Maryville College

What are the usual pain characteristics of appendicitis? Answer initially periumbilical or epigastric; colicky; later becomes localized to RLQ often at McBurney's point. What are possible S&S of appendicitis? Answer guarding, tenderness, + ilopsoas and + obturator signs, RLQ skin hyperesthesia, + Aaron, Rovsing, Markle, and McBurney signs. N/V/Fever What is the iliopsoas test? Answer an inflamed appendix may cause irritation of the lateral iliopsoas muscle. How do you perform the iliop...

What does the acronym OLDCARTS stand for? Answer Onset Location Duration - how long has it been going? How long does it last? Characteristics Aggravating factors Relieving factors Timing - constant; intermittent Severity What does the pain acronym PQRST stand for? Answer provocative/palliative quality region/radiation severity timing What does the pain acronym COLDSPA stand for? Answer characteristic onset location duration pattern associated factors

HPI questions for chief complaint of abdominal issue Answer ○Abdominal pain-OLDCARTS ○When did the pain start? ○Where is the pain in your stomach? ○Does the pain radiate to other locations? ○Have experience nausea/vomiting, indigestion or increase in belching. ○What medications have you used to treat your symptoms? ○Have you had any diarrhea or constipation? ○Do you have to use laxative frequently? ○What is your regular dietary habits? inspection of abdomen Answer -A...

midsystolic murmur that radiates to left sternal border with a medium pitch; a coarse thrill is palpated as well? Answer Aortic stenosis During percussion, the patient holds his or her arms in front in order to? Answer Expose maximum lung area List 2 HPI questions for Chest pain Answer 1. does the pain radiate to the arm or jaw 2. Are there associated symptoms such as SOB, sweating or N/V List 2 patient educations regarding sun exposure Answer 1. Apply SPF of 30 or after and reapply ev...

Which of the following will best facilitate the interviewwhen obtaining a history for a deaf patient who can read lips? a. Speaking loudly b. Using gestures c. Speaking slowly d. Sitting to the side of the patient Answer c Approximately what percentage of patients interviewed have a sexual orientation other than heterosexual? a. 2% b. 5% c. 10% d. 20% Answer c During a history, the patient indicates he has an uncle and a brother with sickle cell disease. Which of the following i...

Which of the following will best facilitate the interview when obtaining a history for a deaf patient who can read lips? Answer speaking slowly During a history, the patient indicates he has an uncle and a brother with sickle cell disease. Which of the following is an appropriate method to document this information? Answer Include it in the family history. Which approach is recommended at the onset of an interview? Answer Use an open-ended approach; let the patient explain the proble...

Which of the Following disorders is known to be heredity? Peripheral neuropathy Meningitis Huntington Chorea Seizure disorder Answer Huntington Chorea The Examiner asks the patient to close her eyes and then place a vibrating tuning fork on the patients ankle and asks her to indicate what is felt. What is being assessed? Answer Primary sensory function Multiple sclerosis Answer Fatigue, bowel and bladder dysfunction, sexual dysfunction, sensory changes, muscle weakness Myasthenia gr...

A patients inability to follow simple instructions could indicate with of the following findings? A. Dysphonia B. Amnesia C. Aphasia D. Depression Answer D. Depression A patient scores a 3 on a mini-cog assessment instrument for dementia, What does this score indicate? A. Advanced dementia B. Early dementia C. Need for further evaluation D. Negative screen for dementia Answer D. Negative screen for dementia The examiner asks the patient to complete this statement: "A bird is to ...

Claudication Answer a condition in which cramping pain in the leg is induced by exercise, typically caused by obstruction of the arteries. May be characterized as a dull ache with accompanying muscle fatigue and cramps. Usually appears with sustained exercise. Site of pain is distant to narrowing. How do you test EOM? Answer Eye movement is controlled by 6 extraocular muscles and 3 cranial nerves, III, IV, and VI. To evaluate eye movement, use 4 techniques. ● First have the patient watch y...

What is S4 indicative of? Answer In the 2nd phase of ventricular filling, vibration in the valves, papillae, and ventricular walls produce S4. When there is increased resistance to filling because ventricular walls have lost compliance. HTN, CAD or increased stroke volume high output, anemia, pregnancy, and thyrotoxicosis. A loud S4 suggest pathology and deserves additional evaluation. State the order of the abdominal exam? Answer Inspect, auscultate, percuss, and palpate The tonsil assess...