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SUM '20 - Health Assessment > Test 2 review > Flashcards

Test 2 review Flashcards

1
Q

P wave has a notch is indicative of

A

left partial hypertrophy

p mitrale

associated with mitral valve disease

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2
Q

p wave is tall and peaked

A

right atrial hypertrophy

p pulmonale- associated with pulmonary disease

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3
Q

St elevation

II, III, AVF

A

inferior MI-RCA

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4
Q

st elevation

V1-V4

A

anterior
anterior septal
LAD

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5
Q

St elevation leads V5,V6, I, aVL

A

lateral

LCX (sometimes LAD)

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6
Q

st depression in V1,V2

A

posterior MI associated with RCA and RCA

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7
Q

fixed or transient ST segment elevations (fixed changes suggest acute MI)- what should you consider

A

LV aneurysm

Pericarditis

Prinzmetal angina

early repolarization

WPW

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8
Q

poor R wave progression is used to describe what?

A

R waves that decrease in size from V1-V4

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9
Q

who might you expect to see an R wave normal variation in

A

young women

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10
Q

what might you think is wrong when you see a R wave progression and it is NOT a young women

A

anteroseptal infarction.

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11
Q

right axis deviation is normal in

A

young & thin individuals

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12
Q

left axis deviation is normal

A

old & obese

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13
Q

right axis deviation is not normal when associated

A

COPD
Emphysema
PE

right ventricular hypertrophy
WPW

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14
Q

left axis deviation is not normal when associated

A

hyperkalemia
emphysema
left atrial hypertrophy
dextrocardia

pregnancy
ascites
tumor

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15
Q

deliriums

A

assess for illusions, disorientations, decreased attention

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16
Q

flight of ideations

A

frequent change of topics

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17
Q

acute and post traumatic stress disorder

A

reliving a very real frightening experience including flashbacks, depersonalization, denial, and avoidance of stimuli that induce memories

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18
Q

generalized anxiety disorder

A

lasts 6 months or longer

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19
Q

generalized depression disorder

A

requires several episodes of worry to occur on most days for at least a 6-month period of time. Patients find this worry impossible to control and usually associated with somatic symptoms, such as: complaints associated with sleep, muscle pain, bowel function, or mood, or problems at work or in relationships.

20
Q

circumflex sa%?

A

40%sa

21
Q

circumflex av%

A

10%av

22
Q

RCA SA%

A

60%

23
Q

RCA AV%

A

90%

24
Q

RCA other areas innervated

A

bundle of his

posterior/inferior LBB

25
Q

R PRIME- what does that look like

A

its two positive inflections on the EKG- RBBB

26
Q

what does V1-V6 allow you to view

A

the front and left of the heart

27
Q

what are unipolar leads-what are they also called

A

augmented limb leads

AVR,AVL,AVF

28
Q

bipolar leads are

A

Bipolar—aka standard limb leads–have a positive and a negative electrode. Each lead records the difference in electrical potential between two selected electrodes Leads I, II and III

29
Q

what are the currents of the bipolar limb leads

A

each have a positive and negative electrode.

30
Q

Unipolar lead-have what type of charge

A

aka augmented limb leads—consists of a single positive electrode and reference point. The reference point (with zero electrical potential) lies in the center of the heart’s electrical field (left of the interventricular septum and below the AV junction).

31
Q

ekg is demonistrating a poor r wave progression in a 57 year old what does this mean

A

anteroseptal defect

32
Q

ekg is demonistrating a poor r wave progression in an 18 year old what does this mean

A

normal variation

33
Q

herpes simplex

A

orolabial genital

expanding erosions with pain: an active vesicular border and scalloped periphery

34
Q

herpes zoster

A

dermatomal distribution of thoracic, cranial , trigeminal, lumbar and sacral nerves

sequential pain, crops of erythematous papule and plaques followed by erosive blisters

35
Q

basal cell carcinoma

A

perky white, dome shaped papule with ulcerative crusted, bleeding center

36
Q

squamous cell carcinoma

A

red poorly defined base with raised necrotic crusted center

37
Q

ticks

A

site marked by a round, crusted ulcer bites often unrecognized

38
Q

scabies

A

severe night pruritus

39
Q

wheal

A

hives, cholinergic urticaria angioedema dermatographism

raised irregular area of edema, solid transient variable size

40
Q

macule less than 1cm

A

brown, freckle, junctional nevus lentigo melasma

blue: mongolian spot, ochronosis
red: drug eruption, viral exanthema, secondary syphillis

hypo pigmented: vitiligo, idiopathic guttate hypomelanosis

41
Q

keloid

A

large raised scar that extends into adjacent normal skin

42
Q

psoriasis

A

chronic well demarcated erythematous plagues with silver scale

43
Q

cyst

A

digital mucous epidermal inclusion, pilar

44
Q

bulla

A

greater than 1cm vesicle - pemphigus, herpes gestations, fixed drug eruption

45
Q

vesicle

A

herpes simplex herpes zoster erythema multiform impetigo

46
Q

tumor

A

metastatic carcinoma, sporotrichosis

47
Q

nodule

A

wart, xanthoma, prurigo nodular neurofibromatosis

SUM '20 - Health Assessment (17 decks)

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