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d1 bs1 + ii/ fsi + ii > ITP > Flashcards

ITP Flashcards

1
Q

conservative treatment

A

beneficence/nonmaleficence

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2
Q

spinal accessory

A

pressure on either side of shoulders and face

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3
Q

consequenntialism

A

ends justify the means. Number game. Action is judged based on outcome. Pros is that its useful daily life. Risk management. Avoids inaction BUT no action is off limits and outcome isn’t always clear prior to action. RESEARCH AND POLICY. Clinical treatment

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4
Q

history of present illness

A

chronological order of events leading to current complaint. illness, symptoms, previous treatment
- narrative in paragraph form
- attributes of symptoms
- avoid leading qns

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5
Q

valued habits, customs, behaviours, communication patterns, health beliefs, nutritional factors, religions, sociologic, psychologic factors
Alternative health care and therapy

A

Darby cultural assessment guide

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6
Q

comprehensive patient evaluation steps

A

demographic, medical and dental history, physical exam, clinical reasoning (lab and imagining results), data review and problem list, summary and treatment plan

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7
Q

medical chart

A

documentation, communication, research’s statistics, legal, symptoms over time
Chart is also professional standard, ethical obligation, educational tool
Helps track which services are used, changes in healthcare over time, population health, allocation of resources

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8
Q

watch the patient. How they walk, look, etc.

A
  1. inspection
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9
Q

perioral and intraoral examination

A
  • lips, all mucosa (buccal, labial, pallatal), palate, floor of mouth and tongue
  • salivary gland hypofunction is dry lips, mouth opening from denture, cheilitis (yeast in corners), papilla atrophy
  • labial mucosa is inside lip. most common area for trauma bumps NO MIRROR
  • linea alba is keratin buildup white line from biting down normal
  • tongue is high risk area. papilla can show nutritional deficiency
  • floor of mouth check salivary glands (sublingual + mandibular)
  • palate is great area for lesions since glands and nerves here. depress the anterior tongue to see (no gag reflex)
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10
Q

corrigan’s sign

A

carotid pulse in clavicle area
- aortic insufficency and bounding pulse with widened pressure due to some blockage

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11
Q

family history

A

parents, siblings, offspring, genetics, assess risk for diabetes, heart disease, cancers like breast/ovarian, pulmonary disease, bleeding disorders, connective tissue disease

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12
Q

summary of presentation

A

CC and related, medical illness, anything that requires special attention

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13
Q

140+ or 90+

A

stage 2

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14
Q

Argument from authority

A

important people can be wrong

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15
Q

child and elder abuse. Forgery

A

legal veracity

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16
Q

own choices and beliefs based on upbringing, faith and experiences

A

morals

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17
Q

optic nerve does what innervation of brain

A

cerebrum

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18
Q

neck extraoral exam

A

lymph nodes, masses, deviation of trachea, sound of breathing, thyroid gland

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19
Q

180+ and 120+

A

hypertensive crisis

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20
Q

assessment of patient with cardiac disease

A
  • chest pain, freq and what makes it hurt
  • SOB, dizzy, lower extremity edema, palpitations, claudication is a sign of peripheral arter disease that causes severe wounds in lower extremities
  • blue stuff is cyanosis.
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21
Q

honesty, truthfulness

A

veracity

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22
Q

chart components

A

CC, history of present illness, medical history, physical exam, imaging, lab studies, assessment, treatment record, notes

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23
Q

what to check in throat

A

lips, mucosa, gums, teeth, tongue, palate, tonsils, pharynx
- inspection and then palpate/percussion
- start out to in

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24
Q

cross cultural index

A

must have flexibility and openness emotional resilience perceptual acuity, personal autonomy

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25
Q

7 attributes of symptoms

A

quality, severity, location and radiation, timing and course, context, modifying factors, associated symptoms with pertinent negatives

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26
Q

eyes in HEENT****

A

position and alignment, pupils and light reaction, extraocular movements
- symmetry, PERRLA: pupils equal, round, reactive to light and accommodation
- check CN 3,4,6 for ocular
- 5 for blink
- cn 7
- check iris, pupil, eyelid, sclera (whites)
ptosis (droopy from botox)
- miosis (pupil conscrition)
- anisocoria (diff between pupils)
- pinpoint pupils are opioids dialated is cocaine
- dry eyes from pilocarpine
- icterus is jaundice
- visual acuity is first signs of stuff

