Study Guide for N621 This study guide

Study Guide for N621 This study guide provides a content outline that can be used to prepare History and presentation (exam findings) of cholecystitis vs pancreatitis vs biliary colic Subjective and objective history components. Understanding types of patients: talkative, angry, silent, and hearing impaired. Therapeutic communication – types and when to utilize Define ABCDE when assessing the skin. Actinic keratosis, seborrheic keratosis, basal cell carcinoma, squamous cell carcinoma, melanoma, cherry angioma Define stages of ulcers. Describe consensual reaction and visual accommodation. What does the Snellen chart test? What do the results mean? Define bronchitis, costochondritis, pericarditis, and angina pectoris. Percussion sounds and locations. Dissecting aortic aneurysm. Pleural pain. Define prehypertension, stage 1 hypertension, and stage 2 hypertension. Etiologies of diarrhea and presentation of types of diarrhea Irritable bowel syndrome. How to assess for diverticulitis, cholecystitis, appendicitis, and mesenteric ischemia. Liver span/size. Know abdominal regions and most common DDx/Dx within each region. How do you perform the obturator sign and for what reasons? Proper sequence of abdominal assessment. What is the Allen test? How do you perform it? Normal pulse ratings. Names of all pulses and locations of pulses. History, symptoms, exam findings of COPD vs asthma vs pneumonia Recognize abnormalities of external eye exam and needed history Age-related changes in sight and hearing, concerning circumstances, work up Location of accessible lymph nodes and what they drain History including exacerbating factors & presentation of GERD vs PUD Problems causing diplopia Causes and presentation/evaluation of elbow problems Cysts – locations/types, presentation, evaluation Abnormal findings on fundoscopic exam and what they indicate Causes and corresponding presentation of changes in vision Normal PMI location, conditions that would displace it and where displaced to Causes and presentation of issues that cause jaw pain Presentation and causes of hair loss Typical presentations of mood disorders Cause and presentation of esophageal/gastric disorders Cause and presentation of inflammation of meninges Differences in types of involuntary movements Ways of presentation and differentiation of types of anxiety Causes of constipation and information needed to identify likely diagnosis Cranial nerves, abnormal findings and significance of abnormalities Meibomian gland abnormalities and presentations Types of urinary incontinence, differences in presentation, contributing factors Types of hepatitis, appropriate history and findings to differentiate History and presentation differences psoriasis, pityriasis rosea, tinea infection, eczema Causes/sources of blood with cough Possible causes of shortness of breath with activity, needed history to identify cause Types of mental health related abnormalities of speech and how they present Types and presentations of seizures Differences in presentation and evaluation of venous vs arterial flow problems (lower extremities) Parameters for identification of metabolic syndrome Types and history/presentations of tremors Cardiac cycle – how blood flows, sounds (both normal and abnormal) produced at what points by what action Types and presentation of patient alterations in perception of reality (visual, auditory, mental) Vertigo/dizziness – needed history and exam to identify likely cause, diagnoses that cause it Types of ear problems with needed history and exam findings Types of anemia, cell descriptions, possible causes Differences in presentation and history of mood swing disorders Nerves in hands and abnormal findings associated with each Causes of changes in extremity pulses MMSE – what does it do and not do? EKG normal intervals, what causes abnormal intervals Initiation and cessation of Pap smears, mammograms, colonoscopies DVT/PE – risks, presentation, evaluation Know meaning of terms – sensitivity, specificity, validity, prevalence, predictive value Differences in cause and presentation of dysphagia, aphasia, aphonia Know questions of 5 As and what this is used for Types and causes of constipation and presentation, history Korotkoff sounds Dermatomes and what exam findings would support nerve abnormality for each dermatome Order/technique for exam of lung/chest and abdomen Understand how to calculate pack/year smoking history Warning signs associated with headaches Know cranial nerves and function Muscles of back and shoulders with actions Risks for skin cancer and recommendations for screening Risk for stroke both hemorrhagic and ischemic Red flags for headaches Presentation and exam findings for hypo and hyperthyroidism Chronic pain presentation and evaluation Recommendation for BP monitoring with atrial fibrillation

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