Chapter 14 Flashcards

Physical Examinations

1
Q

A Licensed Independent Practitioner, Physician Assistant, or Independent Duty Corpsman (IDC) may perform all physical examinations covered in this chapter unless otherwise indicated (i.e. an IDC may complete a physical examination but must have all documents co-signed by a licensed physician).

A

A General Medical Officer may independently perform examinations upon successfully completing an accredited internship.

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2
Q

a Physician’s Assistant may perform and record an aviation physical examination but must have the documents co-signed by a licensed aviation physician.

A

***there are four types of routine physical examinations. They are the Entrance, Periodic Health Assessment (PHA), Reenlistment, and Separation physicals

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3
Q

Entrance physical examination results are documented on the Report of Medical Examination (DD 2808) and Report of Medical History (DD 2807-1).

A

Separation examinations are required for personnel separating from the Navy, the Marine Corps, and Activated Reservists serving 31 consecutive days or greater on active duty. A thorough physical examination must be completed not less than 180 days from the last day served on active duty.

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4
Q

If there is not a unit medical officer, a medical officer assigned to a supporting clinic, hospital, or related operational unit should perform the examination.

A

OVERSEAS/OPERATIONAL SUITABILITY SCREENING EXAMINATIONS: All screening should be completed within 30 days of receipt of orders.

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5
Q

ABBREVIATED TEMPORARY LIMITED DUTY (TLD) MEDICAL BOARD AND REPORT: is used only when a member is expected to return to full duty after an adequate period of treatment. Processing time should not exceed 5 working days to report TLD

A

The form (NAVMED 6100/5), “Abbreviated Limited Duty Medical Board Report”

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6
Q

REPORT OF MEDICAL HISTORY, DD 2807-1 is used to complete Routine, Special Duty, and Medical Evaluation Boards examinations.

A

REPORT OF MEDICAL EXAMINATION, DD 2808

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7
Q

REPORT OF MEDICAL ASSESSMENT, DD 2697 is used to complete Separation examinations.

A

MEDICAL, DENTAL AND EDUCATIONAL SUITABILITY SCREENING FOR SERVICE AND FAMILY MEMBERS, NAVMED 1300/1 is used to complete the suitability screening for members that have orders for overseas and remote duty locations.

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8
Q

There are three accepted methods for testing visual acuity: Snellen chart, Jaeger cards, and Armed Forces Vision Tester(AFVT).

A

Snellen and Jaeger cards are used together.

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9
Q

Snellen Charts test distant visual acuity.

A

Jaeger cards are used to eval near vision acuity.

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10
Q

The AFVT checks both distant and near visual acuity.

A

Acuity testing is performed with and without glasses and results are documented in blocks 61 and 63 on the DD 2808

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11
Q

SNELLEN CHART: is the PREFERRED method for testing distant visual acuity, and can test both monocular and binocular visual acuity.

A

Hang Snellen Chart so the 20/20 line is 64 inches from the floor. Patient should stand 20 feet from chart.

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12
Q

JAEGER CARDS: It has six parag. on each card and labeled as J-1 (the smallest print size) through J-6

A

JAEGER CARDS: Hold cards at a distance of 14-16 inches from patient. Record the smallest type that was read comfortably in block 63 of the DD 2808 as near vision. Ex. J-2 at 14 inches.

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13
Q

***The Famsworth Lantern Test (FALANT) is the preferred and acceptable method for testing color vision by MANMED>

A

The two methods for testing color vision is FALANT and Pseudoisochromatic Plates (PIP).

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14
Q

FALANT evals color perception using two of three possible colors, red, green, or white shown in varying combinations.

A

FALANT Test: At a distance of 8 feet a patient must identify a total of nine different combinations to pass.

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15
Q

FALANT: A passing score is obtained by correctly identifying 9 out of 9 presentations on the first test series.

A

FALANT: If any are incorrect a second series of 18 presentation is administered. Passing score is correctly identifying 16, 17 or 18 presentations.

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16
Q

IF FALANT is not available use the (PIP) test and patient must retest again once the( FALANT) is available.

A

(PIP) has two test 18-plate test and 15-plate test.

17
Q

(PIP) is administered by holding plates 30 inches from patient. Allow 2 seconds for the identification of each card.

A

(PIP) Patient can not touch card. Correctly identifying 12,13, 14 out of 14 and 16, 17, or 18 out of 18 is passing.

18
Q

AUDIOGRAM: Tested by an instrument called an “audiometer( manual or computerized).

A

AUDIOGRAM: Audiometers are calibrated to American National Standards Institute (ANSI) specification.

19
Q

Entry level audiograms are performed and recored on DD 2215, Reference Audiogram

A

Subsequent Audiogram results are recorded on DD 2216, Hearing Conservation .

20
Q

Audiogram tracing or readings are recording on DD 2808 in block 71a and 71b.

A

ELECTROCARDIOGRAM: Sinoatrail (SA) node right and left atriums, Atrioventricular (AV) node, right and left ventricles.

21
Q

EKG: standard 12 leads are located on four limbs and six precordial leads, or chest leads.

A

Placement of 12 lead EKG are as followed: Four limb leads, Right Arm (RA), Left (LA), Left leg (LL) Right leg (RL)are attached to forearms, above writsts, and the calf muscles above ankles.