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27
Q

present, on time, dependable, honest, cite sources, fight bias, put patient first, integrity of profession. Its NOT innate

basis of medicines contract with society. Put patient about physician. Standards of competence and integrity, expert advice

A

Professional Behaciour

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28
Q

brainstem nerves

A
  • trigeminnal, facial, glossopharyngeal, vagus
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29
Q

tmj ligaments

A
  • capsular which goes up and down
  • TM ligament which goes sideways
  • OOP is outer oblique portion that limits rotation
    0 IHP is inner horizontal portion that limits posterior movement
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30
Q

disability accommodation

A

justice

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31
Q

HPI OLDCARDS ***

A

onset, location, duration, character, aggravating factors, relieving factors, temporal factors, severity

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32
Q

when two or more ethical principles are in conflict, must be different causes of action. No perfect solution

A

Dilemma

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33
Q

evaluates actions and behaviours for clarity and consistency

A

ethics

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34
Q

superficial cervical nodes

A

soft tissue of face and neck
- oropharangeal cancer

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35
Q

treated equally before the law. Punishment fits the crime

A

legal justice

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36
Q

nose HEENT

A
  • nasal deviation, patency (how open it is), secretions, congestion, epistaxis (bleeding)
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37
Q

clicks and crepitation of TMJ

A

click is disk displaced
crepitation is arthritis (crinkly)

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38
Q

unique medical record number

A

MRN is NOT SSN. Different from govt id

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39
Q

symptoms vs sign

A

symptom is subjective, sign is objective

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40
Q

general appearance, apparent state of health, consciousness, signs of distress, inspection of lesions and behaviour, height and weight

A

general survey

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41
Q

its for decayed, missing, filled teeth

A

odontogram

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42
Q

specialized skill and knowledge, highly valued aspects of human life depend on this, requires lengthy theoretical education and training, “profess” = make a vow to follow a universal moral code

A

Profession

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43
Q

source and reliability

A

source can be patient, guardian, old chart. must be dated and source must be oriented and competent

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44
Q

auscultation **

A

breath sounds
- bronchial is midline of body (exhalation)
- vesicular is all over lung (air filling alveoli)
- wheezing is for fluid filled
- stridor is high pitch from foreign body stuck in upper lung (can be heard over trachea)
- Stuff can go down Right main bronchus more easily than left OR the right upper lobe

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45
Q

ethics that a person identifies with in respect to people and situations in daily life

A

personal ethics

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46
Q

social history

A

living environment, social determinant of health like drugs, occupational hazards, diet, sex orientation, sources of support,

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47
Q

techniques of skilled interviewing

A

active listening, adaptive qns, facilitation, echoing, empathetic response, validation, reassurance, summarization, highlighting transition

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48
Q

facial nerve

A

motor
- test 5 divisions: temporal, zygomatic, buccal, mandibular, cervical
- face movements
- taste to test sensory

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49
Q

ethics a person MUST adhere to to respect their interactions and business dealings in professional life

A

Professional ethics

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50
Q

unethical consequence

A
  • reputation, integrity and trust, profession
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51
Q

paranasal sinus exam

A
  • frontal and maxillary via percussion
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52
Q

life long process of self assessment and commitment to patient centred care

A

cultural humility

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53
Q

TMJR innervation and vasculature

A

mandibular branch of trigeminal. treat using local anesthesia or botox
maxillary artery

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54
Q

ears HEENT

A
  • tmj
  • discharge for infection
  • rinne test is side head movement
  • weber test is top of head
  • conductive hearing loss is structural issue while sensorineural is neural problem
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55
Q

non lexical component of communication by speech

A

paralanguage

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56
Q

CN III, 4 and 6

A
  • extraocular muscles
  • check movement
  • nystagmus is repetitive uncrolled eye movement (not always problem in CCN)
  • could also be seizure disorder
  • check pupil reactions by general, light reflec (pupil should constrict) then make sure BOTH do ot (consensual), accommodation is when eyes move to midline, pupils should shift
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57
Q

mask wearing

A

nonmaleficence

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58
Q

honesty (informed consent), empowerment, primacy of these desires. Do we meet all patient requests?

