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