assessment basics

Question 1

what mnemonic should be utilized to assess mental status

Answer 1

BATOMI

Behavior
affect/appearance
Mood
Thought/talk
Orientation
Memory
Intellect and insight

Question 2

besides chest pain when else should a cardiac cause be considered

Answer 2

dyspnea, orthopnea (SOB when supine), dizziness, lightheaded, palps, syncope, fatigue, n/v

Question 3

what dose finger clubbing indicate

Answer 3

chronically low SP02

Question 4

definition of postural hypotension

Answer 4

syst drops 20 or more
diastolic drops 10 or more

within 3 minutes of pt standing

Question 5

what are you looking for when inspecting an abdo in abdominal assessment

Answer 5

scars, swelling, fluid, distention, protrusions, bursing, rashes

Question 6

what is ascites

Answer 6

when the abdo fills with fluid: see in heart failure, renal failure and liver failure

Question 7

jaudeince is normally an indicator off…

Answer 7

liver disease or an obstructed bile duct

Question 8

what is considered pin point pupils

Answer 8

2mm or less

Question 9

what is considered dilated pupils

Answer 9

6mm or more

Question 10

both pupils dilated and unreactive can indicate…

Answer 10

bilateral pressure on the ocular motor nerves, e.g. bleeding or swelling following TBI

Question 11

one pupil dilated and unreactive can indicate

Answer 11

pressure on one oculomotor nerve for example one sided hemorrhage

Question 12

pinpoint pupils can be seen in

Answer 12

opioid overdose and brainstem stroke

Question 13

bilateral dilated pupils can indicate

Answer 13

poisoning with medicines that have significant anticholinergic side effects (e.g. tricyclics or tramadol) or very high pressure within the brain