GU HA Week 2

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GU HA Week 2
2015-09-21 21:01:56
GU HA Quiz 2
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  1. What part of your hand should you use to determine vibration?
    ulnar surfaces of hand and fingers
  2. What part of your hand should you use to determine temperature?
    dorsal surface of hand
  3. What part of your hand should you use to determine texture, size, or crepitus?
    palmar surface of fingers and finger pads
  4. How will the leg BP compare to arm BP in a case of coarctation of the aorta or aortic stenosis?
    it will be LOWER (normally is higher)
  5. Orthostatic HTN: measure BP sitting, then within ___ minutes of standing.  If present, systolic will drop > ___ mmHg & diastolic will drop > __ mmHg.
    • 3
    • 20
    • 10
  6. What kind of pain may be tender, deep, and aching?
    bone and soft tissue pain
  7. What kind of pain may be heavy, throbbing, and aching?
    tumor pressing on a cavity
  8. What kind of pain may be burning, shock like pain?
    nerve tissue damage
  9. What may cramping spasms indicate?
    visceral or colic pain
  10. What may a sustained tachycardia indicate in an infant?
    underlying cardiac rhythm disturbance, such as paroxysmal atrial tachycardia
  11. Normal RR for newborns.
  12. Expected newborn BP.
    60/30 - 96/62
  13. In newborns, what could a sustained increase in BP indicate?
    • thrombosis after umbilical catheter
    • coarctation of aorta
    • renal DO
    • congenital adrenal hyperplasia
    • CNS disease
  14. What is the PIPP?
    • Premature Infant Pain Profile
    • used to assess procedural pain in newborns b/w 28-40 wks gestation
  15. When is the Neonatal Infant Pain Scale used?
    to assess procedure pain up to 6 wks of of age
  16. What is the CRIES scale?
    • Crying,
    • Requires O2 to keep sat >95
    • Increased Vital Signs
    • Expression
    • Sleeplessness
    • -used to evaluate procedure & surgical pain in newborns & infants
  17. Normal RR for 1 yr old
  18. Normal RR for 6 yr old
  19. Normal RR for 3 yr old
  20. Normal RR for 10 yr old
  21. Normal RR for 17 yr old
  22. Normal BP for kids are is designated in what percentile?
    < 90th
  23. Pre-HTN for kids are is designated in what percentile?
  24. In kids, if systolic is elevated and diastolic is not, what could be the cause?
  25. What is FLACC?
    • a Behavioral Pain Assessment Scale for nonverbal children
    • Face
    • Legs
    • Activity
    • Cry
    • Consolability
  26. What part of the brain is primarily responsible for a person's mental status?
    • cerebrum
    • (cerebral cortex = higher mental fxns & is responsible for perception & behavior)
  27. What part of the brain is responsible for receiving and processing sensory data?
    parietal lobe
  28. What part of the brain contains the motor cortex and is associated with speech formation?
    frontal lobe (Broca area)
  29. What part of the brain is responsible for decision making, problem solving, concentration, and short-term memory?
    frontal lobe
  30. Where do emotions, affect, drive, autonomic responses to emotional states, and awareness of self orginate?
    frontal lobe
  31. What part of the brain is responsible for the perception and interpretation of sounds?
    temporal lobe
  32. What part of the brain allows a person to understand spoken and written language?
    Wernicke area within the temporal lobe
  33. Person disorientation results from?
    • cerebral trauma
    • seizures
    • amnesia
  34. Place disorientation occurs with?
    • psych DO
    • delerium
    • cognitive impairment
  35. What is the mini-cog?
    • measures cognitive fxn
    • tell pt three words to remember 
    • draw clock face (in 3 min)
    • repeat the 3 words
  36. examples of attention span assessment.
    • follow a short set of commands 
    • say days of week or spell "world" fwd & bkwd
    • perform arithmetic calculations
  37. Decreased attn span may be r/t?
    • fatigue
    • depression
    • delerium
    • toxic or metabolic causes = confusion
  38. What is circumlocution?
    Pantomime or word substitution to avoid revealing that a word was forgotten.
  39. What is perseveration?
    Repetition of a word, phrase, or gesture
  40. Meaningless, disconnected word choices.
    word salad
  41. Made up words.
  42. Word choice based on sound so that words rhyme in a nonsensical way
    clang association
  43. What is echolalia?
    repeating ANOTHER PERSON's words
  44. What type of hallucinations are most commonly associated with alcohol withdrawal?
  45. What type of hallucinations are associated with psych DO, severe dipression, acute into, delirium, & dementia?
    auditory & visual
  46. Articulation milestones in children b/w 2.5 - 6 yoa may be evaluated with what screening exam?
  47. Patients with _____, which has a gradual onset, are likely to appear apathetic and depressed, and often get lost in familiar places.
  48. Patients with _______ develop symptoms suddenly and are prone to mood swings.