DOCC QUESTIONS AND ANSWERS
Normal RR - Answers -12-20 bbm
>20 is higher than tachypnea
Normal HR - Answers -60-100 bbpm
>100 tachycardic
Normal BP - Answers -120/80
Prehypertension - Answers -120-140 or 80-90
Hypertension - Answers ->140 or >90
Mental Status Exam Steps - Answers -1. Appearance
2. Speech
3. Mood and Affect
4. Thought Processes and Content
5. Cognition and Sensorium
6. Insight and Judgment
Things to look for in speech - Answers -1. Rate - slow, fast, normal
2. Amount - excesive, monosyllabic
3. Rhythm - monotonic
4. Volume - inaudible, soft
Mood vs. Affect - Answers -Mood - long
Affect - moment to moment
Thought Process and Content - Answers -Goal Directed
Over Inclusive - too much detail but on topic
Circumstantial - unrelated info but answers question
Tangential - needs prompting to return
Thought blocking - stops
Content - Answers -Psychotic - hallucinations (visual, auditory) vs delusions (paranoia)
Suicidal Thought - Passive vs. Active
Homicidal
Cognition vs. Sensorium - Answers -Cognition - higher mental functions (demintia)
Sensorium -ability to interact with environement (delirium)
What to asses for cognition - Answers -oritented to time, place, person
, What is a good cognitive test - Answers -do this if they are over 65 or high risk
register short term memory
Insight and Judgement Test - Answers -Why you are here, understand your condition
Sclera - Answers -yellow = jaundice
white of the eyes
Conjuctiva - Answers -mucous membrane
subconjuncvtival hemorrahge
Optic Disck - Answers -opthalmascope
fundoscope
chalazion - Answers -subacute painless eye problem
Weber Test - Answers -Forehead
Lateralize to good ear if sensoroneural
Lateralize to bad ear if conductive
small tuning fork (256hz)
Rhine Test - Answers -Air conduction is better than bone conduction
place on mastiod process
What nerves do you test when you test facial sensaton - Answers -CN 1, 2, 3
opthalmic
maxillary
mandibular
Sign of Cheek Pain - shingles - Answers -facial rash, allodynia, itching
Sign of Cheek Pain - sinusitis - Answers -Tap on sinus
Transiluminate sinuses
Bend over and pain gets worse
fever
nasal congestion
Sign of Cheek Pain - abcess - Answers -tooth pain, swollen lymph nodes
PND (Paroxysmal Nocturnal Dyspnea) - Answers -wakes patient up gasping for breath
Orthopnea - Answers -difficutly breathing while lying flat
Pleuritic Pain - Answers -Chest pain on inspiration
Normal RR - Answers -12-20 bbm
>20 is higher than tachypnea
Normal HR - Answers -60-100 bbpm
>100 tachycardic
Normal BP - Answers -120/80
Prehypertension - Answers -120-140 or 80-90
Hypertension - Answers ->140 or >90
Mental Status Exam Steps - Answers -1. Appearance
2. Speech
3. Mood and Affect
4. Thought Processes and Content
5. Cognition and Sensorium
6. Insight and Judgment
Things to look for in speech - Answers -1. Rate - slow, fast, normal
2. Amount - excesive, monosyllabic
3. Rhythm - monotonic
4. Volume - inaudible, soft
Mood vs. Affect - Answers -Mood - long
Affect - moment to moment
Thought Process and Content - Answers -Goal Directed
Over Inclusive - too much detail but on topic
Circumstantial - unrelated info but answers question
Tangential - needs prompting to return
Thought blocking - stops
Content - Answers -Psychotic - hallucinations (visual, auditory) vs delusions (paranoia)
Suicidal Thought - Passive vs. Active
Homicidal
Cognition vs. Sensorium - Answers -Cognition - higher mental functions (demintia)
Sensorium -ability to interact with environement (delirium)
What to asses for cognition - Answers -oritented to time, place, person
, What is a good cognitive test - Answers -do this if they are over 65 or high risk
register short term memory
Insight and Judgement Test - Answers -Why you are here, understand your condition
Sclera - Answers -yellow = jaundice
white of the eyes
Conjuctiva - Answers -mucous membrane
subconjuncvtival hemorrahge
Optic Disck - Answers -opthalmascope
fundoscope
chalazion - Answers -subacute painless eye problem
Weber Test - Answers -Forehead
Lateralize to good ear if sensoroneural
Lateralize to bad ear if conductive
small tuning fork (256hz)
Rhine Test - Answers -Air conduction is better than bone conduction
place on mastiod process
What nerves do you test when you test facial sensaton - Answers -CN 1, 2, 3
opthalmic
maxillary
mandibular
Sign of Cheek Pain - shingles - Answers -facial rash, allodynia, itching
Sign of Cheek Pain - sinusitis - Answers -Tap on sinus
Transiluminate sinuses
Bend over and pain gets worse
fever
nasal congestion
Sign of Cheek Pain - abcess - Answers -tooth pain, swollen lymph nodes
PND (Paroxysmal Nocturnal Dyspnea) - Answers -wakes patient up gasping for breath
Orthopnea - Answers -difficutly breathing while lying flat
Pleuritic Pain - Answers -Chest pain on inspiration
