PT Assessment Flashcards

(105 cards)

1
Q

Gcs eyes

A
4
Open 
Voice
Pain
None
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2
Q

Verbal

A
Oriented
Confused 
Inappropriate
Sounds
None
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3
Q

Motor gcs

A
Obays
Local
Withdrawal
Flexion
Extension
None
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4
Q

Mydriasis

A

Dialated puplues

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5
Q

Miosis

A

Constricted pupils

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6
Q

Anisocoria

A

Unequal pupil

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7
Q

Nystagmus

A

Rapid involuntary eye movement

Cns disorder and drugs

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8
Q

Accommodatation

A

Construction of both pupils when object moves closer

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9
Q

Flat neck veins

A

Hemothorax

Shock

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10
Q

Rales

A

Fluid in small airway

CHF
Pulmonary edema
Copd
Drowning

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11
Q

Crackles

A

Same as rales

Fluid in small airways

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12
Q

Rhonchi

A

Mucas or fluid in large airways
Rhonchi in the bronchi
Copd
Pneumonia

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13
Q

Wheezing

A

Whistling sound due to bronchoconstriction

Or narrowing of terminal bronchioles due to swelling

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14
Q

Lung sounds

Brochual

A

Loud
High pitch
Holow

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15
Q

Brochocevsiclar lung sounds

A

Soft low pitch over scapula

2-3 intercostal

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16
Q

Vescular lung sounds

A

Soft low pitch

Lung peripheraly

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17
Q

Biots

Ataxic

A

Irregular periods of breathing or gasping with apnea

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18
Q

Cheyne stokes

A

Increasing depth and rate
Decreasing depth and rate
With period of apnea

Neurlogical condition

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19
Q

Kussmals

A

Rapid and deep

Dka

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20
Q

Resonant percussion sound

A

Normal sound

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21
Q

Hyperresonant percussion sound

A

Tension pneumothorax emphysema asthma

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22
Q

Dull percussion sound

A

Something other than air and trust pneumonia tumor blood

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23
Q

Right upper quadrant

A

Liver
Gall bladder
Stomach

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24
Q

Left upper quadrant

A

Spleen
Liver
Stomach
Pancreas

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25
Right lower
Appendix Right overy Bladder if distended
26
Left overy
Bladder if distended
27
Viseral pain
Internal organs damaged Vauge pain Usually holow organs Ruptured appendix
28
Somatic pain
Irritation of peritoneal lining Localized Deep breath increases pain
29
Referred pain
Other parts of body usually cardiac to jaw or arm
30
Cullen's sign
Ecchymosis( brusing) in umbilical bleeding in abdominal
31
Grey turners
Ecchymosis in flank | Kidney bleeding or hemmoragic pancreatitis
32
Kehrs sign
Referred pain to shoulder Ectopic or spleen injury Blood under diaphragm
33
Murphy's sign
Right upper qu Cholecystitis
34
Brudzinkis sign
Hip flexes when neck flexed Meningitis
35
Homan's sign
Pain in calf foot while leg is straight | Dvt
36
Learnings sign
Inability to straighten leg when hip is flexed 90° | Meningitis
37
Pulse pressure
Difference between systolic and diastolic
38
Normal map
70-110 mmHg
39
Map calculation
Diastolic + 1/3 (systolic-dialslic)
40
Reassessment time
15 if stable | 5 if unstable
41
Presbycusis
Age related hearing
42
Pediatric assessment triangle
Appearance- muscle tone, speech, cry Work of breathing- airway sounds retractions Circulation to skin- cyanosis, pale
