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Spring 19 Exam 3 - Pt Enctr Week 2 - Sports Phsyicals + Documentation Flashcards | StudBud
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Spring 19 Exam 3 - Pt Enctr Week 2 - Sports Phsyicals + Documentation
Spring 19 Exam 3 - Pt Enctr Week 2 - Sports Phsyicals + Documentation
52 terms
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I swear if he does that author question tho
Flashcards
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Questions
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Answers
1
12 y/o hockey player had a testicle removed. Cleared to play?
Yes - pt can play score keeper only
Yes - just make sure properly protected
No - not cleared for any sports
No - must abstain from contact sports
2
Pt had 2 concussions last fb season, got a third this past weekend. Next step?
Three strikes you're out
Needs to be cleared to play by PCP
Needs to be cleared to play by Neurologist
Take a weekend to rest - good to play as long as GCS is good
3
People with Marfan's syndrome - tall/thin/long limbs and fingers - are at risk for what?
Aortic dissection
Lordosis
Aortic Rupture
Obesity
4
Which organ is most likely to rupture in contact sports?
Lung
Liver
Heart
Spleen
5
Complete tear w/ ligamentous laxity and no firm endpoint on exam.
Sprain - grade 3
Strain - third degree
Strain - first degree
Sprain - grade 1
6
79 y/o pt was sitting in the sun and became dehydrated. They most likely have:
Exertional heat stroke
Metabolic heat stroke
Nonexertional heat stroke
Nonmetabolic heat stroke
7
Labs - such as imaging or blood draws may be considered part of which elements?
Objective
Subjective
Plan
Assessment
8
As children's age increases, HR and RR ____, and BP ______.
Increase, Increase
Decrease, Decrease
Decrease, Increase
Increase, Decrease
9
Your pt has an indirect inguinal hernia on the left. Cleared to play?
Most likely yes as long as not incarcerated
No - Needs PCP sign off
No - not cleared for any sports
10
Your 15 y/o gymnast has irregular periods. This could indicate all but?
Smoking
Psychiatric condition
Pregnancy
Nutritional deficits/Eating disorders
11
Which of these is not a synonym of Brugada syndrome?
Bangungun Pokkuri death syndrome
Sudden unexplained death syndrome
Sudden infant death syndrome
Kwashiorkor
12
History of present illness should contain WOF?
Pertinent social history
Pertinent positives and negatives
Pertinent family history
Pertinent past medical history
13
Which heart rate would be considered normal for a 12-15 y/o?
100-205
80-120
98-140
60-100
14
Your pt has hurt her ankle. Swelling, bruising, can bear weight w/ difficulty. Dx?
Strain - second degree
Sprain - grade 2
Strain - grade 2
Sprain - second degree
15
Which is NOT part of the Female Athlete Triad?
Amenorrhea
Iron Deficiency
Osteoporosis
Disordered Eating
16
14 y/o bball player worries she's having an asthma attack and puffs her friend's inhaler.
Advise pt she should not use someone else's meds
Way to be with the quick solution!
17
17 y/o baseball player develops a rash, terrible headache, and then faints. Dx?
Anaphylaxis
Asthma Attack
Heat Stroke
Female Athlete Triad
18
The Female Athlete Triad is only seen in female pts?
false
true
19
In your review of systems you should include pertinent positives and negatives
False - pertinent pos are in HPI, don't duplicate
True - be thorough
20
Pt is 20/100 in left eye, 20/20 in right, making him 20/60 overall. Recommendation?
Cleared to play
Pt needs to be cleared by an optometrist
Pt needs to be cleared by PCP
Not cleared - needs to be at least 20/40 (get glasses)
21
Pt is a wrestler w/ electric shock sensation and arm weakness. Dx?
Stinger/Burner - brachial plexus pinching injury
Marfan's Syndrome - connective tissue d/o
Brugada Syndrome - arrythmia d/o
Sprain - complete/partial ligament injury
22
Your 13 year old tennis player is missing her tetanus booster. Which shot will she get?
DTAP
TDAP
23
If a pt gets heat stroke, it is unlikely to occur again
false
true
24
You hear a syst murmur on the left sternal border, which gets softer w/ handgrip. I am?
Aortic Regurg
HOCM
Aortic Stenosis
MVP
25
How much should a student typically weigh to participate in varsity fb?
100 lbs
150 lbs
120 lbs
110 lbs
26
What are some factors that can attribute to exertional heat stroke?
