Chapter 10: General Survey, Measurement, and Vital Signs Flashcards

1
Q

What does the general survey assess during a patient encounter?
a) Only the patient’s blood pressure.
b) The overall impression of the patient.
c) Only the patient’s medical history.
d) A list of medications.

A

B

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2
Q

Which factor is NOT included in the physical appearance assessment?
a) Skin colour.
b) Age.
c) Body build or contour.
d) Level of consciousness.

A

C

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3
Q

What is evaluated under ‘Body Structure’?
a) Facial expression and mood.
b) Gait and range of motion.
c) Posture and symmetry.
d) Nutrition and skin colour.

A

C

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4
Q

What does the ‘Mobility’ assessment focus on?
a) Gait and range of motion.
b) Level of consciousness.
c) Facial features.
d) Body structure and nutrition.

A

A

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5
Q

Which behavior indicators are assessed in the general survey?
a) Blood pressure and heart rate.
b) Temperature and pulse rate.
c) Speech and personal hygiene.
d) Height and weight.

A

C

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6
Q

In children, unexpected behaviors may indicate which of the following?
a) Normal childhood development.
b) Improved social interaction.
c) Child abuse or mental illness.
d) Increased physical strength.

A

C

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7
Q

What spinal changes may occur in older adults by their eighth decade?
a) Increased height and better posture.
b) Spinal flexion and angulation of features.
c) Improved joint flexibility.
d) Narrower gait and less balance.

A

B

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8
Q

How should weight be measured accurately?
a) Using a bathroom scale.
b) With clothing on.
c) With a standardized balance or electronic scale.
d) By estimating visually.

A

C

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9
Q

What should a patient do before height measurement?
a) Sit down and relax.
b) Stand straight and look straight ahead.
c) Bend slightly forward.
d) Wear heavy outer clothing.

A

B

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10
Q

Which route of temperature measurement is known for accuracy?
a) Oral route.
b) Axillary route.
c) Rectal route.
d) Forehead scanning.

A

A

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11
Q

When is the tympanic route most often used?
a) For non-invasive and quick temperature assessment.
b) When patients are comatose.
c) Only when other routes are unavailable.
d) Only for infants and children.

A

A

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12
Q

What is the function of the temporal artery temperature method?
a) Measures temperature through direct contact.
b) Measures temperature by counting pulses.
c) Uses rectal insertion for measurement.
d) Uses infrared emissions to measure temperature.

A

D

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13
Q

What is the normal adult pulse rate at rest?
a) 40 to 80 beats per minute.
b) 60 to 100 beats per minute.
c) 70 to 110 beats per minute.
d) 50 to 90 beats per minute.

A

D

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14
Q

What characterizes a normal pulse rhythm?
a) Irregular tempo.
b) Variable tempo.
c) An even, regular tempo.
d) Rapid tempo.

A

C

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15
Q

What is the purpose of assessing pulse force?
a) To count the number of beats accurately.
b) To determine respiratory rate.
c) To measure blood pressure.
d) Indicates the strength of heart’s stroke volume.

A

D

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16
Q

How long should respirations be counted for accuracy?
a) For 10 seconds.
b) For one cycle of breathing.
c) For 3 minutes.
d) For 30 seconds or a full minute if abnormal.

A

D

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17
Q

What should normal respirations be like?
a) Fast and audible.
b) Relaxed, regular, automatic, and silent.
c) Deep and forceful.
d) Irregular and loud.

A

B

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18
Q

What is blood pressure defined as?
a) Rate of heartbeat in minutes.
b) Volume of blood in the heart.
c) Pressure of blood against blood vessel walls.
d) Amount of oxygen in the blood.

A

C

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19
Q

Which of the following represents systolic pressure?
a) Maximum pressure during left ventricular contraction.
b) Pressure during blood vessel expansion.
c) Pressure while the heart is at rest.
d) Average pressure during all phases.

A

A

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20
Q

What does diastolic pressure represent?
a) Pressure during left ventricular contraction.
b) Immediate pressure after blood is pumped.
c) Elastic recoil pressure between contractions.
d) Pressure from the blood after it leaves the heart.

A

C

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21
Q

What is blood pressure?
a) Pressure of blood against blood vessel walls.
b) Pressure of air in the lungs.
c) Pressure from the heart valves.
d) Pressure of blood in the heart chambers.

A

A

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22
Q

What characterizes systolic pressure?
a) Maximum pressure during heart contraction.
b) Pressure during heart relaxation.
c) Average pressure in blood vessels.
d) Pressure of blood at rest.

A

A

23
Q

What is diastolic pressure?
a) Maximum pressure during heartbeats.
b) Pressure exerted while the heart rests.
c) Pressure caused by blood vessel expansion.
d) Average pressure across the cardiac cycle.

