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PCM2 > Exam 8 > Flashcards

Exam 8 Flashcards

1
Q

2 main causes of facial weakness/paralysis

A
  1. Peripheral lesion of CN 7

2. Central lesion of UMN system between cortex and pons

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2
Q

What happens to the face with left hemispheric damage (stroke) to the UMN system?

A

Paralysis of the right lower face (R upper face is fine)

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3
Q

What happens to the face with a L peripheral lesion of CN 7?

A

Paralysis of the entire R side of the face

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4
Q

Spasticity is generally caused by what lesions?

A

UMN or CST lesions (due to stroke)

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5
Q

Rigidity is generally caused by what lesion?

A

Lesion in basal ganglia system

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6
Q

Increased resistance that persists through the movement arc (independent of rate)

A

Lead-pipe rigidity

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7
Q

Rachetlike jerkiness

A

Cogwheel rigidity

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8
Q

Initial hypertonia giving way suddenly to relaxation

A

Clasp-knife resistance

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9
Q

Flaccidity is generally caused by what lesion?

A

LMN

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10
Q

What are the 6 steps to breaking bad news?

A

SPIKES

Setting
Patient's perception
Invitation
Knowledge
Exploring/Empathy
Strategy/Summary
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11
Q

Compare palliative care and hospice with respect to eligibility.

A

PC: everyone with a debilitating illness
Hospice: <6 months to live

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12
Q

Compare palliative care and hospice with respect to payer.

A

PC: insurance
Hospice: Medicare

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13
Q

Compare palliative care and hospice with respect to setting of delivery.

A

PC: inpatient/outpatient
Hospice: Inpatient or home

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14
Q

Compare palliative care and hospice with respect to presence of other treatments.

A

PC: yes
Hospice: usually no

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15
Q

What are advanced directives?

A

A decision made by a person specifying preferences for medical care in the future if he/she were to lose decisional capacity

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16
Q

When does a power of attorney become effective?

A

When a patient loses capacity

17
Q

True or false - a power of attorney supersedes a living will.

A

True

18
Q

What is a signed medical order that travels with the patient to assure treatment preferences are honored across settings of care?

A

POLST

19
Q

When should a POLST be filled out?

A

When death within a year would not be unexpected

20
Q

If there is no POA, who is the surrogate (IL)?

A
  1. Guardian
  2. Spouse
  3. Adult children
  4. Parents
  5. Siblings
  6. Grandchild
  7. Close friend
  8. Guardian of estate
21
Q

What does a DNR mean?

A

No intubation/ventilation/chest compression/defibrillation

22
Q

What is excluded in selective treatment (POLST)?

A

Do not intubate

23
Q

Who signs the POLST?

A

Patient
Witness
Authorized practitioner

PCM2 (16 decks)

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