Chapter 18- Patient Exams and Procedure

If the blood pressure is 130/90 the pulse pressure is A. 40 B. 60 C. 90 D. 130

A. 40 130-90= 40

The instrument used to visualize the ear canal and tympanic membrane is the: A. otoscope B. audiometer C. nasocope D. opthalmoscope

A. otoscope

What is the normal adult pulse range in bpm? A. 50-120 B. 60-100 C. 70 to 130 D. 80 to 140 E. 90 to 140

B. 60 to 100

A percussion hammer is used for which kind of examination? A. orthopedic B. Neurologic C. Gynecologic D. Urologic E. Otologic

B. Neurologic

An oral temperature registers 99.4 F which equals A. rectal 101.4 B. axillary 98.4 C. otic 100.4 D. rectal 99.4 E. axillary 99.4

B. axillary reading 98.4 F

When measuring the blood pressure, the medical assistant will normally place the stethoscope over which artery? A. Apical B. Brachial C. Carotid D. Radial E. Aorta

B. brachial

The systolic pressure is described as: A. soft tapping sounds that become faint or phase IV B. faint tapping sounds heard as the cuff deflates, or phase I C. rhythmic sharp distinct tapping sounds or phase III D. soft swishing sound or phase II

B. faint tapping sounds heard as the cuff deflates, phase I

A snellen chart is used to: A. record a child's growth B. measure a patients vision C. determine normal values in spirometry D. monitor vital signs

B. measure a patients vision

The average adult respiration rate is A. 20 to 24 per min B. 10 to 12 per min C. 12 to 20 per min D. 25 to 30 per min E. 30 to 35 per min

C. 12 to 20 per min

When performing a physical exam, the abbreviation PERRLA is used to describe what part of the body? A. Abdomen B. Nose and sinuses C. Ears D. Eyes E. Heart

C. Eyes PERRLA pupils, equal, round, and reactive to light and accommodation

Which of the following pulse sites requires a stethoscope to take the pulse? A. brachial B. carotid C. Apical D. Femoral

C. apical (placed on chest to listen to pulse)

The main reason why an ill patient is seeking medical care is referred to as the: A. assessment B. symptoms C. chief complaint D. observation

C. chief complaint

The exam method used when a physician is determining a patient's range of motion A. auscultation B. palpation C. manipulation D. mensuration

C. manipulation

Blood pressure readings taken 1 to 2 minutes apart in the supine, sitting, and then standing position are A. pulse pressure B. metastatic pressure C. orthostatic pressure D. orthopedic pressure

C. orthostatic pressure

The instrument used to measure the blood pressure is a: A. pulse oximeter B. Doppler C. sphygmomanometer D. tympanometer E. audiometer

C. sphygmomanometer

Which of the following instrument or supply item is not included for a pelvic exam? A. lubricant B. cytology slide C. sterile gloves D. vaginal speculum

C. sterile gloves

Which of the following items is not considered necessary for a routine patient exam? A. Opthalmoscope B. Percussion hammer C. sterile gloves D. tongue depressor E. otoscope

C. sterile gloves

The instrument used in the physical exam to determine hearing and conduction is a: A. reflex hammer B. stethoscope C. tuning fork D. speculum

C. tuning fork

The patient exam position used for a patient who is having difficulty breathing is: A. dorsal recumbent B. lithotomy C. prone D. Fowler's

D. Fowler's

The examination technique used to listen to internal body sounds is: A. palpation B. percussion C. mensuration D. auscultation

D. auscultation

The exam method used to check for conjuctivitis (pink eye) is: A. auscultation B. palpation C. percussion D. inspection E. mensuration

D. inspection

The pulse point located behind the knee is the: A. femoral B. dorsal pedis C. temporal D. popliteal

D. popliteal

The pulse point located on the thumb side of the wrist is the A. apical B. brachial C.carotid D. radial E. popliteal

D. radial

The formula used to change lbs to kg is: A. 22 lbs = 1kg B. 2.2kg = 1 lb C. 100 lb=1 kg D. 1 lb= 100 kg E. 2.2 lb= 1 kg

E. 2.2 LB= 1 KG

What position would be used to examine the back or spine? A. Fowlers B. supine C. knee-chest D. dorsal recumbent E. prone

E. prone

fowler's position

commonly used for SOB patients, and for head and neck exams

knee-chest position

commonly used for rectal and sigmoidoscopic exams

supine position

lying on back, facing upward; used for abdominal exams

mensuration

measurement of height or length and weight

Systolic

numerator (top number) of BP reading

manipulation

passive movement of body joints to determine extent of movement

dorsal recumbent position

patient is lying on the back, face up, with the knees bent; used to check progress of labor

prone position

patient lies on stomach; used for exam of posterior and administration of IM injections

percussion

process of determining density of specific internal structures by the sound. produced by external tapping, usually with fingers or with a percussion hammer for testing neurologic reflexes.

Dystolic

relaxation, denominator (bottom number) of BP reading

semi-fower's position

the fowler's position at a 45 degree angle

Sims position

the patient lies left side with left leg slightly flexed and left arm behind the body as comfortable: right leg is flexed toward chest and right arm is over chest; commonly used for rectal exams

lithotomy position

the patient lies on back with buttocks at the edge of the exam table, legs elevated and resting in stirrups; commonly used for pelvic exams; commonly used for pelvic exams

auscultation

use of an instrument, usually a stethoscope, to listen to internal body sounds for abnormalities

palpation

use of fingertips and hands to feel for size and positions of specific organs, masses, and other abnormalities; texture and firmness ; skin temp and moisture; flexibility of joints

Jackknife position

used for sigmoidoscopic exams

observation or inspection

visual review of the body, inspecting for symmetry, abnormalities, and skin color and conditions