Physical Exam of the Older Adult
About the Lecture
The lecture Physical Exam of the Older Adult by Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C is from the course Comprehensive Geriatric Assessment.
Included Quiz Questions
What is the correct technique for bracing when using an otoscope to examine the ear canal?
- Hold the patient's head while inserting the scope to prevent injury if the patient moves
- Pull the ear up and back without head stabilization
- Place otoscope first then adjust patient position
- Hold otoscope with both hands for stability
- Ask patient to remain completely still
In elderly patients with fair skin and light eyes, which area requires careful examination for skin cancer?
- All sun-exposed areas, including the scalp and behind the ears
- Only the face and hands
- Just the forearms
- The trunk area exclusively
- The lower extremities only
Which combination of movements tests facial nerve function during examination?
- Raising eyebrows, frowning, puffing cheeks, and smiling
- Sticking out tongue and moving side to side only
- Opening mouth and saying "ah" only
- Moving neck side to side
- Shrugging shoulders
What finding during fundoscopic examination would be particularly relevant for a patient with hypertension?
- AV nicking
- Papilledema
- Red reflex
- Corneal opacity
- Lens displacement
Which maneuver assesses shoulder muscle strength?
- Having patient hold arms out and resist downward pressure
- Testing grip strength only
- Having patient walk heel-to-toe
- Checking reflexes
- Testing range of motion only
What normal age-related skin change is commonly seen in elderly patients?
- Thinning of the skin with loss of subcutaneous fat
- Increased melanin production
- Thickening of the dermis
- Enhanced wound healing
- Increased oil production
What is the correct technique for auscultating heart sounds in female patients?
- Ask patient to hold breast tissue up to access proper auscultation points
- Listen over clothing for modesty
- Skip the mitral area in females
- Only use the bell of the stethoscope
- Stand behind the patient
What is the correct approach to maintain privacy during physical examination of elderly patients?
- Explain the examination steps and obtain consent while ensuring proper draping
- Complete the exam quickly without explanation
- Examine over clothing only
- Skip sensitive areas
- Have family member present always
Which test assesses coordination by having the patient alternate between touching their nose and the examiner's finger?
- Finger-to-nose test
- Romberg test
- Straight leg raise
- Babinski test
- Patrick's test
When assessing neck range of motion in elderly patients, what should be evaluated?
- Rotation, lateral flexion, and flexion/extension while monitoring for dizziness
- Only rotation to one side
- Rapid head movements
- Extension only
- Flexion only
What is the correct technique for using a stethoscope during a physical examination?
- Place the stethoscope directly on skin without fabric interference
- Listen over light clothing only
- Use only the diaphragm side of the stethoscope
- Use only the bell side of the stethoscope
- Keep the stethoscope cold for better sounds
How should you assess for tremors in an elderly patient?
- Have the patient hold their arms outstretched with fingers spread
- Ask the patient if they notice shaking
- Check for tremors only when walking
- Test for tremors only during sleep
- Assess for tremors only during eating
What environmental consideration is important when examining elderly patients?
- Well-lit room with adjustable examination table height
- Dim lighting for comfort
- Cold temperature to stay alert
- Music playing for relaxation
- Standing position only
These courses may be of interest to you
Author of lecture Physical Exam of the Older Adult
Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C
Customer reviews
5,0 of 5 stars
| 5 Stars |
|
5 |
| 4 Stars |
|
0 |
| 3 Stars |
|
0 |
| 2 Stars |
|
0 |
| 1 Star |
|
0 |
