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primary care > Final Review > Flashcards

Final Review Flashcards

1
Q

Normal Hemoglobin

A

12-18 g/dl

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2
Q

Normal hematocrit

A

37-52%

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3
Q

Normal WBC

A

4500-11000 uL

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4
Q

Normal Platelets

A

150,000 to 450,000

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5
Q

Normal blood glucose

A

80-120 mg/dL

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6
Q

normal fasting glucose

A

70-110 mg/dl

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7
Q

Facial contour of the eye/mouth is what nerve?

A

CN 7

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8
Q

Facial contour of the cheeks is what nerve

A

CN 5

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9
Q

Which cranial nerve does phonation?

A

10

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10
Q

What cranial nerve does mastication

A

CN 5

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11
Q

What cranial nerve does eye lid elevation

A

CN 3

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12
Q

What 2 CN control the gag reflex

A

9 and 10

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13
Q

How long do you hold the end range of cervical ROM?

A

10-30 seconds… look for dizziness dysarthria dysphasia nausea or any other sensory issues

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14
Q

How long do you maintain pressure for cervical compression/distraction

A

5-8 seconds

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15
Q

How do you grade a normal reflex?

A

2+

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16
Q

What do you grade non sustained clonus on a reflex test

A

4+

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17
Q

What is the correct order of movement of the upper limb tension test for MEDIAN nerve

A

Shoulder depression

GH abduction

Wrist/finger ext

Forearm supination

ER

Elbow extension

Contralateral side bending

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18
Q

What are positive findings of the upper limb tension test

A

Differences between elbow ROM

Reproduction of neurological symptoms w/ distant component

Different symptoms between extremities

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19
Q

What is considered a normal pulse?

A

3

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20
Q

What are the 4 places of axillary lymph nodes

A

Anterior axillary wall Posterior to pec major

Lateral axillary wall On shaft of humerus

Posterior axillary wall Anterior to teres minor and lat

Medial axillary wall

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21
Q

What dermatome is the arm and axilla?

A

T2

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22
Q

What dermatome is the nipple line

A

T5

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23
Q

what dermatome is the xiphoid process

A

t8

24
Q

What dermatome is the umbilicus

A

T10

25
Q

What dermatome is the inguinal area

A

L1

26
Q

When using the thoracolumbar compression test

What should they feel w/ compression?

Distraction?

A

Compression = provocation

Distraction = relief

Note: do compression first

27
Q

Where should you cue the patient when assessing thoracic ROM

A

at T12

28
Q

T or F: T12 is at the level of where you can feel the sides of someone’s ribs

A

F, she said since the ribs go downward that’s actually around L2

29
Q

What kind of movement do the upper ribs have? T1-T6

A

Pump handle

30
Q

What kind of movement do the ribs at T7-T10 have?

A

Bucket handle

31
Q

What kind of movement do the bottom 2 ribs have

A

Caliper

32
Q

What direction do you move the stimulus for the abdominal reflex

A

Counterclockwise through 4 quadrant

Note: patient should have the reflex if they’re normal

33
Q

When testing the abdominal reflex

The upper quadrants are what nerve levels?

Lower quadrants?

A

Upper: T7-T9

Lower: T10-T12

34
Q

When doing the slump test, where would the patient feel dural tightness vs neural tightness

A

Dural tightness: in lower back

Neural tightness: in leg

35
Q

What position does a patient need to be in to do abdominal palpation

A

Supine w/ knees flexed and muscles relaxed

36
Q

How wide should the normal aortic pulse be?

A

2-3cm or 2 fingers in width

3cm or more is abnormal

37
Q

If you (a PT) suspect signs of AAA, is this urgent or emergent?

A

Urgent, they can go to the doctor themselves as it likely is not going to immediately kill them

38
Q

What if the patient has signs of an AAA and shows signs of a bursted aneurysm (searing pain)

A

Call the ambulance (emergency)

39
Q

When palpating the aortic pulse, if pain is provoked what should we do

A

Call physician for possible inspection of AAA

40
Q

What is tested with mcburney’s point, where is it?

A

Appendicitis

Lower right quadrant

41
Q

What quadrant is stomach and spleen found in?

A

L UQ

42
Q

What quadrant is the liver found in?

A

R UQ

43
Q

What quadrant is the gallbladder and duodenum found in?

A

R UQ

44
Q

What quadrant and the kidneys found in?

A

both upper quadrants

45
Q

What quadrant are the ovaries found in?

A

Both lower quadrants

46
Q

What quadrants are the spermatic cords found in?

A

Both lower quadrants

47
Q

What quadrants are the colon found in?

A

R UQ

L UQ

R LQ

48
Q

What quadrant is the cecum found in?

A

R LQ

49
Q

What should you do if you hear absence of breath sounds on one side and the patient complains of shortness of breath

A

Call ambulance

Pneumothorax

50
Q

When should you auscultate a patient on a thoracic scan?

A

If you suspect pulmonary problem only

51
Q

How many points do you need to auscultate on each side of the body for a thoracic exam?

A

3 points on the L front

3 points on the R front

3 points on the L back

3 points on the R back

52
Q

No exercise if hemoglobin is under ____

A

8 g/dl but ADLs are ok

Normal: 12-18

53
Q

No exercise if hematocrit under…

A

25%

Normal is 37-52

Basic ADLs still ok

54
Q

WBC under _____ = no exercise AND PT wears as mask and so does the patient

A

Under 1000

Normal is 4500-11000

55
Q

Platelets under ______ = no exercise
ADLs still ok

A

Under 20,000

Normal is 150k-450k

56
Q

When should you give the patient a carb snack!

When do they need an insulin dose

What level will cause HA confusion nausea and rapid pulse

A

70

180-200

400+

primary care (10 decks)

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