Shared Flashcard Set

Details

Volume 2 Basic Sciences
4NO CDC
176
Medical
Not Applicable
01/04/2008

Additional Medical Flashcards

 


 

Cards

Term
Maslow's "Heirarchy of Needs" theory includes elimination as a physiological need primarily because of which organ?
Definition
Kidneys and intestines
Term
Shelter is a consideration that falls into which need category?
Definition
Safety and Security
Term
What is the third level of needs on Maslow's Heirarchy?
Definition
Love and Belonging
Term
Which need is satisfied when people are able to establish and maintain meaningful relationships?
Definition
Love and Belonging
Term
What need relates to how others feel about you?
Definition
Self-esteem
Term
During what stage of life does the development of stable sleep patterns occur?
Definition
Infancy
Term
During late childhood, how many words are children capable of understanding?
Definition
50,000
Term
What ages are included in the adolescent stage?
Definition
12 to 20
Term
At what stage of life does physical deterioration start?
Definition
After 30
Term
During what stage of life do people often look back at the goals they have accomplished so far?
Definition
Middle Adult
Term
According to Florence Nightingale's theory, with how many controllable environmental factors should medics be concerned?
Definition

5 :

1. Pure/clean air

2. pure water

3.efficient drainage

4. cleanliness

5.light

Term
What 3 health rish factors cannot be changed?
Definition

hereditary

age

gender

Term

Explain the environmental control progam

 

Definition
The monitoring and/or eliminating of various environmental hazards. Specifically, contaminants that can have an adverse effect on air, food, or water are concerns that are addressed in an environmental control program.
Term
What type of community health program is designed to assess health status and provide services that assist in maintaining a healthy lifestyle?
Definition
Health and Wellness
Term
List 3 sources of protein
Definition

meat

fish

eggs

Term
What type of patient would normally be ordered a bland diet?
Definition

People with:

Ulcers

some intestinal disorder

gallbladder disorders

post operative abdominal surgeries

Term
State the purposes of ROM exercises.
Definition
To maintain or increase muscle strength and endurance
Term
Which vitamins cannot be stored by the body and must be ingested daily?
Definition
Vitamins B and C
Term
What type of exercise involves taking in less oxygen than the body needs?
Definition
Anaerobic exercises
Term
At what blood alcohol level is a person usually considered to be intoxicated?
Definition
greater than 100 mg/dL
Term
Intoxication dramatically affects the central nervous system. What signs make this evident?
Definition

Slurred speech

uncoordination

impaired sensory capability

behavioral changes

Term
What are the four main categories of drugs often abused?
Definition

narcotics

sedatives

Central Nervous system stimulants

hallucinogens

Term
Explain the function of local poison control centers.
Definition
To provide up-to-date information and treatment guidelines for all types of drug abuse situations.
Term
Rest is included in which basic human need category?
Definition
Physiological
Term
A toddler is expected to weigh four times the birth weight at age
Definition
2 years
Term
The preschool stage of life begins at which age?
Definition
3 years
Term
A risk factor for heart disease that cannot be controlled is
Definition
heredity
Term
What is likely to be a part of a work site wellness program?
Definition
Blood pressure screenings
Term
What is the body's most necessary nutrient?
Definition
Water
Term
Bland diets are given to patients who have
Definition
gallbladder disorders
Term
Which food is not permitted for a patient who is on a low fat diet?
Definition

Anything fried

Term
When talking with a patient regarding personal concerns, it is important for the medic to
Definition

refer the patient's concerns to the provider in a timely manner

Term
Describe the normal anatomical position.
Definition
standing upright, arms at the side, palms facing forward
Term
What does superior mean?
Definition
Toward the head or area of the body that is closer to the head
Term
What is the correct anatomical position of the eyes in relation to the chin?
Definition
Superior to the chin
Term
What does proximal mean?
Definition
Toward or closer to a given point of origin
Term
Describe the anatomical position of the elbow in relation to the wrist.
Definition
Proximal to the wrist
Term
What is the longitudinal axis?
Definition
An imaginery line that passes lengthwise through a portion of the body or a bone.
Term
What type of movement occurs when the entire arm circles while stretched out to the side?
Definition
circumduction
Term
What type of movement occurs when the toes are pointed away from the face while lying supine?
Definition
Plantar flexion
Term
What is adduction?
Definition
Movement of a body part toward the midline or medial plane of the body
Term
What is protraction?
Definition
Movement of a body part forward, away from the middle of the body
Term
What prefixes are used to make the gram larger?
Definition

-deka (ten)

-hecto (hundred)

-kilo (thousand)

