ADVANCE HEALTH ASSESSMENT TEST
2 with accurate 379 answered questions.
ADVANCE HEALTH ASSESSMENT TEST
2 with accurate 379 answered questions.
What are the most common respiratory related CCs? What are some of the causes of
these conditions? - ANSWER- 1- Cough (could be anything)
- hemoptysis = scary, TB, cancer, bronchitis
2- Shortness of breath
- wheeze (anxiety, asthma, HF, COPD, PE)
3- Chest Pain
- cardiac or thoracic? - assess their O2 status!!
What are some chronic diseases that warrant a respiratory assessment? - ANSWER- -
COPD
- asthma
- SLE
- RA
- sarcoidosis
What is one consideration that we should have as astute clinicians concerning our
clinical decision making? - ANSWER- Will my next step affect patient outcomes?
How do health disparities affect respiratory health? - ANSWER- - EXPOSURE (cooking
w/o ventilation)
- $$ prescriptions
- smog
- histoplasmosis
- obesity
smoking
- pesticides/herbicides
**THESE ARE AREAS WHERE WE CAN INTERVENE AND EDUCATE**
What is a tool that we can use to ascertain information about air quality? - ANSWER-
Air Quality Indices - Messages for Patients
What does an air quality health index of 1-3 equate to? How does it affect the general
population? What populations are at risk? - ANSWER- **LOW RISK!!**
AT RISK: Enjoy your usual outdoor activities
GENERAL POPULATION: Ideal air quality for outdoor activities
What does an air quality health index of 4-6 equate to? How does it affect the general
population? What populations are at risk? - ANSWER- **MODERATE RISK!!**
,ADVANCE HEALTH ASSESSMENT TEST
2 with accurate 379 answered questions.
AT RISK: Consider reducing or rescheduling strenuous activities outdoors if you are
experiencing symptoms
GENERAL POPULATION: No need to modify your usual outdoor activities unless you
experience symptoms such as coughing and throat irritation.
What does an air quality health index of 7-10 equate to? How does it affect the general
population? What populations are at risk? - ANSWER- **HIGH RISK!!**
AT RISK: Reduce or reschedule strenuous activities outdoors. Children and the elderly
should also take it easy.
GENERAL: Consider reducing or rescheduling strenuous activities outdoors if you
experience symptoms such as coughing or throat irritation
What does an air quality health index above 10 equate to? How does it affect the
general population? What populations are at risk? - ANSWER- **VERY HIGH RISK!!**
AT RISK: Avoid strenuous activities outdoors. Children and the elderly should also
avoid outdoor physical exertion
GENERAL: Reduce or reschedule strenuous activities outdoors, especially if you
experience symptoms such as coughing and throat irritation
What are some key point regarding preventive care for the respiratory system? -
ANSWER- 1- SMOKING CESSATION AND AVOIDANCE: 1st and 2nd hand smoke,
pack year history
2- EXPOSURES: pollution, air quality, local environment, respiratory pathogens
3- VACCINES: influenza, pneumovax, TB skin tests, childhood immunizations
4- OPTIMAL MANAGEMENT OF CHRONIC DISEASES: COPD, asthma, sarcoidosis,
obesity, exercise, diet, sleep, stress, sleep apnea
5- SCREENINGS? CXRs, PPDs
How do you compute a pack year history? - ANSWER- # of packs smoked a day x
years smoking
What part of a TB skin test should you read? - ANSWER- the induration, not the
erythema
What are the 5 As of smoking cessation? - ANSWER- ASK
ADVISE
ASSESS
ASSIST
ARRANGE
Who should get the pneumovax vaccine? - ANSWER- - >65 years old
- smokers 19-65
- cochlear implants
- immunocompromised adults >2
,ADVANCE HEALTH ASSESSMENT TEST
2 with accurate 379 answered questions.
- 2 - 64 yo with chronic illness
Who should get the flu vaccine? - ANSWER- EVERYONE!!
- adults with chronic pulmonary and medical conditions, immunosuppressed or morbidly
obese
- pregnant women
- residents of nursing homes and LT care
- American Indian and Alaskan Natives
- Health Care workers
- Household contacts and caregivers of kids under 5 and 50+ yo with medical risk for
complications
What are the differentials related to respiratory complaints? - ANSWER- URIs
Asthma
COPD
Pneumonia
Bronchitis
Nosocomial pneumonia
TB
Cancer
Interstitial Lung Disease
Sleep Apnea
Smoking
What is the time frame of an acute cough? - ANSWER- 0 - 2 weeks
What is the time frame for a subacute cough? - ANSWER- 3 - 8 weeks
What does this documentation sound like: "Thorax symmetric with moderate kyphosis,
lungs hyperresonant, delayed expiratory phase, fremitus decreased?" - ANSWER-
COPD
What all should be included in the HPI component of a SOAP note for someone with a
respiratory complaint? - ANSWER- Timing, location, setting, quality, severity, relieving
and exacerbating factors, associated symptoms or status of chronic illness
What all should be included in the past medical history of someone with a respiratory
CC? - ANSWER- 1- CHRONIC ILLNESSES:
- asthma, COPD, TB, HIV, sarcoidosis, SLE
- CHF? CAD?
