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Clinical Exam Test 1 -B
History taking, patient interviewing, vital signs and peripheral vasculature
50
Health Care
Professional
09/27/2010

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Cards

Term
What percentage of white women in the US are overweight?
Definition
Approx 47%
Term
What percentage of black men in the US are overweight?
Definition
Approx 58%
Term
What percentage of white men are overweight?
Definition
Approx 62%
Term
Among adolescents, which groups have the highest rates of obesity?
Definition
Mexican/American boys, black girls, and white boys from low income families
Term
Obesity is associated with increased risk for...
Definition
Cardiac disease, numerous cancer, Type 2 diabetes, stroke, arthritis, sleep apnea, depression.
Term
What percentage of people who Type 2 diabetes are obese?
Definition
50%
Term
What percentage of people with hypertension are obese?
Definition
20%
Term
What percentage of overweight pts are told to lose weight?
Definition
42%
Term
BMI of 30-34 is considered what?
Definition
Type 1 Obesity
Term
BMI 34-39 is considered what?
Definition
Type 2 Obesity
Term
For a BMI of 27-35, what is a recommended amount of weight loss for a 6 month period?
Definition
10%
Term
For a BMI of 27-35, it is recommended to decrease caloric intake by how much?
Definition
300-500 kcal/day
Term
What is a safe or recommended weekly rate of weight loss?
Definition
0.5 - 1 lbs/week
Term
Exercise recommendations: ______ activity, _______ minutes per day
Definition
Moderate, 30
Term
What nutrients/vitamins are especially important for females?
Definition
Folic acid and iron
Term
What nutrients/vitamins are especially important for women over 50?
Definition
Vit. B12, Calcium, Vit. D
Term
Compared to a pt's norm, unkempt appearance is seen in which condition(s)?
Definition
Dementia, depression
Term
What syndrome(s) can cause fat in the trunk with thin limbs?
Definition
Cushings syndrome, metabolic syndrome
Term
What is the equation for BMI?
Definition
kg/m^2
Term
Approx how many American have high blood pressure?
Definition
72 mil.
Term
How wide should the bladder of a BP cuff be?
Definition
40% of the circumference of the upper arm
Term
How long should the bladder in a BP cuff be?
Definition
80% of the circumference of the upper arm
Term
What is the average width of a BP bladder?
Definition
12-14 cm
Term
What are the dimensions for a standard cuff?
Definition
12 x 23 cm
Term
A standard BP cuff can fit an arm circumference up to...
Definition
28 cm
Term
What should a patient avoid doing before having blood pressure read?
Definition
Smoking or caffeine for 30 minutes prior.
Term
For taking BP, the patient's brachial artery in the antecubital crease should be positioned how?
Definition
At heart level, the 4th intercostal space.
Term
Why do you inflate the BP cuff while palpating the radial artery?
Definition
Developing a target BP helps avoid missing an auscultatory gap.
Term
What kind of error(s) can result from an unrecognized auscultatory gap?
Definition
Underestimated SBP, overestimated DBP
Term
Are Korotkoff sounds high or low in pitch? Are they heard better with diaphragm or bell?
Definition
Low, bell
Term
Korotkoff sounds never disappear in what condition?
Definition
Aortic regurgitation
Term
If the difference between the muffling and disappearance points is more than ___ mm Hg, you should record both findings.
Definition
10
Term
After repeating a BP reading, the difference between the two readings is more than ___ mm Hg, so you take additional readings.
Definition
5
Term
Slow or repetitive inflation of the BP cuff can lead to...
Definition
venous congestion
Term
What does venous congestion do to Korotkoff sounds, and how can reading BP be altered by it?
Definition
Muffles the sounds. Can lead to underestimation of SBP and overestimation of DBP.
Term
What is the usual difference between pressure in the two arms?
Definition
5-10 mm Hg
Term
What are the 4 target areas of HTN?
Definition
Eyes, brain, kidney and heart.
Term
Relatively low BPs should be interpreted in light of...
Definition
Past BP readings and present clinical state
Term
For an obese arm, use the wide cuff, which is __ cm.
Definition
14
Term
If arm circumference exceeds ___cm, use the ________ cuff which is ___ cm wide.
Definition
41, thigh, 18
Term
If there is a pressure difference between, should you take subsequent readings on the arm with higher or lower BP?
Definition
Higher
Term
A difference in BP of more than 10-15 mm Hg on one arm compared to other suggests what?
Definition
Arterial compression in the arm with the lower BP
Term
Which pts should have orthostatic BP done?
Definition
Those taking antihypertensives, those with a possible depletion of blood volume, and those with a history of fainting or dizzyness.
Term
What type of lamp is used to look for fungal infection?
Definition
Wood's Lamp
Term
During percussion, what types of tissues produce loud, moderate and soft sounds?
Definition
Loud - air, moderate - fluid, soft - tissue
Term
What surface of the hand should you use to discern vibration?
Definition
Ulnar surface
Term
What are the areas to remember to discuss with adolescents?
Definition
PACES or HEADS
Term
For percussion, move from areas of ___________ to areas of _________.
Definition
resonance, dullness
Term
Auscultation should be performed at what point in the physical exam?
Definition
Last
Term
What kind of reflex do you check during examining the eye?
Definition
The red reflex.
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