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N5220 Exam Pearls
  • Two Clean Queens

  • 問題数 100 • 6/11/2024

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    問題一覧

  • 1

    The absence of a language barrier does not preclude a cultrual barrier, and you will likely need?

    cultural translation

  • 2

    Professional dress and grooming go a long way towards establising a first good impression with the patient?

    True

  • 3

    Below are part of the Cultural Assessment Guide: The Many Aspects of Understanding except?

    Gender-based practices

  • 4

    Term used to describe a person's internal sense of self and how they fit into the world from the perspective of gender.

    Gender identity

  • 5

    Term describing a person's sexual, romantic, emotional, or physical attraction towards other people.

    Sexual orientation

  • 6

    Identify from the RESPECT model: -Connect on a social level -See the patient's point of view -Consciously suspend judgement -Recognize and avoid making assumptions

    Rapport

  • 7

    Identify from the RESPECT model: -Remember the patient has come to you for help -Seek out and understand the patient's rationale for his/her behaviors and illness -Verbally acknowledge and legitimize the patient's feelings

    Empathy

  • 8

    Identify from the RESPECT model: -Ask about and understand the barriers to care and compliance -Help the patient overcome barriers; Involve family members if appropriate -Reassure the patient you are and will be available to help

    Support

  • 9

    Identify from the RESPECT model: -Be flexible -Negotiate roles when necessary -Stress that you are working together to address health problems

    Partnership

  • 10

    Identify from the RESPECT model: -Check often for understanding -Use verbal clarification techniques

    Explanations

  • 11

    Identify from the RESPECT model: -Respect the patient's cultural beliefs -Understand that the patient's views of you may be defined by ethnic and cultural sterotypes -Be aware of your own cultural biases and preconceptions -Know your limitations in addressing health issues across cultures -Understand your personal style and recognize when it may not be working with a given patient

    Cultural competence

  • 12

    What is a question to avoid asking your patinet in order to enhance patient reponse?

    It seems to me that this bothered you a lot didn't it?

  • 13

    During moments of tension there may be periods of silence. How would the provider move the coversation along?

    Asking open-ended questions or a mild nudge

  • 14

    This is always what the patients says it is and is subjective data

    Review of Systems (ROS)

  • 15

    How is the Chief Complaint (CC) documented?

    In quotation marks

  • 16

    What is the difference between a screening and an assessment interview?

    Screening is to find out if a problem exists. The assessment continues after a positive screen.

  • 17

    What is unique about the outline of history?

    It offers a guide derived from multiple sources to meet the needs of your patient

  • 18

    What is the best question to ask patients to determine how they define themselves?

    How do you see yourself?

  • 19

    List the 5 Ps of Sexual History

    -Partners -Practices -Protection from STIs -Past history of STIs -Prevention of pregnancy

  • 20

    Evidence suggests that the risk of DMII and CV disease could be reduced in childhood by?

    Taking a family history

  • 21

    Starting at what age are children considered good historians?

    Age 7

  • 22

    When assessing a child with their parent present what action would decrease patient trust and rapport?

    Grabbing the child from the parent and putting them on the exam table

  • 23

    Which of the following is not considered part of the functional assessment?

    Patient Safety

  • 24

    Makes you as thoroughly familiar with the patient as possible. Most often, this history is recorded the first time you see the patient.

    Complete history

  • 25

    Is taken when the problem is acute, possibly life-threatening, requiring immediate attention so that only the need of the moment is given full attention.

    Problem history

  • 26

    Side-lying position with legs extended or flexed. Used to assess heart, spleen, and rectum.

    Lateral recumbent

  • 27

    Used for pelvic exams. Supine with knees bent and feet in stirrups with buttocks at edge of table.

    Lithotomy

  • 28

    When shaking a patient's hands, how much pressure should be applied?

    The same pressure as the patient squeezes with

  • 29

    Of the 5 percussion sounds which one is the loudest?

    Tympany

  • 30

    It is OKAY to come across unexpected findings. This may reflect a change in the patient's condition or?

    A learning opportunity

  • 31

    List the components of EBP

    Best evidence, Patient preference, Clinical expertise, Medical decision making

  • 32

    Choose the example that is a "Red Herring"

    A patient with swollen cervical nodes and fever owns a cat, which had claws, but the patient did not have cat scratch fever. This delayed the diagnosis of non-Hodgkin lymphoma.

  • 33

    Do good for the patient

    Beneficence

  • 34

    Do no harm to the patient

    Nonmaleficence

  • 35

    Consider appropriate use of resources with concern for the greater good of the larger community

    Utilitarianism

  • 36

    Recognize the balance between autonomy and competing interests of the family and community

    Fairness and justice

  • 37

    Our dutiful responsibilities for offering care are established by tradition and in cultural contexts

    Deontologic Imperatives

  • 38

    -The probability of those findings being associated with that diagnosis -The prevalence of both that particular diagnosis and that combination of findings in the community you are serving

    Bayes Theorem

  • 39

    What are approved abbreviations?

    Unit

  • 40

    What are approved abbreviations?

    every other day

  • 41

    What does SOAP stand for?

    S = subjective data O = objective data A = assessment P = plan

  • 42

    What are the components of the Problem-Oriented Health Record (POHR)?

    1. Comprehesive health history 2. Complete physical examination 3. Problem list 4. Assessment and plan 5. Baseline and problem-directed laboratory and radiologic imaging studies 6. Progress notes

  • 43

    How long do you count for when assessing an apical pulse?

    60 sec

  • 44

    How do you measure the respiratory rate?

    count 30 sec x2

  • 45

    What blood pressure is considered Stage I HTN?