- cancer
2- SURGERIES/HOSPITALIZATIONS/ TRAUMA:
- pneumonia, lobectomies, exacerbation of chronic illness, worried about rib trauma
3- TESTING:
, ADVANCE HEALTH ASSESSMENT TEST
2 with accurate 379 answered questions.
- CXR, CT, PPD, Pulmonary Function Tests?
4- IMMUNIZATIONS:
- flu, pneumovax, childhood immunizations
5- MEDICATIONS:
- inhalers, steroids, antibiotics, oral contraceptives (blood clots), anticoagulants
(bleeding), ACE-I
6- SLEEP APNEA - DIAGNOSED? CONTROLLED?
- Ask spouse! Snore? Well rested?
What are the components of a social history of a client with a respiratory complaint? -
ANSWER- 1- EXPOSURES:
- recent travel
- hobbies (carpenters)
- employment (coal miner, house cleaners)
- air quality/hazards
- flu/TB/CAP (ill contacts, living environments)
2- TOBACCO USE/ 2ND HAND EXPOSURE:
- type
- pack years
- onset
- attempts to quit
3- ALCOHOL AND DRUG USE:
4- NUTRITIONAL STATUS:
- obese? emaciated?
5- EXERCISE:
- tolerance, location, air exposre
What are the aspects of a family history for patients with a respiratory CC? - ANSWER-
- TB
- cystic fibrosis
- emphysema/COPD
- cancer - smokers?
- allergies
- asthma
- systemic disease (RA, SLE, sarcoidosis)
- Dermatitis (eczema)
What are the components of a general ROS for someone with a CC of respiratory
problems? - ANSWER- - Any chest pain or trouble breathing?
- Cough? Productive or not?
- SOB?
- Wheezing?
- Feeling tired?
- Exercise intolerance?
2 with accurate 379 answered questions.
ADVANCE HEALTH ASSESSMENT TEST
2 with accurate 379 answered questions.
What are the most common respiratory related CCs? What are some of the causes of
these conditions? - ANSWER- 1- Cough (could be anything)
- hemoptysis = scary, TB, cancer, bronchitis
2- Shortness of breath
- wheeze (anxiety, asthma, HF, COPD, PE)
3- Chest Pain
- cardiac or thoracic? - assess their O2 status!!
What are some chronic diseases that warrant a respiratory assessment? - ANSWER- -
COPD
- asthma
- SLE
- RA
- sarcoidosis
What is one consideration that we should have as astute clinicians concerning our
clinical decision making? - ANSWER- Will my next step affect patient outcomes?
How do health disparities affect respiratory health? - ANSWER- - EXPOSURE (cooking
w/o ventilation)
- $$ prescriptions
- smog
- histoplasmosis
- obesity
smoking
- pesticides/herbicides
**THESE ARE AREAS WHERE WE CAN INTERVENE AND EDUCATE**
What is a tool that we can use to ascertain information about air quality? - ANSWER-
Air Quality Indices - Messages for Patients
What does an air quality health index of 1-3 equate to? How does it affect the general
population? What populations are at risk? - ANSWER- **LOW RISK!!**
AT RISK: Enjoy your usual outdoor activities
GENERAL POPULATION: Ideal air quality for outdoor activities
What does an air quality health index of 4-6 equate to? How does it affect the general
population? What populations are at risk? - ANSWER- **MODERATE RISK!!**
,ADVANCE HEALTH ASSESSMENT TEST
2 with accurate 379 answered questions.
AT RISK: Consider reducing or rescheduling strenuous activities outdoors if you are
experiencing symptoms
GENERAL POPULATION: No need to modify your usual outdoor activities unless you
experience symptoms such as coughing and throat irritation.
What does an air quality health index of 7-10 equate to? How does it affect the general
population? What populations are at risk? - ANSWER- **HIGH RISK!!**
AT RISK: Reduce or reschedule strenuous activities outdoors. Children and the elderly
should also take it easy.
