ptcip

Question 1

what are the 8 body systems to screen?

Answer 1

cardiovascular
pulmonary
psychological
urogenital
nervous system
gastrointestinal
endocrine
integumentary

Question 2

what is one question based on someone’s smoking history?

Answer 2

have you EVER smoked?

Question 3

if someone drinks or has recently stopped drinking caffeine, what is a good question and has a headache?

Answer 3

have you had caffeine recently?

Question 4

what are two follow-up questions associated with alcohol use?

Answer 4

how often do you have 6 or more drinks?

how many drinks containing alcohol do you have each week?

Question 5

what is the cage acronym related to alcohol?

Answer 5

C: cut down
A: annoyed
G: guilty
E: eye opener

Question 6

what are 6 follow-up questions related to a patient’s general health to ask?

Answer 6

resolved/unresolved?
how long have you felt this way?
is there an explanation for this behavior?
has the patient mentioned this to his/her MD?
if MD is aware of it, has it become worse?
try to quantify symptoms

Question 7

what are two ways to quantify fatigue?

Answer 7

sense of weariness

loss of energy marked by change in ability to function at home, work, school, socially for more than 2 weeks

Question 8

what are two ways to quantify fatigue?

Answer 8

loss/gain 5% of body weight over 4 week period

change of more than 3 lbs in a day

Question 9

what are three categories of follow-up questions for pmh?

Answer 9

current condition
past problem-resolved?
describe the condition

Question 10

when evaluating an issue in a patient’s pmh, what are 5 ways to describe it?

Answer 10

what? when?
manifestations/symptoms
treatment
next md visit
how does the condition impact you

Question 11

what are 7 follow-up questions associated with medications?

Answer 11

taking med for what?
how long have you been taking this?
dosage level
dosing schedule
helping?
side effects noted?
otc's: is md aware?

Question 12

what are 5 preventive care screenings recommended by the ama?

Answer 12

lipid screen
glucose test
colon cancer screen
dexa scan
aaa (abdominal aortic aneurysm)

Question 13

what is the suggested guideline associated with lipid screening?

Answer 13

every 5 years

after age 20

Question 14

what is the suggested guideline associated with glucose testing

Answer 14

age 45

Question 15

what is the suggested guideline associated with colon cancer screening?

Answer 15

after age 50

every 5-10 years

Question 16

what is the suggested guideline associated with dexa scan? males? females?

Answer 16

female>65
male>70
assuming no risk

Question 17

what is the suggested guideline associated with aaa?

Answer 17

abdominal aortic aneurysm

if smoked >65

Question 18

what are three types of preventative care tests for women ages 21-64?

Answer 18

pap
hpv
mammogram

Question 19

what is the suggested guideline for pap smears?

Answer 19

every 3 years

Question 20

what is the suggested guideline for hpv?

Answer 20

every 5 years, ages 30-65

Question 21

what is the suggested guideline for mammograms?

Answer 21

50-74, 1-2 years

begin at 30 for high risk

Question 22

what are 5 categories of information you want to gather about a patient’s current pain complaint/diagram?

Answer 22

current treatment
current limitations
location/description/intensity scale
history of symptoms
24 hour report
who else is treating it?

Question 23

what are three categories of 24 hour report “red flags” for pain?

Answer 23

pain that NEVER changes
non-acute night pain
pain w no pattern

Question 24

what is the acroynm opqrst mean related to pain?

Answer 24

o: onset
p: provokes/relieves
q: quality
r: region or radiating
s: severity
t: timing

Question 25

what is a visceral referred pain pattern for lungs?

Answer 25

t5-t6 | ipsilateral thoracic spine, shoulder

Question 26

what is a visceral referred pain pattern for diaphragm?

Answer 26

c3-c6 | cervical and shoulder

Question 27

what is a visceral referred pain pattern for heart?

Answer 27

t1-t5 cervical upper thorax lue

Question 28

what is a visceral referred pain pattern for esphagus?

Answer 28

t4-t6 substernal upper abdominal

Question 29

what is a visceral referred pain pattern for small intestine?

Answer 29

t7-t6 | mid thoracic spine

Question 30

what is a visceral referred pain pattern for large intestine?

Answer 30

t11-l1 lower abdomen mid thoracic

Question 31

what is a visceral referred pain pattern for pancreas?

Answer 31

t10 upper abdomen lower t spine upper lumbar spine

Question 32

what is a visceral referred pain pattern for kidney?

Answer 32

``` t10-l1 lumbar spine (ipsilateral) ```

Question 33

what is a visceral referred pain pattern for colon?

Answer 33

t11-t12 upper sacral left lower abdomen

Question 34

what is a visceral referred pain pattern for uterus?

Answer 34

t1-l1, s2-4 | ls junction

Question 35

what is a visceral referred pain pattern for ureter?

Answer 35

``` t11-l2 s2-s4 groin upper abdomen prox thigh ```

Question 36

what are 7 areas that refer pain to thoracic spine pain?

Answer 36

``` lung heart small or large intestine liver pancreas gallbladder kidney ```

Question 37

if a patient has thoracic spine pain, which symptoms should i screen?

Answer 37

cardio/peripheral vascular pulmonary gastrointestinal urogenital

Question 38

if a patient has l/r shoulder pain, which systems should i screen?

Answer 38

cardiovascular pulmonary gastrointestinal

Question 39

if a patient has lumbo-pelvic pain, which systems should i screen?

Answer 39

gi urogenital peripheral vascular (aorta)

Question 40

if a patient has r/l knee pain, which systems should i screen?

Answer 40

peripheral vascular | most organs do not refer pain below the knee

Question 41

what is the most common indicator of cad?

Answer 41

angina

Question 42

what is angina? what is most dangerous type?

Answer 42

chest pain caused by reduced blood flow to the heart | unstable

Question 43

what is stable angina?

Answer 43

regular w consistent pattern of onset, duration, and mode of treatment

Question 44

what is unstable angina?

Answer 44

abrupt change in usual pattern of angina

Question 45

what are three systems to screen if a patient has an inconsistent symptomatic pattern? what should be being considered?

Answer 45

psychological endocrine neuro consider: rheumatic conditions or adverse drug reaction

Question 46

what are clinical signs of electrolyte imbalances?

Answer 46

``` tachycardia muscle cramps diarrhea arrhytmia cns agitation ```

Question 47

what is pallor/pale skin indicative of?

Answer 47

absence of pigment | blood abnormality

Question 48

what is cyanosis/blue skin indicative of?

Answer 48

decreased o2 in blood

Question 49

what is jaundice indicative of?

Answer 49

excess bilirubin

Question 50

what is gray indicative of in skin tone?

Answer 50

high body levels of metal

Question 51

what are three types of skin cancer?

Answer 51

basal cell carcinoma squamous cell carcinoma malignant melanoma

Question 52

what are nine characteristics of a skin check?

Answer 52

``` size color borders shape consistency friability ulceration mobility rate of change ```

Question 53

what are the abc's of skin lesion screening?

Answer 53

a: asymmetrical b: border c: color s: size