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unit 10 > ptcip > Flashcards

ptcip Flashcards

1
Q

what are the 8 body systems to screen?

A 
cardiovascular
pulmonary
psychological
urogenital
nervous system
gastrointestinal
endocrine
integumentary
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2
Q

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

A

have you EVER smoked?

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3
Q

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

A

have you had caffeine recently?

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4
Q

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

A

how often do you have 6 or more drinks?

how many drinks containing alcohol do you have each week?

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5
Q

what is the cage acronym related to alcohol?

A

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

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6
Q

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

A

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

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7
Q

what are two ways to quantify fatigue?

A

sense of weariness

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

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8
Q

what are two ways to quantify fatigue?

A

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

change of more than 3 lbs in a day

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9
Q

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

A

current condition
past problem-resolved?
describe the condition

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10
Q

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

A 
what? when?
manifestations/symptoms
treatment
next md visit
how does the condition impact you
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11
Q

what are 7 follow-up questions associated with medications?

A 
taking med for what?
how long have you been taking this?
dosage level
dosing schedule
helping?
side effects noted?
otc's: is md aware?
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12
Q

what are 5 preventive care screenings recommended by the ama?

A 
lipid screen
glucose test
colon cancer screen
dexa scan
aaa (abdominal aortic aneurysm)
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13
Q

what is the suggested guideline associated with lipid screening?

A

every 5 years

after age 20

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14
Q

what is the suggested guideline associated with glucose testing

A

age 45

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15
Q

what is the suggested guideline associated with colon cancer screening?

A

after age 50

every 5-10 years

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16
Q

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

A

female>65
male>70
assuming no risk

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17
Q

what is the suggested guideline associated with aaa?

A

abdominal aortic aneurysm

if smoked >65

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18
Q

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

A

pap
hpv
mammogram

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19
Q

what is the suggested guideline for pap smears?

A

every 3 years

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20
Q

what is the suggested guideline for hpv?

A

every 5 years, ages 30-65

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21
Q

what is the suggested guideline for mammograms?

A

50-74, 1-2 years

begin at 30 for high risk

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22
Q

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

A 
current treatment
current limitations
location/description/intensity scale
history of symptoms
24 hour report
who else is treating it?
23
Q

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

A

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

24
Q

what is the acroynm opqrst mean related to pain?

A

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

25
Q

what is a visceral referred pain pattern for lungs?

A

t5-t6

ipsilateral thoracic spine, shoulder

26
Q

what is a visceral referred pain pattern for diaphragm?

A

c3-c6

cervical and shoulder

27
Q

what is a visceral referred pain pattern for heart?

A

t1-t5
cervical
upper thorax
lue

28
Q

what is a visceral referred pain pattern for esphagus?

A

t4-t6
substernal
upper abdominal

29
Q

what is a visceral referred pain pattern for small intestine?

A

t7-t6

mid thoracic spine

30
Q

what is a visceral referred pain pattern for large intestine?

A

t11-l1
lower abdomen
mid thoracic

31
Q

what is a visceral referred pain pattern for pancreas?

A

t10
upper abdomen
lower t spine
upper lumbar spine

32
Q

what is a visceral referred pain pattern for kidney?

A 
t10-l1
lumbar spine (ipsilateral)
33
Q

what is a visceral referred pain pattern for colon?

A

t11-t12
upper sacral
left lower abdomen

34
Q

what is a visceral referred pain pattern for uterus?

A

t1-l1, s2-4

ls junction

35
Q

what is a visceral referred pain pattern for ureter?

A 
t11-l2
s2-s4
groin
upper abdomen
prox thigh
36
Q

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

A 
lung 
heart
small or large intestine
liver
pancreas
gallbladder
kidney
37
Q

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

A

cardio/peripheral vascular
pulmonary
gastrointestinal
urogenital

38
Q

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

A

cardiovascular
pulmonary
gastrointestinal

39
Q

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

A

gi
urogenital
peripheral vascular (aorta)

40
Q

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

A

peripheral vascular

most organs do not refer pain below the knee

41
Q

what is the most common indicator of cad?

A

angina

42
Q

what is angina? what is most dangerous type?

A

chest pain caused by reduced blood flow to the heart

unstable

43
Q

what is stable angina?

A

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

44
Q

what is unstable angina?

A

abrupt change in usual pattern of angina

45
Q

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

A

psychological
endocrine
neuro
consider: rheumatic conditions or adverse drug reaction

46
Q

what are clinical signs of electrolyte imbalances?

A 
tachycardia
muscle cramps
diarrhea
arrhytmia
cns agitation
47
Q

what is pallor/pale skin indicative of?

A

absence of pigment

blood abnormality

48
Q

what is cyanosis/blue skin indicative of?

A

decreased o2 in blood

49
Q

what is jaundice indicative of?

A

excess bilirubin

50
Q

what is gray indicative of in skin tone?

A

high body levels of metal

51
Q

what are three types of skin cancer?

A

basal cell carcinoma
squamous cell carcinoma
malignant melanoma

52
Q

what are nine characteristics of a skin check?

A 
size
color
borders
shape
consistency
friability
ulceration
mobility
rate of change
53
Q

what are the abc’s of skin lesion screening?

A

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

unit 10 (7 decks)

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