Caps 1 Exam

Front 1

What is Gesell's theory of development?

Back 1

Child=maturing neurophysiologic organism.
Behavior depends on neurologic maturation.
MILESTONES
*no credit for environment in the maturation of a child

Front 2

What is Watkins/Skinner's theory of development?

Back 2

Behavior is learned.
Response is result of cycle of interactions between child & parent.
*gives less emphasis to internal POV

Front 3

What is Freud's theory of development?

Back 3

Psychoanalytic
Importance of unconscious mind!
Can either move through stages or become "stuck"

Front 4

What is Ericksonian development?

Back 4

Neo-Freudian
Various stages of development are not as time-locked as Freud's
Characterization of stages by negotiation of central issue

Front 5

What is Piaget's theory of development?

Back 5

COGNITIVE DEVELOPMENT
Understanding of world is being continually modified by new events & knowledge.

Front 6

What are Erickson's stages?

Back 6

1. Trust vs. Mistrust (0-18mos)
2. Autonomy vs. Shame & Doubt (18mos-3yrs)
3. Initiative vs. Guilt (3-6yo)
4. Industry vs. Inferiority (6-11yo)
5. Identity vs. Role confusion (adolescence)
6. Intimacy vs. isolation (young adult)
7. Generativity vs. stagnation (adult)
8. Ego integrity vs. despair (old age)

Front 7

What are Piaget's stages?

Back 7

1. Sensorimotor (object permanence, causality) Birth-2yrs
2. Pre-operational (egocentrism, animism) 2-6yrs
3. Concrete operations (concepts of mass, time & volume; principle of conservation) 6-11yrs
4. Formal operations (mastery of ideas & concepts) 12+

Front 8

What are the levels of understanding of illness?

Back 8

4-6: circularm, magical
6-8: concrete, rigid
8-11: generalizations, individual contributions
11-13: underlying principle, causative agents
>14: abstract principles

Front 9

What are the parent-reported development surveys?

Back 9

ASQ
PEDS

Front 10

What are the physician-administered development tools?

Back 10

Bayley Infant Neurodevelopmental Screener (BINS)
Brigance Screens II
Denver Development Screening II

Front 11

What do adolescents want from physicians?

Back 11

Cleanliness
Honesty/respect
Competence
Equal treatment
Confidentiality

Front 12

What are important components of adolescent patient interview?

Back 12

HEADSSS
Home life
Education
Activities
Drugs
Sex
Suicide
Safety

Front 13

What may minors consent for?

Back 13

STD testing
Pregnancy test
Emergency care
Mental health
Substance abuse

Front 14

What may minors not consent for in Ohio?

Back 14

Abortion

Front 15

What are the 3 methods of communication with children?

Back 15

Verbally
Behaviorally
Family meeting

Front 16

What are Tanner stages?

Back 16

Stages of development based on secondary sex characteristics for both males and females
5 stages

Front 17

What are the differences in cognitive development of adolescents?

Back 17

Transition between concrete & formal operational manner (ability to think abstractly)

Front 18

What is the presentation of ACS?

Back 18

Crushing left sided chest pain
Radiation to the arm
w/diaphoresis (XS sweating), nausea, shortness of breath

Front 19

What is key in treatment of angina?

Back 19

ASPIRIN

Front 20

What is the narrowest part of adult airway?

Back 20

Vocal cords

Front 21

What is the narrowest part of pediatric airway?

Back 21

Cricoid cartilage

Front 22

What is the compression/breath ratio for adults?

Back 22

30/2

Front 23

What is the compression/breath ratio for pediatric 2-person CPR?

Back 23

15/2
30/2 if 1-person

Front 24

When do you call 911 in adult CPR?

Back 24

Right away

Front 25

When do you call 911 in peds CPR?

Back 25

After 1st round of CPR
Or if you witness sudden collapse or child hask nown cardiac prob

Front 26

Where do you check the pulse in infants?

Back 26

Brachial artery

Front 27

When do you call 911 in infant CPR?

Back 27

After 2 minutes

Front 28

What is the critical factor in AED use?

Back 28

TIME

Front 29

What does BATHE stand for?

Back 29

Background
Affect
Troubling
Handling
Empathy

Front 30

What does CODIERS stand for?

Back 30

Chronology
Onset
Description/detals
Intensity
Exacerbation
Remission

Front 31

What is PubMed?

Back 31

Web-baed search tool for Natl Library of Medicine

Front 32

What is MeSH?

Back 32

Medialc subject headings

Front 33

What are the 4 principles of healthcare ethics?

Back 33

Autonomy
Beneficence
Non-maleficence
Justice

Front 34

What are 3 reasons for medical record documentation?

