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Clinical Exam - Unit C
N/A
91
Medical
Undergraduate 1
11/28/2012

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Cards

Term
List some avoidable barriers of communication.
Definition
Cliched statements
Contradicting
Criticizing
Ridiculing
Sarcasm
Indifference
Lecturing
Term
What is cultural imposition?
Definition
presuming that everyone should feel and act as we do
Term
What is cultural blindness?
Definition
refusing to recognize differences—expecting all patients to react the same in every situation, regardless of needs or traditions
Term
You should start a chart entry with what?
Definition
a verb
Term
Three most common sheets in a medical chart?
Definition
Flow sheets - vitals, labs, meds
Progress Notes - exams, diagnoses, vitals
graphic sheets - infant height and weight
Term
What should you remember when asking about the History of Present Illness?
Definition
Location
Quality
Severity
Chronology
How it began
What makes it better or worse
Associated symptoms
Term
What words can describe the quality of a symptom?
Definition
Sharp, throbbing, constant, burning, cramping, dry or productive cough
Term
Name some aspects of the social history.
Definition
Lifestyle
Habits
Environment
Use of tobacco, alcohol, drugs caffeine
Diet, sleep, exercise, hobbies, interests
Term
Name some aspects of the occupational history.
Definition
exposure, stress
Term
Name some aspects of the past history.
Definition
Prior illness
Childhood diseases
Surgical procedures
Hospitalizations
Term
Name some aspects of the family history.
Definition
Health status and age of immediate relatives
If deceased, age at death and cause
Disease of relatives thought to have hereditary or familial tendency
Term
What does the Review of Systems do?
Definition
Reveals subjective sx that either patient forgot to discuss or that seemed unimportant to the patient
Term
What are three ingredients needed to build rapport?
Definition
Positive Attitude
Pleasant Presentation
Good Communication Skills
Term
What does SAMPLE stand for?
Definition
Signs and symptoms, allergies, medications, pertinent past history, last oral intake, events leading up to
Term
What is the abbreviation for the right eye?
Definition
O.D
Term
What is the abbreviation for the left eye?
Definition
O.U.
Term
What is the abbreviation for both eyes?
Definition
O.S.
Term
What is the term for nearsightedness?
Definition
Myopia
Term
What is the term for farsightedness?
Definition
Hyperopia
Term
What is astigmatism?
Definition
Irregular curvature of the lens or cornea causing blurring of vision
Term
What does the Snellen test test for?
Definition
myopia (far vision)
Term
What are the two eye chart styles
Definition
alphabetical and E chart
Term
What three things should you remember when placing an eye chart?
Definition
In area which is well lighted
In area where patient can’t sit and memorize chart
At patient’s eye level
(can be placed at 5, 10, or 20 feet)
Term
What is the proper way to record the results of an eye chart test?
Definition
Vision c glasses R 20/20 L 20/25 Both 20/20
Vision s glasses R 20/30 L 20/40 Both 20/30
Term
What are some tests for farsightedness?
Definition
Near Vision Tests
Jaeger
Sloan
Term
What is the Jaeger vision test?
Definition
a card held approximately fourteen inches away with letters
Term
What can cause acquired color deficiency?
Definition
Aging
Medications
Retinal or optic nerve disease
Term
What is heterophoria?
Definition
Tendency of eyes to deviate from their normal position for visual alignment
Caused by imbalance or weakness of ocular muscles
Term
What are three general types of hearing loss?
Definition
Conductive - disturbance as it passes through the ear
Perceptive or Sensorineural - disturbance in inner ear or hearing center of brain
Mixed - both
Term
What are three qualitative hearing tests?
Definition
Whisper Test
Watch Test
Tuning Fork Test
Term
What are three tuning fork tests?
Definition
Weber Test
Rinné Test
Schwabach
Term
True or false, hearing loss is one of the most common birth defects.
Definition
True
Term
How many babies are affected by hearing loss?
Definition
about 1-3/1000
Term
What does ABR stand for?
Definition
auditory brain stem response
Term
What does EOAE stand for?
Definition
Evoked Otoacoustic Emission Test
Term
Name a quantitative hearing test.
Definition
Audiometry
Term
What is the unit of loudness?
Definition
decibel
Term
What is frequency?
Definition
pitch or tone
Term
About how many decibels is a normal conversation?
Definition
50-60
Term
The normal ear should hear at about how many decibels?
Definition
20
Term
Horizontalrecumbent (supine)
Definition
flat on the back, legs sraight
Term
Dorsal Recumbent
Definition
flat on the back, knees bent
Term
prone
Definition
on the stomach, head to the side
Term
Sims
Definition
on the left side,the left leg slightly bent, the right leg sharply bent
Term
Trendelenburg
Definition
the head lower than the feet
Term
Sitting
Definition
semi-fowlers, fowlers
Term
dorsal lithotomy
Definition
position for pap; legs apart in stirrups.
