Misc Questions Flashcards
What are the 5 Ps of sexual history?
Partners
Practices
Protection from STIs
Past history of STIs
Prevention of pregnancy
What are pillars of the ethical context?
Autonomy
Beneficence: Do good for the patient.
Competency
Deontological imperatives: Do good with consideration to cultural and ethical context.
Fairness and justice: Recognize balance of autonomy but also interests of family and community
Nonmaleficence: Do no harm to patient
Utilatarianism: Use resources appropriately with concern for the larger community.
What is the best way to check skeletal mass in the older adult?
Check their midarm circumference.
How do you calculate BMI?
[weight in pounds/height in inches ^2] x 703
What is considered an overweight BMI?
25-29.9
What occurs in Tanner 4?
Stage 4: The areola forms a secondary mound above the breast with increasing fat deposits.
(5 stages in total)
What are commonly occurring nevi?
Junction Nevi: uniform in color and shape, flat or slightly elevated.
Compound Nevi: Center is elevated with surrounding area flat. Indistinct border.
Dermal Nevi: Elevated with a domelike shape. Has a soft, wrinkled surface.
Where do atypical nevi generally appear?
They occur predominantly in the trunk of the body.
What are characteristics found in ophthalmoscope evaluation in a patient with HTN?
Narrowing of vessels
Increased vascular tortuosity
Copper wiring (red-brown reflex)
AV nicking
Retinal hemorrhages
What do cotton-wool bodies look like?
Fluffy white lesions that occur in the eye due to lack of oxygen being delivered there
What is a major physiologic change to the eyes that occurs in old age?
Presbyopia. This is a weakening of accommodation (focus) on near objects due to the lens becoming more rigid which decreases the eyes’ flexibility.
What are causes of a red tymphanic membrane?
Infection in the middle ear (acute otitis media)
Prolonged crying
What does cranial nerve I test for?
Olfactory (Sensory): Differentiate between odors (smell)
What occurs in sensorineural hearing loss in the older adult?
Presbycusis.
What is oral cancer?
Painless, firm, nonmobile red sore in the mouth that does not heal. Tooth mobility occurs without presence of periodontal disease and cervical lymphadenopathy can occur.
