Mod 7 Ch 26-29 Flashcards
An athlete comes in for a preparticipation physical examination to a convenience care clinic. he has a blood pressure of 134/74. He denies any cardiac symptoms including headache, chest pain, or shortness of breath. What should the clinician do?
a. provide clearance for the athlete and tell him to follow-up with his primary care clinician for a blood pressure recheck in 2-3 weeks
b. deny clearance for he athlete and ask him to return to his primary care clinician for a bp recheck in 2-3 weeks
c. deny clearance for the athlete and refer him to a pediatric cardiologist
d. provide clearance for the athlete without any further stipulations
a. provide clearance for the athlete and tell him to follow-up with his primary care clinician for a blood pressure recheck in 2-3 weeks
which would be a cause to restrict sports participation?
a. pectus exavatum
b. sinus arrhythmia
c. mono
d. myopia
c. mono
mono can cause splenomegaly and sports can cause splenic rupture
Some of the physical characteristic of Marfan syndrome include
a. myopia, mitral valve prolapse, and increased limb length
b. joint hyperfelxibility, hypertension, and shortness of breath
c. pectus carinatum, hindfoot deformity, and asthma
d. scoliosis , tinea corpus, and webbed fingers
a. myopia, mitral valve prolapse, and increased limb length
The female athlete triad is characterized by what three abnormalities?
a. menstrual, thyroid, and bulimia
b. bone density, hypertension, and fatigue
c. Bone density, menstrual, and stress
d. Menstrual, energy, and bone density
d. Menstrual, energy, and bone density
The examination for a preparticipation physical examination includes all of the following except
a. heart auscultation
b. height and weight
c. snellen chart
d. urine test
d. urine test
used to be a thing but now is not used to look for protein and glucose but not that is not standard
During the participation physical, an athlete reports that she recently had an episode of syncope during exercise and you note a mid-systolic murmur at left sternal boarder that increased with intensity when you had her do the Valsava maneuver. What would be your concern?
a. Female athlete triad
b. hypertrophic cardiomyopathy
c. Marfan syndrome
d. hypertension
b. hypertrophic cardiomyopathy
mid-systolic murmur a the apex radiating to axilla or mid systolic crescendo-decrescendo murmur often heard loudest at the left lower sternal border, and that increases intensity with the Valsalva maneuver or a squat to stand would be a red flag for hypertrophic cardiomyopathy
In preparation physical, the history should include all except.
a. family history of sudden cardiac death in a relative under the age of 50
b. a previous head injury
c. supplement use
d. depression screen
d. depression screen
When a concussion is reported in an athlete, the clinician should do the following:
a. temporarily restrict play
b. allow the athlete to keep playing with mandated
c. order a CT scan to ensure there is no major head injury
d. allow the coach an parents to determine whether the athlete is in suitable condition to play
a. temporarily restrict play
which athlete needs a referral to a cardiologist?
a. fifteen-year old male with a history of asthma and bilat wheezes are noted during his examination on forced expiration
b. seventeen-year-old female with a history of bulimia who is currently not menstruating
c. eight-teen year old male who reports chest pain on exertion and a heart murmur
d. eight-teen year old female with anemia and shortness of breath during moderate activity
c. eight-teen year old male who reports chest pain on exertion and a heart murmur
The preparticipation physical has not been shown to be effective at decreasing rates of sudden cardiac death during sports in young athletes.
a. true
b. false
a. true
Which one of these is not a general concept of therapeutic communication?
a. Receiver
b. message
c. voicing doubt
d. sender
c. voicing doubt
The MI core skill continuing the paragraph means to do what?
a. Listen and reflect on what may be next (as yet unspoken) by the patient
b. speculate about what a patient or client is feeling
c. reflect on both sides of the patient or clients ambivalence
d. paint a picture that can clarify the individual’s position
a. Listen and reflect on what may be next (as yet unspoken) by the patient
Which action is most consistent with the principles of motivational interviewing (MI)?
a. recognizing that every individual needs to be educated about health
b. reviewing an individual’s thoughts and beliefs about health and wellness
c. showing the client problems that resulted from his or her poor health choices
d. teaching every individual the correct way to care for his or her own health
b. reviewing an individual’s thoughts and beliefs about health and wellness
Which one of these is one of the four processes of MI that are relevant to health assessments?
a. Distraction
b. evoking
c. imagination
d. deter
b. evoking
Which statement best affirms an individual’s strengths consistent with MI?
a. “the work that you are doing to cope with stress and quit smoking is difficult.”
b. “tell me why you have not used your strengths to reach your goals since we last met/”
c. “as you talk about smoking, I hear your reasons to continue and to quit
d. “let me stop and summarize what i hear you say and we have talked about”
a. “the work that you are doing to cope with stress and quit smoking is difficult.”
