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Clinical Reasoning Exam 1 - Jaxo Flashcards | StudBud
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Clinical Reasoning Exam 1 - Jaxo
Clinical Reasoning Exam 1 - Jaxo
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Logan University Clinical Reasoning Exam 1- Brinkman @madsmax13
Flashcards
69 cards
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Answers
1
HPI stands for _____
History of Present Illness
History of Past Illness
History of Problems and Illness
History of Patient Illness
2
Hypertension is low blood pressure.
True
False
3
what is the order of reasoning for inductive reasoning?
hypothesis--theory--observation--confirmation
pattern--tentative hypothesis--observation--theory
observation--pattern--tentative hypothesis-- theory
theory--hypothesis--observation--confirmation
4
Your patient reports that their spouse has a history of cancer. This info is pertinent to the medical care you provide.
False
True
5
The normal amount of respirations is around 12-20 respirations per minute.
True
False
6
Three reasons errors can occur
Clinician fault
Patient fault
System fault
No fault
7
What happens to the blood pressure reading when you use a cuff that is too big?
No reading will be found
Reading will be higher
Reading will be lower
There is no effect
8
The quality of pain is how the patient describes what they feel.
True
False
9
People with disc bulges prefer sitting or standing?
Sitting
Standing
10
Getting an accurate diagnosis largely depends on data acquired during…
False
True
11
deductive reasoning begins with and heavily relies on the
physical exam
patient history
chief complaint
patient illness
12
You must obtain the full patient database in one visit.
True
False
13
What type of cartilage is the labrum?
Elastic
Hyaline
Fibrocartilage
14
What are the hereditary diseases you are looking for on family history?
diabetes
Heart disease
stroke
Cancer
15
What are two types of medical interviews?
Individual centered
Patient centered
World centered
Physician centered
16
When is blood pressure most accurate?
At the time it is taken
In the morning
Averaged over days and weeks
At night
17
Where would you report lab findings in a SOAP note?
Plan
Assessment
Subjective
Objective
18
Which of the following would be considered Stage 1 Hypertension?
142/93
133/88
119/77
125/78
19
The 2nd property of medical experts states that they have strong self-monitoring skills known as
metacognition
collaboration
moral commitment
up-to-date
20
Why is clinical reasoning important?
Important b/c medical errors often result in malpractice payments
Important b/c medical errors are associated with high morbidity
Important b/c medical errors are the 2nd leading cause of adverse effects
All of these
21
What is a normal pulse for an adult?
40-60
100-120
60-100
80-140
22
Why is it painful for a patient with a lumbar disc protrusion to get out of bed, out of a chair, or change positions?
It decreases the lordosis
Change in pressure
It increases the lordosis
23
Ankle sprains are more valgus or varus?
Valgus
Varus
24
What is a syndrome?
A specific medical set of both signs and symptoms
Signs and symptoms paired with a definite cause
What the patient feels/reports
Something that the doctor tests/observes
25
SOAP stands for Subjective, Objective, Assessment, Plan.
False
True
26
in a history taking, what part is the subjective data?
what the patient tells you
observations
palpations
labs and imaging
27
What percentage of patients have significant anxiety and depression?
80%
20-30%
30-40%
15-20%
28
Which of the following symptoms pertain to the Constitutional body system?
Shortness of breath
Fatigue
Indigestion
Heart palpations
29
People with disc degeneration and stenosis prefer sitting or standing?
Sitting
Standing
30
What are the 7 components of a comprehensive history?
Identify data, C/C, HPI, past history, family history, social history, ROS
Location, Onset, C/C, ROS, Radiation, Past History, Quality
Identify data, C/C, HPI, ROS, Palliative, Provocative, Location
31
What is tachypnea?
Not breathing
Breathing too slowly
Breathing too rapidly
32
Bladder and upper respiratory infections are primary viral.
True
False
33
Muscles, tendons, ligaments and cartilage tend to produce what quality of pain?
Pins and needles and numbness
Deep and boring
Sharp and radiating
Dull, diffuse and achy
34
Good communication requires specific language the patient understands.
False
True
35
What is fatigue?
