CVR Assessment

Question 1

What is the problem list for for clinical reasoning?

Answer 1

Subjective assessment ➡️ objective assessment ➡️ problem list ➡️ treatment plan

Question 2

What should you ask about their present condition?

Answer 2

Onset, duration, symptoms

Question 3

What history is important to gather?

Answer 3

Past treatments, response to interventions, progress

Question 4

What social history information should you gather?

Answer 4

ADLs, lifestyle factors, smoking, alcohol use

Question 5

What drug history information is relevant?

Answer 5

Medications affective respiratory or cardiovascular function (e.g., bronchodilators)

Question 6

What family history should you consider?

Answer 6

Genetic predispositions (e.g., COPD, asthma)

Question 7

Why is employment history important?

Answer 7

Exposure to risks (e.g. dust, chemicals) affecting respiratory health

Question 8

What should you ask about pain?

Answer 8

Location, type (sharp, dull), severity

Question 9

Why are aggravating/easing factors important?

Answer 9

They guide management by identifying triggers

Question 10

Where can you gather additional patient information?

Answer 10

MDT, patient/family, medical notes

Question 11

Why is the symptom timeline critical?

Answer 11

Helps distinguish between acute and chronic conditions

Question 12

What does threads stand for?

Answer 12

Thrombosis, hypertension, rheumatic fever, epilepsy, asthma, diabetes, stroke

Question 13

What are the examples of red flags?

Answer 13

Dizziness, diplopia, dysphasia, drop attacks, chest pain, cyanosis

Question 14

What is diplopia?

Answer 14

Double vision

Question 15

What is dysphagia?

Answer 15

Difficulty swallowing, which may result from neurological, muscular, or structural issues in the throat or esophagus

Question 16

What are drop attacks?

Answer 16

Sudden, unexplained falls without loss of consciousness

Question 17

What is cyanosis?

Answer 17

A bluish discolouration of the skin, lips or nails caused by low oxygen levels in the blood

Question 18

What is fremitus?

Answer 18

A vibration felt on the chest wall during speaking or breathing, used in assessments to detect abnormalities like fluid masses in the lungs

Question 19

What should be in your objective assessment?

Answer 19

Breathing patterns, fremitus (vibrations), breath sounds, heart rate, blood pressure, SpO2

Question 20

What does A-E stand for?

Answer 20

Airway, breathing, circulation, disability, exposure

Question 21

What is ACVPU and what does it stand for?

Answer 21

A neurological assessment to evaluate consciousness
A - Alert
C - Confusion
V - Response to voice
P - Response to pain
U - Unresponsive

Question 22

What is the Glasgow Coma Scale (GCS)?

Answer 22

A scale to assess consciousness, based on:
Eye opening (scored 1-4)
Verbal response (scored 1-5)
Motor response (scored 1-6)
Score ranges from 3 (deep coma) to 15 (fully alert)

Question 23

What does an airway assessment involve?

Answer 23

Ensure it is open and unobstructed

Question 24

What does a breathing assessment look like?

Answer 24

Assess the rate, depth & spO2

Question 25

What does a circulation assessment look like?

Answer 25

Assess HR & BP

Question 26

What does a disability assessment look like?

Answer 26

Assess consciousness via ACVPU and Glasgow coma scale

Question 27

How would you assess exposure?

Answer 27

By looking at any wounds, drains, attachments and protecting their dignity