BP, AMH, PH

Question 1

C/b turbulence in the bld flow d/t compression of the artery

Answer 1

Korotkoff

Question 2

Faint clear tapping
Gradual increase intensity

SYSTOLIC PRESSURE

Answer 2

Phase 1

Question 3

Softening

Swishing

Answer 3

Phase 2

Question 4

The return of louder sounds

Answer 4

Phase 3

Question 5

Muffling

Answer 5

Phase 4

Question 6

Complete disappearance

DIASTOLIC

Answer 6

Phase 5

Question 7

Cardiac output

Answer 7

SV

HR

Question 8

Peripheral resistance

Answer 8

Vascular structure

Vascular fxn

Question 9

Vasoconstriction

Answer 9

Increase resistance

High BP

Question 10

Increase blood viscosity

- inc hct (PCV)

Answer 10

High BP

Question 11

Increased rigidity of arterial wall (atherosclerosis)

Answer 11

High BP

Question 12

75% sensitivity and specificity

Answer 12

Aneroid or Hg BP cuff

Question 13

Optimal pt positioning, cuff size, placement
Device calibration
Multiple and confirmatory measurements

Answer 13

Automated oscillometric

Question 14

85% sensitivity, 62% specificity

Detects WCH (20%) and masked hypertension (10%)

Answer 14

Home BP monitoring

Question 15

Gold std
24 hr ave bp

Changes in nocturnal BP
Expensive

Answer 15

Ambulatory BP monitoring

Question 16

Brachial artery

BELOW HEART LVL

Answer 16

High BP

Question 17

Slow and repetitive inflations of cuff

Answer 17

Venous congestion = low sys, high di

Question 18

Normal JNC 8/7

Answer 18

S: <120
D: <80

Question 19

Pre hypertension

Answer 19

S: 120-139
D: 80-89

Question 20

Stage 1 hypertension
<60
Diabetes/renal dse

Answer 20

S: 140-159
D: 90-99

Question 21

Stage 1 hypertension >60

Answer 21

S: 150-159
D: 90-99

Question 22

Isolated hypertension

Answer 22

S: >/= 140
D: <90

Question 23

> /= 140/90 medical setting

<135/85 ambulatory reading

Answer 23

White coat hypertension (isolated clinic hypertension)

Question 24

<140/90 ofis
>/= 135/85 ambulatory

More serious
Inc risk CVD and end organ damage

Answer 24

Masked hypertension

Question 25

Less than 10% fall of BP | >20% rising/fall

Answer 25

Nocturnal hypertension

Question 26

Regularly irregular or sporadic

Answer 26

Sinus arrhythmia PVCs PACs

Question 27

Irregularly irregular

Answer 27

Atrial fibrillation | Atrial flutter

Question 28

Recommended grading pulses

Answer 28

+3 bounding +2 normal, brisk +1 weak, thread, diminished (shock) 0 absent.... ka pirme sang college

Question 29

PR to RR ratio

Answer 29

4:1

Question 30

Normal BMI

Answer 30

18.5-24.9

Question 31

Overwt

Answer 31

25-29.9

Question 32

Set of principles crafted thru reflection and discussion to define right and wrong

Answer 32

Ethics

Question 33

First do no harm Incorrect info, creating barriers

Answer 33

Nonmaleficence or primum non nocere

Question 34

Do good for pts Actions need to be motivated w the pt's best interest

Answer 34

Beneficence

Question 35

Pts have the right to determine what is in their own best interest Collab not paternalistic

Answer 35

Autonomy

Question 36

Building blocks of professional ethics in pt care

Answer 36

Nonmaleficence Beneficence Autonomy Confidentiality

Question 37

Tavistock principles

Answer 37

``` Rights - to healthcare Balance - pt is central, but population also Comprehensiveness Cooperation Improvement Safety - do no harm Openness ```

Question 38

Obligation to ease suffering, minimize disability, prevent dse and promote health

Answer 38

Comprehensiveness

Question 39

Forms of nonverbal communication

Answer 39

``` Eye contact Mannerisms Touch Gesture Tone of voice Posture ```

Question 40

External manifestations of both px and physician Includes: dressing manners, hairstyle, social distance

Answer 40

Symbolic communication

Question 41

CLUSTEES of active listening skills

Answer 41

1. Listening skills 2. Leading skills 3. Reflecting

Question 42

Listening skills cluster

Answer 42

1. 1 attending - greet, eye cont, posture, gesture, verbal w/o interruption 1. 2 paraphrasing - restate; similar but fewer words 1. 3 perception checking - clarity what u heard fr pt; interrogative phrasing

Question 43

Leading skills cluster

Answer 43

2. 1 indirect leading - nonverbal and verbal 2. 2 direct leading - elaborate 2. 3 focusing - u is confucius, ask 1 prob at a time 2. 4 questioning - qs

Question 44

Questioning

Answer 44

Direct qs Yes-no qs Confrontation qs Probing qs

Question 45

To clarify areas and add detail to the story E.g name, address

Answer 45

Direct qs

Question 46

Qs that start w why

Answer 46

Confrontation qs

Question 47

Aside from chuchuchichu

Answer 47

Probing

Question 48

Reflecting cluster

Answer 48

3. 1 reflecting feelings - pt is expressing; observe rxns 3. 2 reflecting content - use of paraphrasing & perception checking 3. 3 reflecting experience - descriptive feedback that relates broad observations of pt

Question 49

ADULT MHx

Answer 49

- Gen data - CC - HPI - Past hx (childhood illnesses, adult illness [medical, surg, obgyn, psych, accident/injuries], immunization, screening tests) - Personal/social hx (work/education, religion, hobbies, home situation, allergy, smoke, alc, exercise, spouse, children) - Fam hx (parents, sibs, fam illness) - ROS

Question 50

PEDIATRIC HX

Answer 50

* Prenatal hx (mom's age & OB score, prenatal visits, labs, illness during, drugs taken during, smok/alc) * Natal hx (AOG, BR, BW, 4delivery, perinatal compli, duration in nursery) * Post natal hx (feeding, growth & dev, immunization) * Past medical hx (past ill/hospi, allergies) * Fam medical hx (health of parents & sibs, presence of chronic dse, heredofamilial dses) * Personal/social hx (ages of parents & their werk, brief description of dwelling place)