Term
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Definition
| injuries, surgeries, OB/GYN, childhood, hospitalizations, immunizations, psychiatric |
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Term
| How long should the stethoscope be? |
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Definition
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Term
| Why should you assess the neck from the right? |
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Definition
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Term
| What is different about the right and left kidneys? |
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Definition
| Right is frequently more palpable than the left |
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Term
| What are the terms for the fingers in percussion? |
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Definition
| Striking/plexor finger and pleximeter finger |
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Term
| What are the frequencies of the tuning forks? |
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Definition
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Term
| What should be done specially for the ophthalmoscopic exam? |
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Definition
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Term
| In what position(s) should you inspect the breasts? |
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Definition
| Arms relaxed, elevated and with hands on hips. |
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Term
| Where should the head of the bed be when assessing carotids? |
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Definition
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Term
| Pt should be in what position to listen for apex and mitral stenosis? |
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Definition
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Term
| Pt should be in what position to listen for murmurs of aortic regurg? |
|
Definition
| Leaned forward and exhaled. |
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Term
| If you suspect kidney infection, where should you percuss? |
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Definition
| Posteriorly on costovertebral angle. |
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Term
| What are the 3 basic types of clinical reasoning? |
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Definition
| Pattern recognition, schemas and application of relevant basic or clinical science. |
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Term
| When developing hypotheses regarding a pt's illness, you should give special attention to what? |
|
Definition
| Potentially life-threatening and treatable conditions. |
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Term
| What should you consider when trying to cluster data into single vs. multiple problems? |
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Definition
| Age, timing and involvement of different body systems. |
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Term
| What is intraobserver reliability? |
|
Definition
| One observer finds the same results time after time. |
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|
Term
| What is interobserver reliability? |
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Definition
| Multiple observers find the same result. |
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Term
|
Definition
| How well the measurement agrees with the true state or best possible measure of reality. |
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Term
|
Definition
| Proportion of people who test positive among those with the disease - "true positives" |
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Term
|
Definition
| Proportion of people who test negative among those without the disease - "true negatives" |
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Term
| A good test has specificity and sensitivity above... |
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Definition
|
|
Term
| What does predictive value tell you? |
|
Definition
| How well a given test detects the presence or absence of a disorder. |
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|
Term
| Predictive value depends heavily on... |
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Definition
|
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Term
|
Definition
| Proportion of people who really have the disease among those who tested positive. |
|
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Term
|
Definition
| Proportion of those who really don't have the disease among those who tested negative. |
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|
Term
| When prevalence increases, what will happen to PPV (assuming a constant specificity and sensitivity)? |
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Definition
|
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Term
|
Definition
| The odds that a finding occurs in a pt with the condition compared to a pt without the condition. |
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|
Term
| What is the equation for a positive LR? |
|
Definition
| Sensitivity/(1-specificity) |
|
|
Term
| What is the equation for a negative LR? |
|
Definition
| Specificity/(1-Sensitivity) |
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Term
|
Definition
| Interobserver agreement, or degree of precision of clinical finding compared to chance alone. |
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|
Term
| For Kappa measurement, expected agreement is what? |
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Definition
|
|
Term
| What is the equation for k? |
|
Definition
| Actual agreement beyond chance / remaining potential agreement beyond chance |
|
|
Term
| What are the ranges for K measurement? |
|
Definition
0-0.2 slight agreement
0.2-0.4 fair
0.4 - 0.6 moderate
0.6-0.8 moderately high
0.8-1.0 substantial |
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|
Term
| When discussing sensitive topics, what should you do with your notes? |
|
Definition
| Put down the pen or keyboard. |
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|
Term
| You should understand the patient's perspective to the illness. What does this consist of? |
|
Definition
| FIFE - Fears, ideas, functional effects, expectations |
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Term
| Before discussing a pt's history or health care with anyone, even colleagues, you should consider what? |
|
Definition
| The law - especially HIPAA (1996) |
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Term
| Those not fluent in English are less likely to do what? |
|
Definition
| Have regular/preventative care and report problems with their care. |
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Term
|
Definition
| Determining likelihood of alcohol abuse. |
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|
Term
| Two "yes" responses to CAGE has what sensitivity and specificity? |
|
Definition
| sensitivity 43-94%, specificity 70-96% |
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|
Term
| What are the 4 main principles of ethics? |
|
Definition
| Nonmaleficence, beneficence, autonomy, confidentiality |
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|
Term
| What is weakness, and what does it suggest? |
|
Definition
| Loss of muscle power, myopathy or neuropathy |
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|
Term
| Fatigue is a normal response to what? |
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Definition
| Hard work, stress and grief |
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Term
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Definition
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|
Term
| Feeling hot and sweaty indicates what? |
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Definition
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Term
| Shaking chill with shivering throughout entire body indicates what? |
|
Definition
| Extreme temperature swings, possibly bacteremia. |
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|
Term
| Approx how many people in the US have persistent or intermittent pain? |
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Definition
|
|
Term
| What proportion of Americans have a healthy weight? |
|
Definition
|
|
Term
| What percent of adults in the US are overweight? |
|
Definition
|
|
Term
| What percentage of children in the US are overweight? |
|
Definition
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|
Term
| What percentage of black women in the US are overweight? |
|
Definition
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