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PAS 507 > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

Angina

A

Chest pain

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2
Q

SOAP

A

Subjective
Objective
Assessment
Plan

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3
Q

Cheif Complaine

A

Quote the patient’s own words why they are there.
First part of note

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4
Q

Subjective information

A

Cheif complaint
What the patient tells you

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5
Q

Objective info

A

What you find in tests, imaging, etc.

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6
Q

Symptoms

A

What the pt tells you they are experiencing (“I am itchy”)

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7
Q

Signs

A

What you see (“pt has a rash”)

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8
Q

OLDCAARTS

A

Used for HPI
Onset
Location
Duration
Characteristics (intensity)
Alleviators
Aggravators
Radiation
Timing
Symptoms

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9
Q

HPI

A

History of present illness.
Use OLDCAARTS

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10
Q

Pertinent positives

A

Symptoms that are related to a diagnosis

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11
Q

Pertinent negatives

A

Symptoms not present that rule out a diagnosis

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12
Q

Hyperpyrexia

A

Temp over 106

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13
Q

Hypothermia

A

Temp less than 95

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14
Q

At what temp are you considered running a temp

A

100.4

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15
Q

Where is squamous cell carcinoma usually found

A

Head and neck

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16
Q

Where is 40% of melanoma found on men

A

Back

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17
Q

Where is 40% of melanoma found on women

A

Legs

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18
Q

Atrophy

A

Depression and/or surface change in skin as result of diminution of components in epidermis, dermis or fat

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19
Q

Scar

A

Depressed or elevated proliferation of CT that has replaced inflamed or traumatized skin

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20
Q

Clubbing of nails

A

Usually sign of pulmonary malignancy

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21
Q

Nail pitting

A

Deep dents in nails.
Caused by autoimmune disease

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22
Q

What size needle do we use most in suturing

A

3/8 ciricle reverse cutting needle

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23
Q

Absorbable sutures

A

Monofilaments - Monocryl, chromic gut, pds.
Braided - Vicryl

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24
Q

Nonabsorbable sutures

A

Monofilament - nylon, prolene
Braided - silk

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25
Q

Order of CT phases

A
  1. precontrast
  2. arterial
  3. venous
  4. delayed
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26
Q

What is the window of the CT

A

sets what tissues you are viewing.

27
Q

What contrast medium is used for most CTs

A

Iodine-based

28
Q

What are the absolute contradictions to CT

A

None.
Situations where CT should never be given

29
Q

Relevant contradictions to CT

A

CT is not advised in this situation, but if necessary it can be made to happen

30
Q

What MRI highlights fluid

A

T2

31
Q

Gadolinium

A

Metal based contrast given for MRI
Don’t give to pts with GFR <30

32
Q

What CNs come from pons

A

III, V, VI, VII

33
Q

What CN comes form posterior midbrain

A

IV

34
Q

Lateral rectus

A

CN VI
abducts eye straight to outside

35
Q

Superior oblique

A

CN IV
Down and out

36
Q

Superior rectus

A

CN III
Up and in

37
Q

Inferior oblique

A

CN III
Up and out

38
Q

Inferior rectus

A

CN III
Down and in

39
Q

Media rectus

A

CN III
Abducts eye onto nose

40
Q

How many pairs of ribs do we have

A

12

41
Q

What ribs directly attach to sternum

A

1-7.
True ribs
vertebrosternal

42
Q

What ribs attach to sternum via attachment to rib directly above it

A

8-10
False ribs
Vertebrocostal

43
Q

What ribs do not connect to sternum at all

A

11-12.
Floating

44
Q

What ribs have interchondral joints

A

7-10

45
Q

Where does the heart sit in the ribcage

A

T4/5-T8/9

46
Q

Fibrous pericardium

A

Tough outside layer of pericardium

47
Q

Parietal layer of pericardium

A

Lines internal surface of fibrous pericardium

48
Q

Visceral pericardium

A

Layer of pericardium directly on heart

49
Q

Serous pericardium

A

Parietal and visceral layers (continuous with each other) with serous fluid in between.
Fist punching water balloon.

50
Q

Cardiac Tamponade

A

Compression of heart due to inability to expand due to fibrous pericardium

51
Q

Epicardium

A

Outer layer of heart.
Same thing as visceral layer of pericardium

52
Q

Myocardium

A

Middle of heart where muscle is

53
Q

Endocardium

A

Internal layer.
Lines lumens of ofur chambers and cusps of valves

54
Q

What surface mostly makes anterior side of hearth

A

Right ventricle

55
Q

What mostly makes inferior surface of heart

A

Left and right ventricles

56
Q

What makes up the right pulmonary surface of heart

A

Righ atrium

57
Q

What makes up the lefr pulmonary surface of heart

A

Left ventricle

58
Q

Chordae Tenae

A

Fibrous cords that connect free edges of cusps of AV valves to papillary muscles

59
Q

Papillary muscels

A

Specialized trabeculae carneae that attach to AV valve leaflets via chordae tenae to keep AV valves from prolapsing into atria during systole.

60
Q

Trabeculae carneae

A

elevations of myocardium

61
Q

Crista terminalis

A

Internal vertical ridge of right atrium

62
Q

Right atrial appendage (auricle)

A

Muscular pouch on right atrium that increases capacity of atrium as it overlaps ascending aorta

63
Q

When should you not use contrast for CT

A

Kidney stones
GFR<30
CT of head when no mass suspected

64
Q
A

PAS 507 (3 decks)

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