Podcast
Questions and Answers
What physical examination finding is most consistent with appendicitis when palpating McBurney's point?
What physical examination finding is most consistent with appendicitis when palpating McBurney's point?
- Constant pain
- Pain after release (correct)
- Pain before release
- No Pain
Listening for low or minimal sounds during auscultation indicates obstruction or constipation.
Listening for low or minimal sounds during auscultation indicates obstruction or constipation.
True (A)
How far is McBurney's point located from the right iliac crest?
How far is McBurney's point located from the right iliac crest?
3-5 cm
Significant auscultation sounds may indicate __________ or obstruction.
Significant auscultation sounds may indicate __________ or obstruction.
Match the auscultation findings with their implications:
Match the auscultation findings with their implications:
What does the 'guarding position' indicate?
What does the 'guarding position' indicate?
Rashes only indicate allergies.
Rashes only indicate allergies.
What are the four possible postures for a patient?
What are the four possible postures for a patient?
_________ staining is an indicator of smoking behaviors.
_________ staining is an indicator of smoking behaviors.
Match the medical signs with their meanings:
Match the medical signs with their meanings:
Which condition is NOT mentioned as a reason for visible masses or bruising?
Which condition is NOT mentioned as a reason for visible masses or bruising?
A person's work of breathing can be assessed by their ability to speak in uninterrupted phrases.
A person's work of breathing can be assessed by their ability to speak in uninterrupted phrases.
What does a general impression of extremis indicate?
What does a general impression of extremis indicate?
What is indicated by a plethoric complexion?
What is indicated by a plethoric complexion?
Miosis refers to the dilation of pupils.
Miosis refers to the dilation of pupils.
What condition is indicated by oral candidiasis?
What condition is indicated by oral candidiasis?
Ptosis is characterized by ______________ eyelids.
Ptosis is characterized by ______________ eyelids.
Match the following symptoms with their descriptions:
Match the following symptoms with their descriptions:
Which of the following is a common dental hygiene issue?
Which of the following is a common dental hygiene issue?
Light palpation should not cause pain during an examination.
Light palpation should not cause pain during an examination.
What is the first step in abdominal palpation?
What is the first step in abdominal palpation?
Name the 9 regions of the abdomen.
Name the 9 regions of the abdomen.
What is located in the right hypochondriac region?
What is located in the right hypochondriac region?
What is located in the epigastric region?
What is located in the epigastric region?
The spleen, colon, left kidney and pancreas are located in the left hypochondriac region.
The spleen, colon, left kidney and pancreas are located in the left hypochondriac region.
What is located in the right lumbar region?
What is located in the right lumbar region?
The (blank), (blank) and (blank) can be found in the umbilical region.
The (blank), (blank) and (blank) can be found in the umbilical region.
Each region contains what:
Each region contains what:
Study Notes
General Impression
- Assess patient positioning - supine, seated, semirecumbant or prone
- Observe work of breathing - Speaking in words, short sentences or uninterrupted phrases
- Determine stability - Is the patient in extremis or stable?
- Identify guarding positions - Indicative of severe pain
- Note any rashes - Potential for allergies
- Check for malnutrition - Signs like weight loss, sunken eyes
- Observe for pregnancy, ascites, or bloating - Visible organ enlargement
- Look for scarring or surgical scars - Past medical history
- Identify obvious masses or bruising - Possible recent injury or trauma
Hands
- Examine hands for tar staining - Indicative of smoking behavior
- Observe fingers for clubbing - Knuckles and nails appear together
- Assess for asterixis (flapping tremor) - Hands fall forward when outstretched
Face
- Observe for plethoric complexion - Red rash on the face
- Check for ptosis - Drooping eyelids
- Examine pupils for miosis - Constricting pupils
- Look for conjunctival pallor - White in the lower eyelid
- Note oral candidiasis (thrush) - Possible immunosuppression
- Assess dental hygiene - Signs of tooth decay
Abdomen
- Palpate the abdomen - Apply light pressure to the four quadrants, followed by deep palpation to the nine regions
- Note any pain on light palpation - Do not continue palpation if pain is present
- Assess McBurney's point - Locate 3-5cm from the right iliac crest, push down and release, pain after release signifies appendicitis
- Auscultate the abdomen - Listen for popping, gashing or wooing sounds
- Identify low/minimal sounds or silence - Potential obstruction or constipation
- Listen for significant sounds - Potential diarrhea or obstruction
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Description
Test your knowledge on assessing patients through various physical examination techniques. This quiz covers key observations such as patient positioning, respiratory effort, signs of pain, and facial indicators. Enhance your understanding of critical signs that can impact patient care.
