MN552 Advanced health assessment midterm Questions
With Complete Solutions
subjective means Correct Answers interview
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objective means Correct Answers physical exam
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an HPI is a Correct Answers problem focused history and
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physical exam
For each problem let the patient describe using Correct Answers ......
oldcart
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OLDCART Correct Answers onset, location, duration,
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characteristics, associated sxs (ROS), relieving and aggravating
factors, treatment
pertinent negatives Correct Answers what they don't have
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(important to rule out to form hypothesis / diagnosis
ID (identifying data) Correct Answers date/time of appointment,
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name, DOB, referral, source of reliability
CC (chief compliant) Correct Answers quote patients own words ...... ......
Present illness HPI Correct Answers use old cart, also ask about
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medications, allergies, tobacco, alcohol, and drugs, risk of
pregnancy for women of childbearing ages
Past history Correct Answers childhood, adult, surgical, ob/gyn,
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psychiatric, health maintenance (immunizations/screenings)
,Personal/social history Correct Answers Education, employment
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, family unit, stress, social support, sleep , exercise, diet, safety,
lifestyle habits
ROS (review of systems include) Correct Answers general, skin, ...... ... ...
heent, neck, breasts, respiratory, cardiovascular, gastro,
unirtnay, and peripheral vascular, muscoloskeltal, genital,
psychiatric, neurologic, hematologic, endocrine
what is the purpose of ROS Correct Answers may uncover
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problems that patent has overlooked
four basic techniques used during physical exam to obtain
objective data? Correct Answers IPPA , inspection, palpation,
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percussion, aucultation
nutritional factors play a prominent role in the development of
chronic diseases including Correct Answers coronary heart
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disease, cancer, stroke, type 2 diabetes, hypertension,
osteoporosis, and obesity
negative outcomes related to illness Correct Answers infectious ...... ......
complications, poor skin integrity, delayed wound healing,
surgical complications, increased length of hospital stay, higher
costs, poor treatment tolerance
obesity is most common in the Correct Answers U.S. ...... ......
Kwashiorker in child is a condition caused by Correct Answers ......
protein deficiency
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, Determine your nutritional health Correct Answers D-diease
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E- eating poorly
T-tooth loss/mouth pain
E-Economic hardship
R- Reduced social contact
M- multiple medications
I- Involuntary Weight loss/gain
N- Needs assistance in self gain
E- Elder years above age 80
BMI overweight Correct Answers 25-29.9
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risk factor for body weight Correct Answers 20% over or under
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ideal levels
percussion notes and characteristics Correct Answers flatness -
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high pitch, short duration, example of location is the thigh
Dullness- medium pitch, medium duration, example of location
is the liver
resonance- low pitch, long duration, example of location is
healthy air filled lung
Hyperresonance- lower pitch, longer duration, could be from
COPD
Tympany- high pitch, N/A duration, gastric air bubble or puffed
out cheek
General appearance (objective data) Correct Answers ......
Height/weight, general state of health, posture, motor activity,
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gait, dress, grooming, personal hygiene, odors of body or breath,
facial expressions, manner affect, speech