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Clinical Med > Test 2 (from lectures) > Flashcards

Test 2 (from lectures) Flashcards

1
Q

cultural awareness

A

being sensitive to issues related to culture, race, gender, sexual orientation, social class, and socioeconomic factors -

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2
Q

cultural competency

A

set of congruent behaviors, attitudes, and policies that come together in a system, agency or among professionals that enables effective work in cross cultural situations. IDENTIFICATION OF SELF IS VITAL. ENSURING NEEDS OF DIVERSE PATIENTS - MAY NEED TO DEVELOP ADDITIONAL SKILLS. Need to know your community! Everyone has unique view! Culture affects who we are.

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3
Q

Levels of Intercultural Awareness Stretch

A

ON-GOING PROCESS - 1) Non-Aware of Difference 2) Awareness of Difference 3) acknowledge Differences/ Self-validate 4) understand cultural differences 5) cultural adaptation 6) intercultural skillfulness (becoming competent)

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4
Q

Health literacy

A

the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions

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5
Q

What is true in regards to health literacy

A

Misuderstanding stuff - medication instructions, time differences, reading level - Drives health costs up! Informed patients have better outcomes. Not necessarily literacy… people just may not understand.

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6
Q

Teach back method

A

Have the client repeat back what you just told them.

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7
Q

Strongest predictor of health status?

A

Literacy

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8
Q

Attributes of a Symptom (7)

A

1) Location 2) quality 3) quantity/severity 4) timing 5) setting in which occurs 6) remitting or exacerbating factors 7) associated manifestations

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9
Q

concussion

A

disturbance in brain function caused by direct or indirect force to the head.

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10
Q

classic migrane

A

unilateral in 70% of cases; pulsating or throbbing; hours to days; female; nausea/vomiting; missing meals, menses, BCP, stress, certain food

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11
Q

cluster headache

A

adulthood; unilateral; .5-2 hours; intsense burning, searing, knife-like; several nights for several days and gone; males; increased nasal discharge/tearing

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12
Q

tension headache

A

adulthood; unilateral or bilateral; hours to days; anytime onset; band-like, constricting no prodrome (visual, auditory or nasal effect prior to onset); stress, anger, teeth, grinding

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13
Q

medication rebound

A

diffuse;; hours; hours or days of last dose; dull/throbbing; daily analgesics; abrupt analgesics; abrupt analgesic stop

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14
Q

hyperthyroidism

A

nervousness; weightloss; excessive sweating heat intolerance; warm, smooth, moist skin; graves disease; tachycardia

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15
Q

hypothyroidism

A

fatigue, lethargy; modest weight-gain; dry coarse skin, cold intolerance; swelling of face and hands, legs; bradycardia; impaired memory

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16
Q

Sutures

A

separate infant/child skull bones

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17
Q

fontanelles

A

where sutures intersect (anterior - closes 9-24 months and posterior - closes 2 months)
fontanelles can indicate swelling or dehydration - it will feel full or sunken

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18
Q

microcephaly

A

small head

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19
Q

hydrocephalus

A

increased intracranial pressure from deficient spinal fluid circulation - causes enlargement of the calvarium before sutures are closed

20
Q

molding

A

re-positioning of cranial bones to allow passage of the baby through the birth canal

21
Q

caput succedaneum

A

subcutaneous edema over the presenting part of the head at delivery. Usually over occipitoparietal area and CROSSES SUTURE LINES. TRANSLUMUNATES

22
Q

cephalhematoma

A

subperiosteal collection of blood. DOES NOT CROSS OVER SUTURE LINES. DOES NOT TRANSLUMINATE

23
Q

plagiocephaly

A

abnormal shape of head - infant may lie on one side constantly

24
Q

craniosynostosis

A

asymmetry/abnormal shape of head due to cranial suture closure early. Ovalish head from side to side ex) brachycephaly - premature closure of coronal suture

25
Q

congenital muscular torticolis

A

injury and possible bleed into ternocleidomastoid muscle at birth. treat with stretching exercises.

26
Q

1 year old - sinus’

A

maxillary

27
Q

6 year old - sinus’

A

maxillary, ethmoid, and sphenoid

28
Q

10 year old - sinus’

A

maxillary sphenoid, ethmoid, and frontal showing.

29
Q

peak tonsil size age range

A

2-6 years

30
Q

teeth coming in

A

6-7 months, 4 teeth added every four months; full complement of teeth by 23 months; losing teeth around 5 years old. secondary teeth around 6-7 years.

31
Q

transillumination

A

frontal and maxillary

32
Q

Wisper Test

A

Behind patient. 1-2 ft away. Finger in ear not testing. Exhale and whisper 3 syllables

33
Q

Weber Test

A

Testing for lateralization. Tuning fork on the middle of the patient’s vertex. Differentiates between neurosensory and conductive hearing loss. If lateralizes to BAD ear = CONDUCTIVE; if lateralizes to GOOD ear = NEUROSENSORY

34
Q

Rinne Test

A

Helps determine whether each ear detects sound better through air or bone. Mastoid bone and then to 1-2inches of ear.

35
Q

Conductive loss

A

external or middle ear disorder; causes foreign body, otitis media, perforated eardrum, otosclerosis; sound lateralizes to impaired ear; bone conduction longer than or equal to air conduction

36
Q

Sensorineural loss

A

inner ear disorder involves the cochlear nerve; causes: loud noise exposure, inner ear infections, trauma, acoustic neuroma, aging, familial disorders; sound lateralizes to good ear; air conduction longer than bone conduction

37
Q

Stenson’s duct

A

parotid duct

38
Q

number of teeth

A

upper right around & and around

39
Q

wharton’s duct

A

floor of the mouth near frenulum

40
Q

tongue deviation:

A

deviates to the side of lesion (CN12)

41
Q

feeling carotids…

A

don’t try to feel both at the same time!

42
Q

trachea pulled toward affected lung in volume loss:

A

fibrosis or atelectasis (collapsed lung)

43
Q

trachea pulled away from the affected side

A

thyroid enlargement or pleural effusion (fluid or air between lungs and cavity)

44
Q

trachea pushed forward

A

in mediastinitis (inflamation/infection of thoracic area)

45
Q

trachea pulled back

A

in anterior mediastinal tumors

Clinical Med (7 decks)

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