Regis NU 650 Final Actual Exam 3 with 100% Correct Answers Recently Updated (2024 Version)

Regis NU 650 Final Actual Exam 3 with 100% Correct Answers Recently Updated (2024 Version) Order of Assessment - ANSWERSInspection, Palpation, Percussion and Auscultation. EXCEPT with abdomen Comprehensive Health History - ANSWERSchief complaint, reason for visit, ROS, past medical and surgical history, social history and family history Pediatric Body measurements - ANSWERSlength, height, weight, head circumference fro birth to 36 months Normal/Hypertension cut off - ANSWERS<130 normal 140+ hypertension Fontanel Closure - ANSWERSposterior 1-2 months, anterior 9mo-2years otoscope - ANSWERSadult-up and back, peds- down and back, using largest speculum that will fit comforably tympanic membrane - ANSWERSCone of light R-5 l-7 EOM testing - ANSWERSCN III, IV, VI AP diameter of chest - ANSWERS1:2 (AP less than transverse) barrel chest - ANSWERSCOPD Flat or Dull percussion - ANSWERSeffusion or pneumonia normal resonant percussion - ANSWERShealthy lung Hyperressonance (percussion) - ANSWERStrapped air crackles/rales - ANSWERShigh pitched, discontinuous Wheezes - ANSWERShigh-pitched whistling or squeaking sounds during inspiration or expiration Rhonchi - ANSWERSsnoring, rumbling sounds heard upon auscultation of the chest during respiration-low pitched tactile fremitus - ANSWERS• 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. Regis NU 650 Final Actual Exam 3 with 100% Correct Answers Recently Updated (2024 Version) Bronchophony - ANSWERSthe spoken voice sound heard through the stethoscope, which sounds soft, muffled, and indistinct over normal lung tissue, clearer over disease Egophony - ANSWERSabnormal change in tone of voice that is heard when auscultating the lungs EE-->AA UE Arteries - ANSWERSradial-thumb side, ulnar pinky side Pulse grading - ANSWERS0 absent 1+ weak 2+ normal 3+ increased 4+ bounding palpate bilaterally PMI - ANSWERSpoint of maximal impulse mid-clavicular and 5th ICS S1 - ANSWERSnormal, closure of AV, Start of systole, loudest at Apex, contraction of ventricles S2 - ANSWERSnormal, closure of semilunar, end of systole, loudest at base, filling of ventricles S3 - ANSWERSthird heart sound (normal in pregnant young adults, and children), gallop S4 - ANSWERSextra heart sound, end of diastole, indicative of disease-AFIB murmur grading scale - ANSWERSI-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 - ANSWERSbulbous enlargement of distal phalanges of fingers and toes that occurs with chronic cyanotic heart and lung conditions edema scale - ANSWERS1+ = 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 - ANSWERSnormal=tympanic, dullness could be enlargement not normally felt on exam Blumberg Sign: Rebound Test - ANSWERSperitoneal inflammation, hurts more when release from palpation