Assessment Test 1

Front 1

awake and readily aroused, oriented, fully aware of external and internal stimuli and responds appropriately, conducts meaningful interpersonal interactions

Back 1

Alert

Front 2

Not fully alert, drifts off to sleep when not stimulated, can be aroused to name when called i normal voice but looks drowsy, responds appropriately to questions or commands but thinking seems slow and fuzzy, inattentive, loses train of thought, spontaneous movements are decreased

Back 2

Lethargic

Front 3

Sleep most of the time, difficult to arouse--needs loud shout or vigorous shake, acts confused when is arounds, converses in monosullables, speech may be mumbled and incoherent, requires constant stimulation for even marginal cooperation

Back 3

Obtunded

Front 4

Spontaneously unconscious, responds only to persistent and bigorous shake or pain; has appropriate moto response; otherwise can only groan, mumble, or move restlessly; reflex activity persists

Back 4

Stupor (Semi-coma)

Front 5

completely unconscious, no response to pain or to any external or internal stimuli, light coma has some reflex activity but no purposeful movement, deep coma has no motor response

Back 5

Coma

Front 6

clouding of consciousness; inattentive; incoherent converstaion; impaired recent memory; often agitated and having visual hallucinations; disoriented, with confusion worse at night when stimuli are decreased

Back 6

Acute Confusional State (Delirium)

Front 7

Disorder of voice

Back 7

Dysphonia

Front 8

Distorted articulation in voice

Back 8

dysarthria

Front 9

language comprehension and production secondary to brain damage

Back 9

aphasia

Front 10

most common and sever form; spontaneous speech is absent or reduced to a few stereo-typed words or sounds. Comprehension is absent or reduced

Back 10

Global aphasia

Front 11

Expressive. Can understand language but cannot express using language. Nonfluent, dysarthric, and effortful speech

Back 11

Broca's aphasia

Front 12

Receptive. Opposite broca's. can hear sounds and words but cannot relate them to previous experiences. speech is fluent, effortless, and well articulated

Back 12

Wernicke's aphasia

Front 13

lack of emotional response; no expression of feelings; voice monotonous and face immobile

Back 13

flat affect (blunted)

Front 14

sad, gloomy, dejected; symptoms can occur in bad weather, after a holiday or w/ an illness

Back 14

depression

Front 15

EBV symptoms

Back 15

fever
Hepatosplenomegaly
pharyngitis
lymphadenopathy (posterior cervical nodes)

Front 16

joy and optimism, overconfidence, increased motor activity, not necessarily pathologic

Back 16

elation

Front 17

excessive well-being, unusually cheerful or elated, which is inappropriate considering physical and mental condition, implies a pathological mood

Back 17

euphoria

Front 18

worried, uneasy, apprehensive from the anticipation of a danger whose source is unknown

Back 18

anxiety

Front 19

worried, uneasy, apprehensive; external danger is known and identified

Back 19

fear

Front 20

annoyed, easily provoked, impatient

Back 20

irritability

Front 21

furious, loss of control

Back 21

rage

Front 22

the existence of opposing emotions toward an idea object, person

Back 22

ambivalence

Front 23

rapid shift of emotions

Back 23

lability

Front 24

affect clearly discordant with the contest of the persons speech

Back 24

inappropriate affect

Front 25

sudden interruption in train of thought, unable to complete sentence, seems related to strong emotion

Back 25

blocking

Front 26

fabricates events to fill in memory

Back 26

confabulation

Front 27

coining a new word; invented word has no real meaning; may condense several words

Back 27

circumlocution

Front 28

talks with excessive and unnecessary detail, delays reaching point; sentences have meaningful connection but are irrelevant

Back 28

circumstantiality

Front 29

shifting from one topic to an unrelated topic

Back 29

loosening associations

Front 30

abrupt change, rapid skipping from top to topic, practically continuous flow of accelerated speech. plays on words

Back 30

flight of ideas

Front 31

incoherent mixture of words, phrases, and sentences; illogical, disconnected

Back 31

word salad

Front 32

persistent repeating of verbal or motor response, even with varied stimuli

Back 32

perseveration

Front 33

imitation, repeats others' words or phrases, often with a mumbling, mocking, or mechanical tone

Back 33

echolalia

Front 34

word choice based on sound, not meaning, includes nonsense rhymes and puns

Back 34

clanging

Front 35

strong, persistent, irrational fear of an object or situation; feels driven to avoid it

Back 35

phobia

Front 36

morbid worrying about own health, feels sick with no actual basis for that assumption

Back 36

hypochondriasis

Front 37

unwanted, persistent thoughts or impulses; logic will not purge them from consciousness; experienced as intrusive and senseless

Back 37

obsession

Front 38

unwanted, repetitive, purposeful act; driven to do it; behavior thought to neutralize or prevent discomfort or some dreaded event

Back 38

compulsion

Front 39

firm, fixed, false beliefs; irrational; person clings to delusion despite objective evidence to contrary

Back 39

delusions

Front 40

sensory perceptions for which there are no external stimuli

Back 40

hallucination

Front 41

misperception of an actual existing stimulus

Back 41

illusion

Front 42

disturbance of consciousness, change in cognition, develops over short period of time; can be substance induced

Back 42

delirium

Front 43

memory impairment, aphasia, apraxia, agnosia, impairment of occupational or social functioning

Back 43

dementia

Front 44

memory impairment, impairment in social or occupational functioning; may be due to pathology

Back 44

amnestic disorder

Front 45

ingestion of substance produces maladaptive behavior changes because of effect on CNS

Back 45

intoxication

Front 46

daily use needed to functions, inability to stop, impaired social and occupational functioning, recurrent use when it is physically hazardous