Term
What does centi mean?
Definition
hundreth
Term
Two Kg is equal to how many grams?
Definition
2000 grams
Term
Six mm is equal to what portion of a meter?
Definition
.006
Term
One L is equal to how many hectoliters?
Definition
.01
Term
What is the definition of the anatomical term lateral?
Definition
Away from the midline of the body or body part
Term
A line projecting at right angles to the plane of motion best describes..
Definition
axis joint of rotation
Term
Moving the forearm toward the head by bending the elbow (as in doing a curl with a weight) is an example of
Definition
flexion
Term
Which prefix is used to make the gram smaller?
Definition
Centi
Term
Five dL is the equivalent of how many Liters?
Definition
500
Term

Define the term atmosphere

Definition
A gaseous envelope that surrounds the earth
Term
What are the divisions of the atmosphere?
Definition

Troposphere

Tropopause

stratosphere

ionosphere

exosphere

Term
How does the troposphere differ from the other layers of the atmosphere?
Definition
Weather mostly occurs there
Term
What are the high velocity winds found in the stratosphere called?
Definition
jet streams
Term

Of all the different gases in the atmosphere, which two comprise the greatest amounts?

Definition
Nitrogen and Oxygen
Term
What two essentials does the atmosphere provide that are necessary for life?
Definition
Pressure and Oxygen
Term
What is barometric pressure?
Definition
The combined weight of all atmospheric gases, creating a force upon the surface of the earth.
Term
This law can form the conditions in joints that lead to altitude-induced decompression sickness...
Definition
Henry's Law
Term
This law states that since the body's temperature remains constant, if the pressure is reduced one-half, the gas in the GI tract will increase to twice its volume
Definition
Boyle's Law
Term
This law explains the way in which ascent to altitude induces hypoxia
Definition
Dalton's Law
Term
This law has minimal physiological significance
Definition
Charle's Law
Term
What is the main cause of inflight noise?
Definition
The boundary layer of air rushing over the canopy and fuselage
Term
Why are special alphabets and standard phrases used in aviation?
Definition
It makes information transfer safer and less fatiguing
Term
What special test is done on pilots who have mild hearing deficits?
Definition
Inflight test of hearing
Term
What environmental stresses have the greatest influence on G intolerance?
Definition
Heat and dehydration
Term
Why do some aircrew members require special diet control?
Definition
To reduce the incidence of gas pains and improve crew effectiveness at high altitudes
Term
define desynchrony
Definition
The state in which a person's circadian rhythm is inconsistent with the local environmental cues
Term
What causes desynchrony?
Definition
Traveling too rapidly to permit immediate adjustment to the new environment's zeitgebers, usually by crossing 4 or more time zones
Term
What is the most common cause of airsickness during pilot training?
Definition
Lack of adaptation
Term
What is the desired timeframe for treating combat stress?
Definition
24 to 72 hours
Term
What is usually the first emotional response to a combat or survival situation?
Definition
Disbelief
Term
What is hypoxia?
Definition
An oxygen deficiency in the blood or tissue sufficient to impair normal body function
Term
What is the most common type of hypoxia seen in aircrew members?
Definition
Hypoxic hypoxia
Term
What is hyperventilation?
Definition
A condition in which the respiratory rate increases abnormally, resulting in an excessive loss of carbon dioxide
Term

Ways to treat hypoxia?

Definition

administering oxygen (100 %)

Monitoring breathing

checking equipment

descent

Term
Ways to treat hyperventilation?
Definition

reducing one's rate and depth of breathing

paper bag method to increase CO2 level

Term
Decompression sickness in flight depends on what factors?
Definition

altitude

time at altitude

rate of ascent

physical activity at altitude

age

body-build

individual susceptibility

cabin pressurization

self-contained underwater breathing apparatus (SCUBA) diving before flying

Term
What affect does rapid ascent have in regard to decompression sickness?
Definition
The more rapid the ascent the sooner the symptoms will appear.
Term
How does physical activity relate to decompression sickness?
Definition
 Physical exercise lowers the altitude or time threshold for all manifestations of decompression sickness, particularly the bends.
Term
How does body fat affect an individual's tolerance to decompression sickness?
Definition
Pain associated with the bends is more severe and the likelihood of an individual encountering severe decompression sickness is greater as the proportion of body fat increases.
Term
At what altitude does the incidence of decompression sickness increase?
Definition
Above FL 250
Term
How many hours should someone wait to fly following diving activities?
Definition
24 hours
Term
What are the usual sites for pain associated with bends?
Definition
larger joints such as shoulders, elbows, knees, and ankles.
Term
State 3 factors that affect the degree of bends pain.
Definition

exercise

time at altitude

increased altitude

Term
State 2 methods of eliminating bends pain
Definition

Increase total barometric pressure on the body

continuing to breath 100% oxygen

Term
Where are the bubbles that cause chokes primarily located?
Definition
In the lungs
Term
What is the treatment for chokes in flight?
Definition

Immediate descent to ground level

Individual must be referred to a flight surgeon

Term
How do you differentiate between chokes and false chokes?
Definition

With chokes there is a sharp pain under the sternum and false chokes there is not.