    130-139/80-89

  • 46

    What blood pressure is considered Stage II HTN?

    >/= 140/90

  • 47

    List the physical examination components

    1. physical appearance 2. cognitive abilites 3. speech and language 4. emotional stability

  • 48

    When it is difficult or impossible to elicit a social smile in an infant who appears ill, be concerned about?

    A neurologic condition or infection

  • 49

    Expressive language milestones: uses 2 to 3 word sentences

    24-36 mos

  • 50

    Expressive language milestone: says sounds correctly except l, s, r, v, z, ch, sh, th, and uses detailed sentences and tells stories

    48-60 mos

  • 51

    When performing a functional assessment related to mental health and ADL, all of the following should be assessed except?

    ability to socialize with friends and family

  • 52

    How to you assess skeletal muscle mass?

    Measuring the mid-arm circumference

  • 53

    How do you calcuate BMI?

    (weight lbs/(height inches^2)) x 703

  • 54

    What BMI is considered underweight?

    under 18.5

  • 55

    What BMI is considered overweight?

    25 - 29.9

  • 56

    What Tanner Stage is associated with pre-adolescence in women?

    Tanner Stage 1

  • 57

    What Tanner Stage is considered the adult stage in males?

    Tanner Stage 5

  • 58

    Most pregnant patients have some degree of increased pigmentation called?

    Colasma

  • 59

    Terminal hair can turn into vellus hair, but men can have terminal hair in ____ and ___?

    ears and nares

  • 60

    What Asian practice is often confused physical abuse?

    Cupping

  • 61

    This skin condition is r/t hormones in dark skin pregnant patients

    Melasma

  • 62

    Tend to be large usually > 5 mm with fla component, brown in color, and shape can be round, oval, or irregular

    Atypical nevi

  • 63

    Boarder is irregular, tend to be larger than 6mm, with wide color variation

    Melanoma

  • 64

    How do you assess skin turgor?

    with palmar surface of hand and pinch sternum and forearms

  • 65

    What type of skin lesion is herpes zoster?

    Vesicle

  • 66

    What equipment do you use to look at cafe a lait spots?

    Woods Lamp

  • 67

    Be suspicious what disease if you find six or more cafe au lait spots that are greater than 5mm in diameter?

    Neurofibromatosis

  • 68

    How do you distinguish a nail injury from pseudomonas of the nail?

    While both are black, pseudomonas is painless whereas nail injury is painful

  • 69

    How many degress is a normal nail base?

    160

  • 70

    Assoicated with a variety of respiratory, CV diseases, cirrhosis, colitis, and thyroid disease

    Clubbing

  • 71

    Flat, evenly pigmented spots varying in color from light brown to dark brown or black in darker skin; larger than 5 mm, associated with neurofiromatosis

    Cafe au lait macules

  • 72

    These hyperpigmentaiton "Mongolian Spots" are often mistaken for physical abuse in children that usually affect?

    Dark skinned

  • 73

    How do you assess skin turgor in infants?

    Pinch abdomen

  • 74

    Known as the "mask of pregnancy"

    Melasma

  • 75

    Why is skin turgor not a good indicator of hydrartion status in older adults?

    Becasue it is a common finding

  • 76

    When assessing the ABCDEs for a melanoma, what does it stand for?

    Asymmetry, Borders, Color, Diameter, Evolution

  • 77

    What size do you worry for a melanoma?

    > 6 mm

  • 78

    Known as "Dew on a Rose Petal"

    Chicken Pox

  • 79

    Injuries to soft tissue non-uniform worry about?

    Abuse

  • 80

    Enlarged lymph nodes

    Lymphadenopathy

  • 81

    Inflamed and enlarged lymph nodes

    Lymphadenitis

  • 82

    Inflammation of the lymphatics that drain an area of infection; tender erythematous streaks extend proximally from the infected area; regional nodes may also be tender

    Lymphangitis

  • 83

    Edematous swelling due to excess accumulation of lymph fluid in tissues caused by inadequate lymph drainage

    Lymphedema

  • 84

    Congenital malformation of dilated lymphatics

    Lymphangioma

  • 85

    Small non-tender nodes that feel like BBs under skin

    Shotty

  • 86

    Wavelike motion that is felt when the node is palpated

    Fluctuant

  • 87

    Group of nodes that feel connected and seem to move as a unit

    Matted

  • 88

    A hard, fixed, painless node suggests?

    Malignancy

  • 89

    The more tender a node is the more likely it is?

    Inflammation

  • 90

    This type of palpable node on the left is associated with thoracic and abdominal malignancy

    Supraclavicular

  • 91

    Slow progression on nodal enlargment suggests?

    Benign process

  • 92

    A submandibular lymph node < 1cm and inguinal lymph node < 2 cm are considered?

    Normal

  • 93

    The thyroid gland moves with _____; subcutanteous fat that mimics a _____ does not.

    swallowing; goiter

  • 94

    At about age 45, a progressive weakinging of accomodation causes?

    presbyopia

  • 95

    Term for unequal pupils

    Anisocoria

  • 96

    Enlarged lacrimal apparatus could suggest?

    Tumor or Sjorgrens

  • 97

    What cranial nerves control extraocular movements?

    CN III, IV, and VI

  • 98

    The fundus (retina) appears as a ______ or _____ background and can vary in pigment with the patients skin color.

    yellow or reddish

  • 99

    Associated with AV nicking and copper wiring

    HTN

  • 100

    Initial sign is leukocoria, a white reflex (cat's eye) rather than red reflex. White pupils on photographs.

    Retinoblastoma