Podcast
Questions and Answers
Which of the following is a hallmark feature of a venous lake?
Which of the following is a hallmark feature of a venous lake?
- Single, firm, painful, and red to white nodule
- Soft, compressible, and pedunculated
- 1-2 mm soft, dome-shaped, pale yellow with central umbilication
- Compression collapses lesions (correct)
What is the differential diagnosis for chondrodermatitis nodularis chronica helicis?
What is the differential diagnosis for chondrodermatitis nodularis chronica helicis?
- Blue nevus, malignant melanoma, tattoo
- Actinic keratosis, keratoacanthoma (correct)
- Seborrheic keratosis, dermal nevi, warts
- Basal cell carcinoma, HSV, Molluscum
Which of the following is a common location for acrochordon?
Which of the following is a common location for acrochordon?
- Face, glabella
- Vermillion border of lip, ear
- Neck, axillary, groin, eyelids (correct)
- Lateral surface of the helix, antihelix
What is the main characteristic of sebaceous hyperplasia?
What is the main characteristic of sebaceous hyperplasia?
What is the mnemonic used to remember the key questions to ask for an eye history?
What is the mnemonic used to remember the key questions to ask for an eye history?
Which cranial nerve is responsible for transmitting visual images to the brain?
Which cranial nerve is responsible for transmitting visual images to the brain?
If someone experiences an inability to move their eye downward, which cranial nerve is likely affected?
If someone experiences an inability to move their eye downward, which cranial nerve is likely affected?
What type of diplopia (double vision) is associated with an issue in Cranial nerve VI (abducens)?
What type of diplopia (double vision) is associated with an issue in Cranial nerve VI (abducens)?
In the context of the Fluorescein Stain Technique, what is the purpose of using UV light after applying the stain?
In the context of the Fluorescein Stain Technique, what is the purpose of using UV light after applying the stain?
Which condition is characterized by a firm, painless lump above the eyelashes on the upper lid?
Which condition is characterized by a firm, painless lump above the eyelashes on the upper lid?
In the context of eyelid assessment, what does 'everting the upper lid' refer to?
In the context of eyelid assessment, what does 'everting the upper lid' refer to?
In a visual acuity test, what does the second number in the fraction (e.g., 20/30) represent?
In a visual acuity test, what does the second number in the fraction (e.g., 20/30) represent?
What is the purpose of the Corneal Reflex test?
What is the purpose of the Corneal Reflex test?
Which of the following is NOT a component of the SOAP documentation?
Which of the following is NOT a component of the SOAP documentation?
What does the acronym PQRST stand for in the context of pain evaluation?
What does the acronym PQRST stand for in the context of pain evaluation?
Which of the following is the most common cause of itch in the elderly?
Which of the following is the most common cause of itch in the elderly?
Which skin condition is characterized by dry, itchy skin of the lower extremities and may indicate advancing vascular changes?
Which skin condition is characterized by dry, itchy skin of the lower extremities and may indicate advancing vascular changes?
What are the hallmark features of seborrheic keratosis?
What are the hallmark features of seborrheic keratosis?
Which of the following is NOT a common variant of rosacea in the elderly?
Which of the following is NOT a common variant of rosacea in the elderly?
Which of these is considered subjective data in a SOAP note?
Which of these is considered subjective data in a SOAP note?
Which of the following is a common characteristic of cherry angiomas (senile angiomas)?
Which of the following is a common characteristic of cherry angiomas (senile angiomas)?
What does a corneal abrasion indicate when areas of stain uptake appear fluorescent bright green?
What does a corneal abrasion indicate when areas of stain uptake appear fluorescent bright green?
Which direction should the ear be pulled when examining the ear of a child under the age of three?
Which direction should the ear be pulled when examining the ear of a child under the age of three?
What does an opaque tympanic membrane indicate?
What does an opaque tympanic membrane indicate?
How is conductive hearing loss indicated in the Weber test?
How is conductive hearing loss indicated in the Weber test?
What should be observed in the tympanic membrane's light reflex?
What should be observed in the tympanic membrane's light reflex?
What does the cover-uncover test assess?
What does the cover-uncover test assess?
What does the presence of air bubbles behind the tympanic membrane indicate?
What does the presence of air bubbles behind the tympanic membrane indicate?
What does it indicate if air conduction is louder than bone conduction in a hearing test?
What does it indicate if air conduction is louder than bone conduction in a hearing test?
What is the primary role of the ear's outer structure?
What is the primary role of the ear's outer structure?
In which scenario would the whisper test be repeated with a louder sound?
In which scenario would the whisper test be repeated with a louder sound?
During the Romberg test, what signifies a positive outcome?
During the Romberg test, what signifies a positive outcome?
How should the ear of a child under three years be examined?
How should the ear of a child under three years be examined?
What does the presence of otalgia indicate?
What does the presence of otalgia indicate?
What is the significance of the tympanic membrane light reflex location?
What is the significance of the tympanic membrane light reflex location?
What is indicated if air conduction is equal to or less than half as long as bone conduction?
What is indicated if air conduction is equal to or less than half as long as bone conduction?
What does an opaque tympanic membrane typically indicate?
What does an opaque tympanic membrane typically indicate?
What anatomical structures are part of the outer ear?
What anatomical structures are part of the outer ear?
During a Weber test, if the sound is louder in one ear, this typically indicates what type of hearing loss?
During a Weber test, if the sound is louder in one ear, this typically indicates what type of hearing loss?
What indicates a positive Rinne test result?
What indicates a positive Rinne test result?
What does a whisper test result showing less than 50% correct responses indicate?
What does a whisper test result showing less than 50% correct responses indicate?
Presbycusis is characterized by which of the following?
Presbycusis is characterized by which of the following?
A yellow-tinged tympanic membrane can indicate what condition?
