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SUM '20 Final Exams Prep > Health Assessment > Flashcards

Health Assessment Flashcards

1
Q

Hyperkalemia is associated with

A

acidosis

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2
Q

QT prolongation is associated with:

A

Toxic drug levels

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3
Q

Most indicative of Ectopic Pregnancy

A

Amenorrhea followed by spotting and sudden onset of lower quadrant pain

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4
Q

Which is not true about the 7 F’s of abdominal distention?

A

The fetus has NO effect on the abdominal distension

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5
Q

Which statements are true? (re:PVD)

A

Approximately 50% of patients of PVD are asymptomatic

African american, american indian, and mexican american population are at increased risk

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6
Q

Which statement is TRUE regarding leg pain?

A

a. Nerve damage can be a differential diagnosis for leg pain

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7
Q

Percussing fremitus on the posterior side is best felt in what intercostal space?

A

2nd

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8
Q

Where do you feel the PMI

A

5th intercostal space - lateral to the midclavicular line.

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9
Q

How do you check the ear of a 2.5 year old?

A

Pull auricle down and out

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10
Q

CO =

A

SV X HR

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11
Q

diaphramatic excursion distance is?

A

3-5 cm

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12
Q

Levine’s Sign

A

Patients will describe angina by clenching their fist and placing it over the sternum.

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13
Q
  1. A pt with heart failure has pink frothy sputum, what is the diagnosis?
A

pulmonary edema

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14
Q

What is mononucleosis caused by?

A

EBV

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15
Q
  1. What is the first sign of thrombophlebitis in 50% of patients
A

PE may be the first sign

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16
Q

an astute SRNA knows a thrill will be felt with which type of murmur?

A

Grade IV

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17
Q

What is located in the lower left quadrant of the abdomen?

A

sigmoid colon

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18
Q

diaphragm of the stethoscope is used to hear what sounds?

A

most murmurs

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19
Q

The bell of the stethoscope is used to hear what sound?

A

S3

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20
Q

Patient has blood clot — inflammed vein etc.

A

Thromobophlebitis

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21
Q

Sytolic murmurs fall between what heart sounds?

A

S1 and S2

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22
Q

Troponin I is unique to the heart because?

A
  • Released in 1-3 hours after injury

- Peaks in 12-48 hours after injury

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23
Q

diagnostic of otitis media:

A

bulging tympanic membrane

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24
Q

day 3 post op. SOB, Tachy, O2 sat 85% differential dx:

A

PE

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25
Q

Correct documentation for normal pulses?

A

+2

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26
Q

Otitis externa presents as

A

sloughing

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27
Q

cute Otitis media is diagnosed when which of the following is present?

A

Otalgia, fluid in the middle ear, fever

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28
Q

Correct way to treat epistaxis?

A

Leaning forward and pinching anterior portion of nose for 15 minutes

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29
Q

A MUGA scan is typically used to:

A

Evaluated ejection fraction

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30
Q

Increased sodium could indicate?

A

Dehydration

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31
Q

S3 and S4 creates a cadence that resembles what?

A

Gallop of a horse

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32
Q

Abnormal to hear on S3?

A

33 year old male (>30)

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33
Q

Which of the following is a possible differential for eye redness

A

Scleritis

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34
Q

A Differential for peritonsillar abscess could also be what?

A

Epiglottitis

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35
Q

A patient has a painful tongue noted with white lesions that you are able to scrape off. This patient more than likely has what?

A

Oral candidiasis

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36
Q

Which of the following is an example of conductive hearing loss?

A

Otitis Media

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37
Q

Patient temp 102.2 leaning forward, dyspnea, sudden sore throat started 4 hours ago. Comes to the clinic

A

Escort to the ER

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38
Q

Diaphragmatic excursion is shortened by . choose two? (p. 201 in Rhoades)

A

Emphysema

Fractured rib

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39
Q

An age related loss of hearing that results from decreased hairy cell function and elasticity of the Tympanic Membrane

A

presbycusis

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40
Q

Which abdominal pain is not a red flag

A

Pain not associated with syncope

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41
Q

Trachea question choose 2

A

Small deviation to right is normal

Significant deviation can be atelectasis

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42
Q

Abdominal Assessment Order

A

Inspection- auscultation- percussion- palpation

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43
Q

A patient with ….. Grey-Turner’s, Hx of alcoholism

A

Pancreatitis

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44
Q

Cause of Otitis externa

A

cool tropical place???

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45
Q

Harsh, loud, systolic murmur heard over the 2nd right intercostal space with diminished, an early ejection click, diminished S2, crackles at the lung bases with LVHF..indicative of?

A

a. Aortic Stenosis

(Pulmonic is 3rd left ICS) “Remember SAD acronym Syncope, angina, dyspnea”

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46
Q

Tearing pain scenario question. Different bp on each arm, different pulse grades bilaterally.

A

Dissecting Aortic aneurysm

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47
Q

The assessment start:

A

when patient enters room

48
Q

You percuss resonance in the lung, what is this indicative of?

A

A normal healthy lung

49
Q

PMI >3 cm?

A

L ventricular Hypertrophy

50
Q

Colicky pain that begins as periumbilical or epigastric pain and progresses to RLQ pain could be described as?

A

Appendicitis

51
Q

Question about lung all is true except.

A

Left middle lobe

52
Q

Scenario about diastolic murmur found at the 4th intercostal space? hx of rheumatic fever and another murmur (mitral stenosis); low pitched rumbling mid-diastolic murmur, heard at the left sternal border in the fourth interspace and increasing with inspiration (pg. 213) this is indicative of?

