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PSP > Winter Exam 1 > Flashcards

Winter Exam 1 Flashcards

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
Q

pregnancy and the eye?

A

corneal edema, lysozyme tears, krukenber spindles/pigments

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26
Q

what part of brain is mainly rsponsibe for mental tatus>

A

cerebrum

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27
Q

what does the outer corex layer of brain do w mental status?

A

higher functions, perceptions, behavior

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28
Q

what does frontal lobe do?

A

speech in motor cortex, Broca area, goals, short term memory

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29
Q

what does temporal lobe of brain do?

A

perception and interpretation of sounds, Wernicker area for spoken and written language, long term memoryu

30
Q

how far do you stand for a snellen chart?

A

20 ft

31
Q

what does limbic system do?

A

survival behavior

32
Q

symptoms of parkinsons

A

slumped posture, lack of facial expression

33
Q

What is cognitive impairment test?

A

max socre 28.

better for dimentia. yera, month, phrase,

34
Q

Decorticate/Decerebrate?

A

decorticate: flexed on pain stiulus
decerebrate: extended on pain stimulus

35
Q

Delirium

A

attention span, perception, sleep, circumstance

36
Q

Dementia

A

DEMENTIA, memory, behavior, personality,

37
Q

Depression

A

Lack of certain neurotransmitters

38
Q

Broca Aphasia

A

just impaired speech flow, and writing are impaired

39
Q

Wernicke aphasia

A

Cant relate words to previous experiences, reading and writing impaired

40
Q

Global aphasia

A

Expressive and Receptive

41
Q

Parts of body not supplied by lymph system?

A

brain and placenta

42
Q

What forms the Right lymphatic duct?

A

right bronchomediastinal trunk, right subclavian trunk, right jugular trunk

43
Q

What is the only peripheral lymph center?

A

epitrochlear

44
Q

What are the choke pints? how are they treated?

A

thoracic inlet, resp diaphragm, pelvic diaphragm

Treated w MFR and respiration. Contraindicated with metastatic cancers, infection ie Tb, coagulable stuff

45
Q

Where is spelen asociated?

A

bw stoach and diaphgram

46
Q

What are adenoids?

A

aka pharyngeal tonsils

47
Q

When does immune system begin developing in fetus?

A

20 weeks gestation

48
Q

What do you suspect if supraclavilaur nodes are large?

A

malignancy

49
Q

What happens to imuune system in pregnant woen?

A

leukocyte coute increases from 7500 to 10,350. Shifts from cell mediated to humoral immunity

50
Q

What are predisposing factors for lympatic conditions?

A

cardiac and renal disease

51
Q

What is the border for the anterior triangle?

A

anterior border of sternocledioastiod m

52
Q

What is mumps?

A

epidemic paroditis

53
Q

Non hodgkin lymphoma

A

malignant neoplasms of lymph tissue

54
Q

Hodgins disease

A

usually assymettric and enlargement of cervial nodes

55
Q

Toxoplasmosis

A

single node, raw meat, cat, post cervical chain

56
Q

EBV

A

splenomegality, hepatomegaly, rash, pharyngitis,

57
Q

AIDS

A

when CD4+ is less that 14%. dysfunction of cell mediated imunity.

58
Q

What type of fibers fro acute pain?

A

A-d fibers, thick, myelinated, fast travelling,

59
Q

What is nociception?

A

transmission of pain from injury site to dorsal horn of cord and brain.

60
Q

Where does the pain repsonse travel?

A

Through lateral spinothalmic tract and reticulospinal, and spinoecephalic nn

61
Q

Exapmels of non pain impulses

A

Ice and massage. they can mediae pain impulses.

62
Q

Pain in infants

A

mstly C fibers.
neurphylsilogic and cognitive immaturity
Distance to brain is short

63
Q

What is 5th vital sign and why?

A

pain. tissue damage, path, and emotional response

64
Q

painometer

A

multi-D for inentisy quality, localization.

1st joint commission tool

65
Q

types of pain for bone, tumor, nerve?

A

tender deep
heavy, throbbing
shocking, burning

66
Q

PIPP

A

Premature Infant Pain Profile.

gest age, behavior, HR, O2, brow, eye squeeze

67
Q

Neotnatal infant pain scale

A

expression, cry, breath, arms, legs, arousal

68
Q

FLACC

A

face, legs, activity, cries, consolability

69
Q

what is neuropathic pain?

A

form of chronic pain after CNS injury that persists after healing

70
Q

what is complex regional pain syndrome?

A

regional pain beyond injury site with motor, sensory, and autonoimc effects.

PSP (1 decks)

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