A yellow-tinged tympanic membrane can indicate what condition?
What does a Romberg test primarily assess?
What does a Romberg test primarily assess?
What is cerumen impaction commonly associated with?
What is cerumen impaction commonly associated with?
Which cranial nerve is responsible for controlling the movement of the tongue?
Which cranial nerve is responsible for controlling the movement of the tongue?
Which cranial nerve is tested by having the patient follow a penlight through six cardinal fields of gaze?
Which cranial nerve is tested by having the patient follow a penlight through six cardinal fields of gaze?
Which cranial nerve is responsible for the sense of taste on the anterior two-thirds of the tongue?
Which cranial nerve is responsible for the sense of taste on the anterior two-thirds of the tongue?
A patient presents with difficulty swallowing. Which two cranial nerves might be involved in this issue?
A patient presents with difficulty swallowing. Which two cranial nerves might be involved in this issue?
Which cranial nerve is tested by asking the patient to smile, close their eyes tightly, and raise their eyebrows?
Which cranial nerve is tested by asking the patient to smile, close their eyes tightly, and raise their eyebrows?
Flashcards
Acrochordon
Acrochordon
Soft, compressible skin tags found in areas like neck and groin.
Venous lake
Venous lake
A compressible lesion located at the lip's vermillion border or ear.
Sebaceous hyperplasia
Sebaceous hyperplasia
Soft, dome-shaped, pale-yellow bumps on the face with umbilication.
Chondrodermatitis nodularis chronica helicis
Chondrodermatitis nodularis chronica helicis
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Eye Exam RSVP mnemonic
Eye Exam RSVP mnemonic
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SOAP Documentation
SOAP Documentation
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Old CARTS
Old CARTS
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HPI
HPI
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PQRST
PQRST
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Subjective Data
Subjective Data
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Xerosis
Xerosis
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Stasis Dermatitis
Stasis Dermatitis
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Seborrheic Keratosis
Seborrheic Keratosis
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Endotropion
Endotropion
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Exotropion
Exotropion
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Hordeolum (Stye)
Hordeolum (Stye)
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Chalazion
Chalazion
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Cranial Nerve III
Cranial Nerve III
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Cranial Nerve IV
Cranial Nerve IV
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Visual Acuity Test
Visual Acuity Test
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Fluorescein Stain Technique
Fluorescein Stain Technique
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Air Conduction (AC)
Air Conduction (AC)
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Opaque Tympanic Membrane
Opaque Tympanic Membrane
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Air Bubbles in Tympanic Membrane
Air Bubbles in Tympanic Membrane
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Bone Conduction (BC)
Bone Conduction (BC)
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Yellow Tinged Tympanic Membrane
Yellow Tinged Tympanic Membrane
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Positive Hearing Test
Positive Hearing Test
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Conductive Hearing Loss
Conductive Hearing Loss
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Conductive Hearing Loss Cause
Conductive Hearing Loss Cause
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Sensorineural Hearing Loss
Sensorineural Hearing Loss
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Weber Test
Weber Test
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Whisper Test
Whisper Test
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Rinne Test
Rinne Test
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Romberg Test
Romberg Test
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Whisper Test
Whisper Test
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Romberg Test
Romberg Test
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Tympanic Membrane Light Reflex
Tympanic Membrane Light Reflex
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Corneal Abrasion
Corneal Abrasion
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Corneal Light Reflex Test
Corneal Light Reflex Test
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Cover/Uncover Test
Cover/Uncover Test
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Otalgia
Otalgia
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Tympanic Membrane Reflex
Tympanic Membrane Reflex
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Acute Otitis Media
Acute Otitis Media
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Study Notes
Health History and SOAP Documentation
- SOAP stands for subjective, objective, assessment, and plan
- Old Carts: onset, location, duration, characteristics, alleviating factors, aggravating factors, radiation or relieving pain, timing, and severity
- HPI: history of present illness
- PQRST: precipitation, quality, radiation, severity, timing
- Client outcomes: character, location, impact, expectations, neglect, timing, other, understanding/beliefs, treatment, complementary options, modulating factors, exposure, and spirituality
SOAP Notes
- Subjective data comes from the patient, including ROS (review of systems)
- Objective data is the assessment from the practitioner
Past Medical History
- Past medical history is not relevant to the current visit, even if the patient has a comorbidity.
Common Geriatric Skin Lesions
- Xerosis: impaired keratinocyte formation, resulting in abnormal epidermal cell turnover, causing itching in the elderly.
- Stasis Dermatitis: dry, itchy skin in the lower extremities, often caused by advancing vascular changes; superficial varicose veins with underlying impediments lead to edema/pressure causing eruption in the lower leg. Inflammation and ulceration in acute stages may be chronic.
Common Geriatric Skin Tumors
- Seborrheic Keratosis: stuck-on appearance, varying color, dryness, waxy, pebbly/verrucous surface. Differentiation from malignant melanoma, lentigo, wart, and actinic keratosis is crucial.
- Cherry Angioma (senile angioma): smooth, firm, deep red, numerous, increasing with age. Differentiation from petechiae is important.
- Other common geriatric skin tumors include: Acrochordon (skin tags) which are soft compressible, potentially pedunculated or projectile. Also venous lakes as well as sebaceous hyperplasia, which manifests as pale yellow, dome-shaped lesions commonly on the face and glabella, 1-2 mm in size, often with a central umbilication.
Other Skin Conditions
- Rosacea: an underdiagnosed inflammatory skin condition that is chronic and progressive and can present with persistent redness, flushing, and dilated telangiectatic vessels, particularly in the geriatric population. Ocular rosacea is a common, overlooked variant in the elderly.
Acronyms
- PQRST: Precipitation, Quality, Radiation, Severity, Timing
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