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Holistic Health Assessment Midterm 2 review Questions With Complete Solutions
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Holistic Health Assessment Midterm 2 review Questions With Complete Solutions
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Holistic Health Assessment Midterm 2 review QuestionsWith Complete Solutions
Achilles reflex s1 Correct Answer dorsi flex foot and strike
achilles tendon 3cm above heel; should see plantar flexion
alert Correct Answer Awake or readily aroused, oriented, fully
aware, responds appropriately, spontaneous movements
Allen's test (modified) Correct Answer occlude ulner and radial
arteries when hand is clenched
- ask patient to open hand
- release pressure on ulnar
- circulation is normal when colour comes beck in 2-5s
done before an arterial blood draw; sluggish return to colour
indicates occlusion of the collateral arterial flow
aneurysm Correct Answer Aneurysm- sac formed by dilation in
the artery wall balloonlike enlargement
most common site is the aorta
most common cause is atherosclerosis
incidence increases men older than age 55 years/ women above
70 years
occurrence is four to five times more frequent among men.
angina pectoris Correct Answer chest pain that results when the
heart does not get enough oxygen
anosmosia Correct Answer loss of smell
,Are vital signs an early or late change related to CNS concerns?
Correct Answer Late- changes above demonstrate ongoing ICP
arterial ulcer Correct Answer - skin is round, pale, punches out,
necrotic; usually down at toes; likely diabetic ulcers
- skin colour changes from red, blue to pale
- no hair at foot
- impotence
- coolness and swelling
ataxia Correct Answer uncoordinated or unsteady gait
BEFAST Correct Answer Balance
Eyes
Face
Arms
Speech
Time
Biceps reflex (C5) Correct Answer Support the person's
forearm on yours; place your thumb on biceps tendon and strike
a blow on your thumb
Normal response is contraction of biceps muscle and flexion of
forearm
Brachioradialis reflex (C6) Correct Answer Pronate the arm
and strike the radius with the flat edge of the hammer
arm should flex and supinate
, brain herniations Correct Answer -increased ICP => causes
shifts between compartment
unilateral - same sided dilating pupil while other side postures
bilateral - pupil change and posture on both sides
cerebellar - both pupils blow on both sides meaning brain death
and no response to stimuli
Broca's area- Correct Answer Controls language expression -
an area of the frontal lobe, usually in the left hemisphere, that
directs the muscle movements involved in speech.(expressive
aphasia)
no issue understanding speech, but issue forming complete
sentences
chronic venous insufficiency Correct Answer - aching legs
- edema
- pulses not palpable
- ulcers
clonus Correct Answer hyperactive response and spasms with a
reflex grade of 4+; usually in the ankles
rhythmic contraction of the same muscle
CN 1: Olfactory Nerve Correct Answer smell (sensory)
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