PACR

Question 1

5 steps in the clinical encounter

Answer 1

1. initiating session
2. gathering info
3. PE
4. explanation and planning
5. closing the session

Question 2

3 disparities in health care

Answer 2

SDOH
racism and bias
cultural humility

Question 3

implicit bias

Answer 3

unconscious

Question 4

explicit bias

Answer 4

conscious

Question 5

3 dimensions of cultural humility

Answer 5

self-awareness
respectful communication
collaborative partnership

Question 6

5 R’s of cultural humility

Answer 6

reflection
respect
regard
relevance
resiliency

Question 7

OLD CARTS

Answer 7

onset
location
duration
character
aggravating/alleviating factors
radiation
timing
severity/symptoms

Question 8

date/time

Answer 8

at the top right hand side on H&P

Question 9

age/name/gender/source of history

Answer 9

top

Question 10

clinician signature/name/title/date/time

Answer 10

bottom

Question 11

gravida

Answer 11

number of pregnancies

Question 12

preterm

Answer 12

delivery at 20-36 wks

Question 13

term

Answer 13

delivery at 37 wks

Question 14

SOAP

Answer 14

subjective
objective
assessment
plan

Question 15

order of temps from high to low

Answer 15

rectal->oral->axillary

Question 16

hyperexia

Answer 16

> 106

Question 17

hypothermia

Answer 17

<95

Question 18

pyrexia

Answer 18

> 100.4

Question 19

bell of stethoscope

Answer 19

low frequency
pitched sounds
bruits
some heart murmurs

Question 20

diaphragm of stethoscope

Answer 20

high frequency
pitched sounds
auscultation of lungs, abdomen, some heart murmurs

Question 21

VINDICATE

Answer 21

vascular
infectious
neoplastic
drug related
inflammatory
congenital
autoimmune/allergic
trauma/toxic
endocrine/metabolic

Question 22

orthostatic BP

Answer 22

SBP= drop in >20 mm Hg
DBP= drop in >10 mm Hg

Question 23

white coat hypertension

Answer 23

in clinic BP= >140/90

Question 24

masked hypertension

Answer 24

in clinic BP= <140/90
at home= >135/85

Question 25

ausculatory gap

Answer 25

temporary absence of sound

Question 26

rapid deep breathing

Answer 26

hyperventilation diabetic ketoacidosis (kussmaul) hyperapnea

Question 27

slow breathing

Answer 27

drug-induced respiratory depression

Question 28

cheyne stokes breathing

Answer 28

in children and older adults HF uremia brain injury

Question 29

rapid shallow breathing

Answer 29

salicylate intoxication restrictive lung disease pleuritic chest pain elevated diaphragm

Question 30

ataxix (biot) breathing

Answer 30

meningitis brain injury respiratory distress

Question 31

sighing respiration

Answer 31

hyperventilation syndrome dyspnea dizziness occasional sighs

Question 32

obstructive breathing

Answer 32

obstructive lung disease increased expiration=narrowed airways=increased resistance asthma COPD chronic bronchitis