GENERAL: Consider reducing or rescheduling strenuous activities outdoors if you
experience symptoms such as coughing or throat irritation
What does an air quality health index above 10 equate to? How does it affect the
general population? What populations are at risk? - ANSWER- **VERY HIGH RISK!!**
AT RISK: Avoid strenuous activities outdoors. Children and the elderly should also
avoid outdoor physical exertion
GENERAL: Reduce or reschedule strenuous activities outdoors, especially if you
experience symptoms such as coughing and throat irritation
What are some key point regarding preventive care for the respiratory system? -
ANSWER- 1- SMOKING CESSATION AND AVOIDANCE: 1st and 2nd hand smoke,
pack year history
2- EXPOSURES: pollution, air quality, local environment, respiratory pathogens
3- VACCINES: influenza, pneumovax, TB skin tests, childhood immunizations
4- OPTIMAL MANAGEMENT OF CHRONIC DISEASES: COPD, asthma, sarcoidosis,
obesity, exercise, diet, sleep, stress, sleep apnea
5- SCREENINGS? CXRs, PPDs
How do you compute a pack year history? - ANSWER- # of packs smoked a day x
years smoking
What part of a TB skin test should you read? - ANSWER- the induration, not the
erythema
What are the 5 As of smoking cessation? - ANSWER- ASK
ADVISE
ASSESS
ASSIST
ARRANGE
Who should get the pneumovax vaccine? - ANSWER- - >65 years old
- smokers 19-65
- cochlear implants
- immunocompromised adults >2
,ADVANCE HEALTH ASSESSMENT TEST
2 with accurate 379 answered questions.
- 2 - 64 yo with chronic illness
Who should get the flu vaccine? - ANSWER- EVERYONE!!
- adults with chronic pulmonary and medical conditions, immunosuppressed or morbidly
obese
- pregnant women
- residents of nursing homes and LT care
- American Indian and Alaskan Natives
- Health Care workers
- Household contacts and caregivers of kids under 5 and 50+ yo with medical risk for
complications
What are the differentials related to respiratory complaints? - ANSWER- URIs
Asthma
COPD
Pneumonia
Bronchitis
Nosocomial pneumonia
TB
Cancer
Interstitial Lung Disease
Sleep Apnea
Smoking
What is the time frame of an acute cough? - ANSWER- 0 - 2 weeks
What is the time frame for a subacute cough? - ANSWER- 3 - 8 weeks
What does this documentation sound like: "Thorax symmetric with moderate kyphosis,
lungs hyperresonant, delayed expiratory phase, fremitus decreased?" - ANSWER-
COPD
What all should be included in the HPI component of a SOAP note for someone with a
respiratory complaint? - ANSWER- Timing, location, setting, quality, severity, relieving
and exacerbating factors, associated symptoms or status of chronic illness
What all should be included in the past medical history of someone with a respiratory
CC? - ANSWER- 1- CHRONIC ILLNESSES:
- asthma, COPD, TB, HIV, sarcoidosis, SLE
- CHF? CAD?
- cancer
2- SURGERIES/HOSPITALIZATIONS/ TRAUMA:
- pneumonia, lobectomies, exacerbation of chronic illness, worried about rib trauma
3- TESTING:
, ADVANCE HEALTH ASSESSMENT TEST
2 with accurate 379 answered questions.
- CXR, CT, PPD, Pulmonary Function Tests?
4- IMMUNIZATIONS:
- flu, pneumovax, childhood immunizations
5- MEDICATIONS:
- inhalers, steroids, antibiotics, oral contraceptives (blood clots), anticoagulants
(bleeding), ACE-I
6- SLEEP APNEA - DIAGNOSED? CONTROLLED?
- Ask spouse! Snore? Well rested?
What are the components of a social history of a client with a respiratory complaint? -
ANSWER- 1- EXPOSURES:
- recent travel
- hobbies (carpenters)
- employment (coal miner, house cleaners)
- air quality/hazards
- flu/TB/CAP (ill contacts, living environments)
2- TOBACCO USE/ 2ND HAND EXPOSURE:
- type
- pack years
- onset
- attempts to quit
3- ALCOHOL AND DRUG USE:
4- NUTRITIONAL STATUS:
- obese? emaciated?
5- EXERCISE:
- tolerance, location, air exposre
What are the aspects of a family history for patients with a respiratory CC? - ANSWER-
- TB
- cystic fibrosis
- emphysema/COPD
- cancer - smokers?
- allergies
- asthma
- systemic disease (RA, SLE, sarcoidosis)
- Dermatitis (eczema)
What are the components of a general ROS for someone with a CC of respiratory
problems? - ANSWER- - Any chest pain or trouble breathing?
- Cough? Productive or not?
- SOB?
- Wheezing?
- Feeling tired?
- Exercise intolerance?
