Unit 14: physical exams: physical exams; positions and draping

what position would be most appropriate for an examination of the rectum?

sim's

what position allows for a head elevation at 45 degrees or at 90 degrees?

fowler's positon

what is a tuning fork?

instrument used to test hearing

which two tools would be the most helpful when examining the throat?

laryngeal mirror and tongue depressor

otoscope

lighted instrument used to examine ears

ophthalmoscope

lighted instrument used to examine eyes

auscultation

listening to sounds made by the patient's body

what position is typically used for GYN exams?

lithotomy position

if Gina brings her 3-month-old for a well check and the vitals are took, what type of exam technique is this?

mensuration

manipulation

moving a joint to determine range of motion and flexion

why is the knee-chest position considered risky?

patients may easily lose their balance in this position

what technique is Dr. Crosby using when she taps a patient's flesh and listens for sounds from the underlying organs?

percussion

what is a GYN exam?

a gynecological exam. exam of the female reproductive organs

what is the name of the position in which a patient lays face-up with knees bent and feet flat on the table?

dorsal recumbent

T/F- a drape is not needed if a patient is being examined in the sitting position

false

what are other names for sim's position?

lateral position or lateral recumbent position

why should the physician be consulted before placing an elderly patient into the prone position?

limited range of motion in their necks can make it uncomfortable

what is the name of the position in which a patient lays face-up with feet elevated in stirrups?

lithotomy

mensuration

measuring parts of the body

inspection

observing a patient's general condition

what is the supine position?

patient lies face-up, arms at the sides, drape is placed over patient

what was developed to eliminate the knee-chest position?

proctoglogic table

what is a well-child visit?

routine exam of a pediatric patient

in relation to medical records, what does the acronym SOAP stand for?

subjective, objective, assessment, plan

what position is used to examine the head, chest, or abdomen?

supine position

percussion

tapping the body to produce a sound

what is an example of a subjective finding?

the patient complains of dizziness and nausea

what is an example of an objective finding?

the patient has a fever of 102 degrees

why might a microscope slide be needed for a gynecological exam?

to collect cells for a pap test

what are some reasons a MA is present during an exam?

to prepare the room , gather equipment and ensure that all the items are working properly

palpation

touching patient with fingers or hands

cervical brush, spatula, and ayer blade

used to collect cells from the vaginal wall and cervix

nasal speculum

used to examine nasal cavity

tonometer

used to measure eye pressure

goniometer

used to measure range of motion

vaginal speculum

used to open the vagina so that it may be examined

percussion hammer

used to test tendon reflexes

what position is the head of the bed elevated?

fowler's

what are the two types of documentation systems and with which types of exams are they typically used?

CPEs use the problem-oriented medical record system and special exams such as GYN exams use source oriented systems

what is a physical exam?

an examination by the physician of all or part of a patient's body

what is a role of a MA during a physical exam?

assist the physician as needed

which examination technique involves listening to internal body sounds with a stethoscope?

auscultation

what is a CPE exam?

complete physical exam also called general physical exam or a physical

what is most likely to occur while a patient is in the sitting position?

evaluating the patient's reflexes

what is a EENT exam

focuses on the eyes, ears, nose, and throat and includes screenings for visisno and hearing problems

why is it important for the MA is remin in the room with the physician and patient during a physical exam?

for legal protection

what position is used in increase blood circulation to the heart and brain?

trendelenburg position

what are SOAP notes?

used to record progress notes

which tool would be most helpful when testing vision?

visual acuity chart

what is a prenatal exam?

woman during pregnancy exam of the mother and the fetus