A

patient autonomy

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59
Q

4% skin cancer. Rapidly increasing in frequency. Grow fast

A

melanoma

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60
Q

salivary gland ranula

A

mucosal is in duct where saliva is exvreted and ruptures so can’t get to destination and leaks into tissue
- lip, floor of mouth, above thyroid

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61
Q

provide timely care to improve condition, quality and competent care, respect

A

individual beneficence

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62
Q

vital signs**

A

body temp, pulse rate, respiration rate, blood pressure

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63
Q

Burden of proof

A

claiming one is right because the other opposition hasn’t been proven right

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64
Q

ad hominem

A

attack person not content

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65
Q

TMJ range of opening

A

35-55 mm
condylar rotation is up to 22 mm
- transition is 20 mm+

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66
Q

blood pressure

A
  • arm at heart level over branchial artery
  • 2.5 cm above elbow crease
  • bell of stethoscope
  • deflate and listen to korotkoff sounds (systolic) dial starts to bounce
  • no sound is diastolic pressure
  • how much to inflate is either 150-180 OR feel pulse and inflate till it goes away and then inflate 30 more
  • cuff error is common or heart level problem
  • timing of anxiety
  • must be consistently high to get hypertension
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67
Q

Right to make decisions about self, informed consen

A

Autonomy

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68
Q

chart ownership and dates

A

consent belongs to patient but physical record belongs to u
Patient, doc, anyone the patient lets, legal guardians, researchers, billing can see file
Maintain treatment details for 7 years, keep their information forever (demographic, treatment dates, name of providers, diagnoses, procedures, discharge summary)

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69
Q

AV valves

A

tricuspid (right. 1st one) mitral (left)

s1 sound in systole. lub

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70
Q

semilunar valves

A

pumonary (right) aortic (left)
s2 sound in diastole. dub

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71
Q

HPI PQRST

A

precipitating/palliating factors, quality, radiation, severity, temporal factors

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72
Q

Cole and bird 5 basic relationship skills:

A

listen to words and emotions, read non verbal displays, empathetic skills through reflection, provide personal support, focus on forming partnership

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73
Q

diagnosis

A

history of illness, meds, ROS, physical exam, make differential diagnosis, plan with working diagnosis, definitive diagnosis, treatment

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74
Q

TMJ anatomy names

A
  • ginglymoarthroidal joint, compound joint, synovial joint
  • has articular cartilage with dense fibrous CT (wears down from arthritis)
  • retrodiscal tissue that is highly vascular (holds cart in place. open lock is when jaw stays open and closed lock is stuck closed. painful)
75
Q

hypoglossal

A

motor to tongue muscles. evaluate tongue in and out for deviation (does it come right out or crooked)
- fasciculation (muscle should be relaxed)

76
Q

firm adherence to a strong moral code. Being honest and acting in accordance to ones beliefs

A

Integrity

77
Q

glossopharyngeal and vagus

A

do throat area
0 check rise and fall of soft pallate and uvula in AHH
- gag reflex

78
Q

cardinal techniques

A

inspection, asultation, palpation, percussion

79
Q

oral cancer

A
  • men, old (40+), nutrition, fair skin, drugs, HPC, immunocomp, history of cancer
  • incidence has increased but mortality down
    of squam cell carcinoma
  • hpv causes oropharyngeal cancer. increasing incidence of anterior tongue in white ppl
  • check floor of mouth
  • 60-67% survival
  • surgical resection is best treatment
  • radiation causes osteoradionecrosis (bone death)
80
Q

TMJ muscles

A

temporalis (temple) and masseter (from cheek to jaw, clenching, CN5)

medial pterygoid and lateral pterygoid (goes into joint)

81
Q

fairness. Fiar doesn’t mean equal, equal doesn’t mean fair

A

justice

82
Q

serving interest of the patient, altruistic behaviour, no pressures must compromise this. Balance your interests (diagnosis, busy schedule, self worth) with patient (feeling better, understanding the problem, obtaining value)

A

primacy of patient welfare

83
Q

both sides swollen

A

mumps OR eating disorders, HIV, diabetes
- if eating disorder then acid erosion and russel signs on fingers from throat

84
Q

tmj neck muscles

A
  • sternocleidomastoir muscle is from back head to neck
  • it can cause pain in massater
  • temporalis (goes down this muscle)
85
Q

knowledge that enhances self awareness and ability to provide good care

A

cultural competence

86
Q

health history qn types

A

neutral, simple direct, leading, loaded, supplementary remarks

87
Q

act conservatively in a manner that does not harm patient

A

individual non maleficence

88
Q

vestibulocochlear

A

balance and coordination
- hearing by rubbing fingers by ear
- hearing loss using fork

