Ace Your Advanced Physical Health Assessment Classes and Exams with Picmonic: #1 Visual Mnemonic Study Tool for Nurse Practitioner (NP) Students

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Advanced Physical Health Assessment | Nurse Practitioner (NP) School Study Aid

Head-To-Toe Assessments
21 Picmonics to Learn | 1 hr 5 mins
Cognitive Abilities Assessment
Mental Status Examination (MSE)
Collecting/Organizing Objective Information
Cognitive assessment tests
Mini-Mental State Examination (MMSE)
Montreal Cognitive Assessment Test (MoCA)
Mini-Cog
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3 mins
Cerebellar Assessment
Coordination
Observe Rapid Alternating Movements (RAM)
Touch Thumb to Each Finger
Finger-Nose-Finger Test
Heel-to-Shin Test
Observe Gait
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2 mins
Skull, Scalp and Hair Assessment
Skull
Inspect Size, Shape and Contour
Inspect and Palpate Areas for Tenderness or Lesions
Scalp
Inspect for Tenderness, Lesions or Rashes
Inspect for Dandruff
Inspect for Lice or Nits
Hair
Inspect Quality and General Appearance of Hair
Observe Hair Distribution
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2 mins
Head, Face and Neck Assessment
Head
Inspect Size and Shape of Skull
Palpate Temporal Artery
Face
Observe Facial Expression
Inspect Facial Structures and Symmetry
Neck
Look for Symmetry
Check Range of Motion
Inspect Lymph Nodes and Thyroid Gland
Confirm Trachea is Midline
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2 mins
Eye Assessment
Inspect External Structures
Eye and Eyebrow Symmetry
Eyeball Alignment
Inspect Eyeball Structures
Examine Cornea and Lens for Cloudiness
Iris and Pupil Shape and Size
Pupillary Light Reflex and Accommodation
P.E.R.R.L.A
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2 mins
Nose Assessment
External Nose
Inspect for Deformity or Asymmetry
Inspect for Inflammation and Skin Lesions
Nasal Cavity
Check for Nasal Obstruction
Inspect Nasal Mucosa
Note Discharge, Bleeding or Foreign Body
Sinus Area
Palpate the Sinus Areas
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2 mins
Ear Assessment
EXTERNAL EAR
Inspect Position and Symmetry
Inspect for Lesions, Drainage, Nodules or Redness
Inspect Opening of Ear Canal
OTOSCOPIC EXAMINATION
Insert Speculum
Position Scope
View Structures
Light Reflect
HEARING ACUITY TESTS
Whisper Test
Weber’s Test
Rinne Test
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4 mins
Throat and Mouth Assessment
MOUTH
Inspect for Color, Asymmetry and Swelling
Inspect Lips, Teeth, Gums and Oral Mucosa
Assess Tongue
THROAT
Examine Pharynx with Tongue Depressor
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2 mins
Skin Assessment
Inspect the skin
Observe for Abnormal Skin Pigmentation
Inspect for Cyanosis
Observe Skin for Pallor
Observe for Jaundice
Inspect for Erythema
Palpate the Skin
Check the Temperature
Observe the Skin for Moisture
Inspect for Diaphoresis or Dehydration
Check skin for edema
Imprint Thumb Firmly for 3 to 4 Seconds
Look for lesions
Note the Characteristics
Palpate Lesion
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4 mins
Nail Assessment
Observe the Nails
View Index Finger at its Profile
Look at Consistency
Observe Color
Check Capillary Refill
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2 mins
Gastrointestinal System Assessment
Mouth
Inspect Mouth, Jaw, Teeth, Gums and Oral Mucosa
Inspect Tongue
Palpate Areas for Tenderness/Lesions
ABDOMEN
Inspect Abdominal Quadrants
Auscultate
Percuss
Palpate
Light Palpation
Deep Palpation
Check for Rebound Tenderness and Ascites
Rectum and Anus
Inspect Perianal Area
Palpate Rectum with Gloved Index Finger
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6 mins
Abdomen Assessment
Inspect the Abdomen
4 Quadrants
Contour, Shape, Symmetry
Umbilicus
Auscultate
Bowel Stethoscope
Vascular Sounds
Percussion
Percuss 4 Quadrants
Tympany or Dullness
Palpate
Light Palpation
Deep Palpation
