Maryville 612

During an examination, which of the following questions would be most appropriate for the examiner to ask a patient to elicit information about the lymph system? - Are you aware of any lumps While palpating lymph nodes on an adult, the examiner should remember that - Easily palpable nodes are not generally found in healthy adults In comparison with those of a young adult, the lymph nodes of an older adult will be - small and fatty A 19 year old man has a severe infection involving the f...

What is S4 indicative of? - In the 2nd phase of ventricular filling, vibration in the valves, papillae, and ventricular walls produce S4. When there is increased resistance to filling because ventricular walls have lost compliance. HTN, CAD or increased stroke volume high output, anemia, pregnancy, and thyrotoxicosis. A loud S4 suggest pathology and deserves additional evaluation. What is the apical PMI? - Point of maximal impulse (PMI), the point at which the apical impulses are most readily...

inspect the chest - without clothes on; 1st assess shape and size; 2nd check for symmetry; 3rd thoracic landmarks; 4th color of skin; 5th check for supernumerary nipples; 6th superficial venous patterns; and 7th observe for rib prominence thoracic landmarks - midline trachea, costal angle, angle of ribs, intercostal spaces, suprasternal notch symmetry of chest - thoracic expansion at costal angle, w/o use of accessory muscles hx questions for cc of resp issue - What is the nature of you...

Concepts of developing a relationship with the patient: - Sense the world as the patient sees it. Discover details about the patients concept, expectations, explain boundaries and degree of availability. Display genuine interest, curiosity, partnership. Understand what is expected of you. What are effective communication techniques? - Be courteous, ensure comfort, be trustworthy, be candid. Do not be careless with words. Ask patient centered questions How do you test cranial nerve II? - V...

What is S4 indicative of? - In the 2nd phase of ventricular filling, vibration in the valves, papillae, and ventricular walls produce S4. When there is increased resistance to filling because ventricular walls have lost compliance. HTN, CAD or increased stroke volume high output, anemia, pregnancy, and thyrotoxicosis. A loud S4 suggest pathology and deserves additional evaluation. State the order of the abdominal exam? - Inspect, auscultate, percuss, and palpate The tonsil assessment, stat...

Claudication - a condition in which cramping pain in the leg is induced by exercise, typically caused by obstruction of the arteries. May be characterized as a dull ache with accompanying muscle fatigue and cramps. Usually appears with sustained exercise. Site of pain is distant to narrowing. How do you test EOM? - 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...

Which of the following will best facilitate the interview when obtaining a history for a deaf patient who can read lips? - speaking slowly During a history, the patient indicates he has an uncle and a brother with sickle cell disease. Which of the following is an appropriate method to document this information? - Include it in the family history. Which approach is recommended at the onset of an interview? - Use an open-ended approach; let the patient explain the problem or reason for...

A patient’s inability to follow simple instructions could indicate with of the following findings? A. Dysphonia B. Amnesia C. Aphasia D. Depression - D. Depression A patient scores a 3 on a mini-cog assessment instrument for dementia, What does this score indicate? A. Advanced dementia B. Early dementia C. Need for further evaluation D. Negative screen for dementia - D. Negative screen for dementia The examiner asks the patient to complete this statement: "A bird is to air as ...

1. Which statement suggests that a patient may be at risk for contracting viral hepatitis A? a. "I am a healthcare worker." b. "I had a blood transfusion recently." c. "I have renal failure and have hemodialysis three times a week." d. "I have recently been overseas." - d 2. The examiner observes venous return on the abdomen of the patient that moves upward from the pubis to the chest. This finding should make the examiner consider a. portal hypertension. b. renal artery ste...