89
Q

hoarse throat, cough, hard to swallow, inferior to adams apple

A
  • thyroid goiter ! iodine def
90
Q

the right to exercise professional judgement

A

Professional autonomy is

91
Q

16% of skin cancers. Crusted, scaly, ulcerated, metastasize

A

squamous cell carcinoma

92
Q

HARMM melanoma

A

HARMM: history of previous melanoma, age over 50, regular dermatologist absent, mole changing, male
More than 50 types of moles, more than 1-4 weird moles (dysplastic)
Red or light hair
Sun spot areas
Heavy sun exposure and childhood sun burns
Light eye or skin color
Family history of melanoma

93
Q

large lower jaw with assymetrical inflam and firm. tiredness

A

lymphoma

94
Q

decision matrix

A

what is qn, gut reaction, facts, who is involved, what are the options, what should I do, what justifies my choice, how can I prevent this problem

95
Q

grades reflect knowledge and skill

A

academic justice

96
Q

ensure all personnel are well educated and competent, prevent others from doing harm, influence authorities to change laws and policies that cause harm

A

Community non maleficence

97
Q

trust relies on standards, applies equally to proxies acting for a patient, ease of access via electronic systems and spread of genetic information

A

confidentiality

98
Q

respiratory rate

A
  • normal is 20, 44 in kids
    0 factors that change are ashtma or emphesema
  • pulse of helps monitor atrial ox 97-99% 80 is bad
  • limitations are that its sensitive to skin, daylight, nailpolish, dirty finger
99
Q

ear thing in kids that fluctuates

A

developmental cyst. normal

100
Q

three tenets of self regulation

A

establish standards for practice, teach them, enforce them and judge punishment for those who violate
- licensure is way to do this

101
Q

lung percussion sound

A

resonant is normal (banging a melon)
tympanic (hollow when air filled)
dull (mass). consolidation or collapse. dense area
flat
hyperresonant is louder and longer pitch sound. lung collapse

102
Q

maintain competence, work collaboratively to reduce error, increase safety, minimize overuse of resources, optimize care outcomes, develop quality assurance measures, support implementation of mechanisms to improve ___

A

quality of care

103
Q

privacy

A

nonmaleficence and veracity

104
Q

see lecture 10 slide 25

A

name it

105
Q

integrity so cheating, plagiarism, research

A

academic veracity

106
Q

general appearance

A

health state, level of consciousness (AAO), distress, skin, grooming, facial expressions, disability, social determinants of health

107
Q

discomfort when two cognitions, thoughts, beliefs, ideas, are incompatible with each other. Triggered by new info, pressure or making a choice. Leads to negative feelings. Resolving it involves admitting truths, examining deeply held beliefs, changing ingrained behaviours`

A

Cognitive dissonance

108
Q

young kid, cats, one side inflam

A

cat scratch diseas

109
Q

asultation

A
  1. listening for sounds. Stethoscope in quiet environment on bare skin. Listen for intensity, pitch, duration, quality. Reserve this for last!
110
Q

triangular mass thing under tongue that moves as you drink and stick out tongue

A

this is when tissue moves during embryogenesis and stays stuck (epithelial trail) thyroglossal duct cyst
- congenital

111
Q

share findings, maintain integrity, participate in community efforts

A

Community beneficence

112
Q

Deontology

A

what would happen if everyone copied me? Judge action by whether it conforms to principles. People have infinite worth. Nobody should be used. Useful in broad questions, professional world, universal. BUT unyielding so action vs inaction. What to do when duties conflict? PATIENT CARE AND ACADEMIC INTEGRITY

113
Q

heart auscultating

A
  • APT - M 2245
  • aortic is right 2nd intercostal
  • pulmonic is l second
  • tricuspid is right 4
    0 mitral is 5 left
114
Q

130-139 OR 80-89

A

hypertension stage 1

115
Q

palpation

A
  1. touch to feel using palm surfaces (more sensitive than tips)
    Ulnar surface of hands and fingers for vibration (side hand), dorsal surface of hand (back of hand) for temperature estimation
    Can be light or deep (1 cm vs 4). Always do light first. Keep short fingernails, hands warm, always use gloves, “laying of the hands” touching patient before physical exam
116
Q

standards we use to measure beliefs and behaviours

A

values

117
Q

unilateral salivary gland swelling with dry mouth, infla, no saliva

A

shogen syndrome

118
Q

supraclavicular nodes

A
  • thoracic and abdominal cavity
119
Q

carotid pulse assessment

A

head at 30 degrees
- brisk is normal
- delayed suggests aortic stenosis
- never palpate both sides together since baro receptor = pass out
- listen for bruits (woosh = turbulence)

