Health Assessment Flashcards
(115 cards)
1
Q
Hyperkalemia is associated with
A
acidosis
2
Q
QT prolongation is associated with:
A
Toxic drug levels
3
Q
Most indicative of Ectopic Pregnancy
A
Amenorrhea followed by spotting and sudden onset of lower quadrant pain
4
Q
Which is not true about the 7 F’s of abdominal distention?
A
The fetus has NO effect on the abdominal distension
5
Q
Which statements are true? (re:PVD)
A
Approximately 50% of patients of PVD are asymptomatic
African american, american indian, and mexican american population are at increased risk
6
Q
Which statement is TRUE regarding leg pain?
A
a. Nerve damage can be a differential diagnosis for leg pain
7
Q
Percussing fremitus on the posterior side is best felt in what intercostal space?
A
2nd
8
Q
Where do you feel the PMI
A
5th intercostal space - lateral to the midclavicular line.
9
Q
How do you check the ear of a 2.5 year old?
A
Pull auricle down and out
10
Q
CO =
A
SV X HR
11
Q
diaphramatic excursion distance is?
A
3-5 cm
12
Q
Levine’s Sign
A
Patients will describe angina by clenching their fist and placing it over the sternum.
13
Q
- A pt with heart failure has pink frothy sputum, what is the diagnosis?
A
pulmonary edema
14
Q
What is mononucleosis caused by?
A
EBV
15
Q
- What is the first sign of thrombophlebitis in 50% of patients
A
PE may be the first sign
16
Q
an astute SRNA knows a thrill will be felt with which type of murmur?
A
Grade IV
17
Q
What is located in the lower left quadrant of the abdomen?
A
sigmoid colon
18
Q
diaphragm of the stethoscope is used to hear what sounds?
A
most murmurs
19
Q
The bell of the stethoscope is used to hear what sound?
A
S3
20
Q
Patient has blood clot — inflammed vein etc.
A
Thromobophlebitis
21
Q
Sytolic murmurs fall between what heart sounds?
A
S1 and S2
22
Q
Troponin I is unique to the heart because?
A
- Released in 1-3 hours after injury
- Peaks in 12-48 hours after injury
23
Q
diagnostic of otitis media:
A
bulging tympanic membrane
24
Q
day 3 post op. SOB, Tachy, O2 sat 85% differential dx:
A
PE
25
Correct documentation for normal pulses?
+2
26
Otitis externa presents as
sloughing
27
cute Otitis media is diagnosed when which of the following is present?
Otalgia, fluid in the middle ear, fever
28
Correct way to treat epistaxis?
Leaning forward and pinching anterior portion of nose for 15 minutes
29
A MUGA scan is typically used to:
Evaluated ejection fraction
30
Increased sodium could indicate?
Dehydration
31
S3 and S4 creates a cadence that resembles what?
Gallop of a horse
32
Abnormal to hear on S3?
33 year old male (>30)
33
Which of the following is a possible differential for eye redness
Scleritis
34
A Differential for peritonsillar abscess could also be what?
Epiglottitis
35
A patient has a painful tongue noted with white lesions that you are able to scrape off. This patient more than likely has what?
Oral candidiasis
36
Which of the following is an example of conductive hearing loss?
Otitis Media
37
Patient temp 102.2 leaning forward, dyspnea, sudden sore throat started 4 hours ago. Comes to the clinic
Escort to the ER
38
Diaphragmatic excursion is shortened by . choose two? (p. 201 in Rhoades)
Emphysema
| Fractured rib
39
An age related loss of hearing that results from decreased hairy cell function and elasticity of the Tympanic Membrane
presbycusis
40
Which abdominal pain is not a red flag
Pain not associated with syncope
41
Trachea question choose 2
Small deviation to right is normal
| Significant deviation can be atelectasis
42
Abdominal Assessment Order
Inspection- auscultation- percussion- palpation
43
A patient with ….. Grey-Turner’s, Hx of alcoholism
Pancreatitis
44
Cause of Otitis externa
cool tropical place???
45
Harsh, loud, systolic murmur heard over the 2nd right intercostal space with diminished, an early ejection click, diminished S2, crackles at the lung bases with LVHF..indicative of?
a. Aortic Stenosis
(Pulmonic is 3rd left ICS) “Remember SAD acronym Syncope, angina, dyspnea”
46
Tearing pain scenario question. Different bp on each arm, different pulse grades bilaterally.
Dissecting Aortic aneurysm
47
The assessment start:
when patient enters room
48
You percuss resonance in the lung, what is this indicative of?
A normal healthy lung
49
PMI >3 cm?
L ventricular Hypertrophy
50
Colicky pain that begins as periumbilical or epigastric pain and progresses to RLQ pain could be described as?
Appendicitis
51
Question about lung all is true except.
Left middle lobe
52
Scenario about diastolic murmur found at the 4th intercostal space? hx of rheumatic fever and another murmur (mitral stenosis); low pitched rumbling mid-diastolic murmur, heard at the left sternal border in the fourth interspace and increasing with inspiration (pg. 213) this is indicative of?
