NR 509 Week 3 Shadow Health Musculoskeletal Physical Assessment – REVIEW QUESTIONS

NR 509 Week 3 Shadow Health Musculoskeletal Physical Assessment – REVIEW QUESTIONSNR 509 Week 3 Shadow Health: Musculoskeletal Physical Assessment – REVIEW QUESTIONS If you were assessing range of motion (ROM) for a healthy 28-year-old woman with no known joint issues, which of the following would indicate limited ankle ROM? When palpating joints in a musculoskeletal exam, crepitus indicates: Imagine that Tina has hard painless bumps on the dorsolateral aspects of the distal interphalangeal joints that had limit flexion during a range of motion test. How would you have documented these abnormalities? Describe the major differences in acute versus passive range of motion (ROM) when distinguishing between an articular and nonarticular joint issue. What would be some of the ways in which you could assess Tina for suspected lumbar radiculopathy? Explain the difference between a sprain and a strain NR 509 Week 3 Shadow Health: Neurological Physical Assessment – REVIEW QUESTIONS To assess spinal levels L2, L3 and L4 in Tina, which deep tendon reflexes would have to … tested? Imagine that you were preparing to irrigate a Foley catheter of a patient with a spinal cord injury at T4 in a urology clinic. Upon moving the leg bag, the patient became suddenly flushed and diaphoretic above the nipple line. What would you suspect was happening? Which of the following is not a common symptom of Parkinson’s disease? Name at least three ways to assess cerebellar function during a physical exam If Tina had a fever and photophobia, you would have had to test for meningitis. Describe how you would have tested for the Kernig’s sign Suppose you assessed pain sensation over Tina’s left foot, and noticed that she had decreased sensation. How would you have proceeded with your exam? NR 509 Week 4 Shadow Health: Cardiovascular Physical Assessment – REVIEW QUESTIONS In order to determine which heart sound is S1, which of the following should you assess? The assessment of Jugular Venous Pressure (JVP) correlates with: Tina had brisk capillary refill (less than 3 seconds). What does this mean? Describe where on the body and when in the cardiac cycle you are most likely to auscultate a murmur caused by mitral valve prolapse. Imagine you had heard a murmur on Tina. Why would it have been important to ask Tina to change positions while auscultating the heart? You decide to order an arterial blood gas on Tina. Which physical exam test should you perform before drawing blood from the radial artery? NR 509 Week 5 Shadow Health: Gastrointestinal Physical Assessment – REVIEW QUESTIONS Which of the following physical exam tests could … used if you suspected cholecystitis in Tina? Suppose that you were concerned that Tina may have had an enlarged spleen. How would you have proceeded? During a gastrointestinal exam, the purpose of light palpation of the abdomen is to: If you had heard bowel sounds occurring about 15 times per minute in 1-2 quadrants while examining Tina, what would have been the significance of this finding? Imagine that you had heard a swishing sound while auscultating Tina’s epigastric region. Identify where this bruit would have been likely to originate. Suppose that after examining Tina, you were concerned she may have peritonitis. How would you have assessed Tina to confirm your diagnosis? NR 509 Week 6 Shadow Health: Mental Health Physical Assessment – REVIEW QUESTIONS If you had asked Tina to tell you the meaning of the proverb “Don’t cry over spilled milk,” what would you have been assessing? Suppose that Tina had been unable to identify the pen you were holding. What is the name of this symptom? Which of the following is a component of assessing cognition? Distinguish between inappropriate affect and appropriate affect, and provide an example of each. Identify the components (domains) of a comprehensive mental status exam. Imagine that Tina’s family member reported to you that she had been acting confused on and off for the last two days. Identify at least two key features of delirium. Describe why you would assess for delirium. NR 509 Shadow Health