Humidity greater than 75%
Strenuous Physical Activity
Shivering/Convulsions
Excessive Sweating
27
Pt's left wrist hurts. You examine her left shoulder, elbow, wrist and hand. Full MSK billing?
Yes - do you see all that work?
No - you must check and compare both sides
28
T/F if a pt has a family history of collapse with exercise - an in depth evaluation is needed.
true
false
29
Which matches?
Sprain = ligament
Sprain = muscle
Strain = ligament
Strain = muscle
30
You know you hear a HOCM murmur, you write it on pt's form - not cleared to play. Correct?
Def not cleared buuuut can't confirm HOCM w/o an echo
Not cleared - have a prof make sure its HOCM
Yes - A+
Cleared - pt ok to play until cardiologist visit
31
What is a good breathing technique to educate a pt if having an asthma attack?
Stand to straighten airway, breathe normally
Breathe deeply via mouth only, using chest muscles
Take small sipping breaths in and out of your nose
Slowly inhale and exhale as if blowing out a candle
32
Which respiratory rate would be considered normal for an infant (<1 yr)?
22-37
30-53
18-25
20-28
33
Review of Systems is considered to be a part of which element?
Plan
Objective
Assessment
Subjective
34
You are writing a note for your ICU pt. You know other providers review her chart. You avoid:
Medical terminology
Patient Identifiers
Nonsensical abbreviations
Slang
35
The 45 minute Pt Enctr practical we did in the fall would be considered?
$$$$ 215 Comprehensive
$ 212 Problem Focused
$$ 213 Expanded Problem Focused
$$$ 214 Detailed
36
You have seen Mr. Joe Shmo 100 times. Do you need to check his meds and allergies?
Yes - it is your license on the line
No - a pt would never start a new med without telling you
37
Since last month the star offensive lineman has had poor focus, headaches, behavioral issues.
Post Concussion Syndrome
Heatstroke
Pre-Menstrual Syndrome
Teenagers.
38
What is the best way to write up allergies?
Sulfa Drugs - 1977
Allergies: Ibuprofen - Rash. Drug Rxns: Penicillin - N/V
You only list the actual allergic reactions
Pollen, Ragweed - Sneezing.
39
Your pt is there getting a flu shot - in and out - what type of visit would this be?
212 - Problem Focused
214 - Detailed
215 - Comprehensive
213- Expanded Problem Focused
40
You are wanting the definitive measurement on your pt's temp. Which methods are best?
Oral
Rectal
Axillary
Ear
41
WOF is not done in the 90 second MSK evaluation?
Toe and Heel walk
Tapping fingers to thumbs as quick as possible
Cervical range of motion
Duck walk
42
Pt's senior year, had a burner last year. His neck pain returns. Cleared to play?
Pt needs orthopedic consult to play
Cleared to play!
Pt not allowed to return
Pt must wait until pain goes away
43
S= Subjective 0= Objective A=Assessment P=?
Post Visit Follow Up
Pt education
Prescription
Plan
44
What is the best way to write up current medications (including from Mexico or herbals?)
Claritin 10mg po as needed
"Pt has an IUD"
Ceftriaxone 100mg twice daily
Vitamin D daily
45
Asking your Diabetes pt about lower extremity edema would be considered which system?
Derm
Cardiovascular
General
HEENT
46
WOF is the best way to write up a pt's past medical history?
1985 Dx of Gout Tx w/ Colchicine resolved
GERD - Currently - Taking Tums
Asthma - Dx 1994 - Albuterol. No attacks for 10 years
Kidney Stones - 2010 - Flomax
47
15 y/o dance captain has recently lost 25 lbs. This could indicate?
Eating disorders
Female Athlete Triad
Purging Behavior
Steroid abuse
48
You do at 8 elements w/ a bullet in 5 organ systems. How would you bill for pt's exam?
$$ 213 Expanded Problem focused
$$$ 214 Detailed
$ 212 Problem focused
$$$$ 215 Comprehensive
49
For a History and Physical, which would be sooner in your note?
Past Medical History
History of Present Illness
Problem List
Review of Systems
50
Ever get so dizzy your pass out during exercise? Is screening for:
Neurological Issues
Asthma
Heart Disease/HOCM
Inner Ear Problems
51
Pt has fever and nuchal rigidity. They deny any recent sick contacts. This is a pertinent __?
Positive
Negative
52
Who wrote "hospital is unnatural habitat, pt who is dis-eased may not feel 'at ease'"?
Watson and Crick
Bassent and Chris
Pen and Teller
Coulehan and Block
