Week 5 Practical

Question 1

what extra things do you have to ask about while taking CV history (symptoms)

Answer 1

chest pain
SOB (dyspnoea)
orthopnea
ankle swelling
palpitations
light headedness (presyncope) or fainting (syncope)
intermittent claudication
paroxysmal nocturnal dyspnoea
fatigue, sweating, N+V

FLIPPSOAC (N+V)

Question 2

what’s intermittent claudication + what do u ask

Answer 2

pain, weakness or cramps in lower leg (calf), hamstring or glutes
-@rest?
-walk before it happens?
-ulcers?
-location?

Question 3

what paroxysmal nocturnal dyspnea + what do u ask

Answer 3

SOB after sleeping (during night)
-change to number of pillows?
-how many steps can u walk before out of breath?

Question 4

what’s palpitations + what do u ask

Answer 4

the sensation of heart beat
-irregular
-sudden
-raised
-fast

Question 5

what’s pre syncope and syncope + what do u ask

Answer 5

light headedness and fainting
-dizzy
-how long
-lose consciousness

Question 6

what’s ankle swelling + what do u ask

Answer 6

oedema
-how long
-alleviating and aggrevating

Question 7

what do u ask about in the past history

Answer 7

HTN?
hypercholesteroleaemia?
diabetes?
past cardiac issues?
FHx of CV disease?
diet, exercise , smoking and alcohol.

Question 8

identify the 5 A’s for smoking intervention

Answer 8

ask
advise
assess
assist
arrange

Question 9

questions for ‘ask’ in smoking intervention

Answer 9

How much they smoked
How long they smoked for
When they quit

Question 10

how to calculate pack years

Answer 10

packs daily x number of years smoker

Question 11

what does ‘assess’ involve for smoking intervention

Answer 11

-assess nicotine dependance
eg how long after waking up do you smoke? or ask about withdrawal symptoms
-assess and address barriers to quitting