Health Assessment Test 2

Front 1

record weight to the nearest ____ for an infant

Back 1

1/2 ounce

Front 2

record weight to the nearest ____ for an toddler

Back 2

1/4 lb

Front 3

measure body length supine until age....

Back 3

2

Front 4

what is the normal waist-hip ratio for men?

Back 4

<1

Front 5

what is android obesity on men?

Back 5

Waist-hip ratio of 1 or >

Front 6

what is normal WH ration on women?

Back 6

<.8

Front 7

what is the WH ratio for women with android obesity

Back 7

> .8

Front 8

android obesity

Back 8

greater proportion of fat in the upper body, especially in the abdomen

Front 9

gynoid obesity

Back 9

most of fat in the hips and thighs

Front 10

what is abnormal WC for women?

Back 10

>35 inches

Front 11

what i abnormal WC for men?

Back 11

>40 inches

Front 12

An abnormal WC increases risk for...

Back 12

cardiovascular and metabolic diseases

Front 13

initial pain assessment

Back 13

examiner asks 8 questions

Front 14

what are the questions in the initial pain assessment relating to (5)?

Back 14

location
duration
quality
intensity
aggravating/relieving factors

Front 15

brief pain scale

Back 15

patient rates pain in past 24 hours on 0-10 scale

Front 16

short-form Mcgill questionnarie

Back 16

rank a list of descriptors in terms of their intensity and give an overall intensity rating of their pain

Front 17

visceral pain

Back 17

originates from larger, internal organs

Front 18

deep somatic pain

Back 18

originates from blood vessels, joints, tendons, bone

Front 19

cutaneous pain

Back 19

skin surfaces and subcutaneous tissues

Front 20

cutaneous pain feels like....

Back 20

sharp, burning

Front 21

referred pain

Back 21

pain felt at one site when it orignates in another...could be visceral organs

Front 22

acute pain

Back 22

short term, self-limiting pain that disipates after injury heals

Front 23

what is the purpose of acute pain?

Back 23

self protection

Front 24

chronic or persistent pain

Back 24

pain lasts 6 monhts or longer

Front 25

infants and the aged have what amount of pain in comparison to adults?

Back 25

same

Front 26

repeitive and poorly controlled pain can result in....(5)

Back 26

neurodevelopmental problems
poor weight gin
learning disabilities
psychiatric disorders
alcoholism

Front 27

what are the 9 most common causes of pain in older adults?

Back 27

arthritis
osteoarthritis
osteoporosis
PVD
cancer
peripheral neuropahties
angina
chronic constipation

Front 28

what is the most reliable indicator of pain?

Back 28

subjective report form patient

Front 29

anthropometric measures

Back 29

measurements that evaluate growth, development, and body composition

Front 30

what are the 6 known essential elements?

Back 30

lipids
protein
vitamins
minerals
water

Front 31

kcal value per gram for carbohydrates

Back 31

4 kcal

Front 32

kcal value per gram for protein

Back 32

r kcal

Front 33

kcal value per gram for lipids

Back 33

9 kcal

Front 34

kcal value per gram for alcohol

Back 34

7 kcal

Front 35

what is the kcal % for carbs per day?

Back 35

45-60%

Front 36

what are the 9 essential amino acids?

Back 36

histidine
isoleucine
leucine
lysine
methionine
phenylalanine
threonine
tryptophan
valine

Front 37

complete protein

Back 37

contains all 9 essential amino acids

Front 38

what is the body weight % for obesity?

Back 38

120%

Front 39

what is the body weight % for overweight

Back 39

>110-120%

Front 40

what is the body weight % for mild manutrition?

Back 40

80-90%

Front 41

what is the body weight % for moderate malnutrition?

Back 41

70-80%

Front 42

what is the body weight % for severe malnutrition?

Back 42

<70%

Front 43

total body fat for athlete women

Back 43

16-20%

Front 44

total body fat for athletic men

Back 44

6-13%

Front 45

total body fat for fitness men

Back 45

14-17%

Front 46

total body fat for fitness women

Back 46

21-24%

Front 47

acceptable body fat for women

Back 47

25-31%

Front 48

obese body fat for women

Back 48

32%+

Front 49

acceptable body fat for men

Back 49

18-25%

Front 50

obese body fat for men

Back 50

25%+

Front 51

Underweight BMI

Back 51

<18.5

Front 52

normal weight BMI

Back 52

18.5-24.9

Front 53

overweight MBI

Back 53

25-29.9

Front 54

obese BMI

Back 54

30-39.9

Front 55

extreme obesity BMI

Back 55

40+

Front 56

what are the two problems associated with high WC?

Back 56

Cardiovascular and metabolic disease

Front 57

what are normal numbers for triglycerides?

Back 57

<150 mg/dL

Front 58

what are boderline high triglyceride levels?

Back 58

150-199 mg/dL

Front 59

what are high triglyceride levels?

Back 59

200-499 mg/dL

Front 60

what are very high triglyceride levels?

Back 60

500 mg/dL

Front 61

what is the normal range for cholesterol?

