Advanced Health Assessment Final STUDY GUIDE | PREP FOR EXAM
Underweight: <18.5
Normal: 18.5-24.9
Overweight: 25.0-29.9
BMI Classifications Obesity class
• I: 30.0-34.9
• II: 35.0-39.9
• III: at or over 40
How do you calculate BMI?
Normal: under 120/80
Prehypertension: 120-139/80-89
Stages of HTN Stage 1: 140-159/90-99
Stage 2: over 160/100
If diabetes or renal disease: goal is under 130/80
Risk if over 35in for women
Waist Circumference
Risk if over 40in for men
1. Olfactory: Sensory
2. Optic: Sensory
3.Occulomotor: Motor
4.Trochlear: Motor
5. Trigeminal: Both
6. Abducens: Motor
Cranial Nerves
7. Facial: Both
8. Acoustic: Sensory
9. Glossopharyngeal: Both
10. Vagus: Both
11. Spinal Accessory: Motor
12. Hypoglossal: Motor
Stand with hands to the sides and eyes closed,
observe swaying
Romberg Test
Stand with arms out, eyes closed, and hands
supine -- watch for hands pronating.
Pronator Drift
The inability to recognize numbers written on the
hand. Suggests a lesion in the sensory cortex.
Graphesthesia
Inability to recognize objects placed in the hand
Astereognosis:
Flex patient's leg at hip and knee, then straighten
the knee. Discomfort behind the knee during
Kernig
full extension should not cause pain.
, Pt supine, your hands behind pt's head and flex
the neck forward, until chin touches the chest if
possible. Neck stiffness with resistance and flexion
Brudzinski
of hips and knees is a positive sign. May be a
sign of acute bacterial meningitis or
subarachnoid hemorrhage
Lift the straight leg, if pt has low back pain with
nerve pain that radiates down the leg = sciatica
Straight Leg Raising
from compression of the spinal nerve root as it
passes through the vertebral foramen
Dorsiflexion of the big toe is a positive
Babinski response from a CNS lesion in the
Plantar (Babinski) Reflex
corticospinal tract
Pt grabs thumb with hand and you pull down
to see if there is tendon tenderness - if positive,
Finkelstein Test
might mean tendonitis
Tap on the Median Nerve
Tinel's Sign
Bend wrists at 90 degrees and put back of hands
against each other for 1 minute and see if there
Phalen's Test
is numbness/tingling
Leg extended, compress the suprapatellar pouch and then push the patella sharply
Ballotment
against the femur, watching for fluid returning to the pouch
Knee extended, hand on knee above the patella
and milk downward. Apply medial pressure
Bulge Sign
and tap laterally. Watch for a fluid wave
Pt supine with knee flexed, your thumbs at the medial/lateral joint line and
Drawer Sign
fingers wrapped around. Then sharply push/pull, watching for laxity
Pt supine with knee flexed, one hand medial knee
and the other medial ankle. Extend the leg
McMurray Test
and laterally rotate, watching for clicking
5-7 days after period OR same time every month for menopausal women. Lawn
Directions for Self-Breast Exam
Mower pattern
What Abdominal locations do you listen for Aoritc, Illiac, Femoral
bruits with the Bell of the stethoscope?
What Abdominal locations do you listen for Epigastric and Renal
bruits with the diaphragm of the
stethoscope?
Assessing gallbladder, pt will stop breathing d/t pain when pushing up on the liver if
Murphey's Sign
positive.
Rovsing's Sign Pressure on LLQ causes referred pain in RLQ
Underweight: <18.5
Normal: 18.5-24.9
Overweight: 25.0-29.9
BMI Classifications Obesity class
• I: 30.0-34.9
• II: 35.0-39.9
• III: at or over 40
How do you calculate BMI?
Normal: under 120/80
Prehypertension: 120-139/80-89
Stages of HTN Stage 1: 140-159/90-99
Stage 2: over 160/100
If diabetes or renal disease: goal is under 130/80
Risk if over 35in for women
Waist Circumference
Risk if over 40in for men
1. Olfactory: Sensory
2. Optic: Sensory
3.Occulomotor: Motor
4.Trochlear: Motor
5. Trigeminal: Both
6. Abducens: Motor
Cranial Nerves
7. Facial: Both
8. Acoustic: Sensory
9. Glossopharyngeal: Both
10. Vagus: Both
11. Spinal Accessory: Motor
12. Hypoglossal: Motor
Stand with hands to the sides and eyes closed,
observe swaying
Romberg Test
Stand with arms out, eyes closed, and hands
supine -- watch for hands pronating.
Pronator Drift
The inability to recognize numbers written on the
hand. Suggests a lesion in the sensory cortex.
Graphesthesia
Inability to recognize objects placed in the hand
Astereognosis:
Flex patient's leg at hip and knee, then straighten
the knee. Discomfort behind the knee during
Kernig
full extension should not cause pain.
, Pt supine, your hands behind pt's head and flex
the neck forward, until chin touches the chest if
possible. Neck stiffness with resistance and flexion
Brudzinski
of hips and knees is a positive sign. May be a
sign of acute bacterial meningitis or
subarachnoid hemorrhage
Lift the straight leg, if pt has low back pain with
nerve pain that radiates down the leg = sciatica
Straight Leg Raising
from compression of the spinal nerve root as it
passes through the vertebral foramen
Dorsiflexion of the big toe is a positive
Babinski response from a CNS lesion in the
Plantar (Babinski) Reflex
corticospinal tract
Pt grabs thumb with hand and you pull down
to see if there is tendon tenderness - if positive,
Finkelstein Test
might mean tendonitis
Tap on the Median Nerve
Tinel's Sign
Bend wrists at 90 degrees and put back of hands
against each other for 1 minute and see if there
Phalen's Test
is numbness/tingling
Leg extended, compress the suprapatellar pouch and then push the patella sharply
Ballotment
against the femur, watching for fluid returning to the pouch
Knee extended, hand on knee above the patella
and milk downward. Apply medial pressure
Bulge Sign
and tap laterally. Watch for a fluid wave
Pt supine with knee flexed, your thumbs at the medial/lateral joint line and
Drawer Sign
fingers wrapped around. Then sharply push/pull, watching for laxity
Pt supine with knee flexed, one hand medial knee
and the other medial ankle. Extend the leg
McMurray Test
and laterally rotate, watching for clicking
5-7 days after period OR same time every month for menopausal women. Lawn
Directions for Self-Breast Exam
Mower pattern
What Abdominal locations do you listen for Aoritc, Illiac, Femoral
bruits with the Bell of the stethoscope?
What Abdominal locations do you listen for Epigastric and Renal
bruits with the diaphragm of the
stethoscope?
Assessing gallbladder, pt will stop breathing d/t pain when pushing up on the liver if
Murphey's Sign
positive.
Rovsing's Sign Pressure on LLQ causes referred pain in RLQ
