A guide to clinical practice Flashcards

1
Q

Which profession is dependent and negotiated- PA or NP?

A

PA

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2
Q

Which profession is geared specifically and a “caring approach”?

A

NP

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3
Q

What are the core things a PA does?

A
H&P
Disease Prevention
Health Maintenance
Treatment
Education
Counseling
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4
Q

“jack of all trades” pertains to what discipline?

A

Primary Care/ Internal Care (specifically Family Practice)

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5
Q

What fields of medicine have generalists?

A

Primary care/ internal Care

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6
Q

How much outpatient care do PA’s do in Primary care?

A

80-90%

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7
Q

Do PAs deal with discharging patients in primary care?

A

YEs

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8
Q

Who does the scut work in a hospital?

A

A hospitalist

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9
Q

What type of procedures does a hospitalist do?

A

IV, intubation, Foley catheter

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10
Q

A decision to take care of a more critical patient is made where?

A

Triage

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11
Q

In EMed, what is the first thing a PA would do?

A

Identify the life threatening condtion

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12
Q

Is it necessary to define a diagnosis in an EMed before discharge?

A

NO

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13
Q

Why should you write things down in EMed?

A

Because if it isnt written, its like it was never done.

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14
Q

Can a minor be treated in EMed without parents present?

A

Yes, if life threatening.

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15
Q

Who has poor early health habits and diseases- Pediatrics or Geriatrics?

A

Geriatrics

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16
Q

How much of the MD rate is paid for PA via Medicare?

A

85%

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17
Q

How many PAs work in pediatrics?

A

4%

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18
Q

Does prenatal care fall in an OBGYN PA’s scope of practice?

A

Yes

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19
Q

Can A PA take care of an OBGYN emergency?

A

Yes- if in scope of practice.

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20
Q

Where would a PA take care of- pre,peri,post operative care?

A

Surgical PA

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21
Q

Which discipline employs 10.6% of PAs?

A

Orthopedics

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22
Q

Are cardiothoracic PAs OR based?

A

Yes

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23
Q

Are there dermatology PAs?

A

Yes

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24
Q

Are there Neurosurgery PAs?

A

Yes

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25
Q

What medical practitioner practices independently and has specific duties?

A

NPs

26
Q

What must NPs have in order to admit a patient?

A

NPs must have an affiliation to a doctor or hospital in order to admit pts.

27
Q

Is it a PA or nurse’s responsibility to educate the patient?

A

PA!!! We are educators!

28
Q

What is the GOAL of practicing PAs?

A

Disease prevention. In primary care you can prevent a patient from getting sick from a young age to an old age.

29
Q

What is the purpose of an H&P?

A
  • Helps you make a diagnosis
  • Helps you figure out what test you need to order
  • Helps determine the outcome of the pt
30
Q

Who are generalist?

A

PCPs (Primary Care Physicians) & PAs

31
Q

What is the difference between primary care and internal medicine?

A

Internal medicine is only for adults

Primary care treats children too

32
Q

What is AM & FM?

A
  • AM (Ambulatory medicine)

- FM (Family Medicine)

33
Q

Who makes more money primary care PAs or specialty PAs? What field makes the least?

A

Specialty makes more.

Peds makes the least

34
Q

What field of medicine maintains a large database?

A

Primary care because you are taking care of patients for an extended period of time

35
Q

Where does most primary care take place?

A

In a non hospital setting/outpatient care

36
Q

After a PA designs a course of treatment, what must they do?

A

FOLLOW UP

37
Q

Who follows up with patients more: Primary care or Surgery?

A

Primary care. Surgery may do 1-2 follow ups depending on the case.

38
Q

Can PAs go into any specialty?

A

Yes

39
Q

What specialty focuses on the healthcare of individuals and the adherence of rules and regulations of job site

A

Occupational Medicine

40
Q

What is a hospitalist?

A

Practitioners that care for you while you are hospitalized

41
Q

What is coordination of care?

A

Using different Rx and Tx methods to treat a pt

42
Q

30% of hospitals use this model

A

Medical Model

43
Q

What is coexisting pathology?

A

When a patient comes in with more than one illness.

Ex: An alcoholic that has a laceration from a car accident. <— What do you deal with first?

44
Q

In EMed, PAs must be able to easily identify what kind of situation?

A

Life threatening situations or medical conditions

45
Q

What is BCLS?

A

Basic Cardiac Life Support

46
Q

What is ACLS?

A

Advanced Cardiac Life Support

47
Q

What is ATLS?

A

Advanced Trauma Life Support

48
Q

What is PALS?

A

Pediatric Advanced Life Support

49
Q

When a pt suffers from symptoms for an extended period of time and presents to the ER, what should you ask them?

A

Why now? What makes today different?

50
Q

What should a PA verify that the pt understands before being discharged from the ER?

A

Make sure the pt understands that they need to follow up

51
Q

An ear ache and runny nose would be seen in what part of the ER?

A

Fast Track

52
Q

What part of the ER will a pt from a car accident or a person in immediate danger be seen in?

A

Trauma

53
Q

What kind of H&P do you do when you specifically focus on the medical conditions related to the chief complaint?

A

Problem Oriented H&P - Dont need to do a full H&P just treat the complaint and anything related to it

54
Q

What are the major problems of geriatric medicine?

A

Social and medical complexities

55
Q

What are ADLs?

A

Activities of Daily Living

56
Q

Why are pediatricians like veterinarians?

A

Because it is hard for peds to figure out how their pts really feel. Parents say how they feel but they dont know for sure.

57
Q

What does a scrub nurse do?

A

Is familiar with the procedure and has all of the necessary instruments prepared

58
Q

Is orthopedics office based or hospital based?

A

Both!

59
Q

Is cardiothoracic surgery office based or hospital based?

A

Hospital based

60
Q

What must dermatologist be able to do?

A

diagnose cancer