint murmur? - ANSWER Heard w/ bell at apex
3
How much should the lower border of the liver drop with deep breath? - ANSWER 2-3 cm
Distance person is from chart is what a normal person can see at 20 feet - ANSWER 20/20
vision
Abnormal breath sounds - ANSWER Crackles
Rhonchi
Wheezes
Friction Rub
Mediastinal crunch
What sound indicates COPD/Emphysema or restrictive lung disease? - ANSWER
Decreased diaphragmatic excursion
What are some abnormal findings of aging ears, nose and throat? - ANSWER Presbycusis
Conductive hearing loss
Abnormal findings of aging eyes - ANSWER Macular degeneration
Decreased accommodation
Cataracts d/t compressed fibers
What is macular degeneration? - ANSWER Decreased central vision
1
,How do you detect macular degeneration? - ANSWER Use Amsler grid
What is decreased accommodation called? - ANSWER Presbyopia, focusing power
What are abnormal findings of aging in HEENT? - ANSWER Neck pain
Crepitus
Dizziness
Jerkiness
Limitation of movement
What are abnormal respirations? - ANSWER Tachypnea
Bradypnea
Hyperpnea
Kussmaul
Hypopnea
Cheyne-Stokes
What are absent bowel sounds? - ANSWER No sounds after 5 minutes of continuous
listening
What does absent bowel sounds mean? - ANSWER If it's associated with abdominal pain
and rigidity, it's a surgical emergency.
What does a normal ear look like? - ANSWER Uniform pink
Hair on the outer 2/3
Some cerumen
No lesions
2
, No discharge
No foreign bodies
TM is translucent and pearly gray
Landmarks visible
Adult Otoscopic Exam - ANSWER Pull auricle upward and back
What are the landmarks of the ear? - ANSWER Umbo
Handle of Malleus
Light Reflex
Concavity at umbo
What is the relationship between AC and BC sound? - ANSWER Air-conducted should be
2x as long as bone-conducted.
Altered resonance - ANSWER bronchophony
whispered pectoriloquy
egophony
What does an anterior pointed cervix indicate? - ANSWER Retroverted uterus
What does a prominent lateral pulsation suggest? - ANSWER Aortic aneurysm
How do you identify an aortic regurgitation murmur? - ANSWER Heard with diaphragm
with pt sitting and leaning forward.
How can you hear an Austin-Flint murmur? - ANSWER Heard w/ bell at apex
3
