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clinical 2..
ch 40apter
| Question | Answer |
|---|---|
| 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
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