Clinical workshops

Question 1

arc light

Answer 1

works as a otoscope ,othalmoscope ,

Question 2

what is an ear examination

Answer 2

otoscopy

Question 3

PQRSTU methods

Answer 3

Provocative - what makes your pain worse ?
Palliative - what makes your pain feel better ?
Quality - what does the pain feel like ?
Quantity - how bad is your pain ?
Region - where do you feel the pain?
Radiation - do you feel the pain elsewhere
Severity - how would you rate the pain on a scale of one to 10
Timing - when did the pain start ? what where u doing when it started ? is it constant ?
Treatment - have you taken anything to help relieve the pain ?
Understanding - what do you think is causing the pain ?

Question 4

Melanoma management

Answer 4

use the weighted 7 point checklist :
(major features of the lesion)
change in size
change in shape
irregular colour
(minor features of the lesion)
largest diameter 7mm or more
inflammation
oozing
change in sensation

Question 5

information to consider when looking at moles that are possibly melanoma

Answer 5

history
-how long the lesion has been present for
-change in size
-change in colour
-change in shape
- symptoms for example itching or bleeding
Examination
-location
-size
-elevation (flat , palpable , nodular)
description (irregular margins , irregular pigmentation , if ulceration is present
-palpable lymph nodes

Question 6

subjective data

Answer 6

personal data
HPI
past medical history
family history
social history
medication history
allergy history

Question 7

objective data

Answer 7

physical examination
investigations - lab , scan

Question 8

objective data

Answer 8

physical examination
investigations - lab , scan

Question 9

general exam

Answer 9

general appearance
vital signs
upper and lower limbs
head and neck

Question 10

local examination

Answer 10

inspection
palpitation
percussion
auscultation

Question 11

vital signs

Answer 11

heart rate
respiratory rate
temperature
blood pressure
oxygen saturation
level of consciousness

Question 12

vital signs - temperature

Answer 12

tympanic -37.7
oral -37
rectal -37.7
temporal -37
axillary- 36.3

Question 13

where do u read heart beat in wrist

Answer 13

on the radial artery

Question 14

pulse

Answer 14

number of times the heart beats in 1 minute

Question 15

respiration

Answer 15

number of times a patient breaths in 1 minute

Question 16

dyspnea

Answer 16

difficult or laboured breathing

Question 17

apnea

Answer 17

absence of respirations

Question 18

tachypnea

Answer 18

rapid respiratory rate above 25 rpm

Question 19

bradypnea

Answer 19

slow respiratory rate usually below 10 rpm

Question 20

orthopnea

Answer 20

severe dyspnea in which breathing is very difficult in any position other than sitting erect or standing

Question 21

systolic / diastolic

Answer 21

systolic is when the left ventricle is contracting
top or first number

diastolic pressure is when the heart is at rest
it is the bottom or second number

Question 22

AVPU

Answer 22

level of consciousness rating
alert
verbal
pain
unresponsive

Question 23

bradycardia

Answer 23

<60 bpm

Question 24

tachycardia

Answer 24

a pulse of >100bpm

Question 25

SOCRATES

Answer 25

site
onset
character
radiation
alleviating factors
timing
exacerbating factors
severity

Question 26

MJTHREAD Ca

Answer 26

myocardial infarction
jaundice
tuberculosis
hypertension
rheumatic fever
epilepsy
asthma
diabetes
stroke
cancer

Question 27

WIPER

Answer 27

wash hands
introduce yourself to the patient and seek consent
position the patient correctly
expose the patient as needed
right side of the bed