NU 650 Final Exam SG
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
,NU 650 Final Exam SG
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
4+ bounding
palpate bilaterally
, NU 650 Final Exam SG
PMI - ✔✔ correct answer point of maximal impulse mid-clavicular and 5th ICS
S1 - ✔✔ correct answer normal, closure of AV, Start of systole, loudest at Apex, contraction of ventricles
S2 - ✔✔ correct answer normal, closure of semilunar, end of systole, loudest at base, filling of ventricles
S3 - ✔✔ correct answer third heart sound (normal in pregnant young adults, and children), gallop
S4 - ✔✔ correct answer extra heart sound, end of diastole, indicative of disease-AFIB
murmur grading scale - ✔✔ correct answer I-Barely Audible
II-Quiet, Clearly Audible
III-moderately Loud
IV-loud, thrill
V-Very loud, can palpate thrill
VI-Very loud, thrill palpable and visible
clubbing - ✔✔ correct answer bulbous enlargement of distal phalanges of fingers and toes that occurs
with chronic cyanotic heart and lung conditions
edema scale - ✔✔ correct answer 1+ = disappears rapidly. 2+ = last 10-15 seconds. 3+ = lasts more than
one minute. 4+ = lasts 2-5 minutes. These are signs used in what scale?
normal/abnormal findings spleen - ✔✔ correct answer normal=tympanic, dullness could be enlargement
not normally felt on exam
Blumberg Sign: Rebound Test - ✔✔ correct answer peritoneal inflammation, hurts more when release
from palpation
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
,NU 650 Final Exam SG
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
4+ bounding
palpate bilaterally
, NU 650 Final Exam SG
PMI - ✔✔ correct answer point of maximal impulse mid-clavicular and 5th ICS
S1 - ✔✔ correct answer normal, closure of AV, Start of systole, loudest at Apex, contraction of ventricles
S2 - ✔✔ correct answer normal, closure of semilunar, end of systole, loudest at base, filling of ventricles
S3 - ✔✔ correct answer third heart sound (normal in pregnant young adults, and children), gallop
S4 - ✔✔ correct answer extra heart sound, end of diastole, indicative of disease-AFIB
murmur grading scale - ✔✔ correct answer I-Barely Audible
II-Quiet, Clearly Audible
III-moderately Loud
IV-loud, thrill
V-Very loud, can palpate thrill
VI-Very loud, thrill palpable and visible
clubbing - ✔✔ correct answer bulbous enlargement of distal phalanges of fingers and toes that occurs
with chronic cyanotic heart and lung conditions
edema scale - ✔✔ correct answer 1+ = disappears rapidly. 2+ = last 10-15 seconds. 3+ = lasts more than
one minute. 4+ = lasts 2-5 minutes. These are signs used in what scale?
normal/abnormal findings spleen - ✔✔ correct answer normal=tympanic, dullness could be enlargement
not normally felt on exam
Blumberg Sign: Rebound Test - ✔✔ correct answer peritoneal inflammation, hurts more when release
from palpation
