General Examination

Question 1

What is clinical diagnosis?

Answer 1

Its whats wrong with the patient

Question 2

What is the differential diagnosis?

Answer 2

more than one possibility of whats wrong with the patient

Question 3

What is prognosis?

Answer 3

the outlook of the condition (is the patient going to get better or worse)

Question 4

What is ausculatation?

Answer 4

listening for sounds with a stethoscope

Question 5

What are vitals?

Answer 5

blood pressure, temperature, respiration and pulse

Question 6

What is musculoskeletal?

Answer 6

describes interactions between muscles and skeleton

Question 7

What is neuromusculoskeletal?

Answer 7

interaction between nerves, muscles, and skeleton

Question 8

What is a consultation?

Answer 8

patient meets with doctor to describe symptoms, areas of pain, etc

Question 9

What is 80% of any diagnosis?

Answer 9

History

Question 10

What is a patients history?

Answer 10

health conditions, surgeries, whats going on with their symptoms, onset, etc

Question 11

What are the components of a chiropractors examination?

Answer 11

general physical exam, chiropractic exam, orthopedic and neurological testing

Question 12

What are the parts of a physical exam?

Answer 12

vital signs, listening to lungs, looking in the ears, etc

Question 13

What are the components of a chiropractic exam?

Answer 13

static and motion palpation techniques

Question 14

What is an orthopedic exam?

Answer 14

an orthopedic exam isolates individual areas of the body and helps to diagnosis

Question 15

What is a neurologic exam?

Answer 15

neurologic exams are used to help rule out nerve involvement (sensory exams, vibrational sense and dermatome testing)

Question 16

What are diagnostic tests?

Answer 16

labwork, xray, ct, mri, those sorts of things

Question 17

What are the essential vital signs?

Answer 17

respiration rate, pulse, blood pressure, tempurature

Question 18

What is the purpose of evaluating vital signs?

Answer 18

evaluaties health status on essential physiologic functions and vital organs

Question 19

Why is it important to evaluate vital signs?

Answer 19

to allow provider to make educated decisions about treatments and other interventions

Question 20

When should we take vitals?

Answer 20

On the first visit
on a re exam
if the patient hasnt been in in more than 3 months
When there is a change in the patients condition

Question 21

Who requires vitals?

Answer 21

NCCA, most insurance companies, and medicare

Question 22

What is respiration rate and what is normal for this reading?

Answer 22

The number of times a patient breaths per minute, normal is 16-20 rpm

Question 23

How do you count respiration rate?

Answer 23

watch patients chest rise and fall for 30 seconds, then double the number

Question 24

What is pulse?

Answer 24

the number of times the heart beats per minute

Question 25

Where should pulse be taken?

Answer 25

use 2 fingers over the radial or carotid arteries. Never use the thumb! Count beats for 15 seconds and then multiply by 4.

Question 26

What are some terms used to describe heart beat?

Answer 26

normal, bounding, weak, thready, regular, or irregular

Question 27

What are average heart rates for babies to age 1, children ages 1-10, children ages 11-17, adults, and well conditioned athletes?

Answer 27

``` babies: 100-160bpm children age 1-10: 70-120bpm children age 11-17: 60-100bpm adults: 60-100bpm well trained athletes: 40-60bpm ```

Question 28

What are things that can cause fast pulse?

Answer 28

exercise, anemia, some meds, fever, heart disease, stimulants, stress, alcohol

Question 29

What are some things that can cause slow pulse?

Answer 29

heart disease, high levels of fitness, underactive thyroid

Question 30

What device is used to take blood pressure?

Answer 30

sphygmomanometer

Question 31

Which arm is prefered for takin gblood pressure?

Answer 31

the left

Question 32

Where should blood pressure cuff be placed?

Answer 32

1 inch above elbow crease at heart level

Question 33

Where should the stethoscope be place?

Answer 33

over the brachial artery in the antecubital fossa

Question 34

What is more accurate- digital or manual sphygmomanometers?

Answer 34

manual

Question 35

What is normal blood pressure?

Answer 35

120/80 or less

Question 36

What is pre hypertension?

Answer 36

systolic is 121-139 and diastolic is 81-89

Question 37

What is hypertension?

Answer 37

greater than 140/90

Question 38

Who has higher blood pressure- male or females?

Answer 38

males

Question 39

Where can tempurature be taken?

Answer 39

orally, rectally, tympanic (ear), forehead, or axilla (armpit)

Question 40

Which tempurature method will yield the lowest temp?

Answer 40

oral tempurature

Question 41

Who is a candidate for rectal tempurature readings?

Answer 41

infants and small children that are unable to hold the thermometer in their mouth

Question 42

What is the most common method to take temp?

Answer 42

tympanic

Question 43

What could yield an inaccurate tempurature reading?

Answer 43

not keeping mouth closed, not leaving thermometer in long enough, taking temp after exercise or hot bath

Question 44

What is the purpose of a general physical exam?

Answer 44

to confirm an overall state of health and to diagnose a health problem

Question 45

What is the difference between a sign and a symptom?

Answer 45

a sign is objective information (measured info) and a symptom is subjective (basically what the patient tells you)

Question 46

What are the duties of a CA during a chiropractic examination?

Answer 46

interview patient, write accurate history, determine vitals, assist doctor in exam

Question 47

What is the main vector for spread of disease in healthcare?

Answer 47

hands, make sure to wash before and after each patient contact

Question 48

How should a CA prepare a patient for exam?

Answer 48

explain what will happen instruct patient into gown remove jewelry buttons snaps etc for x ray

Question 49

What is visual inspection?

Answer 49

assesses posture, mannerisms, size, shape, color, position, symmetry, and presence of abnormalities

Question 50

What is palpation?

Answer 50

inspection by touch for texture, tempurature, shape, movement and can be with light or heavy pressure

Question 51

What is percussion?

Answer 51

lightly tapping and striking the body to hear sounds or feel vibrations

Question 52

What is auscultation?

Answer 52

listening to body sounds, such as heart or lungs

Question 53

What is manipulation?

Answer 53

moving of a patient body parts

Question 54

What is mensuration?

Answer 54

measuring a patients extremity length or diameter

Question 55

What are the two different heads on a stethoscope?

Answer 55

diaphragm (drum) and bell

Question 56

What is the diaphragm of the stethoscope used for?

Answer 56

detecting higher pitched sounds like breath or heartbeat

Question 57

What is the bell of a stethoscope used for?

Answer 57

detecting low pitch sounds, like heart murmurs or bowel sounds

Question 58

What are the 3 components of a pulmonary exam?

Answer 58

inspection, palpation, and auscultation

Question 59

What is an otoscope?

Answer 59

it is used to looking in the ear

Question 60

what is an opthalmascope?

Answer 60

it is used for looking in the eyes

Question 61

What is the snellen chart?

Answer 61

chart used to determine patients vision

Question 62

What is used for an auditory examination?

Answer 62

tuning fork

Question 63

What are the 3 components of a cardiac exam?

Answer 63

percussion, auscultation, measuring pulses

Question 64

What are the 4 components of an abdominal exam?

Answer 64

Inspection (color, symmetry) Ausculatation (for bowel sounds) Percussion (for fluid, hollowness) Palpation (for masses, herniation, etc)