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Clinical Exam Test 1 -C
History taking, patient interviewing, vital signs and peripheral vasculature.
50
Health Care
Professional
09/27/2010

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Cards

Term
What are the names of the visual acuity chart and card?
Definition
Snellen chart, Rosenbaum card
Term
What tests of hearing are done by comparing bone conduction to air conduction?
Definition
Weber and Rinne tests
Term
While palpating the carotid arteries, what should you avoid?
Definition
The carotid sinuses.
Term
While palpating the carotid arteries, what should you avoid?
Definition
The carotid sinuses.
Term
While palpating the carotid arteries, what should you avoid?
Definition
The carotid sinuses.
Term
If you don't have an xray machine available, how can you estimate the size of the heart?
Definition
Percussion
Term
When listening to a vein, what could you be listening for?
Definition
A venous hum
Term
While patient is supine, how do you check for hernias?
Definition
Ask him to lift his head off the table.
Term
For hand and wrist assessment, what 3 tests should you do?
Definition
Thumb abduction, Tinel sign, Phalen test
Term
What are the "normal" waist sizes for men? Women?
Definition
36", 32"
Term
What waist sizes are associated with increased risks for men? Women?
Definition
40", 36"
Term
What is the average heart rate at birth (range)?
Definition
120 - 160
Term
Maximal heart rate during exercise increases or decreases with aging?
Definition
Decreases
Term
If a patient stays in shape, will resting heart rate increase or decrease after hitting adulthood?
Definition
Decrease
Term
What are the RAPID mechanisms of BP maintenance?
Definition
Baroreceptors (primarily in aortic arch and carotids), which send impulse to rostral venterolateral medulla
Term
How does the body respond to blood pressure information from baroreceptors?
Definition
ANS adjusts heart rate and contractility, and arterial relaxation or constriction.
Term
What are the LONG term receptors of BP maintenance?
Definition
Renin-Angiotensin-Aldosterone system
Term
In terms of long-term blood pressure maintenance, what does volume loss cause?
Definition
Angiotensin II production, also vasoconstriction
Term
In response to increased potassium or angiotensin, what is released from adrenal cortex?
Definition
Aldosteron
Term
What is/are the effect(s) of aldosterone?
Definition
Increased sodium retention, increased water retention, potassium is excreted
Term
What is the technical definition of cyanosis?
Definition
Deoxygenation of 5 grams of hemoglobin in every 100 ml of blood.
Term
What is the normal temperature range?
Definition
98.6 plus or minus 0.9 (37 C)
Term
How much does BMR and HR increase for every degree of temperature rise?
Definition
10%
Term
Above what temp is considered fever?
Definition
99.5/37.5
Term
Where is the "shivering center?"
Definition
Posterior hyperthalamus (increases heat production 5-fold when no longer blocked)
Term
Processes that produce fever can exceed the body's ability to maintain the ____________.
Definition
Set point.
Term
Regulation of set point is diminished below ___ and totally lost below ___ degrees.
Definition
94, 82
Term
Main causes of night sweats?
Definition
Tuberculosis and malignancy
Term
What does "rhea" mean?
Definition
Flow or flux
Term
How many standard deviations from the mean indicates a possible problem with height?
Definition
2
Term
Define oxygen saturation
Definition
The quantity of oxygen bound hemoglobin in normal systemic arterial blood
Term
Post-capillary perfusion, venous oxygen saturation drops to...
Definition
75%
Term
Maximal lung alveolar pO2?
Definition
104 mm Hg
Term
Where do palpate the carotid artery in relation to thyroid and hyoid cartilages?
Definition
Lateral to thyroid, above hyoid
Term
What are the pulse gradings?
Definition
0-4, can't feel, faint, normal, above normal and bounding.
Term
What is the normal ankle-brachial index?
Definition
0.9-1.1
Term
What condition causes a thickened arterial media, resulting in false readings of ankle-brachial index?
Definition
DM
Term
With peripheral vascular disease, what is the 10 year survival?
Definition
50%
Term
Pulsus arternans can indicate what?
Definition
CHF
Term
Bisferiens pulses has what? What does it indicate?
Definition
2 peaks, aortic regurg
Term
What are the characteristics of Water Hammer pulse?
Definition
Expansive and collapses. Seen in aortic regurg.
Term
What is a bounding pulse characterized by?
Definition
Wide pulse pressure
Term
Amaurosis fugax is...
Definition
rapid loss of vision in one eye due to arterial occlusion.
Term
What are the risks for PAD?
Definition
50+ male, smoking, diabetes, HTN, high cholesterol, CAD
Term
What do these findings indicate: diminished pulses, bruits, pallor, cyanosis, thin skin, muscle atrophy, hair loss, possible ulceration
Definition
PAD
Term
Normal resting cardiac output?
Definition
5,000 cc/min
Term
With exercise, how high can cardiac output go?
Definition
25,000 cc/min
Term
Normal peripheral muscle blood flow?
Definition
300-400 cc/min
Term
Muscle work can increase dilation of peripheral arteries to a supply of __________.
Definition
3,000-8,000 cc/min
Term
What is Pousille's Law?
Definition
Resistance - Q8vL/Kr4
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