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Winter Exam 1 Flashcards

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1
Q

What are the 6 ocmponents of a Promleb oriented medical record?

A

Health history, Physical exam, Problem list, Assessment and Plan, Baseline Lab and IMaging, Progress Notes

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2
Q

What should you avoid in the histroy and PE?

A

abbreviations, ‘normal, good, poor negative’

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3
Q

What is a problem list

A

A running log of current and resolved problems i.e. diagnosis, new symptoms, lab findings, social problems, risk factors, allergies

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4
Q

What is the difference between Asessment and Plan?

A

Assessment: what you think, interpretations and rationale
Plan: What you intend to do, plan for each problem, diagnostics, therapeutics, education

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5
Q

What is the Format of a progress note?

A

SOAP: Subjective, objective, assessment, plan

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6
Q

What are some age and condition variations to the H&P?

A

Infants: dev. milestones, pregnancy and delivery, birth status
Pregnant women and adolescents and children

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7
Q

What should you write instead of abbreviations?

A

unit, international unit, daily, every other day, Never write a 0 by itself after a decimal and always use a 0 before a decimal pt., morphine sulfate, Magnesium sulfate, mcg, half strength, bedtime, subQ, ml,

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8
Q

amsler

A

grid used for central vision

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9
Q

anisocordia

A

inequal pupil size

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10
Q

confrontation test

A

peripherpal vision eval

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11
Q

diabetic retinopathy - background

A

optic disk is effected , dot hemmhorages, exudates

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12
Q

diabetic retinopathy - proliferative

A

formation of new vessels to compensate for anoxia

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13
Q

ectropion/entropion?

A

bottom lid folded out/in, respectively

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14
Q

episcleritis

A

inflammation on superfic layer anterior to rectus muscles

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15
Q

hemianopia

A

defective vision in half o ffield

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16
Q

horduleum

A

sty

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17
Q

Horners syndrome

A

interruptino of sympathietic system. triad of miosis, hemiandrosis, ptosis

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18
Q

papilledema

A

loss of definitino of optic disc

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19
Q

xanthelasma

A

fat deposit - defective fat metabolism

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20
Q

Which cranial nerves are involved in eye?

A

for muscles: 3,4,6

eyeball: optic n CN2

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21
Q

describe vasularity of sclera

A

functionally vascular and structurally avascular

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22
Q

chars of AIDS

A

cell mediated dysfunction,

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23
Q

optic n travels w what throught hthe optic foramien?

A

ophthalmic a/v

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24
Q

infants and the eye?

A

1st 8 weeks of gestation, 20/200, 3mo tears, 6 mo color, 9 mo binocular, less spherical

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25
pregnancy and the eye?
corneal edema, lysozyme tears, krukenber spindles/pigments
26
what part of brain is mainly rsponsibe for mental tatus>
cerebrum
27
what does the outer corex layer of brain do w mental status?
higher functions, perceptions, behavior
28
what does frontal lobe do?
speech in motor cortex, Broca area, goals, short term memory
29
what does temporal lobe of brain do?
perception and interpretation of sounds, Wernicker area for spoken and written language, long term memoryu
30
how far do you stand for a snellen chart?
20 ft
31
what does limbic system do?
survival behavior
32
symptoms of parkinsons
slumped posture, lack of facial expression
33
What is cognitive impairment test?
max socre 28. | better for dimentia. yera, month, phrase,
34
Decorticate/Decerebrate?
decorticate: flexed on pain stiulus decerebrate: extended on pain stimulus
35
Delirium
attention span, perception, sleep, circumstance
36
Dementia
DEMENTIA, memory, behavior, personality,
37
Depression
Lack of certain neurotransmitters
38
Broca Aphasia
just impaired speech flow, and writing are impaired
39
Wernicke aphasia
Cant relate words to previous experiences, reading and writing impaired
40
Global aphasia
Expressive and Receptive
41
Parts of body not supplied by lymph system?
brain and placenta
42
What forms the Right lymphatic duct?
right bronchomediastinal trunk, right subclavian trunk, right jugular trunk
43
What is the only peripheral lymph center?
epitrochlear
44
What are the choke pints? how are they treated?
thoracic inlet, resp diaphragm, pelvic diaphragm | Treated w MFR and respiration. Contraindicated with metastatic cancers, infection ie Tb, coagulable stuff
45
Where is spelen asociated?
bw stoach and diaphgram
46
What are adenoids?
aka pharyngeal tonsils
47
When does immune system begin developing in fetus?
20 weeks gestation
48
What do you suspect if supraclavilaur nodes are large?
malignancy
49
What happens to imuune system in pregnant woen?
leukocyte coute increases from 7500 to 10,350. Shifts from cell mediated to humoral immunity
50
What are predisposing factors for lympatic conditions?
cardiac and renal disease
51
What is the border for the anterior triangle?
anterior border of sternocledioastiod m
52
What is mumps?
epidemic paroditis
53
Non hodgkin lymphoma
malignant neoplasms of lymph tissue
54
Hodgins disease
usually assymettric and enlargement of cervial nodes
55
Toxoplasmosis
single node, raw meat, cat, post cervical chain
56
EBV
splenomegality, hepatomegaly, rash, pharyngitis,
57
AIDS
when CD4+ is less that 14%. dysfunction of cell mediated imunity.
58
What type of fibers fro acute pain?
A-d fibers, thick, myelinated, fast travelling,
59
What is nociception?
transmission of pain from injury site to dorsal horn of cord and brain.
60
Where does the pain repsonse travel?
Through lateral spinothalmic tract and reticulospinal, and spinoecephalic nn
61
Exapmels of non pain impulses
Ice and massage. they can mediae pain impulses.
62
Pain in infants
mstly C fibers. neurphylsilogic and cognitive immaturity Distance to brain is short
63
What is 5th vital sign and why?
pain. tissue damage, path, and emotional response
64
painometer
multi-D for inentisy quality, localization. | 1st joint commission tool
65
types of pain for bone, tumor, nerve?
tender deep heavy, throbbing shocking, burning
66
PIPP
Premature Infant Pain Profile. | gest age, behavior, HR, O2, brow, eye squeeze
67
Neotnatal infant pain scale
expression, cry, breath, arms, legs, arousal
68
FLACC
face, legs, activity, cries, consolability
69
what is neuropathic pain?
form of chronic pain after CNS injury that persists after healing
70
what is complex regional pain syndrome?
regional pain beyond injury site with motor, sensory, and autonoimc effects.

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