A

Tricuspid Stenosis

53
Q

Pt leans forward for ease of breathing, drools, palpation of larynx indicates pain. The pt probably has:

A

Epiglottitis

54
Q

Pt experiences chest pain while doing lawn work but the pain is relieved when he stops

A

Angina Pectoris

55
Q

Tachyarrhymias causes all except?

A

sick sinus syndrome

56
Q

Question about mainstem bronchi?

A

Bifurcates at level of sternal angle

57
Q

What is found in the RLQ?

A

cecum

58
Q

What is found in the LLQ?

A

sigmoid colon

59
Q

Bacterial Pharyngitis/ tonsillitis cause is associated with

A

Strep Group B

60
Q

What are the precordial chest leads?

A

V1, V2, V3, V4, V5, V6

61
Q

Preoperative anemia screening

A

Not for low risk procedures like cataracts

62
Q

Pierre Robin syndrome associated with

A

Difficult Airway

63
Q

ASA preanesthesia evaluation for cataract extraction:

A

Day of surgery

Day prior to surgery

64
Q

Familistic cultures:

value the

A

family over the individual

healthcare decision making and problem solving are executed by the family

65
Q

Radial pain of the right wrist, Limited ROM, swelling, Locking sensation

A

De Quervain’s Tendonitis

66
Q

12 lead EKG to read

A

3rd degree HB

67
Q

EKG (V2-6 STEMI)

A

Anterior MI with lateral involvement

68
Q

generalized anxiety disorder lasts

A

6 months or longer

69
Q

24yo: Lack of sleep, nightmares, irritable; Mugged at gun-point

A

PTSD

70
Q

Test for Herniated Disk → 32 year old was lifting heavy boxes and had numbness/tingling down the leg afterwards?

A

Straight leg test

71
Q

Tall P wave is related to (PPulmonale)

A

R atrial enlargement

72
Q

Most common injured muscles for rotator cuff?

A

Supraspinitous

73
Q

Which meds increase risk of systemic erythematous lupus? Pick 2

A

Oral contraceptives

hydralazine

74
Q

Which hormone is not released from anterior pituitary?

A

Oxytocin

75
Q

Routine labs lead to unnecessary downstream testing, cancellation of surgery, increases in patient anxiety and cost. What does it NOT contribute to?

A

Increased burden on insurance company

76
Q

What is are S&S of RA:

A

RA antigen, morning stiffness, ANA (+)

77
Q

A football player with injury to L knee and MRI shows a fracture, what does he have?

A

A ligamentous injury

78
Q

Tendons connect

A

Muscle to bone

79
Q

Long paragraph about a patient went camping and was around Ticks?

A

Lymes disease

80
Q

Murmur between s1-s2

A

Systolic murmur

81
Q

Patient Ripping / crushing chest pain- widening pulse pressure:

A

Aortic aneurysm.

82
Q

Which patient at risk for closed angle glaucoma

A

EAST Asians

83
Q

Which patient at risk for open angle glaucoma

A

Hispanics

84
Q

Group with strong external boundary and outsiders must work hard to earn trust

A

High context

85
Q

Ethinic cultures may associate illness with and treat illness with??

A

Spiritual associations with disease

Take herbs

86
Q

Patient is sad and appears depressed, what was her diagnosis?

A

depression

87
Q

Patient had murmur at 2nd intercostal space LSB and came in with angina and dyspnea for lap chole

A

Aortic stenosis.

88
Q

Pink frothy sputum

A

Pulmonary edema

89
Q

PMI is found

A

Lateral to the midclavicular- 5th intercostal space

90
Q

PMI greater than 3cm =

A

Left ventricular hypertrophy

91
Q

What is seen with RA

A

Morning stiffness, +RA antigen and ANA

92
Q

Poor anesthesia student jumping from one topic to the other

A

Flight of Ideas

93
Q

First sign of thrombophlebitis

A

PE

94
Q

who is most likely to be at greater risk for fibromyalgia?

A

25 yr old female

95
Q

Cardiac muscle issues with II, III, AVF and 60% SA node and 90% AV node

A

RCA

96
Q

Football player with pain between 3rd and 4th intermetatarsal

A

Morton’s neuroma

97
Q

The diaphragm of the stethoscope is used for

A

Most murmurs

98
Q

The bell of the stethoscope is used for

A

S3

99
Q

Not a red flag with neck pain

A

Intermittent pain

100
Q

Fluid filled cyst adjacent to tendon?

A

Ganglion cyst

101
Q

2nd heart sound is

A

Closure of aortic/pulmonic valves

102
Q

Poor R wave progression may be a normal variation in

A

young people (particularly young women??

103
Q

An astute SRNA knows a thrill will be felt with which type of murmur?

A

Grade IV

104
Q

What produces the S2 sound?

A

Closure of the aortic and pulmonic valves

105
Q

Group that has strong external boundaries so it is hard for outsiders to get in

A

High context

106
Q

Barrel chest with flattened diaphragm on the lateral CXR is indicative of?

A

a. COPD

107
Q

Occupational lifetime dose of radiation is?

a.

A

Age x 10 mSV

108
Q

Where should you place your dosimeter during fluoroscopy? See arm exam.

A

a. outside of collar

109
Q

Where is the tip of a properly placed central line?

a.

A

SVC proximal to the right atrium

110
Q

The annual occupational effective dose of whole-body exposure is?

A

a. 50 mSV

111
Q

Which one of the following indicates poor inspiratory effort?

A

a. < 9 posterior ribs visible

112
Q

Which of the following provides the best safety from ionized radiation?

A

a. Distance

113
Q

X-ray taken in PA position, how is this image viewed?

A

a. Erect face to face

114
Q

There is 100 mLs of pleural fluid, which CXR will show this?

A

a. A lateral view

115
Q

What can only be viewed with a lateral CXR?

A

a. The retrocardiac space

SUM '20 Final Exams Prep (7 decks)

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