General Survey, Vital Signs, & Pain

Question 1

What things might manipulate temperature?

Answer 1

time of day
recent exposures
smoking prior to measurement
technique
medications

Question 2

Where is the “gold standard” location for checking a temperature?

Answer 2

Pulmonary Artery

Question 3

List the locations of measuring temperatures in order from hottest to coldest.

Answer 3

Ear (Tympanic)
Butt (Rectal)
Mouth (Oral)
Head (Temporal)
Arms (Axillary)

Question 4

Rectal temperature comparison

Answer 4

higher than oral by an average of 0.4 to 0.5C

Question 5

Tympanic temperature comparison

Answer 5

higher than oral by 0.8C
more variable than oral or rectal

Question 6

Oral temperature comparison

Answer 6

lower than core body and rectal by 0.4 to 0.5C

Question 7

Axillary temperature comparison

Answer 7

lower than oral by 1.0C

Question 8

Temporal temperature comparison

Answer 8

lower than oral by 0.3 to 0.6C

Question 9

What BMI range is considered overweight?

Answer 9

25 - 29

Question 10

What BMI range is considered obese?

Answer 10

30+

Question 11

Define weight loss in medical terms.

Answer 11

unintentional loss of 5% or more of your total body weight over the course of 6 months

Question 12

What BMI range is considered healthy?

Answer 12

18.5 - 24.9

Question 13

What BMI range is considered underweight?

Answer 13

below 18.5

Question 14

What waist circumference is associated with an increased risk of hypertension, diabetes, and coronary artery disease?

Answer 14

35+ inches (women)
40+ inches (men)

Question 15

What is white coat syndrome? (Iatrophobia)

Answer 15

office pressure shows hypertension but typically their pressures are normal
- affects 20% of people

Question 16

What is masked hypertension?

Answer 16

office pressures are normal but normal pressures are hypertensive

Question 17

What is the appropriate bladder width of a blood pressure cuff?

Answer 17

greater than or equal to 40% of mid-arm circumference

Question 18

What is the appropriate bladder length of blood pressure cuff?

Answer 18

80-100% of arm circumference

Question 19

What happens if your blood pressure cuff is too narrow?

Answer 19

false elevated pressure

Question 20

What happens if your blood pressure cuff is too wide?

Answer 20

false low pressure in a small arm
false high in a large arm

Question 21

What are the name of the sounds you hear while auscultating a blood pressure?

Answer 21

Korotkoff sound

Question 22

What artery do you auscultate when taking a thigh blood pressure?

Answer 22

popliteal artery

Question 23

What blood pressure is considered normal?

Answer 23

120
80 or less

Question 24

What range is considered an elevated blood pressure?

Answer 24

120-129
80 or less

Question 25

Stage 1 hypertension

Answer 25

130-139 80-89

Question 26

Stage 2 hypertension

Answer 26

140 or more 90 or more

Question 27

What is orthostatic hypertension?

Answer 27

drop in systolic pressure of 20mmHg drop in diastolic pressure of 10mmHg (all within 3 minutes of standing)

Question 28

How long does chronic pain last for?

Answer 28

3 - 6 months or more one month beyond the course of acute illness or injury recurring at intervals of months or years

Question 29

Pain linked to tissue damage of skin, musculoskeletal system, or viscera.

Answer 29

nociceptive (somatic)

Question 30

Consequence of a lesion or disease affecting the somatosensory system. Described as burning, stabbing, or pins & needles

Answer 30

neuropathic pain

Question 31

Involves many factors that influence how the patient reports pain. Anxiety, depression, personality, coping style, cultural norms, stress, and social support.

Answer 31

psychogenic pain

Question 32

Pain without an identified etiology

Answer 32

idiopathic pain

Question 33

Mnemonic for assessing pain?

Answer 33

Onset Provocation Quality Radiation Severity Timing

Question 34

How much have the prescriptions of some opioids increased in the past decade?

Answer 34

More than 800%

Question 35

Risk of overdose death rate is directly related to what?

Answer 35

prescribed maximum daily dose

Question 36

Risk factors for fatal overdose

Answer 36

Age 65+ Depression Substance abuse history Concurrent benzodiazepine

Question 37

Examples of health disparities in pain management

Answer 37

Clinician stereotypes Language barriers Unconscious bias Self-reflection Awareness