Midterm review Flashcards

1
Q

FIFE Model

A

Feelings
Ideas
Function
Expectations

Used to assess the patient’s experience of their illness

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2
Q

CAGE questionnaire screens for what?

A

Alcohol misuse

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3
Q

BMI Scale

A

Underweight <18.5
Normal 18.5–24.9
Overweight 25.0–29.9
Obesity I 30.0–34.9
Obesity II 35.0–39.9
Extreme obesity ≥40

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4
Q

5 A’s Model

A

Ask
Advise
Assess
Assist
Arrange

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5
Q

Validity

A

Does the test measure what it is supposed to measure?

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6
Q

Sensitivity

A

probability that a person with the disease has a positive test (true positive rate)
* Negative result from a test with high sensitivity usually excludes disease

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7
Q

Specificity

A

probability that a non-diseased person has a negative test

  • Positive result from a test with high specificity usually indicates disease
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8
Q

Positive predictive value

A

probability that a person with a positive test has the disease

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9
Q

Negative predictive value

A

probability that a person with a negative test does not have the disease

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10
Q

Intra-observer reliability

A

the degree to which measurements taken by the same observer are consistent,

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11
Q

What is the difference in blood pressure between arms that is a normal range?

A

Within 10mmHg

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12
Q

Masked hypertension

A

Normal BP in the clinic or office, but elevated level at home

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13
Q

Hallucinations can occur with which conditions?

A
  1. dementia
  2. PTSD
  3. delirium
  4. Schizophrenia
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14
Q

Seborrheic keratoses

A

They are benign skin lesions and often do not require treatment

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15
Q

actinic keratosis

A

A rough, scaly white patch on the skin that develops from years of sun exposure. It’s often found on the face, lips, ears, forearms, scalp, neck or back of the hands. Can become cancerous, usually removed as a precaution.

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16
Q

What is the USPSTF recommendation for skin cancer screening?

A

recommends against routine screening for skin cancer due to lack of evidence for this intervention across
the general population.

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17
Q

S/S of kawasaki’s disease

A
  • rash
  • decreased appetite
  • fatigue
  • low-grade fevers
  • strawberry tongue
  • erythema of the palms and soles
    are noted.
  • Nonpainful peeling of the skin of the child’s fingertips is noted
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18
Q

Alopecia areata - symptoms

A

Patchy hair loss without associated skin changes

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19
Q

What is pectus excavatum?

A

Depression on the lower part of the sternum

20
Q

Bronchophony

A

An atypical increase in the intensity and clarity of the individual’s spoken voice heard when auscultating the lungs with a stethoscope

21
Q

Egophony

A

increased resonance of voice sounds heard when auscultating the lungs. When spoken voices are auscultated over the chest, a nasal quality is imparted to the sound which resembles the bleating of a goat.

22
Q

Whispered pectoriloquy

A

an increased loudness of whispering noted during auscultation with a stethoscope on the lung fields on a patient’s torso

23
Q

Tactile fremitus

A

palpation of the chest wall to detect changes in the intensity of vibrations created with certain spoken words in a constant tone and voice indicating underlying lung pathology

24
Q

Constitutional symptoms

A
  • fatigue
  • weakness
  • fever/chills
  • night sweats
  • weight loss/gain
  • pain
25
Hypertension levels
normal 120/80 elevated 120-129/<80 Stage 1 130-149/80-89 Stae 2 >140/90 Must be elevated on 2 consecutive but separate occassions
26
Orthostatic hypotension
SBP drop >20 DBP drop >10 within 3 minutes of standing - causes: drugs, blood loss, prolonged bed rest, ANS disease
27
Normal respiratory rate
12-25 BPM
28
Testing for aphasia
1. word comprehension: 1 step command 2. Repetition - repeat sentence with one syllable words 3. Naming - name watch parts 4. reading comprehension 5. Writing
29
PHQ
Patient Health Questionairre - screening for depression
30
MMSE
Mini Mental State Exam - screening for dementia
31
GCS
coma severity screening
32
CAGE
alcohol screening
33
GAD 7
Screening for anxiety disorder
34
Pressure ulcer staging
1. nonblanchable erythema 2. partial thickness loss, dermis exposed 3. full thickness skin loss 4. Full thickness skin and tissue loss, underlying muscle, bone tendon etc exposed 5. Unstageable - obscured by slough or eschar
35
Cranial nerve 1
Olfactory nerve Smell - sensory nerve
36
Cranial nerve 2
Optic nerve Visual acuity, central/peripheral vision, PERRLA (pupils equal, round, reactive to light, accomodation - change in pupil size depending on focus area)
37
Cranial nerve 3
Oculomotor nerve EOM movements, pupillary construction and accommodation, upper eyelid, follow H pattern with eyes only Motor
38
Cranial nerve 4
Trochlear nerve EOM movements, H trace Motor nerve
39
Cranial nerve 5
Trigeminal nerve Motor: clench jaw Sensory: light touch Face, mouth, cornea, muscles of mastication
40
Cranial nerve 6
Abducens nerve EOM movement, H trace motor
41
Cranial nerve 7
Facial nerve Smile, frown, raise eyebrow, puff cheeks, pucker lips
42
Cranial nerve 8
Vestibulocochlear nerve Whisper test Sensory - hearing and balance
43
Cranial nerve 9
Glossopharyngeal nerve Gag reflex Sensory & motor
44
Cranial nerve 10
Vagus nerve Ahhh --> look for uvula rise Sensory and motor function Swallowing, vocal chords, pharynx and larynx sensation, cardiac inhibition
45
Cranial nerve 11
Spinal accessory nerve Shoulder and neck muscles - shrug
46
Cranial nerve 12
Hypoglossal nerve stick out tongue, move side to side Motor - tongue movements