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Margery Bowers > PT Assessment > Flashcards

PT Assessment Flashcards

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
Q

Right lower

A

Appendix
Right overy
Bladder if distended

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26
Q

Left overy

A

Bladder if distended

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27
Q

Viseral pain

A

Internal organs damaged
Vauge pain
Usually holow organs
Ruptured appendix

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28
Q

Somatic pain

A

Irritation of peritoneal lining
Localized
Deep breath increases pain

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29
Q

Referred pain

A

Other parts of body usually cardiac to jaw or arm

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30
Q

Cullen’s sign

A

Ecchymosis( brusing) in umbilical bleeding in abdominal

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31
Q

Grey turners

A

Ecchymosis in flank

Kidney bleeding or hemmoragic pancreatitis

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32
Q

Kehrs sign

A

Referred pain to shoulder

Ectopic or spleen injury
Blood under diaphragm

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33
Q

Murphy’s sign

A

Right upper qu

Cholecystitis

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34
Q

Brudzinkis sign

A

Hip flexes when neck flexed

Meningitis

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35
Q

Homan’s sign

A

Pain in calf foot while leg is straight

Dvt

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36
Q

Learnings sign

A

Inability to straighten leg when hip is flexed 90°

Meningitis

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37
Q

Pulse pressure

A

Difference between systolic and diastolic

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38
Q

Normal map

A

70-110 mmHg

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39
Q

Map calculation

A

Diastolic + 1/3 (systolic-dialslic)

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40
Q

Reassessment time

A

15 if stable

5 if unstable

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41
Q

Presbycusis

A

Age related hearing

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42
Q

Pediatric assessment triangle

A

Appearance- muscle tone, speech, cry

Work of breathing- airway sounds retractions

Circulation to skin- cyanosis, pale

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43
Q

Exam order of infant

A

Toe to head outside inside

44
Q

Order of assessment toddler

A

Tow to head
Slow
Toy distracted

45
Q

Oder of assessment preschool

A

3-6

Chest
Head last
Simple terms

46
Q

Fontanel

A

Closes 12-18 months
Sunken- shock dehydration
Bulging - increase icp seizures crying

47
Q

Cerebral palsey

A

Group of chronic non progressive disorders due to damage to motor centers in brain does not get worse

48
Q

Normal glucose

A

70-140

49
Q

Normal spo2

A

95-100

50
Q

Normal co2 of smokers

A

8% treatment at 10-12%

51
Q

Lactic dehydrogenase

A

Cardiac biomarker acute mi

1st to elivate

52
Q

Creatine kinase

A

Cardiac biomarker
Muscle

Ck1 bb brain
Ck2 mb heart
Ck 3 skeleton muscle

53
Q

Myoglobin

A

Cardiac bio marker
Striated muscle
Damage to heart or skeleton muscle

54
Q

Troponin

A

Cardiac biomarker

Most specific to cardiac muscle injury

55
Q

Methemoglobinemia

A

O2 can’t attach caused by drugs amyl nitrate benzos cyanide

Color grey to cyanosis cns changes

56
Q

Colloid

A 
Does not leak out if blood vessels
Blood plasma 
Albumin
Hespan
Dextran
57
Q

Crystalloid

A

All other IV solutions

Normal saline .9
Lactated ringers

58
Q

Osmosis

A

Movement of less concentration to area of more concentration

59
Q

Isotonic

A

Stays in blood vessels longer
Field fluid replacement
Normal saline and lactated ringers

60
Q

Hypertonic

A

More particles fluid moves into vascular space

61
Q

Hypotonic

A

Fluid moves out of vascular space into cells bad for fluid replacement for low BP or drama

62
Q

Cation

A

Positive charged ions

63
Q

Anions

A

Negative charged ion

64
Q

Calcium symbol and charge

A

Ca ++

65
Q

Choride

A

Cl - most common extracellular anion

66
Q

Magnesium

A

Mg++

67
Q

Potassium symbol and charge

A

Kalemia k+ most common intracellular cation

68
Q

Sodium symbol and charge

A

Natremia NA+ most common Extracellular cation

69
Q

Plamsa

A

Liquid, transportes nutrients and gets rid of waste products

70
Q

Normal hemoglobin

Men and woman

A

14-17 m

12- 16 w

71
Q

Hematocrit

A

Percentage of red blood cells in whole blood approx 45%

72
Q

Leukocytes

A

Wbc fights infection

73
Q

Eosinophils

A

Fights parasites and other infection

74
Q

O- blood

A

Universal donner

75
Q

AB+ blood

A

Universal recipient

76
Q

Fluid replacement for adult and child

A

20ml/ kg

77
Q

Fluid replacement for newborn

A

10ml/kg

78
Q

Drip calc for drop/m

A

Minutes

79
Q

Drip calc for mL/hr

A

Drip size

80
Q

4 groups of shock

A

Cardiogeic
Obstruction
Distributive
Hypovolemic

81
Q

Pyruvic acid lactic acid

A

Waste product causes metabolic acidosis

82
Q

Chemical response to shock

A
  1. Epi and nor epi from adrenal glands for bpAldosterone 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
Q

Pharmacodynamics

A

Study of biochemical and phycology effect of drugs in body

84
Q

Pharmacokinetics

A

What does body do after drug is given

85
Q

Federal food drug and cosmetic act

A

Created FDA

Required lables on drugs

86
Q

Control led substance act year

A

1970

87
Q

Controled substance act actions

A 
5 schedules
Pregnancy drugs 
Abcd 
A- no risk 
D- fetal abnormally
88
Q

Chemical for parasympathetic ns

A

Acetylcholine

89
Q

Cholinergic drug

A

Stimulates parasympathetic ns

Physostigmine

90
Q

Anticholinergic drugs

A

Block parasympathetic ns

Atropine

91
Q

Chemical for sympathetic ns

A

Norepinephrine

92
Q

Beta 1

A

Cardiac rate contractility irritability automaisity

93
Q

Beta 2

A

Respiratory vasodilation

Bronchodilator

94
Q

Alpha stimulus

A

Vasodilation BP up

95
Q

Inotropic

A

cardiac Contraction

96
Q

Chronotropic

A

Rate

97
Q

Dromotropic

A

Velocity of conduction through electricical system of heart

98
Q

Catecholamines

A

Dopemine
Epi
Norepi

99
Q

Sympathomimetic

A

Stimulates sns

100
Q

Adrenergic

A

Stimulates sns

101
Q

Sympatholytic

A

Blocks sns

102
Q

5 rights

A 
PT 
Med
Route
Dose
Time
103
Q

Intranasal max dose

A 
1ml in each nose
Midaolam
Naloxone
Fentanyl
Lorazepam
Glucagon
104
Q

Enternal drug administration

A

Given via GI tract
Orally
Sl
Rectally

105
Q

Paranteral drug administration

A

Any other route than GI

Margery Bowers (4 decks)

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