NURS 520 Midterm Study Guide Exam
Questions With Correct Answers
Name |the |seven |attributes |of |a |principle |symptom
OLD |CART
1) |Onset
2) |Location
3) |Duration
4) |Characteristics
5) |Aggravating/Alleviating |Factors
6) |Radiation
7) |Timing/Treatment
Smoking |is |often |reported |in |packs/year. |How |would |you |report |a |1.5 |pack |a |
day |smoker |for |12 |years?
18-pack/year |history
Why |is |it |recommended |for |examiners |to |assess |from |the |right |side, |moving |to
|the |left |as |needed, |then |returning |back |to |the |right |to |finish |examination?
-Estimates |of |jugular |venous |pressure |more |reliable
-palpating |hand |rests |comfortably |on |apical |impulse
-right |kidney |is |more |frequently |palpable |than |the |left
-examining |tables |are |frequently |positioned |to |accommodate |a |right-handed |
approach
What |are |the |optimal |positions/sequences |for |the |following |systems:
1) |general |survey
2) |cardiovascular |(JVP, |carotids, |point |of |maximal |impulse, |S1, |S2)
3) |S3 |and |murmur |of |mitral |stenosis
4) |murmur |for |aortic |insufficiency
5) |muskuloskeletal
6) |females: |pelvic |and |rectal |examination
7) |males: |prostate |and |rectal |examination
8) |Pregnancy
,9) |Neonatal
10) |Pediatric
1) |general |survey |sitting
2) |cardiovascular |(JVP, |carotids, |point |of |maximal |impulse, |S1, |S2) |HOB |30
3) |S3 |and |murmur |of |mitral |stenosis |HOB |30 |turned |partially |on |left |side |
4) |murmur |for |aortic |insufficiency |sitting; |leaning |forward
5) |muskuloskeletal |sitting, |then |standing
6) |females: |pelvic |and |rectal |examination |lithotomy |position
7) |males: |prostate |and |rectal |examination |lying |on |left |side
8) |pregnancy: |side-lying |(vena |cava |syndrome |risk |supine)
9) |neonatal: |inspect |first |prior |to |exam; |save |otoscopic |exam |for |last
10) |pediatric: |assess |pain |related |issues |last
When |listing |Ob/Gyn |history, |what |does |3-3-0-3 |mean?
#ofpregancies |- |#ofdeliveries |- |miscarriages |- |living
So |this |patient |has |been |pregnant |3 |times, |given |birth |3 |times, |no |
miscarriages, |and |3 |of |the |children |are |still |living
Two |validated |screening |questions |for |depression
Over |the |past |2 |weeks, |have |you |felt |down, |depressed, |or |hopeless?
Over |the |past |2 |weeks, |have |you |felt |little |interest |or |pleasure |in |doing |things?
|(anhedonia)
Terminology:
Lethargic
Obtunded
Stuporous
Coma
, Lethargic |- |can |illicit |a |response
Obtunded |- |dull/blunted |response |or |behavior
Stuporous |- |arousal |only |to |painful |stimuli
Coma |- |unrousable
Where |is |the |bifurcation |of |the |main |bronchus |in |correlation |with |the |sternum?
sternal |angle |(anterior)
T4 |spinous |process
How |prevelant |is |chest |pain |in |anxiety |and |panic |disorders?
Very |common, |one |in |four |patients |with |anxiety |and |panic |disorders |complain |
of |chest |pain.
Palpations |are |very |specific |to |anxiety
Lung |cancer |prevalence
-2nd |most |commonly |diagnosed |cancer
-leading |cause |of |cancer |death |in |the |US
-90% |of |lung |cancer |patients |are |smokers
When |to |perform |a |focused |vs |comprehensive |assessment
Comprehensive:
- |all |non |emergent |new |patients
Focused:
- |reassessment |of |known |patient
- |emergent |situations
What |percentage |of |patient |information |can |you |obtain |from |subjective |data?
90-95%
In |order, |name |all |components |of |a |comprehensive |health |history.