Back 46

abuse

Front 47

physiologic dependence on substance

Back 47

dependence

Front 48

requires increased amount of substance to produce same effect

Back 48

tolerance

Front 49

cessation of substance produces a syndrome of physiologic symptoms

Back 49

withdrawal

Front 50

delusions, hallucinations, disorganized speech and catatonic behavior, social/occupational dysfunction, lasts at least 6 months

Back 50

schizophrenia

Front 51

depressed mood, diminished interest/pleasure, weight loss, insomnia, psychomotor agitation, fatigue, worthless feeling, decreased ability to think, thoughts of death

Back 51

major depressive episode

Front 52

persistently elevated, expansive, or irritable mood; inflated self-esteem, grandiosity, decreased sleep, talkative, etc

Back 52

manic episode

Front 53

one or more depressive episodes

Back 53

major depressive disorder

Front 54

at least 2 years of depressed mood for more days than not

Back 54

dysthymic disorder

Front 55

one or more manic episodes usually accompanied by major depressive episodes

Back 55

bipolar disorder

Front 56

intense fear or discomfort; pounding heart, sweating, shaking, shortness of breath, chest pain, nausea, dizzy, chills, etc

Back 56

panic attack

Front 57

anxiety about being in places or situations from which escape might be difficult; situations are avoided

Back 57

agoraphobia

Front 58

recurrent panic attacks, concern about having additional attacks, change in behavior, agoraphobia possible

Back 58

panic disorder

Front 59

fear that is excessive or unreasonable, cued by a specific object or situation

Back 59

specific phobia

Front 60

fear of one or more social or performance situations in which the person is exposed unfamiliar people or scrutiny by others

Back 60

social phobia

Front 61

has obsessions or compulsions

Back 61

obsessive-compulsive disorder

Front 62

exposed to a traumatic event which alters mood and is reexperienced; increased arousal

Back 62

post-traumatic stress disorder

Front 63

excessive anxiety and worrying occurring more days than not for at least 6 months; cant control worry

Back 63

generalized anxiety disorder

Front 64

weight in lbs
--------------------------------- x 703
height in (in) squared

Back 64

BMI

Front 65

waist circumference
-----------------------------
hip circumference

Back 65

waist-to-hip ration (measured in inches)

Front 66

deficiency in growth hormone in childhood, delayed puberty, hypothyroidism, and adrenal insufficiency

Back 66

hypopituitary dwarfism

Front 67

excessive secretion of growth hormone; increased height and weight and delayed sexual development

Back 67

gigantism

Front 68

excessive secretion of growth hormone in adulthood; overgrowth of bone in face, head, hands, and feet; but no change in height. internal organ also enlarged

Back 68

acromegaly (hyperpituitarism)

Front 69

congenital skeletal malformation caused by a genetic disorder in converting cartilage to bone; large head, short stature, and short limbs

Back 69

achondroplastic dwarfism

Front 70

tall, thin stature, arachnodactyly, hyper-extensible joints, longer arm span than height

Back 70

marfan's syndrome

Front 71

weight gain and edema with central trunk and cervical obesity, round face

Back 71

endogenous obesity-- syndrome

Front 72

<95/60

Back 72

hypotension

Front 73

120-139/80-89

Back 73

prehypertension

Front 74

140-159/90-99

Back 74

stage 1 hypertension

Front 75

>/=160/>=100

Back 75

stage 2 hypertension

Front 76

smoking, dyslipidemia, diabetes mellitus, >60y/o, male, family history of cvd of female <65 or male <55

Back 76

risk stratification

Front 77

80%-90% of ideal weight

Back 77

mild malnutrition

Front 78

70%-80% of ideal weight

Back 78

moderate malnutrition

Front 79

<70% of ideal weight

Back 79

severe malnutrtion

Front 80

current weight
-------------------- x 100
ideal weight

Back 80

percent ideal body weight

Front 81

current weight
-------------------- x 100
usual weight

Back 81

percent usual body weight

Front 82

85%-95% of usual body weight

Back 82

mild malnutrition

Front 83

75%-84% of usual body weight

Back 83

moderate malnutrition

Front 84

<75% of usual body weight

Back 84

severe malnutrition

Front 85

usual weight-current weight
-------------------------------------- x 100
usual weight

Back 85

recent weight change

Front 86

>5% weight loss over 1 month
>7.5% weight loss over 3 months
>10% weight loss of 6 months

Back 86

clinically significant weight loss

Front 87

>35 in women
>40 in men

Back 87

Waist Circumference

Front 88

>/= 1.0 in men
>/=0.8 in women

Back 88

waist to hip ratio of risk

Front 89

weights more than 20% above ideal body weight
bmi=30

Back 89

obese

Front 90

at or more than 100% above ideal body weight

Back 90

morbidly obese

Front 91

protein-calorie malnutrition--inadequate intake of protein and calories or prolonged starvation
</=80% ideal weight

Back 91

marasmum

Front 92

protein malnutrition--diets may be high in calories but little or no protein
>/=100% ideal weight

Back 92

kwashiorkor

Front 93

prolonged inadequate intake of protein and calories
</=70% idea weight

Back 93

marasmum/kwashiorkor mix

Front 94

pigmented keratotic scaling lesions resulting from niacin deficiency

Back 94

pellagra

Front 95

dry, bumpy skin associated with vitamin A and/or linoleic acid deficiency

Back 95

follicular hyperkeratosis

Front 96

deficiency of vitamin C. swollen, ulcerated, and bleeding gums

Back 96

scorbutic gums

Front 97

foamy plaques of the cornea; sign of vitamin A deficiency

Back 97

bitot's spots

Front 98

vitamin D and calcium deficiencies in children and adults

Back 98

rickets

Front 99

riboflavin deficiency

Back 99

magenta tongue