Midterm

Question 1

explanation proposed for a patients problems

Answer 1

diagnosis

Question 2

a diagnosis is based on…(3)

Answer 2

symptoms
signs
laboratory

Question 3

IPPA for physical exam

Answer 3

Inspection
Palpation
Percussion
Auscultation

Question 4

Diagnostic terms (5)

Answer 4

1. differential
2. tentative/working
3. admitting
4. final/discharge
5. preoperative and postoperative

Question 5

differential

Answer 5

not sure; could be one of several diseases

Question 6

tentative

Answer 6

H&P done before lab/test results

Question 7

“rule out”

Answer 7

still a possibility

Question 8

admitting

Answer 8

newly admitted to hospital

Question 9

final/discharge

Answer 9

end of encounter

Question 10

preoperative/postoperative

Answer 10

Operations

Question 11

choice of dx. influenced by…

Answer 11

third-party payers

Question 12

etiology

Answer 12

cause of disorder, syndrome, or disease

Question 13

secondary etiology

Answer 13

something other than the main organ involved

Question 14

organic

Answer 14

problem in tissues or organs is visible

Question 15

functional

Answer 15

no disease is visible

Question 16

symptoms

Answer 16

get details

Question 17

signs

Answer 17

verbal report

Question 18

history is usually obtained by….

Answer 18

a series of questions

Question 19

other ways to get a dx

Answer 19

1. overlapping content
2. thorough h&p
3. dictated in short, clipped phrases
4. may seem to jump around
5. technical words may replace laymen’s terms

Question 20

source of history

Answer 20

questioning the patient
family
previous charts
consultation with other HCPs

Question 21

symptoms of history (10)

Answer 21

1. quality
2. intensity
3. onset
4. duration
5. indeterminacy
6. location
7. radiation
8. inciting/aggravating or alleviating factors
9. prior episodes of similar pain
10. associated symptom

Question 22

most important part of history

Answer 22

HPI

Question 23

statement of patients presenting problem

Answer 23

chief complaint

Question 24

“the heart” the medical history

Answer 24

CC is followed by detains in HPI as to why they sought help

Question 25

how is HPI obtained

Answer 25

chronological order

Question 26

what is asked of the patient (8)

Answer 26

1. starts with brief dscription 2. sate and time of onset symptoms 3. traces progress of illness 4. appearance of new signs and symptoms 5. effect of symptoms on patients lifestyle 6. pre-existing condition 7. note: multiple unrelated CCs can increase length 8. HPI always in

Question 27

why is family history important

Answer 27

many diseases or developmental abnormal are either hereditary or familial and it provides clues to environmental exposures

Question 28

what is included in the family history (4)

Answer 28

1. age and state of health of all close, blood family members 2. age at death and cause of death of each deceased family member 3. medical conditions in more distant relatives 4. "noncontributory" if info not relative to present illness

Question 29

Drinking hx. questions

Answer 29

Cut down Annoyed Guilty Eye opener

Question 30

varicella

Answer 30

chicken pox

Question 31

pack-year hx

Answer 31

pack a day for a year

Question 32

habits may be included in what hx

Answer 32

social

Question 33

important factors for hospitalized kids

Answer 33

eating-caffeine usage sleeping exercise and recreation sexual activities

Question 34

general info about past med. hx. (8)

Answer 34

1. past med info not covered elsewhere in hx. 2. prior illnesses and hospitalizations 3. prior injuries/trauma 4. past surgeries 5. allergies 6. immunizations 7. chronic diseases and disabilities 8. current meds.

Question 35

number one cause of mortality between ages 1-19

Answer 35

injuries

Question 36

what info should you obtain as much as possible

Answer 36

serious or recent injuries

Question 37

when should one get the Tdap booster

Answer 37

every ten years or if pregnant

Question 38

what should be known about current meds

Answer 38

name, dosage, frequency, purpose of drugs taken at home

Question 39

what is a sign of meningitis

Answer 39

nuchal rigidity

Question 40

"sense of warning"

Answer 40

aura

Question 41

"curtain" falling across vision or flashes of light

Answer 41

detaching retina

Question 42

loss of balance

Answer 42

disequilibrium

Question 43

epistaxis

Answer 43

nosebleed

Question 44

holes in nasal septum could be a sign that the patient is...

Answer 44

snorting cocaine

Question 45

overeating

Answer 45

bulimia

Question 46

deficiency of vitamin B12

Answer 46

red, beefy tongue

Question 47

chest pain due to decreased oxygenated blood flow to heart muscle

Answer 47

angina pectoris

Question 48

signs of CV problems

Answer 48

``` angina pectoris dysrhythmia varicose veins anorexia ankle edema orthopnea ```

Question 49

difficulty breathing unless sitting upright

Answer 49

orthopnea

Question 50

echocardiogram uses...

Answer 50

ultrasound

Question 51

what is a cardinal symptom of CVD

Answer 51

chest pain

Question 52

attacks of "difficulty breathing" that awaken the patient at night

Answer 52

paroxysmal nocturnal disease

Question 53

palpitations may include...

Answer 53

forceful heartbeat tachycardia dysrhythmia

Question 54

pale in color

Answer 54

pallor

Question 55

decreased oxygenated blood flow to lower extremities

Answer 55

intermittent claudication

Question 56

intense cramping pain in calf and occurs with walking and relieved by rest

Answer 56

intermittent claudication

Question 57

obstructing blood clot forms in the lumen of an inflamed vein

Answer 57

thrombophlebitis

Question 58

predisposing factors for DVT

Answer 58

local injury obesity oral contraceptives sudden immobilization by illness, surgery, or sitting for long periods of time while traveling

Question 59

airway constriction with wheezing

Answer 59

asthma

Question 60

infection of two branches

Answer 60

bronchitis

Question 61

infection in air sacs

Answer 61

pneumonia