43
Exam order of infant
Toe to head outside inside
44
Order of assessment toddler
Tow to head Slow Toy distracted
45
Oder of assessment preschool
3-6 Chest Head last Simple terms
46
Fontanel
Closes 12-18 months Sunken- shock dehydration Bulging - increase icp seizures crying
47
Cerebral palsey
Group of chronic non progressive disorders due to damage to motor centers in brain does not get worse
48
Normal glucose
70-140
49
Normal spo2
95-100
50
Normal co2 of smokers
8% treatment at 10-12%
51
Lactic dehydrogenase
Cardiac biomarker acute mi | 1st to elivate
52
Creatine kinase
Cardiac biomarker Muscle Ck1 bb brain Ck2 mb heart Ck 3 skeleton muscle
53
Myoglobin
Cardiac bio marker Striated muscle Damage to heart or skeleton muscle
54
Troponin
Cardiac biomarker | Most specific to cardiac muscle injury
55
Methemoglobinemia
O2 can't attach caused by drugs amyl nitrate benzos cyanide Color grey to cyanosis cns changes
56
Colloid
``` Does not leak out if blood vessels Blood plasma Albumin Hespan Dextran ```
57
Crystalloid
All other IV solutions Normal saline .9 Lactated ringers
58
Osmosis
Movement of less concentration to area of more concentration
59
Isotonic
Stays in blood vessels longer Field fluid replacement Normal saline and lactated ringers
60
Hypertonic
More particles fluid moves into vascular space
61
Hypotonic
Fluid moves out of vascular space into cells bad for fluid replacement for low BP or drama
62
Cation
Positive charged ions
63
Anions
Negative charged ion
64
Calcium symbol and charge
Ca ++
65
Choride
Cl - most common extracellular anion
66
Magnesium
Mg++
67
Potassium symbol and charge
Kalemia k+ most common intracellular cation
68
Sodium symbol and charge
Natremia NA+ most common Extracellular cation
69
Plamsa
Liquid, transportes nutrients and gets rid of waste products
70
Normal hemoglobin | Men and woman
14-17 m | 12- 16 w
71
Hematocrit
Percentage of red blood cells in whole blood approx 45%
72
Leukocytes
Wbc fights infection
73
Eosinophils
Fights parasites and other infection
74
O- blood
Universal donner
75
AB+ blood
Universal recipient
76
Fluid replacement for adult and child
20ml/ kg
77
Fluid replacement for newborn
10ml/kg
78
Drip calc for drop/m
ML x drip size ------------ Minutes
79
Drip calc for mL/hr
Gotta/min x time -------------- Drip size
80
4 groups of shock
Cardiogeic Obstruction Distributive Hypovolemic
81
Pyruvic acid lactic acid
Waste product causes metabolic acidosis
82
Chemical response to shock
1. Epi and nor epi from adrenal glands for bp Aldosterone keeps sodium and water and reabsorption 2. Renin from kidney to convert angiotensin1 into angiotensin 2 vasoconstrictior 3. Antidiuretic hormone from pituitary ups peripheraly resistance and regulatats water
83
Pharmacodynamics
Study of biochemical and phycology effect of drugs in body
84
Pharmacokinetics
What does body do after drug is given
85
Federal food drug and cosmetic act
Created FDA | Required lables on drugs
86
Control led substance act year
1970
87
Controled substance act actions
``` 5 schedules Pregnancy drugs Abcd A- no risk D- fetal abnormally ```
88
Chemical for parasympathetic ns
Acetylcholine
89
Cholinergic drug
Stimulates parasympathetic ns | Physostigmine
90
Anticholinergic drugs
Block parasympathetic ns Atropine
91
Chemical for sympathetic ns
Norepinephrine
92
Beta 1
Cardiac rate contractility irritability automaisity
93
Beta 2
Respiratory vasodilation | Bronchodilator
94
Alpha stimulus
Vasodilation BP up
95
Inotropic
cardiac Contraction
96
Chronotropic
Rate
97
Dromotropic
Velocity of conduction through electricical system of heart
98
Catecholamines
Dopemine Epi Norepi
99
Sympathomimetic
Stimulates sns
100
Adrenergic
Stimulates sns
101
Sympatholytic
Blocks sns
102
5 rights
``` PT Med Route Dose Time ```
103
Intranasal max dose
``` 1ml in each nose Midaolam Naloxone Fentanyl Lorazepam Glucagon ```
104
Enternal drug administration
Given via GI tract Orally Sl Rectally
105
Paranteral drug administration
Any other route than GI