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Clinical 2 final
final review for clinical 2
| Question | Answer |
|---|---|
| EMR | electronic medical records |
| EHR | electronic health records |
| SOMR | source oriented medical record |
| POMR | problem oriented medical record |
| SOAP | subjective; objective;assessment;plan |
| usual distance for a social encounter | 4-12 feet |
| personal, social, and family history are included in a | comprehensive medical history |
| chief complaint is what type of information | subjective |
| VS, pain, color of skin are examples of what type of information | objective |
| doctors physical findings are what part of the soap note | assesment |
| most common complaint during menopause | hot flashes |
| cervix is enlarged and some of the uterine lining is scraped away | D&C |
| doctor feels for the ovaries during which portion of the pelvic exam | bimanual |
| average menstrual cycle is how many days | 28 |
| average age for menopause to occur | 52 |
| most common long term health issue occurring post menopausal | osteoporosis |
| term pregnancy is how many weeks | 37-42 |
| used to estimate the due date | nageles rule |
| lying flat on the back | supine |
| lying flat on the stomach | prone |
| position used for pelvic exams | lithotomy |
| position used for colonoscopies and enema administration | sims |
| specializes in treating eye disorders | ophthalmologist |
| most common distance visual acuity test | snellen chart |
| checks for color blindness | ishihara |
| lazy eye | amblyopia |
| crossed eyes | strabismus |
| abnormal curvature of the cornea | astigmatism |
| abdominal pain described as gnawing, burning and cramping | visceral |
| pain that gets worse with movement | parietal |
| pain that is felt in another area | referred |
| most accurate core temperature | rectal and temporal |
| rectal temp | 99.6 |
| oral temp | 98.6 |
| axillary temp | 97.6 |
| normal respiratory rate for the average adult | 12-16/min |
| normal pulse rate for the average adult | 60-100 |
| normal blood pressure | 100-120/60-80 |
| controlled hypertension | 130/90 |
| difficulty breathing | dyspnea |
| if the radial pulse is irregular it should be followed with a | apical pulse |
| pulse found in the groin | femoral |
| pulse used when performing a blood pressure | brachial |
| pulse checked when performing CPR | carotid |
| blood pressure that drops upon standing | orthostatic hypotension |
| heart contracts distending the walls of an artery creating a | pulse |
| blood pressure result is always written as a | fraction |
| measurement of the greatest amount of force applied to the arterial walls | systole |
| measurement recorded during the relaxation phase of contraction | diastole |
| the difference between the systolic and diastolic pressure | pulse pressure |
| rapid respiration with normal or shallow breaths | tachypnea |
| rapid deep respiration | hyperventilation |
| applying passive movement to a joint | manipulation |
| measurements of different areas of the body, including vital signs | mensuration |
| evaluation done through touching | palpation |
| evaluation done through listening with a stethoscope | auscultation |
| tympanic membrane | eardrum |
| instrument used to evaluate general hearing | tuning fork |
| specialized instrument themeasures hearing acuity at differet frequencies | audiometer |
| procedure used to determine whether or not the middle ear is transmitting sound waves | tympanometry |
| entire colon examined with a flexible lighted videoscope | colonoscopy |
| refers to the first 28 days of life | newborn |
| first year of life | infant |
| children 1-3 years | toddler |
| infant height, weight and head circumference are plotted on a | growth chart |
| first vaccination is given at | birth in the hospital |
| preferred site for IM injections on infants | vastus lateralus |
| Muscle used for IM injections on older children | deltoid |
| removal of the foreskin of the penis | circumcision |
| eye disorders that commonly occur with increased age | cataracts and glaucoma |
| considered to be the fifth vital sign | pain scale |
| most effective type of questioning when interviewing a patient | open ended |
| includes patients previous health concerns, current health concerns, current medication | personal medical history |
| alcohol use, smoking, caffeine intake, drug use, are examples of | social history |
| pulse found on top of foot | dorsalis pedis |
| pulse found behind the ankle | posterior tibial |
| absence of menstrual flow | amenorrhea |
| painful menstruation | dysmenorrhea |
| scanty urination | oliguria |
| polyuria | excessive amounts of urine |
| need to urinate during normal hours of sleep | nocturia |
| immediate need to urinate | urgency |
| inability to retain urine | incontinence |
| difficult or painful urination | dysuria |
| insertion of a thin scope with a light into the urethra through to the bladder | cystoscopy |
| shock waves to break down kidney stones | lithotripsy |
| abnormally large head | macrocephaly |
| abnormally small head | microcephaly |