A

C

24
Q

What does pulse pressure indicate?
a) Difference between systolic and diastolic pressures.
b) Average pressure in the arteries.
c) Total blood volume in the body.
d) Heart rate during exercise.

A

A

25
Q

How is Mean Arterial Pressure (MAP) defined?
a) Average pressure forcing blood into tissues.
b) Pressure during ventricular contraction.
c) Pressure noted during rest.
d) Peak systolic pressure measured.

A

A

26
Q

What is the normal blood pressure for a young adult?
a) 120/80 mm Hg.
b) 110/70 mm Hg.
c) 130/90 mm Hg.
d) 115/75 mm Hg.

A

A

27
Q

Which demographic factors affect blood pressure?
a) Diet and exercise habits.
b) Body temperature and height.
c) Vision and hearing capabilities.
d) Age, sex, and ethnoculture.

A

D

28
Q

What affects blood pressure physiologically?
a) Weight, emotions, and diurnal rhythm.
b) Skin color and hair type.
c) Blood type and dental health.
d) Height and shoe size.

A

A

29
Q

Which factor is NOT a determinant of blood pressure?
a) Cardiac output.
b) Blood viscosity.
c) which does not include anxiety or stress.
d) Peripheral vascular resistance.

A

C

30
Q

What does cardiac output refer to?
a) Total volume of blood in arteries.
b) Rate of blood flow through the body.
c) Volume of blood pumped by the heart.
d) Pressure exerted by blood cells.

A

C

31
Q

What equipment is typically used to measure blood pressure?
a) Digital thermometer and pressure gauge.
b) Oximeter and thermometer.
c) Ultrasound machine and sphygmomanometer.
d) Stethoscope and aneroid sphygmomanometer.

A

D

32
Q

What is the ideal width of the cuff’s rubber bladder?
a) 40% of the arm’s circumference.
b) 30% of the arm’s circumference.
c) 50% of the arm’s circumference.
d) 70% of the arm’s circumference.

A

A

33
Q

What happens if the cuff is too narrow?
a) It yields a falsely high pressure.
b) It yields a falsely low pressure.
c) It gives an accurate reading.
d) It causes discomfort to the patient.

A

A

34
Q

What is the first step in blood pressure measurement?
a) Position the arm at heart level.
b) Measure the heart rate.
c) Check blood oxygen levels.
d) Have the patient lie flat.

A

A

35
Q

Where should the cuff be positioned?
a) At the wrist joint.
b) Directly on the brachial artery.
c) 3 cm below the shoulder.
d) 2.5 cm above the brachial artery.

A

D

36
Q

What are Korotkoff sounds?
a) Heartbeats during exercise.
b) Abnormal lung sounds.
c) Bowel sounds during examination.
d) Sounds heard when measuring blood pressure.

A

D

37
Q

What is included in the general survey?

A

A: Appearance
B: Body Structure
C: Mobility
D: Behaviour
E: Measurement

38
Q

What is included in the Physical Appearance of the general survey?

A

age
sex
level consciousness
skin colour
facial features

39
Q

What is included in “body structure” in the general survey

A

Stature
Nutrition
Symmetry
Posture
Position
Body build

40
Q

What is included in “mobility” in the general survey

A

Gait
Range of Motion

41
Q

What is included in “behaviour” in the general survey

A

Facial Expression
Mood and Affect
Speech
Dress
Personal hygiene

42
Q

What is included in “measurement” in the general survey

A

Weight
Height
BMI

43
Q

The resting heart rate to be considered bradycardia is?

A

HR below 50 beats per minute

44
Q

What heart rate is considered tachycardia?

A

Over 95-100 beats per minute

45
Q

What does the force in pulse tell you?

A

The strength of the heart stroke volume

46
Q

What is blood pressure?

A

The force of the blood pushing against the side of the vessel

47
Q

What is systolic pressure?

A

The maximum pressure felt on the artery during left ventricular contractions or systole

48
Q

What is diastolic pressure?

A

The elastic recoil or resting pressure the blood exerts constantly between contractions

49
Q

What is pulse pressure?

A

The difference between the systolic and diastolic pressures and reflects the stroke volume

50
Q

What is the mean arterial pressure?

A

The pressure forcing blood into tissues averaged over the
cardiac output

51
Q

What is considered hypotension?

A

Low blood pressure is a condition in which the force of the blood pushing against the artery walls is too low.

52
Q

What is hypertension?

A

Hypertension (high blood pressure) is when the pressure in your blood vessels is too high (140/90 mmHg or higher).

53
Q

What is normotensive blood pressure?

A

Some one with normal blood pressure

54
Q

What is postural hypotension?

A

When a person with normal blood pressure that develop signs of hypotension when rising to an upright position