MDA 135 FINAL STUDY GUIDE
SOAP - Answer -subjective, objective, assessment, plan
subjective - Answer -what the patient tells you
objective - Answer -Observable, measurable data. What can be seen or tested
Assessment - Answer -Official diagnosis based on subjective and objective, test
RESULTS
CC - Answer -chief complaint
Five W's and H - Answer -who, what, when, where, why, how
HPI - Answer -history of present illness
PMI - Answer -past medical illness
Medical history includes - Answer -Chief complaint (cc), history of present illness (hpi),
past family and social history (pfsh) and review of systems (ros)
Family history includes - Answer -Significant medical issues-anything that "runs in the
family"-among parents, children, grandparents, grandchildren (heart disease, cancer,
diabetes, stroke)
non verbal behavior - Answer -behavior that reveals a person's feelings without words,
through facial expressions, body language, and vocal cues
Why is non verbal behavior important - Answer -May give clues for unspoken concerns
Vitals - Answer -temperature, pulse, respiration, blood pressure
What is oxygen saturation called - Answer -Pulse ox, O2 sats
anthropometric measurements - Answer -height and weight
BMI - Answer -body mass index (measurement of body fat based on height and weight)
Normal BMI - Answer -Up to 30
BMR - Answer -basal metabolic rate, minimum calories needed for basic function
gait - Answer -How a person walks
, What are some things to consider when instructing a patient to change into a gown? -
Answer -Be specific, explain what the exam is for, how the gown needs to be worn,
getting sheets to cover patient, make sure patient understands directions
What can affect a person's temperature? - Answer -Illness, stress, depression, anxiety,
exercise, age, gender, environment, time of day
Pyrexia - Answer -Fever of 102 or higher
hyperpyrexia - Answer -Fever 105° and above
Normal oral temperature - Answer -98.6
Normal rectal temperature - Answer -99.6
Normal axillary temperature - Answer -97.6
Normal tympanic temperature - Answer -98.6
normal temporal temperature - Answer -98.6
Official start of fever - Answer -100.4
What can affect a person's pulse - Answer -Anxiety, depression, stress, exercise,
illness, time of day, position, medication, body type, blood volume, alcohol, drugs
What are the characteristics of pulse - Answer -rate, rhythm, volume
What artery is used most often for pulse rate - Answer -radial
What pulse point is used on babies - Answer -Apical preferred, or brachial
What would you expect for pulse rate on an athlete - Answer -Lower, slower than
normal
Normal adult pulse - Answer -60-100 bpm
Things that can affect a person's respirations - Answer -Age, elevated body
temperature, sleep apnea, illness, knowing they are being watched
normal infant respiratory rate - Answer -20+ per minute
Normal child respiratory rate - Answer -18-20 per minute
normal adult respiratory rate - Answer -12-20 breaths per minute
SOAP - Answer -subjective, objective, assessment, plan
subjective - Answer -what the patient tells you
objective - Answer -Observable, measurable data. What can be seen or tested
Assessment - Answer -Official diagnosis based on subjective and objective, test
RESULTS
CC - Answer -chief complaint
Five W's and H - Answer -who, what, when, where, why, how
HPI - Answer -history of present illness
PMI - Answer -past medical illness
Medical history includes - Answer -Chief complaint (cc), history of present illness (hpi),
past family and social history (pfsh) and review of systems (ros)
Family history includes - Answer -Significant medical issues-anything that "runs in the
family"-among parents, children, grandparents, grandchildren (heart disease, cancer,
diabetes, stroke)
non verbal behavior - Answer -behavior that reveals a person's feelings without words,
through facial expressions, body language, and vocal cues
Why is non verbal behavior important - Answer -May give clues for unspoken concerns
Vitals - Answer -temperature, pulse, respiration, blood pressure
What is oxygen saturation called - Answer -Pulse ox, O2 sats
anthropometric measurements - Answer -height and weight
BMI - Answer -body mass index (measurement of body fat based on height and weight)
Normal BMI - Answer -Up to 30
BMR - Answer -basal metabolic rate, minimum calories needed for basic function
gait - Answer -How a person walks
, What are some things to consider when instructing a patient to change into a gown? -
Answer -Be specific, explain what the exam is for, how the gown needs to be worn,
getting sheets to cover patient, make sure patient understands directions
What can affect a person's temperature? - Answer -Illness, stress, depression, anxiety,
exercise, age, gender, environment, time of day
Pyrexia - Answer -Fever of 102 or higher
hyperpyrexia - Answer -Fever 105° and above
Normal oral temperature - Answer -98.6
Normal rectal temperature - Answer -99.6
Normal axillary temperature - Answer -97.6
Normal tympanic temperature - Answer -98.6
normal temporal temperature - Answer -98.6
Official start of fever - Answer -100.4
What can affect a person's pulse - Answer -Anxiety, depression, stress, exercise,
illness, time of day, position, medication, body type, blood volume, alcohol, drugs
What are the characteristics of pulse - Answer -rate, rhythm, volume
What artery is used most often for pulse rate - Answer -radial
What pulse point is used on babies - Answer -Apical preferred, or brachial
What would you expect for pulse rate on an athlete - Answer -Lower, slower than
normal
Normal adult pulse - Answer -60-100 bpm
Things that can affect a person's respirations - Answer -Age, elevated body
temperature, sleep apnea, illness, knowing they are being watched
normal infant respiratory rate - Answer -20+ per minute
Normal child respiratory rate - Answer -18-20 per minute
normal adult respiratory rate - Answer -12-20 breaths per minute