| provider inserts a gloved finger into the rectum to check for prostrate enlargement | DRE (digital rectal exam) |
| ultrasound to detect benign prostatic enlargement | TRUS ( transrectal ultrasound) |
| surgical procedure where the vas deferens is cut to prevent sperm from entering the ejaculate | vasectomy |
| male impotence | erectile dysfunction (ED) |
| farsightedness due to aging | presbyopia |
| nearsightedness | myopia |
| farsightedness | hyperopia |
| screening for near visual acuity | jaegar chart |
| to be used in the eye only | opthalmic |
| to be used in the ear only | otic |
| fecal sample test done to check for various types of microorganisms | stool culture |
| age that is suggested to start SBE (self breast exam) | 20 |
| children 3-5 years | preschool |
| other areas that are assessed in the pediatric patient to evaluate growth and development | sensory, motor and language development |
| vaccine scheduled is put forth by which organization | CDC (centers for disease control) |
| blood work that monitors kidney function | BUN; creatinine; uric acid and protien |
| surgeon cuts away overgrown tissue of the prostate | TURP |
| catheter that remains in the bladder for a long period of time | Foley catherter |
| medication used to treat pain and discomfort of a UTI | pyridium |
| common antibiotic used to treat urinary infections | macrobid; bactrim |
| medications used to treat ED | cialis; viagra |
| medications used to treat BPH | flomax; avodart; proscar |
| medications used to treat over active bladder | detrol; ditrpan; vesicare |
| medications used to treat enuresis | DDAVP; elavil |
| this blood test may indicate prostate cancer if elevated | PSA |
| normal vital signs for newborns | HR 130-160; RR 30-60; BP60-70/30-40 |
| Normal vital signs for 3-10 year olds | HR 60-120; RR 18-30; BP 80-120/40-80 |
| sitting on the end of exam table | wsitting |
| lying flat on back | supine |
| `lying flat on the stomach | prone |
| lying flat on back with knees bent feet flat on table | dorsal recumbant |
| lying on side with bottom leg straight and top leg bent | sims |
| sitting up against table at 45 degrees | semi fowlers |
| hips and buttocks at end of table feet in stirrups | lithotomy |
| chest on table knees bent with hips a buttocks raised | knee chest |
| head placed lower than the heart and feet raised above the level of the heart | trendelenburg |
| observing the patient visually | inspection |
| kistening with a stethoscope | ascultation |
| evaluation by touching | palpation |
| evaluation of sound created by tapping fingers on the body | percussion |
| evaluation by measuring | mensuration |
| applying passive movement to a joint while using force | manipulation |
| exam technique for vital signs | auscultation;mensuration;palpation |
| exam technique for abdomen | inspection;auscultation;palpation;perecussion |
| exam technique for thorax and lungs | inspection; auscultation;palpation;percussion |
| exam technique for cardiovascular system | inspection; auscultation; palpation |
| stomach acid backs up into the esophogaus | GERD |
| acute or chronic inflammation of the colon | ulcerative colitis |
| inflammation of any portion of the GI tract but the terminal ilieum is most common | Crohns disease |
| chronic progressive imflammatory disease of the lover | cirrhosis |
| laxative | miralax |
| antacids | prilosec |
| antidiarrheal | imodium |
| antiemetic | zofran |
| medication for IBS | lotronex |
| medication for ulcerative colitis | asacol |
| medications for GI infections | Cipro and Flagyl |
| amniotic fluid is aspirated to test for genetic disorders and lung maturity | amniocentesis |
| this test if done around 24-28 weeks gestation to check for diabetes | GTT glucose tolerance test |
| test is done to detect neural tube defects | AFP |
| increased blood pressure and protienuria during pregnancy | pre eclampsia |
| excessive vomiting and nausea during pregnancy | hyperemsis gravidarum |
| placenta detaches from the uterus | placenta abruptio |
| placenta is low lying and may block the cervix | placenta previa |
| test that checks stool for various types of bacteria | stool culture |
| most common GI disorder in the US causeing intermittent abdominal pain, cramping, bloating, diarrhea and/or constipation | IBS |
| hypertension | BP >150/90 |
| medication stimulates ovulation | clomid |
| progesterone based BC | Depro provera; mini pill; nexplanon |
| estrogen based BC | Ortho Evra; ortho trycyline; nuva ring |
| permanent BC that scars the fallopian tubes | Essure |
| abx for chalmydia | doxycycline and azithromycin |
| abx for syphilis | PCN G |
| progesterone based IUD | mirena; skylar |
| copper IUD that causes inflammation preventing implantation | paragard |
| if this level is elevated it indicates lack of estrogen; done to confirm menopause | FSH(follicle stimulating hormone) |
| pregnancy hormone | HCG( human chorionic goandotropin |
| tests for Tay Sachs; Sickle Cell and Thalassemia | CVS(chorionic villi sampling) |
| vaginal culture that is done later in pregnancy to detect life threatening infection | group B strep |
Created by:
clarevoyant1019
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