ID |data, |source |of |hx
Chief |complaint
HPI |(7 |attributes)
PMH
Questions With Correct Answers
Name |the |seven |attributes |of |a |principle |symptom
OLD |CART
1) |Onset
2) |Location
3) |Duration
4) |Characteristics
5) |Aggravating/Alleviating |Factors
6) |Radiation
7) |Timing/Treatment
Smoking |is |often |reported |in |packs/year. |How |would |you |report |a |1.5 |pack |a |
day |smoker |for |12 |years?
18-pack/year |history
Why |is |it |recommended |for |examiners |to |assess |from |the |right |side, |moving |to
|the |left |as |needed, |then |returning |back |to |the |right |to |finish |examination?
-Estimates |of |jugular |venous |pressure |more |reliable
-palpating |hand |rests |comfortably |on |apical |impulse
-right |kidney |is |more |frequently |palpable |than |the |left
-examining |tables |are |frequently |positioned |to |accommodate |a |right-handed |
approach
What |are |the |optimal |positions/sequences |for |the |following |systems:
1) |general |survey
2) |cardiovascular |(JVP, |carotids, |point |of |maximal |impulse, |S1, |S2)
3) |S3 |and |murmur |of |mitral |stenosis
4) |murmur |for |aortic |insufficiency
5) |muskuloskeletal
6) |females: |pelvic |and |rectal |examination
7) |males: |prostate |and |rectal |examination
8) |Pregnancy
,9) |Neonatal
10) |Pediatric
1) |general |survey |sitting
2) |cardiovascular |(JVP, |carotids, |point |of |maximal |impulse, |S1, |S2) |HOB |30
3) |S3 |and |murmur |of |mitral |stenosis |HOB |30 |turned |partially |on |left |side |
4) |murmur |for |aortic |insufficiency |sitting; |leaning |forward
5) |muskuloskeletal |sitting, |then |standing
6) |females: |pelvic |and |rectal |examination |lithotomy |position
7) |males: |prostate |and |rectal |examination |lying |on |left |side
8) |pregnancy: |side-lying |(vena |cava |syndrome |risk |supine)
9) |neonatal: |inspect |first |prior |to |exam; |save |otoscopic |exam |for |last
10) |pediatric: |assess |pain |related |issues |last
When |listing |Ob/Gyn |history, |what |does |3-3-0-3 |mean?
#ofpregancies |- |#ofdeliveries |- |miscarriages |- |living
So |this |patient |has |been |pregnant |3 |times, |given |birth |3 |times, |no |
miscarriages, |and |3 |of |the |children |are |still |living
Two |validated |screening |questions |for |depression
Over |the |past |2 |weeks, |have |you |felt |down, |depressed, |or |hopeless?
Over |the |past |2 |weeks, |have |you |felt |little |interest |or |pleasure |in |doing |things?
|(anhedonia)
Terminology:
Lethargic
Obtunded
Stuporous
Coma
, Lethargic |- |can |illicit |a |response
Obtunded |- |dull/blunted |response |or |behavior
Stuporous |- |arousal |only |to |painful |stimuli
Coma |- |unrousable
Where |is |the |bifurcation |of |the |main |bronchus |in |correlation |with |the |sternum?
sternal |angle |(anterior)
T4 |spinous |process
How |prevelant |is |chest |pain |in |anxiety |and |panic |disorders?
Very |common, |one |in |four |patients |with |anxiety |and |panic |disorders |complain |
of |chest |pain.
Palpations |are |very |specific |to |anxiety
Lung |cancer |prevalence
-2nd |most |commonly |diagnosed |cancer
-leading |cause |of |cancer |death |in |the |US
-90% |of |lung |cancer |patients |are |smokers
When |to |perform |a |focused |vs |comprehensive |assessment
Comprehensive:
- |all |non |emergent |new |patients
Focused:
- |reassessment |of |known |patient
- |emergent |situations
What |percentage |of |patient |information |can |you |obtain |from |subjective |data?
90-95%
In |order, |name |all |components |of |a |comprehensive |health |history.
ID |data, |source |of |hx
Chief |complaint
HPI |(7 |attributes)
PMH
