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Advanced Health Assessment > Exam 2 > Flashcards

Exam 2 Flashcards

1
Q

What age do blood pressure checks start?

A

3 years old

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2
Q

How do you assess for a Still’s murmur?

A

carotid artery compression: causes the murmur to disappear

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3
Q

How do you assess tolerance of physical activity in an adult patient who had angioplasty with stent placement?

A

Treadmill Stress Test

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4
Q

What is heard/auscultated in a patient with a Diastolic Murmur?

A

Aortic Regurgitation

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5
Q

Valve that does not close

A

Incompetent Valve

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6
Q

If you are unable to capture an arrhythmia by EKG in office, what needs to be ordered?

A

24 hr. Holter Monitor

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7
Q

What creates the S1 sound?

A

closure of the Mitral Valve

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8
Q

What creates the S2 sound?

A

closure of the Aortic and Pulmonic Valves.

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9
Q

Where is S2 best auscultated?

A

base of the heart

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10
Q

Grade 4 Murmur

A

loud with a Palpable Thrill

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11
Q

What diagnostic is used for a patient with suspected Pulmonary Embolism?

A

CT of the Chest

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12
Q

Who is at high risk of Pulmonary Embolism?

A

Postpartum patients.

May have normal VS with tachypnea

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13
Q

How do you position a patient to evaluate for Aortic Stenosis?

A

Upright and leaning forward

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14
Q

What are the JNC guidelines for a hypertensive and diabetic patient ?

A

they are at risk for CAD; Should maintain LDL less than 70

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15
Q

Where is a Venous Hum best heard?

A

medial third costal of the right clavicle

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16
Q

what is a S3 heart sound

A

Ventricular Gallop Rhythm

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17
Q

What does an S3 indicate?

A

HF or CHF

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18
Q

What are expected assessment findings in patients with peripheral arterial disease (PAD)?

A

Decreased hair on the lower extremities & thick toenails

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19
Q

What history is common in a patient with a Venous Stasis Ulcer?

A

Prior DVT & decreased circulation

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20
Q

Assessment finding in patient with Superficial Thrombophlebitis

A

Tenderness along the dilated vessels

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21
Q

Assessment finding in DVT

A

Unilateral leg edema; measure the leg circumference bilaterally.

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22
Q

Confirmation diagnostic of suspected DVT

A

Duplex Ultrasonography

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23
Q

Education for patients with Heart Failure

A

Stop Smoking
Pneumonia Vaccine
Regular Exercise as tolerated

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24
Q

Class II Heart Failure

A

mild symptoms & fatigue with ordinary activity

25
Q

Systolic Heart Failure

A

HF w/decreased EF. (EF<40%)

26
Q

Diastolic Heart Failure

A

HF w/preserved EF. (EF>40%)

27
Q

Men 65 and older

A

should be assessed for Aortic Abdominal Aneurysm (AAA)

28
Q

Confirmatory diagnostic of Heart Failure

A

2D Echocardiogram

29
Q

Normal Systolic BP of patients younger than 60 years old.

A

less than 140

30
Q

Intermittent Claudication

A

use Ankle Brachial Index to assess for Intermittent Claudication.
Beta Blockers worsen claudication

31
Q

Peripheral Arterial Disease (PAD) diagnosis

A

Ankle Brachial Index < 9

32
Q

Arterial Ulcers

A

lead to gangrene

33
Q

Nephritic Syndrome frequent sign/symptom

A

edema

34
Q

Renal Artery Stenosis

A

most common cause of secondary hypertension in pediatrics.

routine BP checks at every visit are important.

35
Q

What is NOT indicative of renal artery disease?

A

Frequent UTIs

36
Q

Risk factor for Coronary Artery Disease (CAD)

A

LDL > 150

37
Q

CRP

A

order to assess cardiovascular risk

38
Q

Characteristics of Chest Pain/Angina patient complaints

A

dull, heavy, squeezing sensation

39
Q

Near-syncopal episode

A

order 24 hour Holter Monitor

40
Q

RSV

A

most common respiratory virus in children

41
Q

RSV treatment

A

supportive: upper airway suctioning, prevention of significant/prolonged hypoxia & dehydration.

42
Q

Pulmonary Function Test

A

confirms diagnosis of Asthma, COPD & Chronic Bronchitis

43
Q

Epiglottis

A

medical emergency; abrupt in onset

44
Q

COPD & Asthma

A

progressive; symptoms worsen with time

45
Q

Moderate Persistent Asthma

A

symptoms everyday

46
Q

COPD patient assessment

A

barrel chest: anterior/posterior diameter

47
Q

Pneumonia assessment

A

consolidation and dullness in the lungs, low-grade fever & dry cough

48
Q

Viral pneumonia

A

ground-glass opacities

49
Q

Pleuritic chest pain

A

should suspect M. Pneumoniae

50
Q

Prevnar 13 vaccine

A

all adults should receive it at least once.

51
Q

Costochondritis sign/symptom

A

pain over the sternum

52
Q

Pneumothorax assessment

A

absence of adventitious lung sounds over air space

53
Q

Differential diagnosis for a child with Croup

A

Diphtheria, RSV, Epiglottis,

54
Q

Croup sign/symptom

A

barking cough

55
Q

Chronic cough

A

chest x-ray to rule out pathology

56
Q

Obstructive Sleep Apnea (OSA)

A

predominant in middle-aged men.

57
Q

Education for obese patients at risk of OSA

A

preventative measures: weight control, avoidance of alcohol, and sedatives at night.

58
Q

Obese patient with hypertension:

A

rule out OSA as a cause of hypertension.

Advanced Health Assessment (5 decks)

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