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mski > S1_L5_Obj - 9-10 > Flashcards

S1_L5_Obj - 9-10 Flashcards

1
Q

DIAPHRAGMATIC EXCURSION/CHEST EXPANSION also can be
documented under:

A

anthropometric measurements

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2
Q

DIAPHRAGMATIC EXCURSION/CHEST EXPANSION. measured at the
ff levels (frownfelter):

A

axilla
xiphoid

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3
Q

DIAPHRAGMATIC EXCURSION/CHEST EXPANSION. measured at the
ff levels (hillegass):

A

axilla
xiphoid
subcostal

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4
Q

DIAPHRAGMATIC EXCURSION/CHEST EXPANSION. measured at the
ff levels (others):

A

Supramammary
Mammary
Inframammmary

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5
Q

Instructions for diaphragmatic excursion:

A

Maximal Inspiration to Maximal Expiration

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6
Q

what will we follow in diaphragmatic excursion

A

hillegass in CM

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7
Q

hillegass measurement:

A

2-3 inches

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8
Q

others measurement:

A

3-5 cm

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9
Q

frownfelter measurement:

A

3-5 cm

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10
Q

1 inches is equal to _

A

2.54 cm

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11
Q

palpation and cardiopulmo ax:

A

mediastinal shift
mediate percussion
vocal/tactile fremitus

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12
Q

IPSI mediastinal shift

A

atelectasis, lobectomy, pneumonectomy

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13
Q

CONTRA mediastinal shift

A

pleural effusion, abdominal organ herniation

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14
Q

There was an increase causing the shift in what mediastinal shift

A

contralateral mediastinal shift

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15
Q

There was a decrease causing the shift in what mediastinal shift

A

Ipsilateral mediastinal shift

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16
Q

Done on the middle phalanx or the fingernails tapping and
make sure you are listening for it

A

MEDIATE PERCUSSION

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17
Q

mediate percussion done on the _ or the _ tapping

A

middle phalanx, fingernails

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18
Q

Resonant mediate percussion:

A

low pitched and hollow (normal)

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19
Q

Hyperresonant / Tympanic mediate percussion:

A

too much air

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20
Q

Hyporesonant / Dull mediate percussion:

A

liquid or solid (normally heard over liver
& other dense tissues); “thud-like”

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21
Q

too much air

A

Hyperresonant / Tympanic

22
Q

liquid or solid (normally heard over liver
& other dense tissues); “thud-like”

A

Hyporesonant / Dull

23
Q

low pitched and hollow (normal)

A

resonant

24
Q

VOCAL / TACTILE FREMITUS: what part of hand to use

A

Use ulnar border of the hand or the palm

25
Q

Ask the patient to say _ or _ in vocal or tactile fremitus

A

Ask the patient to say “ninety-nine” or “tres-tres”

26
Q

● Check if vibration is symmetrical or asymmetrical in the fremitus t or f

A

t

27
Q

Increased vibration for fremitus means

A

lung consolidation

28
Q

Decreased vibration for fremitus means

A

pleural effusion, pneumothorax, atelectasis

29
Q

Check strength of diaphragm, and secondary muscles of respiration t or f

A

t

30
Q

Observe precautionary measures for post-chest surgeries or CTTs t or f

A

t

31
Q

secondary muscles of respi:

A

scalene, scm

32
Q

Always start with an _ because it will show their level of
difficulties as well as show you the main problems that you will
need to check

A

OMT

33
Q

Check the following for OMT:

A

Level of Independence
Speed / Timing
Quality of Movement / Compensatory Movements
Balance
CV Endurance
Tolerance in Upright Position

34
Q

New York Heart Association (NYHA) Functional Classification:
Slight limitation of physical activity. Comfortable at rest.
Ordinary physical activity results in fatigue, palpitation, dyspnea (SOB).

A

Class II

35
Q

New York Heart Association (NYHA) Functional Classification:
No limitation of physical activity. Ordinary physical activity does
not cause undue fatigue, palpitation, dyspnea (SOB)

A

Class I

36
Q

New York Heart Association (NYHA) Functional Classification:
Unable to carry on any physical activity without discomfort.
Symptoms of heart failure at rest. If any physical activity is
undertaken, discomfort increases.

A

Class IV

37
Q

New York Heart Association (NYHA) Functional Classification:
Marked limitation of physical activity. Comfortable at rest.
Less than ordinary activity causes fatigue, palpitation, or dyspnea.

A

Class III

38
Q

OBJECTIVE ASSESSMENT (FOR HEART FAILURE):
No objective evidence of CVD. No symptoms and
no limitation in ordinary physical activity.

A

Class A

39
Q

OBJECTIVE ASSESSMENT (FOR HEART FAILURE):
Objective evidence of moderately severe CVD.
Marked limitation in activity due to symptoms, even
during less-than-ordinary activity. Comfortable only at rest.

A

Class C

40
Q

OBJECTIVE ASSESSMENT (FOR HEART FAILURE):
Objective evidence of severe CVD. Severe limitations.
Experiences symptoms even while at rest.

A

Class D

41
Q

OBJECTIVE ASSESSMENT (FOR HEART FAILURE):
Objective evidence of minimal CVD. Mild symptoms and
slight limitation during ordinary activity. Comfortable at rest

A

Class B

42
Q

New York Heart Association (NYHA) Therapeutic Classification:
Physical activity need not be restricted in any way

A

Class A

43
Q

New York Heart Association (NYHA) Therapeutic Classification:
Should be at complete rest, confined to bed or chair

A

Class E

44
Q

New York Heart Association (NYHA) Therapeutic Classification:
Ordinary activity should be moderately restricted
and whose more strenuous efforts should be discontinued

A

Class C

45
Q

New York Heart Association (NYHA) Therapeutic Classification:
Ordinary activity should be markedly restricted

A

Class D

46
Q

New York Heart Association (NYHA) Therapeutic Classification:
Ordinary physical activity need not be restricted but
who should be advised against severe or competitive sports

A

Class B

47
Q

General Wellbeing Scales, Questionnaires

A

● Short Form 36 (SF 36)
● Sickness Impact Scale (SIP)
● Quality of Well-being Scale
● Quality of Life Systemic Inventory
● Nottingham Health Profile
● Dartmouth Primary Care Cooperative
Information
● Multidimentional Health Locus of
Control Inventory
● Symptoms Questionnaire

48
Q

Heart Disease Questionnaire

A

MacNew Heart Disease Quality of Life Questionnaire (MacNew)

49
Q

Cardiac-specific Scales & Questionnaires

A

● Minnesota Living with Heart Failure Questionnaire
● Outcomes Institute Angina Type Specification
● Quality of Life after Myocardial Infarction

50
Q

Pulmonary- specific scales & Questionnaires

A

● Chronic Respiratory Disease Questionnaire
● St. George’s Respiratory Questionnaire
● Pulmonary Functional Status Scale and Dyspnea Questionnaire
● Living with Asthma Questionnaire

51
Q

Cardiac Rehabilitation Questionnaire

A

● EuroQol Questionnaire

mski (28 decks)

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