Advanced Health Assessment: Exam 1 2023 with verified questions and answers

The 5 P's of sexual history Partners Practices Protection from STIs Past hx of STIs Prevention of pregnancy The 4 C's of effective communication: Courtesy Comfort Connection Confirmation Th history includes: Identifiers Chief concern HPI PMH FH Personal/social history ROS What is the CAGE questionnaire? A model for discussion the use of alcohol Cutting down Annoyance by criticism Guilty feeling Eye-openers What is the TACE model? Alcohol screening tool How many drinks does it TAKE to make you feel high? Have people ANNOYED you by criticism? Have you felt you need to CUT down on drinking? Have you ever had an EYE-OPENER drink to wake up? What is the CRAFFT questionnaire? Alcohol screening for adolescents Car Relax Alone Forget Friends Trouble What is the HITS tool? Screening for IPV (intimate partner violence) In the past year, how often did your partner: Hurt you physically? Insult or talk down to you? Threaten you with physical harm? Scream or curse at you? What is the FICA tool? Faith assessment tool: Faith, belief, meaning Importance and influence Community Address/action in care What is the HEADSSS tool? Screening tool of adolescent issues: Home environment Education/employment Activities, affect, ambitions, anger Drugs Sexuality Suicide/depression Safety from injury/violence What is the PACES tool? Screening tool for adolescent issues: Parents, peers Accidents, alcohol/drugs Cigarettes Emotional issues School/sexuality What are the types of histories? The complete history: most thorough, the first time you see the patient The inventory history: touches the major points without going into detail; when the entire history will take multiple sessions The problem/focused history: for when the problem is acute and possibly life-threatening the interim history: to chronicle events that have happened since your last visit Examination tools: tympanometer Used to assess the functions of the ossicular chain, eustachian tube, and tympanic membrane (ear) Examination tools: opthalmoscope Used to visualize the interior structures of the eye Examination tools: PanOptic opthalmoscope A "paroramic" ophthalmoscope to allow for a larger field of view and increased magnification Can be used with with phone apps for pictures! Examination tools: StrabismoScope Used to detect strabismus (eye misalignment) Mostly for children Examination tools: Amsler grid Screening test for macular degeneration Examination tools: otoscope Used to illuminate the external auditory canal and tympanic membrane Examination tools: Tuning fork Used to test auditory function/vibratory sensation for neuro exam Use 500-1000Hz for auditory evaluation Use 100-400Hz for vibratory sensation Examination tools: Neurologic hammer Variant of the percussion hammer; used to deep tendon reflexes Examination tools: transilluminator Uses a beam of light to shine of different parts of the body to assess different media present in that area/cavity Examination tools: Goniometer Used to determine the degree of joint flexion and extension (looks like a protractor) Examination tools: monofilament Like a tool with a sharp prick used to assess protective sensation (i.e. diabetic neuropathy) Examination tools: Scoliometer Used to measure the degree of rotation of the spine Percussion: tympanic Loud intensity, high pitch, moderate duration, drumlike quality Normal over gastric bubble Percussion: Hyperresonance Very loud intensity, low pitch, moderate duration, boomlike quality Heard over emphysematous lungs Percussion: resonant Loud intensity, low pitch, long duration, hollow quality Heard over healthy lung tissue Percussion: dull Soft to medium intensity, moderate to high pitch, moderate duration, thudlike quality Heard over the liver Percussion: flat Soft intensity, high pitch, short duration, very dull quality Heard over muscle Examination tools: Wood's lamp A light source with a wavelength of 360nm used to show the presence of fungi Percussion techniques: Direct Finger strikes directly against the body Percussion techniques: Indirect Middle finger of dominant hand is hamme