Which of these is the correct order of the “stages of change”?
a. Precontemplation, Maintenance, contemplation, determination, action, recurrence
b. precontemplation, contemplation determination, maintenance, recurrence, action Maintenance recurrence
c. precontemplation, contemplation, determination, action, Maintenance, recurrence
d. precontemplation, contemplation, recurrence, action, maintenance, determination
c. precontemplation, contemplation, determination, action, Maintenance, recurrence
In the study by Pakpour regarding childhood obesity and MI, which strategies showed the most effective results?
a. Mi solely
b. Mi plus parental engagement
c. Not using MI
d. partially using MI and a dietary plan suggested by a physician
. Mi plus parental engagement
In a hospital-based study, a single 3-hour motivational interviewing (MI) training session completed by nurses on an oncology unit resulted in which findings?
a. no changes in the nurse participants’ MI skills
b. reductions in fall rates during the study intervention
c. reductions in fall rates that lasted for 2-years after the intervention
d. improved nurse participant MI skills
e. b, c and d,
f. b and d
f. b and d
Which was the fifth A added to the “4 A’s” by the Canadian task force
a. advise
b. arrange
c. agree
d. assess
c. agree
Which is true about therapeutic communication?
a. using effective communication is standard of practice in completing patient assessment
b. trauma-informed care is outside the scope pf practice for most clinicians.
c. clinicians do not have time to integrate motivational interviewing in health assessment
d. using communication strategies is important, but not likely to impact patient outcomes.
a. using effective communication is standard of practice in completing patient assessment
Which term best describes interventions used to improve an individuals health by continuously monitoring his or her status or strategies intended to deliver intervention to users in their own environment?
a. mobile health or health
b. Telehealth
c. telemedicine
d. transdisciplinary health
a. mobile health or health
Which is true about digital health interventions?
a. any digital health intervention that is intended to change behavior is unethical.
b. digital health intervention can foster and support behavior change
c. persuasive technologies are coercive and not likely to support behavior change
d. using technology to monitor behaviors is not likely to improve anyone’s health
b. digital health intervention can foster and support behavior change
which is true about the delivery of care by telehealth?
a. Clinicians are legally permitted to deliver care by telehealth to anyone in any state
b. clinicians can legally provide care by telehealth no matter where the clinician is located
c. clinicians cannot provide care by telehealth to anyone who they have not met in person in the office
d. clinicians must follow state practice laws regarding telehealth: regulations vary widely.
d. clinicians must follow state practice laws regarding telehealth: regulations vary widely.
Which term best describes work that is characterized by being interactive and that analyzes, synthesizes, and harmonizes links among disciplines into coordinated whole?
a. Multidisciplinary
b. transdisciplinary
c. interdisciplinary
c. interdisciplinary
Which of the following is not part of the security rule when being compliant with the health insurance portability and accountability act
a. data must be encrypted
b. data cannot be sent via sms or skpe
c. data must be accessed with a unique identifier
d. technology must have an automatic log off.
b. data cannot be sent via sms or skpe
Which of the following is true in regard to the children’s online privacy protection act
a. parental consent must be obtained
b. a privacy policy is optimal
c. parents do not have the right to review information collected on their children
d. coppa applies to children aged 18 or older
a. parental consent must be obtained
Which of the following is not a factor for real-world data to be suitable for the FDA to use for regulatory decisions
a. the date collected from the device contains enough detail to answers questions about a specific population
b. the data collected from the device are focused on populations aged 18 years and older
c. when appropriate analytical methods are used, the data collected from the device ae capable of addressing the specified question
d. the data and evidence provided from the device can inform clinical and scientific judgement
b. the data collected from the device are focused on populations aged 18 years and older
it is not ever necessary to search for gray literature when locating health technology evidence
a. true
b. false
b. false