Back 34

Source of info
Accurate pricing
Legal documentation

Front 35

What are the key parts to a medical note/record?

Back 35

SOAP
Subjective (interview)
Objective (PE)
Assessment (doc's analysis)
Plan (planned steps to each problem)

Front 36

What are the levels of preventive medicine?

Back 36

Primary: prevent disease from occurring before risk factors develop OR by eliminating risk factors (vaccines, cholesterol screening)
Secondary: detect disease before symptoms present (Pap smear)
Tertiary: prevent disease from getting worse

Front 37

What is the difference between a screening & diagnostic test?

Back 37

Screening: done on ppl w/disease
Diagnostic: done when px has symptoms

Front 38

What is sensitivity?

Back 38

Ability to find disease when px has it

Front 39

What is specificity?

Back 39

If test is positive, what is the likelihood the px doesn't have the disease

Front 40

What is ethnocentrism?

Back 40

judge other cultures by standards of one's own-->own standards=universal truth

Front 41

What is ethnicity?

Back 41

Defined as belonging to a group who share a common language, culture, and social values.
NOT based on physical characteristics!

Front 42

What is culture?

Back 42

Set of ideas/practices shared by a group of people about appropriate behaviors & values.

Front 43

What are the stages of change?

Back 43

1. Precontemplation: no intention to change
2. Contemplation: thinking about changing behavior w/in 6mos
3. Preparation: planning to change behavior w/in 1 mo & getting ready
4. Action: recently changed behavior
5. Mainenane

Front 44

What is key in motivational interviewing?

Back 44

OARS
Open-ended Q's
Affirmations
Reflective listening
Summaries

Front 45

What is the primary aim of motivational interviewing?

Back 45

Elicit from px his/her own "change talk"

Front 46

What are the five A's of smoking cessation?

Back 46

Ask, Advise, Assess, Assist, Arrange

Front 47

What can guide physicians to choosing an approach for smoking cessation?

Back 47

STEPS
Safety
Tolerability
Efficacy
Price
Simplicity

Front 48

What are the parts of an oral case presentation?

Back 48

ID/CC
HPI w/relevant ROS
Other relevant medical problems
Meds/allergies/drug use
Brief social history
Physical exam (description)
One line summary (incl. dx)

Front 49

What are the three types of physician visits?

Back 49

Problem visits
Preventive visit
Ongoing problem visit

Front 50

How should a chronic care visit go?

Back 50

STILL USE BATHE
Know CCCSS
Concern, Compliance, Complications, Control/Self-Monitoring, Screening exam, Side effects

Front 51

What are the stages of group functioning?

Back 51

Forming, Storming, Norming, Performing

Front 52

What are the roles of a group?

Back 52

Chairman/coordinator, Shaper, Plant, Teamworker, Completer-Finisher, Company Worker/Implementer, Resource Investigator, Monitor/Evaluator, Specialist (9 total)

Front 53

What are the 7 stages a group moves through while working on a problem?

Back 53

1. ID problem
2. Brainstorm
3. Gather info
4. Evaluate alternatives
5. Make decision
6. Implement
7. Evaluate outcome

Front 54

What are the differences between "healthy change", "goal" and "behavior"?

Back 54

Healthy change: general "lose wt"
Goal: specific "lose 4lbs in 1mo"
Behavior: method of change, diet modification

Front 55

Stereotype vs. prejudice?

Back 55

Stereotype=exaggerated belief, image or distorted truth
Prejudice: opinion, prejudgement, attitude

Front 56

What are the 3 domains of burnout?

Back 56

Emotional exhaustion
Depersonalization
Low sense of personal accomplishment

Front 57

What is the Latino paradox?

Back 57

Lower than expected coronary heart disease given rate of diabetes is 5x higher than non-Latino whites

Front 58

What are 3 important NTDs?

Back 58

Toxocariasis
Cysticercosis
Toxoplasmosis

Front 59

Where is toxocariasis found?

Back 59

Urban playgrounds in US
Resutls in migrans, visual impairment or asthma-like condition

Front 60

Where is cysticercosis found?

Back 60

PORK
Hispanic
Neuro symptoms

Front 61

Toxoplasmosis as NTD.

Back 61

Congenital-->maternal-->fetal
Can lead to birth issue

Front 62

What is complementary medicine?

Back 62

Used on conjunction w/conventional medicine "aromatherapy to help lessen discomfort after surgery"

Front 63

What is alternative medicine?

Back 63

replacement for conventional medicine

Front 64

What is integrative/integrated medicine?

Back 64

COMBINES

Front 65

What are the four quadrants in order?

Back 65

Medical indications
Patient preference
Quality of Life
Contextual features