General Assessment and Vital signs

Question 1

How Do You Calculate a BMI?

Answer 1

Weight (kg)/ Height (meters)

Question 2

What is included in the Subjective? (8)

and these are the…..

Answer 2

Demographics
CC
PMI
Meds/Allergies
Medical HX
Social HX
Family HX
ROS
"The Symptoms"

Question 3

What is included in the Objective?

and these are the ….

Answer 3

Vital Signs
The Physical Exam
“The Signs”

Question 4

Core Vital Signs include

Answer 4

BP
HR and rhythm
RR
Temp

Question 5

Additonal Vitals include

Answer 5

Ht and Weight
BMI
SpO2
Pain level

Question 6

A BP cuff width and length…..

Answer 6

Width: 40% upper arm
Length: 80% circumfrentially

Question 7

BP should be taken where?

Answer 7

Left arm at heart level with the cuff 1 inch above the ac

Question 8

Auscultatory Gap

Answer 8

A silent episode between the systolic and diastolic end points that often leads medical personnel to assume the blood pressure is lower than it actually is

Question 9

Korotkoff sounds

Answer 9

Ausculatation of flow of blood thru the artery

Question 10

JNC-VII Blood Pressure Classification for Normal

Question 11

JNC-VII Blood Pressure Classification for Pre-hypertension

Answer 11

120-139/80-89

Question 12

JNC-VII Blood Pressure Classification for Stage 1 hypertension

Answer 12

140-159/90-99

Question 13

JNC-VII Blood Pressure Classification for Stage 2 hypertension

Answer 13

> 160/>100

Question 14

At what BP do you initiate pharmaceutical treatment in the general population age 60 and older?

Answer 14

> 150/90

Question 15

At what BP do you initiate pharmaceutical treatment in the general population under age 60?

Answer 15

> 140/90

Question 16

At what BP do you initiate pharmaceutical treatment if the patient has diabetes?

Answer 16

> 140/90 regardless of age.

Question 17

Positive orthostatic VS include….

Answer 17

Drop of >20mm systolic or >10mm diastolic

Heart rate increases >15 bpm or rate is tachycardic

Question 18

Pulse Pressure

Answer 18

Pulse Pressures: Difference between systolic and diastolic pressure

Question 19

Weak Pulse Pressure (and some causes)

Question 20

Strong Pulse Pressure (and some causes)

Answer 20

>40mmHg 
Fever 
Anemia
Hyperthyroidism
Atherosclerosis

Question 21

BMI Underweight classification?

Question 22

BMI Normal classification?

Answer 22

18.5-24.9

Question 23

BMI Overweight classification?

Answer 23

25-29.9

Question 24

BMI obese classification?

Answer 24

> 30

Question 25

BMI extremely obese classification?

Answer 25

> 40

Question 26

4 basic skills of a physical exam?

Answer 26

Inspection
Auscultation
Palpation
Percussion

Question 27

9 Components of the General Assessment ?

Answer 27

Apparent state of health
Level of Consciousness
Signs of Distress 
Body Habitus
Skin Color 
Dress and personal hygiene
Breath or body odor present
Facial Expressions
Posture, gait, motor activity