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