Term
knee chest
Definition
Term
four leading types of cancer in men
Definition
bladder, lung, colon, prostate
Term
leading cancer deaths in men
Definition
lung, prostate, colon, pancreas
Term
four leading types of cancer in women
Definition
colon, lung, uterine, breast
Term
leading cancer deaths in women
Definition
lung, breast, colon, ovary
Term
The seven warning signs of cancer spell what and what do they stand for?
Definition
CAUTION
Term
Name risks of breast cancer
Definition
age, family history, early menarche, late menopause, never had children, late age at first childbirth, alcohol, overweight
Term
Name warning signs of breast cancer
Definition
lump or thickening, swelling, dimpling, skin irritation, distortion, pain, tenderness of nipple, discharge
Term
Three ways to check for breast cancer
Definition
mammography, monthly self breast exam, breast exam by doctor
Term
What don't you use before a mammogram?
Definition
deodorant, powder, lotion
Term
Name the four types of surgeries to treat breast cancer.
Definition
lumpectomy, simple mastectomy, standard radical, modified radical
Term
What are some complications of removing nodes?
Definition
Lymphedema
Numbness
Persistent burning sensation
Infection
Limited movement of shoulder
Term
Describe the four stages of breast cancer
Definition
1: lump in breast up to two centimeters, not spread to other tissues
2: up to five centimeters, may spread to axillary tissue
3:larger than five centimeters, has spread to other tissue
4: has spread to other parts of the body
Term
Breast cancer will most likely spread to what three places?
Definition
bone liver lungs
Term
cervical cancer risk factors
Definition
Early age at first intercourse
Multiple sex partners
Cigarette smoking
HPV
Gave birth before age 17
Term
symptoms of cervical cancer
Definition
Leukorrhea
Irregular vaginal bleeding or spotting
Term
equipment for a pap smear
Definition
Vaginal speculum
Pap cytology bottle
Cervical scraper (spatula)
Cytology brush
2 pairs of gloves
Lubricant
Pathology slip
Shipping container
Biohazard bag
Term
two types of a pap smear
Definition
Regular or Conventional
Thin Prep or liquid based pap
Term
prostate cancer symptom
Definition
Frequent urination (especially at night)
Urination problems
Blood in semen or urine
Pain during ejaculation
Term
Prostate cancer risk factors
Definition
age, family history
Term
early detection of prostate cancer
Definition
Digital Rectal Exam
Prostate specific antigen (PSA)
Prostate biopsy
Term
treatment for prostate cancer
Definition
Watchful waiting
Surgery
Bone scan
Acid Phosphatase test
Radiation therapy
Hormone therapy
Term
risk factors for testicular cancer
Definition
Age 15 to 35
History of undescended testicle
Early puberty
Family history
Mother or sister with breast ca
mono
overweight
Term
symptoms of testicular cancer
Definition
Small hard painless lump on front or side of testicle
Enlarged testicle
Dull ache in groin
Feeling of heaviness in testicle
Change in how testicle feels to touch
Sudden accumulation of fluid or blood in scrotum
Swelling or tenderness elsewhere in body--groin, breast, neck
Term
treatment for testicular cancer
Definition
Radical inguinal orchiectomy
Blood tests, chest xray and CT scan q month x 1 yr and q 2months x 1 yr
Chemotherapy
Radiation
Bone marrow transplant
Term
risk factors for ovarian cancer
Definition
Age
Never pregnant
Family history
Hx of other cancers
Term
symptoms of ovarian cancer
Definition
Silent
Abdominal enlargement
Pelvic discomfort
Vague digestive disturbance
Gas
Bloating
Term
diagnostic tests for ovarian cancer
Definition
Ultrasound
Laparoscopy
CA 125
Biopsy
Term
treatment for ovarian cancer
Definition
Oophorectomy, hysterectomy, salpingectomy
Chemotherapy
Radiation
Term
positive stress is also called?
Definition
eustress
Term
What is the pap smear classification system?
Definition
Bethesda system
Term
What decreases the risk of breast cancer?
Definition
exercise
Term
What type of hearing loss is caused by aging?
Definition
presbycusis
Term
pap class that indicates mild dysplasia?
Definition
CIN I
Term
vision problem caused by loss of elasticity of lens?
Definition
presbyopia
Term
recess surrounding cervix?
Definition
flonix
Term
cervical cancer treatment method using liquid nitrogen?
Definition
cyrosurgery
Term
lymph node that may determine the extent of surgery necessary in breast cancer
Definition
sentinal
Term
blood test for prostate cancer
Definition
PSA
Term
one abbreviation for birth control pills
Definition
BCP
Term
Part of hisotry where we collect details about chief complaint
Definition
HPI
Term
depth perception
Definition
stereopsis
Term
c means?
Definition
with
Term
primary reason why patient is at clinic
Definition
chief complaint
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