2.0 Comorbidity - Answer-the simultaneous presence of two chronic diseases
2.0 Etiology - Answer-the cause of a disease
2.0 Systole - Answer-phase of the heartbeat during which muscle is relaxed and the heart fills with blood; measures the pressure in he arteries when the heart CONTRACTS (bea...
Scribe America, Outpatient, Chronic
Illness, Lesson 2 Exam Questions with
Latest Update
2.0 Comorbidity - Answer-the simultaneous presence of two chronic diseases
2.0 Etiology - Answer-the cause of a disease
2.0 Systole - Answer-phase of the heartbeat during which muscle is relaxed and the
heart fills with blood; measures the pressure in he arteries when the heart
CONTRACTS (beats)
2.0 Diastolic - Answer-phase of the heartbeat during which the muscle is relaxed and
the heart fills with blood; measures the pressure in the arteries when RELAXED
(between heart beats)
2.0 Diuretic - Answer-a substance that promotes the production of urine
2.0 Paresthesia - Answer-sensation of tingling or numbness
2.0 Polydipsia - Answer-excessive thirst
2.0 Anticoagulent - Answer-a drug that prevents blood clotting
2.1 What is a chronic illness? - Answer-classified as chronic when it lasts longer than 3
months
2.1 What are 5 diseases related to comorbidities-complex? - Answer-CAD, Obesity,
HTN, HLD, DM
2.1 What reasons are comorbidities complex? - Answer-a. treatment of one disease
may affect or contradict the treatment of the second
b. adverse drug interactions
c. compounding sx may lead to poor compliance w/treatment plan
d. if both illnesses affect a specific organ system, the patient is at increased risk of
organ failure
2.1 What is important to document for complex patients? - Answer-a. sx in chronological
order
b. status and progress of each illness
c. level of compliance with treatment plan
***complex patients often bill to higher level, so it is important to document thoroughly
and accurately
, 2.1 If a patient has had respiratory sx for the past 5 weeks, are the symptoms
considered chronic? - Answer-No, it is less than 3 months
2.1 Having multiple comorbidities increases the ________, ________ of patient care. -
Answer-risk, cost
2.1 Why is it important to document accurately and thoroughly on complex patients? -
Answer-higher bill level
2.2 What is HTN? - Answer-Hypertension-increase in blood pressure causes excess
force against the arterial walls
2.2 What are the risk factors of HTN? - Answer-FHx of HTN, obesity, DM, high sodium
diet, smoking, ETOH
2.2 What are chief complaints of HTN? - Answer-a. often asymptomatic
b. hypertension (measuring at home)
c. headaches, chest pain, palpitations, blurred vision, apistaxis (nose bleed)
2.2 What are the PE findings? - Answer-lower extremity edema, carotid bruit-whishing
noise, JVD-jugular vein, abnormal heart sounds
2.2 How is HTN diagnosed? - Answer-BP check and monitoring with
sphygmomanometer (BP cuff)
2.2 What is a hypotensive BP - Answer-Less than 90/60
2.2 What is a normal BP - Answer-90/60 to 120/80
2.2 What is a prehypertensive BP - Answer-121/81 to 140/90
2.2 What is a hypertensive BP - Answer-greater than 140/90
2.2 What diseases are caused by HTN? - Answer-MI/CAD- untreated HTN causes
artherosclerosis (thickening of arteries) which increases the risk of CAD or acute MI
CHF- the heart experiences increased effort and decreased efficiency pumping excess
fluid through the body
CVA-consistly increased pressure through the vessels of the brain causes weakening of
he arteries leading to potential rupture and hemorrhagic CVA (stoke)
RENAL FAILURE-increased blood pressure through the kidney causes weakening
leading to renal failure, IMPAIRED VISION-increased pressure through the delicate
vessels of the eyes causes them to rupture or thicken causing vision loss
2.2 What are 5 non-pharmacological ways to manage HTN ? - Answer-BP Log,
Decreased ETOH intake, Low-Sodium Diet, Smoking Cessation, Exercise
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