GOOLSBY

scotoma - correct answer blind spot in vision cataracts -onset -associated symptoms -severity of vision change -portion of vision affected -inspection -causes - correct answer -gradual -ranges from cloudy, hazy to vision loss -unilateral or bilateral -clouding/loss of red reflux -development of halos and glares -caused by aging, but also uv light and certain drugs and systemic diseases chronic open angle gluac...

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8 pages

Written in 2024/2025

Grade A+

RealGrades

Using the patient's own Words identify the reason for seeking care. - correct answer Look for specific clusters of symptoms to determine a diagnosis Old carts- useful for HPI - correct answer Determine any history of psychiatric disorders and if prior treatments were beneficial and tolerated Social history is essential part of the psychiatric history - correct answer Include all drug...

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12 pages

Written in 2024/2025

Grade A+

RealGrades

Somatic Symptoms - correct answer symptoms involving physical problems and/or concerns about medical symptoms Functional syndromes - correct answer cluster of complaints for one disease ex. fibromyalgia Medically Unexplained Symptoms - correct answer Patients with medically unexplained symptoms fall into heterogeneous groupings ranging from selected impairment to behaviors meeting DS...

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24 pages

Written in 2024/2025

Grade A+

RealGrades

Order of PE - correct answer Inspection, Auscultation, Percussion, Palpation Abdominal Regions - correct answer RUQ - correct answer Liver, gallbladder, tip of right kidney, diaphragm Epigastric Region - correct answer stomach, pancreas LUQ - correct answer Spleen, pancreas, tip of left kidney Umbilical Regi...

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12 pages

Written in 2024/2025

Grade A+

RealGrades

RSVP questions are used for assessing eye history. If all questions elicit a positive response, urgent ophthalmology consult is required - correct answer R-redness S-sensitivity to light V-vision loss P-pain sensitivity to light = unable to keep eyes open Questions to ask regarding HPI of eye issues: - correct answer 1. gradual vs. sudden onset. 2. bilateral vs. unilateral 3. presence/quality of pain 4. presence ...

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21 pages

Written in 2024/2025

Grade A+

RealGrades

Bratton's Definition of Leadership - correct answer a process of influencing within an employment relationship involving ongoing human interaction with others wherein those others consent to achieve a goal 1911 Frederick Taylor - correct answer role of management in terms of analyzing and designing work systems that minimize skill requirements while maximizing control over the workforce 1949 Henri Fayol - correct answ...

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18 pages

Written in 2024/2025

Grade A+

RealGrades

common complaints in childhood - correct answer earache, sore throat, symptoms of allergy and common cold elderly clients frequently present w/ c/o - correct answer hardened cerumen and decreased hearing resulting from cerumen impaction aggravated by hearing aid wear General hx of ear, nose, mouth, throat - correct answer Current or recent exposure to respiratory infections such as flu ...

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16 pages

Written in 2024/2025

Grade A+

RealGrades

How do you test EOM? - correct answer Eye movement is controlled by 6 extraocular muscles and 3 cranial nerves, III, IV, and VI. To evaluate eye movement, use 4 techniques. ● First have the patient watch your finger move through the 6 cardinal fields of gaze. Jerking or sustained nystagmus is abnormal. A few beats of horizontal nystagmus may occur. ● Second have the patient follow your finger vertically from the ceiling to the floor.The globes and the upp...

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17 pages

Written in 2024/2025

Grade A+

RealGrades

Functional Classification of Heart Disease - correct answer I- No limitation. Ordinary physical activity does not cause fatigue II- Slight limitation. Comfortable at rest. Physical activity causes fatigue, dyspnea, palpitation, anginal discomfort. III- Marked limitation. Comfortable at rest, but less than ordinary activity causes fatigue, dyspnea, palpitations, anginal pain. IV- Unable to engage in physical activity without discomfort, and sxs of cardiac in...

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14 pages

Written in 2024/2025

Grade A+

RealGrades

skin - correct answer is largest organ, regulates heat,moisture, protective, major sense organ step one in assessing skin related problem - correct answer obtain history before examining skin to understand background of problem, ask about system analysis, onset and progression of problem, anything the patient believes may have trigger, exacerbate, or relive the problem, how has it changed, all associated symptoms, itching, ...

