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clinical 2..

ch 40apter

CPE stands for complete medical exam
what are the reasons for performing a CPE 1.Insurance Exam.. 2.employer Exam... 3.School exam... 4.assess pt.'s state of health & well being
CPE's cover all major_____ and _______ of the body organs and system
CPE finding help enable the provider to establish a ________, when systems are_______ diagnosis, abnormal
M.A. role in CPE's 1. set up room/supplies.... 2. position/drape..... 3. hand instruments to Dr.... 4. provide pt. w/ comfort... 5. Scribe (writes what the Dr. dictates during exam.
what are the 6 exam techniques/methods? 1. inspection... 2. palpation.... 3. percussion... 4. Auscultation.. 5. mensuration.. 6. manipulation..
what technique uses passive movement of a joint to determine range of extension & flexion? Manipulation
ROM is? Range of Motion
manipulation or ROM is important for pt.'s w/ _____ injuries, ________ & post-_______ joint, arthritis, post-surgery
what is the Process of measuring. (ht/wt) (head/chest) mensuration
_______ technique is the listening to the sounds the body is making auscultation
indirect auscultation would be? use of stethoscope
direct auscultation would be? using ear over bare surface
auscultation listens for... rales, murmurs, bruits, bowel sounds
what technique is the means of producing body sounds by tapping various part of the body? Percussion
percussion sounds help determine _____, _____ & _______ of organs size, density and location of organs
direct percussion is the immediate striking of the _____ on the ______ finger and body
indirect percussion are fingers that are _____ with ______ on the opposite ______ struck, fingers and hand
Palpation is using the sense of _____ Touch
the body can be felt by ___ or ____ hands 1 or 2
the palpation technique used for the examination of what areas? breast, pulse site, temp of skin, abdominal area and shape of organs
Inspection technique uses the evaluation of _______ and is the initial part of the exam sight
when inspecting the provider observes what skin, general appearance, anxiety, and gait
after an examination the M.A. may assist with? 1. additional screening test.. 2. observe pt for adverse effects.. 3. answer further questions... 4. inform pt. about f/u or results
fecal occult blood test frequency? begin at age 50 and then annually
testicular self exam frequency? (TSE) begins at age 15: once a month after a warm shower.
Breast self exam frequency? (BSE) begins at age 18: once a month after menstrual cycle.
mammogram frequency baseline age 40: every 1-2 yrs., annually at age 50 (+)
PAP & Pelvic exam frequency? begins no later than age 21: every 1-3 years for sexually active women.
colonoscopy frequency? begins at age 50: every 10 years after if findings are normal
On ear/eyes exams the M.A. may need to hand the Dr. __________ if they are not wall mounted instruments
two instruments that are used in an ear/eye exam are? otoscope and opthalmoscope
physicians use disposable plastic ______ to reduce ________ transmission. speculums, disease
auditory acuity measures how well the pt. _____ hears
hearing problems can result from? earwax, damage to nerves, disease/conditions
common indications of hearing loss? pt. ask to repeat what was said, talking in a loud voice, not responding when spoken to in straight range, not pronouncing words well.
common complaints that suggest hearing loss? ringing in ears, decreased hearing in 1 ear, infection/injury to ear, bleeding from ear
audiometer shows how well the pt. ________ hears
A 2-way pronged metal fork that examines frequency? (varies with size) tuning fork
on a Rhinne test the examiner holds the tuning fork against the pt.'s ________ mastoid bone
on a webber test the tuning fork is held against the _______ or against the ______ vertex(crown of head) or forehead
Visual Acuity checks how well the pt.______ sees
visual problem indications are? tilting of head to the side or forwards, blinking or watering eyes, frowning or puckering of face, closing of one eye when testing, straining/squinting
The snellen chart is the most common..... device used to measure distance
snellen chart shows the distance of ______ read by the pt. vision
snellen -E- chart is used for pt.'s with difficulty reading
charts should be hung how many feet away? 20
what is an occulder? instrument that a pt puts over one eye on an eye test
distance is written as a _______ fraction
Jaegar chart is used to test what type of vision? near
how far is the Jaegar held from eyes? 14-16 inches
color vision acuity test pt.'s for what? how well one can recognize colors
why would someone have trouble seeing colors? pt. may have a thyroid condition, changes in the retina
achromatic vision is what? total color blindness, sees everything in black and white.
what is tritanopia? pt. can see the color blue,the rarest form
what is an Ishihara test? screens color vision, it uses plates with numbers of a different color
Created by: bpstears