Back 61

120-200 mg

Front 62

what is the boderline risk levels for cholesterol

Back 62

> 200-239

Front 63

what is high risk cholesterol levels?

Back 63

240 and >

Front 64

what HDL level puts men at a higher risk for heart disease?

Back 64

< 40 mg/dL

Front 65

what HDL level puts women at a higher risk for heart disease?

Back 65

<50 mg/dL

Front 66

what HDL level gives some protection against heart disease?

Back 66

60 mg/dL or higher

Front 67

LDL level is optimal?

Back 67

<100 mg/dL

Front 68

what DLD level is near optimal?

Back 68

100-129 mg/dL

Front 69

what LDL level is borderline high?

Back 69

130-159 mg/dL

Front 70

what LDL level is high?

Back 70

160-189 mg/dL

Front 71

what LDL level is very high?

Back 71

190 mg/dL+

Front 72

atherosclerosis

Back 72

plaque deposits of LDL in the arteries that feed the heart and brain

Front 73

pruritus

Back 73

itching

Front 74

alopitia

Back 74

baldness

Front 75

nevus

Back 75

mole

Front 76

normal color of skin

Back 76

pink

Front 77

pallor

Back 77

paleness

Front 78

erythemia

Back 78

redness

Front 79

cyanosis

Back 79

blueish

Front 80

jaundice

Back 80

yellow

Front 81

how do you assess temp?

Back 81

back of hand or dorsa

Front 82

normal temp

Back 82

warm

Front 83

diaphoresis

Back 83

excessive moisture

Front 84

normal texture

Back 84

smooth and firm

Front 85

normal thickness

Back 85

uniformly thin

Front 86

how do you measure pitting edema?

Back 86

4 pt scale

Front 87

cherry angiomas occur on patients in what age group?

Back 87

30+

Front 88

ecchymosis

Back 88

bruise

Front 89

mongolian spot

Back 89

hyperpigmentation in colored individuals. purple to black area

Front 90

cafe au lait spot

Back 90

large oval patch of light brown skin

Front 91

storkbite

Back 91

a flat, irregularly shaped red or pink patch found on the forehead, eyelid, or upper lip but most commonly at back of neck

Front 92

langugo

Back 92

fine downy skin on newborns

Front 93

milia

Back 93

tiny white papules on the newborn skin

Front 94

vernix caseosa

Back 94

moist, white, cream cheese–like substance that covers part of the skin in all newborns

Front 95

comodones

Back 95

white heads

Front 96

senile lentigines

Back 96

small flat brown spots that occur after severe sun exposure

Front 97

seborrheic keratosis

Back 97

looks dark, greasy, and “stuck on”
do not become cancerous

Front 98

senile keratosis

Back 98

red-tan scaly plaques that increase over the years to become raised and roughened. They may have a silvery-white scale adherent to the plaque.

Front 99

what kind of cancer can senile keratosis become?

Back 99

squamous cell carcinoma

Front 100

achrochordons

Back 100

skin tags

Front 101

annular

Back 101

circular lesions that begins in center and spreads to periphery

Front 102

confluent lession

Back 102

run together

Front 103

discrete lesion

Back 103

distinct, individual lesions that remain separate

Front 104

grouped lesions

Back 104

clusters of lesions

Front 105

gyrate lesion

Back 105

twisted, coiled spiral...snakelike

Front 106

target lesion

Back 106

resembles the iris of the eye, concentric rings of color in the lesion

Front 107

linear lesion

Back 107

a scratch, streak, line, or stripe

Front 108

polycyclic lesion

Back 108

annular lesions growing together

Front 109

zosteriform

Back 109

linear arrangement along a nerve route

Front 110

macule

Back 110

solely a color chage, flat and circumscribed, <1 cm

Front 111

patch

Back 111

macules that are > 1 cm

Front 112

papule

Back 112

something you can feel caused by superficial thickening in the dermis
<1 cm

Front 113

plaque

Back 113

Papules coalesce to form surface elevation wider than 1 cm. A plateaulike, disk-shaped lesion

Front 114

nodule

Back 114

Solid, elevated, hard or soft, larger than 1 cm. May extend deeper into dermis than papule

Front 115

tumor

Back 115

Larger than a few centimeters in diameter, firm or soft, deeper into dermis; may be benign or malignant

Front 116

wheal

Back 116

Superficial, raised, transient, and erythematous; slightly irregular shape due to edema (fluid held diffusely in the tissues)

Front 117

vesicle

Back 117

Elevated cavity containing free fluid, up to 1 cm; a “blister.”

