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What artery does the BP cuff go over?
Brachial artery
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What are the BP cuff length and width measurments?
- Length - covers 80 to 100 percent of arm circumference
- Width - about 40 percent of arm circumference
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What aids in avoiding being misled by an auscultatory gap?
Palpatory systolic pressure
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What is a normal variance between BP on each arm?
5mm Hg
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What does a diastolic pressure of 90 to 104 indicate?
mild hypertension
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What does a diastolic pressure of 105 to 114 indicate?
Moderate hypertension
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What does of diastolic pressure of 115 or greater indicate?
severe hypertension
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What dos a systolic pressure of 160 or greater and a diastolic less than 90 indicate?
isolated systolic hypertension
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What does of BP of 100/60 indicate?
hypotension
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What is defined as marked floopiness of muscle tissue?
Hypotonic or Flaccid muscles
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In muscle testing what is the increased resistance that varies commonly worse at extremes of the range?
Spasticity
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What is resistance the persists throughout the range and in both directions?
Lead-Pipe Rigidity
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What is Paresis
impaired strength is weakness
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Abscence of strength is called?
Paralysis or Plegia
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What is weakness in one half of the body?
Hemiparesis
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What is paralysis in one half of the body?
Hemiplegia
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What does symmetric weakness of the proximal muscles suggest?
Myopathy or muscle disorder
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What does symmetric weakness of the distal muscles suggest?
Polyneuropathy
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In muscle grading what score does no contraction detected correlate with?
0
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In muscle grading what score does a barely detectable flicker or trace of contraction correlate with?
1
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In muscle grading what does active movement of the body part with gravity eliminated?
2
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In muscle grading what does active movement against gravity correlate with?
3
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In muscle grading what does active movement against gravity with some resistance?
4
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In muscle grading what does active movement against full resistance with evident fatique (normal muscle strength) correlate with?
5
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What action requires sensory nerve fibers, spinal cord synapse, motor nerve fibers, neuromuscular junction and muscle fibers?
Arc Reflex
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In reflex grading what score is given to a very brisk, hyperactive, with clonus (aftershock), reflex?
4+
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In reflex grading what score is given to a brisker than average (possibly indicative of disease) reflex?
3+
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In reflex grading what does a score of 2+ indicate?
normal reflex
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What does a 1+ in reflex grading indicate?
somewhat diminished, low normal
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What do hyperactive reflexes suggest?
CNS disease
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What does sustained clonus confirm?
CNS disease
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What tract does pain and temperature use?
spinothalamic tract
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What tract does light touch use?
spinothalamic and posterior columns
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What is absence of pain sensation?
analgesia
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what is decreased sensitivity to pain?
Hypalgesia
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what is increased sensitivity to pain?
Hyperalgesia
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What is absence of touch sensation?
Anesthesia
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What is decreased sensitivity to touch?
Hypesthesia
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What is increased sensitivity to touch?
Hyperesthesia
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What is the first sense to be lost in a peripheral neuropathy?
Vibration
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What is the ability to identify an object from feel?
stereognosis
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What is number identification
graphestesia
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What is a normal pulse rate?
60 to 100
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What is defined as HR below 60?
Bradycardia
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What is a HR of above 100?
tachycardia
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What is the normal respiration range?
12 to 20 /min
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What is related to high CO2?
Hypercapina
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Less than 12 rep per min = ?
greather than 20 rep per min = ?
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What is the name of disorganized sequence of breaths?
Biot's respiratioin
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What is varying periods of increased breath depth interspersed with apnea?
Cheyne-Stokes breathing
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What is a silent interval which may be present between the systolic and diastolic pressures?
Auscultatory
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What is any elevation in temperature called?
Pyrexia
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What is the time frame for acute and chronic pain?
- Acute = less than 3 months
- Chronic = longer than 6 monthsÂ
3 to 6 months = Who knows?
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