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CMA > Chapters 5/6 > Flashcards

Chapters 5/6 Flashcards

Vitals signs, and physical examination

1
Q

site where the infants body temperature is most accurate?

A

rectal

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2
Q

a normal pulse

A

newborn- 140 bpm
1-2 years- 120 bpm
3-6 years- 100 bpm
7-11 years- 95 bpm
teen-adult- 80bpm

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3
Q

level of the arm when taking the pulse?

A

level with the heart

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4
Q

pulse done with a stethoscope

A

heart pulse

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5
Q

palpated behind the knee

A

popliteal pulse

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6
Q

palpated at the neck

A

carotid pulse

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7
Q

antecubital space be palpated

A

brachial pulse

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8
Q

pulse with uncontrolled hypertension

A

a really high pulse rate of 100bpm+

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9
Q

orthostatic hypotension

A

a temporary fall in blood pressure when a person rapidly changes from recumbent position to a standing position

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10
Q

systolic BP krotokoff phase

A

heard in phase 1

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11
Q

expected resting pulse

A

60-100 bpm

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12
Q

aural thermometer

A

an ear thermometer that uses infrared energy to measure body temperature

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13
Q

what is it called when there is a difference between the radial and apical pulses?

A

“pulse deficit”; if the heart is weak or the patient has a vascular disease, the pulses may be different

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14
Q

internal functions of the body are constantly adapting and changing to keep the body in balance. what is this called?

A

homeostasis

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15
Q

a 3 year olds bilateral otitis externa is taken with what thermometer?

A

a tympanic thermometer is inserted into the ear after gently pulling the ear lobe down and back

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16
Q

symptoms of hypertension

A

there are virtually no symptoms, most don’t know they have problem until they have treatment for another problem

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17
Q

cardinal sign assessment includes?

A

temperature, pulse, respiration, and blood pressure

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18
Q

know about fevers that fluctuates

A

continuous fever rises and falls only slightly during a 24 hour period. The temperature consistently remains above the patients average range and fluctuates less than 3 degrees

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19
Q

abbreviation for temperature

A

temp

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20
Q

shortest length of time to obtain an accurate temperature is found with what kind of device?

A

a tympanic thermometer reading takes less than 2 seconds

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21
Q

90/60 mmHg or lower is considered?

A

hypotension

22
Q

a distinct sharp tapping sound that continues rhythmically is which Krotkoff phase?

A

3

23
Q

medical history that helps uncover existing or potential health problems is what section?

A

History of present illness (HPI)

24
Q

how to have a good rapport with patients

A

preparing the proper environment, using active listening, and therapeutic communication

25
Q

know where demographic information is?

A

the database

26
Q

what includes the patients dietary habits, smoking habits, and alcohol consumption

A

social history

27
Q

repeating or paraphrasing the patients comments

A

restatement

28
Q

an MA who is a good listener consistently provides what?

A

compassion, honesty, and education to the patient

29
Q

therapeutic interactions with children include?

A

allowing the child to touch and discover things in the office, praising for cooperation, and playing games

30
Q

processes that involve active listening

A

therapeutic communication, restatement, reflection and clarification

31
Q

how to correct an error in a paper record

A

draw a line through the error, write ‘error’ above the corrected words, date and initial the correction

32
Q

supine position

A

patient lies flat with their face upward and lower legs supported by the table extension. used to examine the front of the body

33
Q

prone position

A

patient lies face down on the table on the ventral surface of the body, opposite of the supine position. used to examine the back and for certain surgical procedures

34
Q

semi-fowler position

A

the head of the table is positioned at a 45 degree angle. used for post operative exams, breathing disorders, and patients suffering from head trauma or pain

35
Q

fowlers position

A

head of the table is positioned at a 90 degree angle. used for exams and treatments of the head, neck, and chest

36
Q

dorsal recumbent

A

patient lies face up with weight distribution primarily to the surface of the back, with knees bent and feet flat. used for exams or inspection of the rectum, vagina, and perineal areas

37
Q

Lithotomy position

A

patient lays on their back with knees sharply flexed and arms folded over the chest or at the sides. slide the buttocks down to the end of the table, support feet with stirrups wide apart and somewhat away from the table. used primarily for vaginal examinations that require the use of a spectulum and for pap tests

38
Q

knee-chest position

A

patient rest knees and chest on the table with the head turn to the side. arms can be placed under the head or to the sides of the table near the head. buttock is extended into the air with the back straight. used for protologic exams and for sigmoid, rectal, and occasionally vaginal exams

39
Q

safeguards mandated by HIPAA

A

privacy, passwords, encryptions

40
Q

manipulation during physical examination to gain information

A

the passive movement of a joint to determine the range of extension or flexion of a part of the body

41
Q

how to prepare a patient for an exam

A

take their demographics, ask to empty their bladder, inform them what clothes to take off and what can stay on(assist as needed), and inform them on how to put the gown on

42
Q

position for rectal and sigmoid exams

A

knee-chest and/or dorsal recumbent

43
Q

position achieved by laying prone with the head down, knees bent, and buttocks elevated

A

knee-chest

44
Q

_____ assesses a patients ability to detect sound

A

a tuning fork

45
Q

trendelenburg

A

a position where the patient is lying on their back at a 15-30 degree angle, with feet elevated above the head. used during lower abdominal surgeries and central venous catheter placement

46
Q

best method for moving a heavy object

A

always ask for help if it is to heavy, maintain correct body posture, get close and lift with the legs, feet should width apart

47
Q

shock symptoms

A

pale, cold, clammy skin, shallow and rapid breathing, difficulty breathing, anxiety, rapid heart rate and irregularities, dry mouth, and low or dark urine

48
Q

quickest and easiest way to check for skin turger

A

pinch the skin

49
Q

know all the positions

A

fowler, semifowler, supine, dorsal recumbent, lithotomy, left lateral, prone, and knee chest

50
Q

what term is often associated with measuring

A

mensuration

51
Q

opthalmoscope

A

used to inspect the inner structures of the eye. a stainless steel handle containing batteries and an attached head, which has a light, magnifying lens, and an opening through which the eye is viewed

CMA (16 decks)

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