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17 pages

Written in 2024/2025

Grade A+

RealGrades

Red Flags for GU System - correct answer 1) Gross hematuria 2) abrupt onset of testicular pain 3) anuria (no urine) and oliguria (abnormally small amt of urine) 4) acute urinary retention 5) large kidney massess (esp if accompanied by hematuria, flank pain, and palpable mass) 6) pain that wake pt or prevents sleep toxic appearing pt with poor urine output cytology - correct answer a diagnostic study used a...

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10 pages

Written in 2024/2025

Grade A+

RealGrades

When a patient presents with a skin related complaint, it is important to first: a. Fully inspect all skin lesions before asking the patient how the lesion in question developed. b. Obtain a full history about the development of the skin lesion prior to the physical examination. c. Complete a full physical exam of the body prior to inspecting the skin lesion. d. Examine the skin lesion without hearing a health history in order to not prejudice the diagnosis. - correct answer ...

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7 pages

Written in 2024/2025

Grade A+

RealGrades

What conditions are frequently associated w/ joint pain? - correct answer OA, tendonitis, infection, gout/pseudogout, and RA What are red flags in the assessment of the musculoskeletal system? - correct answer *Hx of major trauma *Hot and/or swollen joint(s) *Systemic/constitutional symptoms *Focal or diffuse weakness *Neurogenic pain *Claudication *Unrelenting nighttime pain *Poorly localized pain How may diureti...

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10 pages

Written in 2024/2025

Grade A+

RealGrades

Upon physical examination of a 1-year-old patient, you note abnormal placement of the ears, hypertelorism, and strabismus. These are often signs of: a. Genetic conditions b. Deafness c. Birth Injury Physical abuse - correct answer a. Genetic conditions An 86-year-old patient who wears hearing aids complains of poor hearing in the affected ear. In addition to possible hearing aid malfunction, this condition is often due to: a. Acoustic neuroma b. Cerume...

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7 pages

Written in 2024/2025

Grade A+

RealGrades

Define cachexia: - correct answer Muscle wasting, loss of weight, fatigue, weakness, significant loss of appetite What assessment questions can you ask a pt to check their mental status? - correct answer *Orientation: person, date, place, situation *Memory: recent (lunch yesterday), remote (where graduated from elementary school) *Fund of knowledge: current events (keep their level of education in mind) *Attention span: ...

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13 pages

Written in 2024/2025

Grade A+

RealGrades

Which type of clinical decision-making is most reliable? A. Intuitive B.Analytical C.Experiential D. Augenblick - correct answer B.Analytical 2. Which of the following is false? To obtain adequate history, health-care providers must be: A.Methodical and systematic B.Attentive to the patient's verbal and nonverbal language C.Able to accurately interpret the patient's responses D.Adept at reading into the patient's statements - correct ans...

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3 pages

Written in 2024/2025

Grade A+

RealGrades

What is the simplest living structure? - correct answer The cell Are viruses considered cells? - correct answer No, viruses are not cells; they lack cell structures and cannot reproduce independently Cytology - correct answer Study of structure and function of cells Biochemistry - correct answer The study of the chemical processes and substances wit...

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11 pages

Written in 2024/2025

Grade A+

RealGrades

Less-than-anticipated movement occurs on ___________________ _____________________ exam with advanced COPD and many restrictive processes, such as interstitial lung disease. Asymmetry of movement occurs with atelectasis, lobar collapse, pneumothorax, and several other conditions - correct answer respiratory excursion exam Tactile fremitus is done with palmar surface of hands/fingers when the pt says "99" or "1,2,3" in a loud low voice. T/F - corr...

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11 pages

Written in 2024/2025

Grade A+

RealGrades

25.Your 26-year-old female patient reports a history of herpes simplex type II infection. On physical examination, you note red blisters over the vulva region. When questioned about sexual activity, she explains that her partner uses a condom whenever her infectious blisters are present. The clinician should recognize: A.The herpes virus can be transmitted during the patient's asymptomatic periods B.If the lesions are herpes simplex type I, then the virus is not contagious C.Only herpes si...

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6 pages

Written in 2024/2025

Grade A+

RealGrades

What PMH and FH do you want to gather when assessing someone who has come in with a respiratory complaint? - correct answer Hx of: Allergies, emyphysema, bronchitis, asthma, pneumonia, TB, recent or recurrent URI, malignancies. Other systems: HF, GERD, allergies Determine last CX-ray and TB skin test (positive?) What habits/social circumstances do you want to assess for when someone has come to you w/ c/o of resp. issues? - correct answer ...

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8 pages

Written in 2024/2025

Grade A+

RealGrades