ScribeAmerica quizlet 1

HTN CC

asymptomatic

HLD CC

asymptomatic

DM CC

polyuria, polydipsia

CAD CC

CP or pressure

Asthma CC

SOB, wheezing

How do you diagnose HTN?

Check BP

How do you diagnose HLD?

Check bloodwork

How do you diagnose DM?

Fasting blood glucose, HA1C

How do you diagnose HLD?

Check blood work for LDL levels

How do you diagnose CAD?

Cardiac Catheterization by cardiologist

How do you diagnose asthma?

Peak Flow Testing

How is Peak Flow measured?

Liters/Minute

In what quadrant is the appendix located?

RLQ

In what quadrant is the gallbladder located?

RUQ

In what quadrant is the diverticuli located?

LLQ

What do you test to find out if person has pancreatitis?

Lipase

Weakness

Peristesia

Co morbidity

The presence of two or more chronic conditions

Etiology

The cause of a disease

The relaxed phase of the heartbeat?

Diastolic

Excessive Thirst?

Polydipsia

Anticoagulant

A drug that prevents blood clotting

How long must a patient have a disease for it to be considered chronic?

3 months

Explain why patients with comorbidities are complex and give an example?

The treatment of one disease may contradict the treatment of the second, such as one medicine making their other illness worse.

Complex patients often bill to a HIGHER or LOWER level?

Higher

100/70 BP reading. What is this?

Normal

150/95 BP reading. What is this?

Hypertensive

130/85 BP reading. What is this?

Pre-Hypertensive

Patients with HTN often become symptomatic when the HTN is chronic and worsening. Name two symptoms a patient with severe HTN may experience?

Vision Loss, Epistaxis

Give three examples of non-pharmacological HTN management

low sodium diet, decreased EtOH intake and exercise

What is the abbreviation for hydrochlorothiazide

HCTZ

The majority of diabetes patients have Type I or II diabetes?

Type II

What are three common symptoms of diabetes?

Polyuria, Polydipsia, Fatigue

Name one disease that can be caused by diabetes and explain how chronic hyperglycemia contributes to it's etiology?

Diabetic Retinopathy, damage to the small vessels of the eyes can cause them to hemorrhage, leading to blurred vision.

Both Type I and Type II diabetes can be treated with insulin. Which type can also be treated with oral medication?

Type II

Which mediation is preferred for someone with mild, new onset, type II DM: Metformin or Humalog? Why?

Metformin. Sometimes Type II diabetes can be treated with just oral medication

Name 3 risk factors of HLD

Obesity, physical inactivity, FHx

Why is HDL considered good cholesterol?

It's able to remove cholesterol from artery plaques and recycle it back to the liver.

CAD and MI can be caused the HLD due to atherosclerosis of the _________ arteries

coronary

TIA and CVA can be caused by HLD due to atherosclerosis of the __________ arteries

carotid

What is the name of the drug group used to treat HLD? What is one brand name?

Statin, Lipitor

What are five risk factors of CAD?

HTN, HLD, DM, FHx, Smoking

The study that diagnoses CAD is?

Cardiac Catheterization

What are 2 non pharmacological treatments for CAD?

Weight Loss, Exercise

Order the following surgeries based on invasiveness:

Angioplasty

CABG

Cardiac Catheterization

Stent

Cardiac Catheterization, Angioplasty, Stent, CABG

If a patient says, "I've had open heart surgery," what would you write in the past medical history section?

CABG, coronary artery bypass graft

HCTZ

Hydrochlorothiazide

Asthma is diagnosed with a device called?

Peak Flow Meter

What is a physician likely to ask any new patient with asthma?

Do you have a nebulizer? Have you been prescribed steroids recently? Have you been previously hospitalized? Have you been previously intubated?

Name two asthma medications that can be inhaled?

Albuterol, Flovent

What is the difference between a nebulizer and an inhaler?

A nebulizer delivers a continuous aerosol mist, while an inhaler releases a puff of medication for one time use.

SOAP

subjective objective assessment and plan

subjective

patient's feelings

Outpatient

A patient who is seen and sent home on the same day

Baseline

normal

Listening with a stethoscope

auscultation

Chief Complaint (CC)

reason why the patient came to the clinic

What are two examples of mid level providers?

NP and PA

In a diagnostic visit, the patient has a NEW or EXISTING complaint

New

Who typically obtains meaningful use requirements during patient check in?

MA

H&P

History and Physical

Who evaluates the H&P (history and physical)

Provider

Name two items you will include in the patient's plan?

Follow up with specialist, instructions for lifestyle care

History of Present Illness - subjective or objective?

subjective

Review of Systems - subjective or objective?

subjective

Physical Exam - subjective or objective?

objective

"I have high blood pressure"

HTN

"I take shots for my diabetes"

IDDM, insulin dependent DM

"My doctor says my heart is failing"

CHF

"I have acid reflux"

GERD

"I'm not pregnant. I have two children, but I miscarried my first pregnancy." G:/P:/A:__

3, 2, 1

Name and correctly spell the following surgery:

heart bypass

coronary artery bypass graft

Name and correctly spell the following surgery:

breast removal

mastectomy

Name and correctly spell the following surgery:

gallbladder removal

cholecystecomy

Name and correctly spell the following surgery:

uterus removed

hysterectomy

Name and correctly spell the following surgery:

neck artery cleaned

carotid endarterectomy

What are two items you could include in a social history?

smoker, working

Name three examples of living circumstances?

alone, with family, senior living

Follow up

returning to a healthcare provider on a consistent basis

BID

Twice a day

Subq

medication injected just under the skin

prn

as needed

a forecast of the likely course of a disease

prognosis

The assessment will ALWAYS include what?

diagnosis

What is the formal of a simple statement assessment?

Age/sex of patient, PMHx, diagnosis