Exam 3

Question 1

Testing Muscle Strength: Grading Scale

Answer 1

0 = No evidence of contractility
1 = Slight contractility, no movement
2 = Full range of motion, gravity eliminated (passive movement)
3 = Full range of motion against gravity, no resistance
4 = Full range of motion against gravity, some resistance
5 = Full range of motion against gravity, full resistance

Question 2

How much urine should you expect your patient to produce

Answer 2

Normal for adults should be at least 0.5 - 1 ml/kg/hr (That means AT LEAST 30-40 ml/hr for an average sized adult)

Question 3

1 cup

Answer 3

240 mL

Question 4

1 oz

Answer 4

3 ml

Question 5

1 tablespoon

Answer 5

15 ml

Question 6

1 teaspoon

Answer 6

5 ml

Question 7

benign tumors

Answer 7

Myomas (Leiomyomas, Uterine Fibroids), Benign prostatic hyperplasia, Nabothian cysts

Question 8

malignant

Answer 8

carcinomas

Question 9

hemorrhoids

Answer 9

swollen veins at anus/rectum

Question 10

AUDIT Questionnaire

Answer 10

Three domains: alcohol consumption, drinking behavior or dependence, and adverse consequences (Maximum score: 40)
detect less severe alcohol problems (hazardous and harmful drinking) as well as alcohol abuse and dependence disorders.

Question 11

TWEAK Questions

Answer 11

Screening women for alcohol problems
Tolerance: how many drinks can you hold? Or how many drinks does it take to make you feel high?
Worry: have close friends or relatives complained about your drinking?
Eye-opener: do you sometimes take a drink in morning when you first get up?
Amnesia: has a friend or family member told you about things you said but could not remember?
Kut down: do you sometimes feel the need to cut down

Question 12

SMAST-G Questionnaire

Answer 12

for older adults
10 questions with yes/no responses that address these factors.
Two or more “yes” questions indicate alcohol problem

Question 13

Clinical Institute Withdrawal Assessment Scale (CIWA)

Answer 13

10 measured criteria with individual scoring to arrive at a composite score
Includes vital signs and oxygen saturation
Individual subscales include 7 criteria except for Orientation which includes 4 criteria
Score of 0 to 7 can monitor every 4 hours.
All scores below 8 for 72 hours, you can discontinue

Question 14

Cannabis Drugs

Answer 14

Subjective Data
Increased appetite, dry mouth, euphoria, social withdrawal, anxiety, paranoid ideation, slowed time perception, increased perceptions, possible panic
Objective Data
Tachycardia and postural hypotension, conjunctival vascular congestion, dry mucous membranes

Question 15

Cocaine

Answer 15

Subjective Data
Chills, nausea, patient report of vomiting and weight loss, euphoria, impaired social or occupational functioning, anorexia, insomnia, visual or tactile hallucinations panic
Objective Data
Increased stimulation, increased blood pressure and heart rate, agitation; in overdose, increased body temperature, seizures, death

Question 16

Opiates

Answer 16

Subjective Data
Initial euphoria followed by apathy, impaired memory, impaired social or occupational functioning
Objective Data
Depressed blood pressure and respiration; fixed, pinpoint pupils; depressed sensorium; coma; pulmonary edema

Question 17

Barbiturates and CNS Depressants

Answer 17

Impaired memory,irritability, emotional lability, impaired social or occupational functioning, confusion
Objective Data
Depressed blood pressure and respirations, ataxia, slurred speech, depressed tendon reflexes, coma, shock

Question 18

Amphetamines

Answer 18

Subjective Data
Chills, nausea, patient report of vomiting, weight loss, sweating, elation, impaired social and occupational functioning, possible hallucinations, paranoid feelings, confusion
Objective Data
Elevated blood pressure, tachycardia, other cardiac dysrhythmias, hyperactive tendon reflexes, pupils dilated and reactive to light, hyperpyrexia, perspiration, shallow respirations, circulatory collapse

Question 19

Hallucinogenic agents

Answer 19

Subjective Data
Visual, auditory, or tactile hallucinations; emotional lability; insomnia; dizziness; flashbacks; nausea; patient report of vomiting; memory problems; confusion; anxiety; distortion of body image and perception; delusions; hallucinations
Objective Data
Elevated blood pressure, hyperactive tendon reflexes, piloerection, perspiration, pupils dilated and reactive to light

Question 20

graphesthesia

Answer 20

the ability to recognize numbers, letters, or shapes drawn on the skin using touch, without visual input.

Question 21

stereognosis

Answer 21

the ability to recognize objects by touch alone, without visual input

Question 22

two-point discrimination

Answer 22

the ability to distinguish between two separate points of touch on the skin, rather than perceiving them as one

Question 23

normal intake and output

Answer 23

2 to 3 liters (2 to 3000 ml) per day. Output, primarily through urine, should be roughly equivalent, with a normal 24-hour urine output range of 800 to 2,000