120
Q

hypohidrotic ectodermal dysplasia

A
  • ectoderm bad so missing teeth, no sweat and can’t cool down
121
Q

Straw man

A

exaggeration

122
Q

Milton Bennet development of cultural competence

A

insensitive to sensitive: denial, defense, minimization, acceptance, adaptation, integration

123
Q

occipital nodes and preauricular nodes catch drainage

A

scalp

124
Q

120-129 and less than 80

A

elevated

125
Q

where is heart loudest

A

apical impulse closest to chest wall
- near 5th intercostal space

126
Q

mallampati classification

A
  • class 1 is can see all hard palate, soft, uvula and pillars
  • class 3 is cover up all but soft palate
127
Q

less than 120/80

A

normal

128
Q

HR and BP vital signs

A

less than 60 bpm is brady. 100 is tachy
90/60 is hypotension 130/90 is hypertensive
less than 10 breaths is hypo, more than 20 is hyper

129
Q

health promotion

A

see suspicious moles, skin care, sun exposure, stop smoking and alcohol

130
Q

False dichotomy

A

black vs white

131
Q

soap chart

A

subjective, objective, assessment, plan

132
Q

midline neck

A
  • first check thyroid isthmus (feel than BAD)
  • check if thyroid cartilege, cricoid cart and thyroid gland move when swallow
  • palate lobes of thyroid by displaching trachea and measuring space btw trachea and sternum mastoid and palpate right lobe
133
Q

HIPAA

A

health information portability and accountability act
Can give info to legal authorities to prevent harm BUT not for legal charges
Insurance, worker compensation, will, personal injury, malpractice

134
Q

ABCDE screening

A

asymmetry, irregular borders, variations in color, diameter over 6 mm, elevation or enlargement

135
Q

Slippery slope fallacy

A

occurence of one event will bald to other which is bad

136
Q

patient care without discrimination, maintain standard of care, fairness in fees

A

clinical justice

137
Q

heart and lungs

A
  • 12-16 breaths per min
  • when valves don’t close its heart murmur
  • mitral valve prolapse common in women. murmur that goes woosh
138
Q

past medical history

A

Record a history of certain disease (pertinent negatives)
Hypertension, angine, liver or kidney disease, diabetes, asthma, seizure disorder, heart disease
Current medications, supplements, allergies and reactions, hospitalizations
These effect oral cavity or medications we use in dentistry
- identify allergens and reaction!! prominently

139
Q

large bruises is

A

purpura

140
Q

based on moral values. Inner voice

A

Consncious

141
Q

There is a code for every illness and procedure that allows for retrieval of data.

A

Use ICD (international statistical classification of diseases). Code on dental procedures (CDT), systemized nomenclature for dentistry (SNODENT)

142
Q

other argument problems

A

Correlation vs causation, sounds good: doesn’t mean its right
What about… distraction, changing subject or bringing up something not relevant

143
Q

parotid is swollen

A

Sialadenosis
- systematic disease from diabetes or alcoholism
- malnutrition, bulimia, autoimmune

144
Q

rule out emergency, help in diagnosis, status of medical conditiosn

A

why ros is important

145
Q

small pinpoints of blood

A

petechiae

146
Q

facial, head and neck, lymph node and salivary gland, thyroid, TMJ, cranial nerve
Facial symmetry, skin, lips, thyroid

A

extraoral

147
Q

Appealing to emotions or power

A

anything other than reason

148
Q

radial pulse

A
  • absent pulse is acute mitral regurgitation
  • thready is fast, small and weak
  • weak is low cardiac output
    0 bounding is exercise of hemorrhage/ poor health
  • normal is called sinus rhythm
  • irregularly regular or ireg ireg (atrial fibrulation)
149
Q

lymph node exam

A
  • palpate for infection by checking temp, tenderness, fluid moveemnt
  • neoplastic is nodes larger than 1.5 cm and matted/firm
  • age helps. if younger then probably infection vs over 50 being cancer
150
Q

Do good

A

beneficence

151
Q

old patient, firm and matted lump in neck

A

carcinoma

152
Q

respiratory assessment

A
  • lungs by collarbone
  • emphesema is form of COPD
  • check smoking and heart disease (social and comorbidities)
  • paroxysmal nocturnal dyspnea (sleep sitting up)
  • wheezing
  • percussion or inspection
  • respiratory rate, intercostal recession (other muscles used to breath = bad)
  • cough is productive (wet) or dry non productive
  • finger clubbing is COPD sign
  • tripod position to breathe
  • trachea percussed
153
Q

uphold trust, serve all people, pass knowledge, self regulation (ensure all members of profession uphold the ethics, behaviours, responsibilities)