Tricuspid Stenosis
53
Pt leans forward for ease of breathing, drools, palpation of larynx indicates pain. The pt probably has:
Epiglottitis
54
Pt experiences chest pain while doing lawn work but the pain is relieved when he stops
Angina Pectoris
55
Tachyarrhymias causes all except?
sick sinus syndrome
56
Question about mainstem bronchi?
Bifurcates at level of sternal angle
57
What is found in the RLQ?
cecum
58
What is found in the LLQ?
sigmoid colon
59
Bacterial Pharyngitis/ tonsillitis cause is associated with
Strep Group B
60
What are the precordial chest leads?
V1, V2, V3, V4, V5, V6
61
Preoperative anemia screening
Not for low risk procedures like cataracts
62
Pierre Robin syndrome associated with
Difficult Airway
63
ASA preanesthesia evaluation for cataract extraction:
Day of surgery
| Day prior to surgery
64
Familistic cultures:
| value the
family over the individual
| healthcare decision making and problem solving are executed by the family
65
Radial pain of the right wrist, Limited ROM, swelling, Locking sensation
De Quervain’s Tendonitis
66
12 lead EKG to read
3rd degree HB
67
EKG (V2-6 STEMI)
Anterior MI with lateral involvement
68
generalized anxiety disorder lasts
6 months or longer
69
24yo: Lack of sleep, nightmares, irritable; Mugged at gun-point
PTSD
70
Test for Herniated Disk → 32 year old was lifting heavy boxes and had numbness/tingling down the leg afterwards?
Straight leg test
71
Tall P wave is related to (PPulmonale)
R atrial enlargement
72
Most common injured muscles for rotator cuff?
Supraspinitous
73
Which meds increase risk of systemic erythematous lupus? Pick 2
Oral contraceptives
| hydralazine
74
Which hormone is not released from anterior pituitary?
Oxytocin
75
Routine labs lead to unnecessary downstream testing, cancellation of surgery, increases in patient anxiety and cost. What does it NOT contribute to?
Increased burden on insurance company
76
What is are S&S of RA:
RA antigen, morning stiffness, ANA (+)
77
A football player with injury to L knee and MRI shows a fracture, what does he have?
A ligamentous injury
78
Tendons connect
Muscle to bone
79
Long paragraph about a patient went camping and was around Ticks?
Lymes disease
80
Murmur between s1-s2
Systolic murmur
81
Patient Ripping / crushing chest pain- widening pulse pressure:
Aortic aneurysm.
82
Which patient at risk for closed angle glaucoma
EAST Asians
83
Which patient at risk for open angle glaucoma
Hispanics
84
Group with strong external boundary and outsiders must work hard to earn trust
High context
85
Ethinic cultures may associate illness with and treat illness with??
Spiritual associations with disease
| Take herbs
86
Patient is sad and appears depressed, what was her diagnosis?
depression
87
Patient had murmur at 2nd intercostal space LSB and came in with angina and dyspnea for lap chole
Aortic stenosis.
88
Pink frothy sputum
Pulmonary edema
89
PMI is found
Lateral to the midclavicular- 5th intercostal space
90
PMI greater than 3cm =
Left ventricular hypertrophy
91
What is seen with RA
Morning stiffness, +RA antigen and ANA
92
Poor anesthesia student jumping from one topic to the other
Flight of Ideas
93
First sign of thrombophlebitis
PE
94
who is most likely to be at greater risk for fibromyalgia?
25 yr old female
95
Cardiac muscle issues with II, III, AVF and 60% SA node and 90% AV node
RCA
96
Football player with pain between 3rd and 4th intermetatarsal
Morton’s neuroma
97
The diaphragm of the stethoscope is used for
Most murmurs
98
The bell of the stethoscope is used for
S3
99
Not a red flag with neck pain
Intermittent pain
100
Fluid filled cyst adjacent to tendon?
Ganglion cyst
101
2nd heart sound is
Closure of aortic/pulmonic valves
102
Poor R wave progression may be a normal variation in
young people (particularly young women??
103
An astute SRNA knows a thrill will be felt with which type of murmur?
Grade IV
104
What produces the S2 sound?
Closure of the aortic and pulmonic valves
105
Group that has strong external boundaries so it is hard for outsiders to get in
High context
106
Barrel chest with flattened diaphragm on the lateral CXR is indicative of?
a. COPD
107
Occupational lifetime dose of radiation is?
| a.
Age x 10 mSV
108
Where should you place your dosimeter during fluoroscopy? See arm exam.
a. outside of collar
109
Where is the tip of a properly placed central line?
| a.
SVC proximal to the right atrium
110
The annual occupational effective dose of whole-body exposure is?
a. 50 mSV
111
Which one of the following indicates poor inspiratory effort?
a. < 9 posterior ribs visible
112
Which of the following provides the best safety from ionized radiation?
a. Distance
113
X-ray taken in PA position, how is this image viewed?
a. Erect face to face
114
There is 100 mLs of pleural fluid, which CXR will show this?
a. A lateral view
115
What can only be viewed with a lateral CXR?
a. The retrocardiac space
