Spring- Exam 1

Question 1

BMI formula

Answer 1

kg/m^2

703xlbs/in^2

Question 2

BMI interpretation

Answer 2

18.5+ normal
25+ overweight
30+ obese

Question 3

Ortolani Test

Answer 3

Looks for developmental dysplasia of the hip
Baby supine, legs toward you
Flex legs 90 at both knees and hips
Index finger on Greater Trochanter
ABduct both hips simultaneously until knee to table
POS- femoral head moves back into place

Question 4

Barlows Test

Answer 4

Looks for laxity and potentially dislocatable hip
Baby supine, legs toward you
Flex legs 90 at both knees and hips
Index finger on Greater Trochanter
Posterior pressure straight into table
POS- femoral head slips out

Question 5

Moro Reflex
Rooting Reflex
Startle Reflex

Answer 5

Moro- falling, arms out
Rooting- turn to stroked cheek
Startle- loud noise, fall, sudden movement

Question 6

Developmental Milestones

6 months

Answer 6

Recognizes faces

Question 7

Developmental Milestones

6 months

Answer 7

Recognizes faces
Looks at self in mirror
Responds to sounds with sounds
String of vowels, consonant sounds
Responds to name
Sounds to express emotion
Looks around, brings things to mouth
Reaches for toy
Rolls over in both directions
Sits without support
Bears weight on legs

Question 8

Developmental Milestones

1 yr

Answer 8

Shy/ nervous w strangers
Separation anxiety
Sits without help
Pulls up to stand, cruises, may take few steps alone
Follows directions
Repeats sounds/ actions for attention
Helps when dressing
Simple gestures (nodding, waving)
Sounds w changes in tone
Exclamations and mama/dada

Question 9

How to test for jaundice

Answer 9

Normal jaundice appears day 2-3 and peaks day 5
Progresses from head to toe more intense in upper body
Apply pressure to skin to blanch

Question 10

Mini Mental Status Exam

Answer 10

Test of elderly cognitive function

• Orientation
• Attention
• Memory
• Language
• Visual/ Spatial Skills

Question 11

Components of a POLST form

Answer 11

CPR
Interventions
Nutrition
Documentation
Signatures (pt, doc, witness)

Question 12

DNR Conversation should include

Answer 12

What they know
Education
Assignment of a proxy
Values history
How pt spends time, enjoys, looks forward to
Religious beliefs

Question 13

Central Vertigo

Answer 13

Nystagmus is vertical, bidirectional, unsuppressable w fixation
More serious
Diplopia (double vision)
Dysarthria (speech)
Dysphagia (swallowing)
Ataxia (stumble, fall, uncoordinated)
Dysmetria (finger to nose)
Combined neurologic findings
Head impulse test normal
Abnormal test of skew

Question 14

Peripheral Vertigo

Answer 14

Nystagmus is fatigable, unidirectional, suppresses w fixation
Hearing loss more common
Abnormal head impulse test
Abnormal test of skew
Ex. BPPV

Question 15

Dix Hallpike Maneuver

Answer 15

Treatment for BPPV (ant and post SCC)
Test unaffected side first
Turn head 45 deg towards
Observe eyes for 30 sec
Drop head 20 deg off table
Look for nystagmus
Repeat both sides
Persistent Nystagmus- central
Misplaces/ adhered otoconia- peripheral