A

Professional Responsibilities

154
Q

submandibular and submental nodes catch drainage

A

oral cavity

155
Q

informed consent

A

autonomy and veracity

156
Q

vital signs hot and cold temp

A
  • core temp is 36.2-37.5 and higher in places and varies. men vs women
  • tachycardia (higher than 100 bpm) is when 1 degree increase causes hr 10 beats increase
  • fever causes: infection, heat stroke, congenical problems
  • cold causes death due to ventricular fibrulation
  • heat from muscle contration is sweat but also hypovolemia (low BP = faint)
  • heat synncope is heat stroke in 105F or 40C. classic in old and kids but exertional in athletes. cool patient down to get rid of mental confusion
  • endocrine messes your temp
  • cold stops cellular function (even thru alcohol!)
  • bradycardia in cold. 36C or 86F is when ppl can faint
157
Q

Appeal to fear

A

opponent is wrong because if he isn’t then bad things will happen

158
Q

School teaching behaviour

A

Hidden curriculum

159
Q

Begging the question

A

circular reasoning. Will avoid x because I don’t want y

160
Q

dental and mucosa examination

A

intraoral

161
Q

Health information technology for economic and clinical health (HITECH) act

A

encourages online records BUT they take longer and take away from patient listening

162
Q

trigeminal nerve

A
  • check 3 branches ophthalmic, macillary, mandibular
  • sensory (light touch, sharp/dull test, cold) and motor fxn (jaw clench, jerk)
163
Q

percussion

A
  1. triking one object against another. Finger is used as the hammer. Sound waves are heard as percussion tones (called resonance) arising 4-6 cm deep
    Tympany: hollow drum-like sounds heard over air filled structures during abdomen exam
    Hyper resonance: pneumothorax. Similar sound to puffed up cheeks. Lower, louder and longer pitch
    Resonance: normal. Low pitched and short.
    Dullness: liver mass sound
    Flatness
164
Q

do no harm

A

non maleficence

165
Q

components of the health history

A

source and reliability, chief complaint, history of present illness, past medical history, social history, family history, review of systems, summary and oral presentation

166
Q

systems reviewed in ROS

A

HEENT, respiratory, cardio, DI, hematologic, endocrine and OTHERS

**tell them a separate part has begun!
- patients either have it OR they are just complaning

167
Q

private info, touching, respect and held in high esteem, trust, need, seen as good

A

Profession Priveldge

168
Q

lymphadenopathy (LAD)

A

inflamed and malignant

169
Q

learned and shared beliefs from social interactions

A

culture

170
Q

diziness cranial nerve

A

8

171
Q

5 kinds of information

A

evidence, context, insight, impact and person

172
Q

its for decayed, missing, filled teeth

A

odontogram

173
Q

accurately explain conditions, document all findings, use right codes

A

Clinical veracity

174
Q

80% skin cancers. Shiny and translucent, grow slowly and metastasize

A

Basal cell carcinoma

175
Q

cyst contains hair and teeth and stuff

A

this is dermal cyst

176
Q

establish rapport, id problem, clarify onset and development, tolerence to dental procedures, assess factors to problem, summary of symptom and potentially undiagnosed medical conditions

A

rational of health history

177
Q

medical interview

A

establish trusting relationship, gather info and offer it
- types of qns and 5 kinds of info

approach it by self reflection, reviewing chart, setting goals, review clinical behavior, improve eco, take notes

interview sequence
1) greet, listen to story, establish agenda, test hypothesis, create shared understanding of the problem, negotiate a plan and follow up

178
Q

midline neck masses

A

thyroid can be congenital, goiter, neoplasm
nonthyroid is dermal cyst, salivary ranula, lymph

179
Q

characteristics of heart sounds

A

freq and pitch, intensity, duration, timing (s1 and s2)

180
Q

hear pulse on

A

radial, brachial, femoral, popliteal, dorsalis pedis, posterioral tibial

181
Q

moral distress

A

emotional state arising from situation when a provider says ethical action is different from what they are tasted with doing

182
Q

moral courage

A

strength to speak up despitre repercussions

183
Q

moral resilience

A

internal capacity that providers have to restore and sustain their personal integrity in response to moral distress

d1 bs1 + ii/ fsi + ii (12 decks)

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