Term
List atleast 4 symptoms of neurological decompression sickness.
Definition

disturbances of vision

dull to severe persistent headache

decreased sensation to touch and pain

inability to speak or hear

Term
How would you differentiate between the numbness and tingling of hypoxia or hyperventilation and neurological decompression sickness?
Definition
With hypoxia or hyperventilation numbness and tingling always occurs bilaterally; these symptoms in decompression sickness are unilaterally.
Term
When can a diagnosis of vasomotor manifestation, rather than simple fainting, be confirmed?
Definition

Anyone who does not respond within a few minutes

Term
Where are the bubbles that cause skin manifestation believe to be located?
Definition
Under the skin
Term

What types of sensations are associated with skin manifestations?

Definition

Itching, hot or cold feelings, and tingling

Term
Why is mottling a dangerous sign?
Definition
It may precede nuero-circulatory collapse
Term
What is denitrogenation?
Definition
Prebreathing 100% oxygen for a period of time before exposure to low barometric pressure
Term
Aircraft flight is restricted to what cabin altitudes?
Definition
FL 250 (25,000) or less
Term
How has denitrogenation affected the incidence of decompression sickness in the altitude chamber?
Definition
reduces it enormously
Term
What is the maximum flying altitude when transporting a patient suffering from DCS in a helicopter or other pressurized aircraft?
Definition
800 to 1,000 feet
Term
How long must someone suffering joint pain due to DCS be grounded?
Definition

72 hours following complete resolution of symptoms.

 

Term
What does the term G force mean?
Definition
the measurement of the force imposed on the body resulting from three types of acceleration- linear, angular, and radial
Term
What G force pushes the flyer into the seat?
Definition

Positive G force

Term
What 3 areas in the body are affected by positive G forces?
Definition

The body as a whole

the viscera

the cardiovascular system

Term
What G force produces forces from foot to head?
Definition
Negative G forces
Term
What G force may be characterized by a report of "red out?"
Definition
Negative G force
Term
How is the anti-G straining maneuver performed?
Definition
By vigorously tensing the leg and arm muscles and the chest and abdominal muscles during the expiratory phase against a completely closed glottis.
Term
What causes the anti-G straining maneuver to be unreliable?
Definition

It is tiring, and as the duration of accleration increases, it becomes often difficult to maintain the effort.

Term
Increasing G tolerance by counterpressure below heart level is accomplished by what device?
Definition
Anti-G suit
Term
What are the 3 sensory systems used in maintaining orientation and balance?
Definition

visual system

vestibular system

proprioceptive system

Term
Why can't the otolith organs provide orientation information in flight?
Definition
They can't tell the difference between a tilt of the head and linear acceleration.
Term
What body organ detects rotation?
Definition
semicircular canals
Term
When does the leans occur?
Definition
After a pilot returns to straight and level flight after a prolonged unintentional turn.
Term
Where is the greatest barometric pressure found?
Definition
Troposphere
Term
At what altitude is density of the atmosphere greatest?
Definition
30,000 feet
Term
As altitude increases, barometric pressure will
Definition
decrease
Term
The physiological significance of Boyle's law is
Definition
it explains the effects of altitude on the middle ear, sinuses and G.I. tract
Term
What gas law explains altitude-induced decompression sickness?
Definition
Henry's law
Term
What is the main contributing factor to inflight  noise?
Definition
Air rushing over the canopy
Term
The best description of inflight noise is it
Definition
increases with airspeed and decreases with altitude
Term
Special diet control is important to many aircrew members because it
Definition
reduces the incidence of gas pains
Term
What causes an aircrew member's circadian rhythm to be affected on a cross-country flight?
Definition
Crossing of time zones
Term
What does the "B" stand for under the "BICEPS" approach to treating patients suffering combat fatigue?
Definition
Brevity
Term
Extreme blood loss will lead to what type of hypoxia?
Definition
Hypemic hypoxia
Term
The cardiovascular and respiratory systems may compensate for hypoxia at altitudes up to how many feet?
Definition
10,000
Term
Hyperventilation is best described as a condition in which respiratory rates
Definition
increase, causing an excessive loss of carbon dioxide.
Term
Which cause of hyperventilation is characterized by the reversing of your breathing cycle?
Definition
pressure breathing
Term
What is the most effective treatment for hyperventilation?
Definition
Reducing the rate and depth of breathing
Term
Hypoxia is most frequently caused by
Definition
Term
The initial condition leading to decompression sickness is the
Definition
Sudden reduction in pressure applied to the body
Term
What are the factors of decompression sickness?
Definition

