Lifespan Flashcards
(11 cards)
In an active 85 year old woman whose hypertension and hyperlipidemia are well-controlled, the examiner should recommend screening for breast cancer
Be discontinued
A 72-year old retired truck driver comes to the clinic with his wife for Medicare physical. Which of the following findings is consistent with the normal aging process? Select all that apply
Hearing loss occurs such as presbycusis
Decline in muscle mass in relation to body weight in both men and women
Which of the following brief screening measures is useful in assessing memory?
Three-item recall
Since yearly physicals may be the only time you see a healthy adolescent patient all year, which of the following topics are important to cover during all adolescent well-child visits (including pre-participation exams)?
- Discuss high risk behaviors such s alcohol, smoking, drugs, sexual activity, driving safety, etc.
- Assess for depression, anxiety, and other stressors that may be negatively impacting adolescent
When conducting a pre-participation exam (PPE), when should the NP review the medical history o f the patient (info in chart as well as provided by family on the PPE form)?
Before the exam
Which of the following topics should be done last when completing the HEEADSSS assessment on adolescents?
Safety
Which of the following are important considerations/ components of the school aged exam:
- build rapport with child before starting exam and make exam fun when possible
- include child in anticipatory guidance topics (such as nutrition, car/bike safety, screen time, stranger danger, etc.)
- child can sit on exam table during exam, use simple descriptions to explain what you will be doing
- all are correct
Which of the following are important considerations/components of the toddler/preschool exam:
- use simple terms when explaining what you are doing
- ask the child to assess development when possible instead of asking parent (example: what is your name? What color is this? Where is your head?)
- examine child on parent’s lap if child appears anxious
- all are correct
A 79-year old African American woman comes to your clinic with decreased vision, specifically decreased peripheral vision. Upon exam you noticed this (photo). Based on this finding, you would:
Discuss that cup disc ratio is increased suggesting glaucoma
Mrs. Glynn is 90 years old and lives alone. She is able to bathe, dress, prepare her food, and transfer from bed to chair independently. She has children in the area who help her with her medications and transportation needs. Which of the following is considered an instrumental activity of daily living?
Preparing food