Feeling weak
Losing interest in daily tasks
Non-specific loss of energy
36
The patient doctor relationship is considered referred to as a fiduciary relationship, which is based upon:
Personality
Congeniality
Knowledge and skill
Trust and confidence
37
What is White Coat Hypertension?
Elevated blood pressure due to the patient standing up
Elevated blood pressure due to exercise
Elevated blood pressure due to the patient being in a clinical setting
Doctors having high blood pressure
38
What is the most common artery to take pulse?
Popliteal artery
Femoral Artery
Brachial artery
Radial artery
39
What are the two basic types of medical interviews?
problem-oriented
patient information
health promotion
solution-oriented
40
What is systolic blood pressure?
Top number
Bottom number
Pressure in arteries when ventricles are relaxing
Pressure in arteries when ventricles are at maximum contraction
41
ROS stands for
Reaction of Systems
Review of Symptoms
Report of Symptoms
Review of Systems
42
The purpose of summarizing the HPI is to _____
It gives the patient one more chance to give the doctor more info
Transition statement to help doctor move to the next section of interview
43
The average physician interrupts their patient within ______ seconds.
5
60
30
14
44
A comprehensive patient assessment focuses on a specific complaint.
False
True
45
What is diastolic blood pressure?
Top number
Pressure in arteries when ventricles are relaxing
Pressure in arteries when ventricles are at maximum contraction
Bottom number
46
Does a fever cause your blood pressure to drop or rise?
Rise
drop
47
The intensity of pain described by your patients is known as:
Quality
Quantity
Aggravating factors
Setting
48
Palliative means something that makes the c/c feel
Worse
Better
No different
Stiff
49
When a patient talks about their back pain, what is the best way for you to know where the chief complaint is located?
Have the patient describe the location
Take an educated guess
Ask a family member
Ask the patient to point to the area
50
A family history of heart disease is not important when diagnosing a knee complaint.
False
True
51
While taking a history, if your patient tells you the pain occurs every month, this info falls under which component?
Radiation
Timing
Onset
Provocative
52
What is the cause for secondary hypertension?
Caffeine
Drugs
Obesity
Alcohol
53
What HTN is treated prior to end organ damage?
Chronic elevation
Secondary prevention
Primary prevention
54
What useful tool helps summarize clinical presentations?
Illness Script
VINDICATE
SOAP notes
HEADSS
55
Is Nociceptive pain visceral or somatic?
Visceral
Somatic
56
If a patient comes in holding their arm above their head, would that be considered a sign or symptom?
Symptom
Sign
57
What is bradypnea?
Breathing too fast
Not breathing
Breathing too slowly
58
What do strains affect?
Muscle
Tendon
Ligament
59
What is BMI?
Body Mass Index
Babes Murdering Iguanas
Banging Moms Instead
Body Measuring Influx
60
What is the normal BMI range?
25-30
15-19
12-17
19-24
61
What does shivering do?
Annoys me
Increase heat production
Nothing
Decrease heat production
62
What is a normal blood pressure?
130-139/80-89
120-129/<80
>140/>90
<120/<80
63
What is an arrhythmia?
Irregular or extra heart beats
Lack of heart beat
Rhythm used in music
Normal heart beat
64
What is the sequence of a patient visit?
Obtain patient’s history, examination, formulate diagnosis, treatment plan
Obtain patient’s history, examination, treatment plan, formulate diagnosis
Examination, obtain patient’s history, formulate diagnosis, treatment plan
Obtain patient’s history, formulate diagnosis, examination, treatment plan
65
What is analgesia?
Decreased sensitivity to pain
Increased sensitivity to pain
Absence of pain sensation
Paralysis in the anal cavity
66
Associated symptoms is part of which component of the history?
HPI
Past medical history
Family history
ROS
67
What is the explanation the clinician has for the patient’s symptoms?
Syndrome
Diagnosis
Disease
Illness
68
What amount of the diagnoses can be made from the history?
1/2
1/4
2/3
1/3
69
What is “White Coat” hypertension?
High BP in the office, high ambulatory
Normal BP in office, high when ambulatory
Normal BP in office, normal ambulatory
High BP in the office, normal ambulatory