Front 118

urticaria (hives

Back 118

wheals coalesce to form extensive reaction, intensly pruritic

Front 119

bulla

Back 119

blister larger than 1 cm diameter; usually single chambered (unilocular); superficial in epidermis; it is thin walled, so it ruptures easily

Front 120

pustule

Back 120

Turbid fluid (pus) in the cavity. Circumscribed and elevated

Front 121

cyst

Back 121

encapsulated fluid filled cavity in dermis or subcutaneous layer lifting skin

Front 122

crust

Back 122

the thickened, dried out exudate left when vesicles/pustules burst or dry up

Front 123

scale

Back 123

compact, desiccated flakes of skin, dry or greasy, silvery or white, from shedding of dead excess keratin cells

Front 124

fissure

Back 124

linear crack with abrupt edges, extends into dermis, dry or most

Front 125

ulcer

Back 125

deeper depression extending to dermis, irregular shape, may bleed. leaves scar when it heals

Front 126

erosion

Back 126

scooped out but shallow depression, epidermis lost, mosist but no bleeding, heals without scar sbecause erosion does not extend to dermis

Front 127

excoriation

Back 127

self-inflicted abrasion; superficial, sometimes crusted. scrathces from intense itching

Front 128

scar

Back 128

after a skin lesion is repaired, normal tissue is lost and replaced with connective tissue....permanent fibrotic change

Front 129

lichenification

Back 129

prolonged intense scratching eventually theickens the skina dn produces tightly packed sets of papules

Front 130

keloid

Back 130

hypertrophic scar. resulting skin level is elevated by excess scar tissue. high incidence among blacks

Front 131

atrophic scar

Back 131

resulting skin level depressed with loss of tissue, a thinning of the epidermis

Front 132

port wine stain (nevus flammeus)

Back 132

A large, flat macular patch covering the scalp or face,
usually along cranial nerve V

Front 133

strawberry mark

Back 133

A reddish-blue, irregularly shaped, solid and spongy mass of blood vessels. It may be present at birth, may enlarge during the first 10 to 15 months, and will not involute spontaneously.

Front 134

cavernous hemangioma

Back 134

A raised bright red area with well-defined borders about 2 to 3 cm in diameter. It does not blanch with pressure. It consists of immature capillaries, is present at birth or develops in the first few months, and usually disappears by age 5 to 7 years. Requires no treatment,

Front 135

telangiectasis

Back 135

Caused by vascular dilatation; permanently enlarged and dilated blood vessels that are visible on the skin surface.

Front 136

spider or star angioma

Back 136

A fiery red, star-shaped marking with a solid circular center. Capillary radiations extend from the central arterial body. With pressure, note a central pulsating body and blanching of extended legs. Develops on face, neck, or chest; may be associated with pregnancy, chronic liver disease, or estrogen therapy, or may be normal.

Front 137

venous lake

Back 137

◂ Venous Lake

A blue-purple dilatation of venules and capillaries in a star-shaped, linear, or flaring pattern. Pressure causes them to empty or disappear. Located on the legs near varicose veins and also on the face, lips, ears, and chest.

Front 138

purpuric lesions

Back 138

Caused by blood flowing out of breaks in the vessels. Red blood cells and blood pigments are deposited in the tissues (extravascular). Difficult to see in dark-skinned people.

Front 139

petechie

Back 139

Tiny punctate hemorrhages, 1 to 3 mm, round and discrete, dark red, purple, or brown in color. Caused by bleeding from superficial capillaries; will not blanch. May indicate abnormal clotting factors. In dark-skinned people, petechiae are best visualized in the areas of lighter melanization (e.g., the abdomen, buttocks, and volar surface of the forearm)

Front 140

purpura

Back 140

Confluent and extensive patch of petechiae and ecchymoses, >3 mm flat, red to purple, macular hemorrhage. Seen in generalized disorders such as thrombocytopenia and scurvy. Also occurs in old age as blood leaks from capillaries in response to minor trauma and diffuses through dermis.

Front 141

ABCDE

Back 141

asymmetry
border irrgularity
color variation
diameter > 6mm
elevation and enlargement

Front 142

how frequency should self skin evaluations be done?

Back 142

monthly

Front 143

what is the angle in nails?

Back 143

160 degrees

Front 144

vertigo

Back 144

spinning

Front 145

dysphagia

Back 145

difficulty swallowing

Front 146

mormocephalic

Back 146

size and shape of skull is normal

Front 147

when do fontaneels close?

Back 147

all by 2 years

Front 148

myopia

Back 148

nearsightedness

Front 149

hyperopia

Back 149

farsightedness

Front 150

presbyopia

Back 150

glass like quality in lens that decreases the eyes ability to adjust for near vision

Front 151

when should you refer to an opthamalogist?

Back 151

20/30 or lower

Front 152

how do you test near vission?

Back 152

handheld vission screener

Front 153

how do you test far vision?

Back 153

snellen eye chart

Front 154

how do you test visual fields

Back 154

confrontation test (compare their peripheral vision to your own)

Front 155

range of peripheral vision

Back 155

50 superior, 70 inferior, 90 temporally, 60 nasally

Front 156

how do you test extraocular muscle function

Back 156

corneal light reflex

Front 157

what are you testing in the corneal light reflex?

Back 157

parallel allignment of the eye axes

Front 158

what is the normal findings of the eyeballs?

Back 158

no protrusion or sunken appearance and aligned

Front 159

conjuctiva and sclera normally

Back 159

pink on lower lids and white on sclera

Front 160

PERRLA

Back 160

pupils equal, round, react to light, and accomadation