Rebound Tenderness
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5 mins
Reflexes Assessment
Grading
Hyperactive
Hypoactive
Deep Tendon Reflexes (DTRs)
Biceps
Triceps
Brachioradialis
Patellar (Quadriceps)
Achilles Tendon
Cutaneous (Superficial) Reflexes
Plantar Reflex (Babinski Sign)
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3 mins
ROM Assessment
Types of ROM
Active ROM (AROM)
Active Assisted ROM (AAROM)
Passive ROM (PROM)
Upper Extremity
Neck Flexion, Extension and Rotation
Shoulder Flexion, Extension and Rotation
Elbow Flexion and Extension
Fingers and Wrist Flexion and Extension
Lower Extremity
Hip and Knee Flexion
Hip Abduction and Rotation
Ankle Rotation
Toe Flexion and Extension
Lumbar Rotation and Spine Inspection
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4 mins
Cardiac and Circulation Assessment
HEART ASSESSMENT
Inspect General Appearance
Inspect Chest
Note Location of Apical Impulse
Percuss Chest Wall
Auscultate Heart Sounds: S1, S2, S3, S4
Auscultate for Pericardial Friction Rub and Murmurs
VASCULAR SYSTEM ASSESSMENT
Assess Skin, Fingernails and Toenails
Check Carotid Artery and Jugular Vein
Palpate Skin for Temperature, Texture, Turgor
Check Capillary Refill Time
Palpate Arterial Pulses Bilaterally
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5 mins
Male Urinary System Assessment
Health History
Past Medical History
Medications
Urination Pattern
Physical Examination
Inspection
Palpation
Auscultation
Percussion
Assessment of Urine
Intake and Output
Characteristic of Urine
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2 mins
Male Reproductive System Assessment
Inspection
Inspect the Penis and Urethral Meatus
Inspect the Scrotum, Testicles and Pubic Hair
Inspect the Inguinal and Femur
Palpation
Palpate the Entire Penile Shaft
Palpate Both Testicles
Palpate Epididymides and Both Spermatic Cords
Palpate for Direct or Indirect Inguinal Hernia and Femoral Hernia
Palpate Prostate Gland
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3 mins
Female Reproductive System Assessment
HEALTH HISTORY
Past Genitourinary and Gynecological History
Current and Past Medication Use
Urine Collection and Characteristics
EXTERNAL GENITALIA EXAM
Inspect External Genitalia
Palpate External Genitalia
INTERNAL GENITALIA EXAM
Inspect Internal Genitalia Using Lubricated Speculum
Examine Vaginal Wall for Color, Texture, and Integrity
Examine Cervix for Color, Position, Size, Shape, Mucosal Integrity and Discharge
Palpate Internal Genitalia
Note Abnormal Findings
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4 mins
Airway and Lungs Assessment
Inspection
Examine Back of Chest
Determine Respiratory Rate for 1 Minute
Assess for Abnormalities with Uneven Movement or Use of Accessory Muscles
Inspect Skin, Nails and Mucous Membrane
Palpation
Palpate for Crepitus, Tenderness, Alignment, Masses or Retraction
Palpate for Tactile Fremitus
Check Chest-Wall Symmetry and Expansion
Note Resonance, Hyperresonance, Dullness and Tympany
AUSCULTATION
Use Diaphragm of Stethoscope to Listen to Full Inspiration and Full Expiration
Ask Patient to Breathe Through Mouth
Normal Breath Sounds
Abnormal Breath Sounds
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5 mins
Strength Assessment
Inspection
Assess Patient Appearance for Abnormalities
Observe ROM of Upper and Lower Extremities
Assess Motor Power
Hand Grips
Dorsiflexion and Plantarflexion
Hip and Knee Flexion Against Resistance
Manual Muscle Test (MMT) Grading System
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2 mins
Female Urinary System Assessment
Health History
Past Medical History
Urination Pattern
Medications
Urine Collection
Assessment
Inspect Areas Over Kidney and Bladder
Percuss Kidneys
Palpate Kidneys and Bladder
Note Abnormal Findings
Assessment of Urine
Intake and Output
Characteristic of Urine
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2 mins

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