altitude

rate of ascent

physical activity

Term
What are the usual sites for bends pain?
Definition
Shoulders, elbows, knees, and ankles
Term
What is the best method for treating the chokes?
Definition
Immediate descent to ground level
Term
What key symptom differentiates chokes and false chokes?
Definition
Sharp substernal pain
Term
The skin symptoms of decompression sickness, such as a skin rash, are believed to be caused by bubbles evolving
Definition
under the skin
Term
What process can protect an aircrew member against decompression sickness?
Definition
Denitrogenation
Term
What is the best way to administer oxygen while treating decompression sickness?
Definition
Aviator's mask
Term
What is the maximum flying altitude for unpressurized aircraft when transporting a patient suffering decompression sickness?
Definition
1,000 feet
Term
In what direction are negative G forces applied?
Definition
foot-to-head
Term
What presents the primary source of damage associated with negative G forces?
Definition
Hemorrhage within the eye
Term
The anti-G suit increases the human tolerance of G forces by applying external
Definition
counter pressure below heart level
Term
Which of the senses of orientation is considered to be reliable in flight?
Definition
visual
Term
A vestibular input of rotation in the opposite direction of the original rotation is a characteristic of which sensory illusion?
Definition
Graveyard spin
Term
How many primary purposes does the medical record serve? 3
Definition

-Provides a means of documenting required legal info,observations, diagnoses, and procedures.

-Ensures continuity of care during present and possible future hospital/clinic evaluations and admissions.

-Serves as a legal document to protect both the patient and medical profession.

Term
Who is the custodian of the military health record?
Definition
Medical treatment facility (MTF) commander
Term
Who determines what information is pertinent for release in regard to a patient's medical record?
Definition
Director of base medical services (DBMS) or designee
Term
Who should medical personnel consult with in regard to laws affecting the disclosure of medical information?
Definition
staff judge advocate
Term
What is the two-digit family prefix number code for an active duty member?
Definition
20
Term
What patient data must be on each document in a medical record?
Definition

patient's name

family number prefix

ssn

Term
Under whose SSN is a dependent child's health record filed?
Definition
The Pt's sponsor
Term
Where is the DD Form 2766, Adult Preventive and Chronic Care Flow Sheet, located in the military health record?
Definition
In Section 1 always on top
Term
Where is the AF Form 137, Footprint Record, filed for an individual on flying status?
Definition
Section 3 on top of DD Form 2005, Privacy Act Statement
Term
How is the Standard Form 520, Clinical Record-Electrocardiographic Record, filed?
Definition
If accomplished during a physical, it will be filed w/ the physical in section 3.
Term
What filing system does the Air Force use for military health records?
Definition
"terminal digit" filing system
Term
Which method of documentation does AFI 46-102 designate as the approved documentation system?
Definition
Outcome Oriented Nursing, documentation system (OONDS)
Term
Which system of documenting patient care permits the numbering of all patient problems?
Definition
POMR-Problem oriented medical record
Term
Information stated by the patient pertaining to his or her condition would be documented under which portion of a narrative SOAPP note?
Definition
Subjective
Term
Vital signs are documented under which portion of a narratigve SOAPP note?
Definition
Objective
Term
What should be the outcome of PIMR?
Definition
Medically and fit Air Force
Term
What is the primary purpose of IMR?
Definition
Provide "real-time" medical readiness assessment
Term
What does IMR status RED represent?
Definition
Immunizations missing or out of date
Term
When is the HEAR reviewed for individuals on PRP?
Definition
Immediately
Term
How often are OHEs conducted?
Definition
annually
Term
Who is the squadron's central point of contact for PHA appointments?
Definition
Unit Health Monitor
Term
What is the overall goal of preventive counseling?
Definition
To promote reasonable, realistic, and achievable life style changes that will benefit a healthy, fit community.
Term
Who owns the health record?
Definition

US government

Term
what must occur to ensure health records are maintained according to Air Force and JCAHO standards?
Definition
MTF reviews
Term
Into how many sections is the outpatient record divided?
Definition
four sections
Term
In which section of the outpatient record is every completed SF 600 filed?
Definition
2
Term
Which method of health record documentation is used to chronologically document the entire patient care process?
Definition
OONDS
Term
The various components of the POMR include
Definition
database, problem list, care plan, and progress notes
Term
IMR status green means the IMR requirements are
Definition
met and current
Term
How often is the DNA lab test required and recorded in the PIMR data base?
Definition
Once
Term
The minimum recommended examinations that an individual needs are based on the
Definition
preventive-based screening grid
Term
The final review of the PHA is accomplished by the
Definition
Primary care manager
Term
Care extender protocols are developed as an overprint by utilizing
Definition
Standard form 600
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