Patient Assessment & Clinical Evaluation Flashcards
7 cards from real SHS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Assessment & Clinical Evaluation flashcards as text
In occupational health, a 'pre-placement medical evaluation' is PRIMARILY intended to:
Answer: Establish a baseline health status and ensure job-fitness without discrimination
Pre-placement evaluations establish baseline health data and ensure the worker can safely perform job duties, not to discriminate against those with prior health issues.
Which finding during a dermatological assessment would MOST suggest occupational contact dermatitis rather than atopic (allergic) eczema?
Answer: Distribution of lesions corresponding to areas of workplace chemical contact
Occupational contact dermatitis characteristically follows the distribution pattern of exposure to the offending workplace substance.
During neurological assessment following a head trauma, which pupillary finding is MOST suggestive of uncal herniation (transtentorial brain herniation)?
Answer: Unilaterally fixed and dilated pupil
A unilaterally fixed and dilated pupil (blown pupil) indicates compression of cranial nerve III, a hallmark of uncal herniation from rising intracranial pressure.
The 'Cincinnati Prehospital Stroke Scale' evaluates which three findings?
Answer: Facial droop, arm drift, abnormal speech
The Cincinnati Prehospital Stroke Scale assesses facial droop, arm drift, and speech abnormality to rapidly identify stroke in field settings.
When assessing a worker for heat stroke vs. heat exhaustion, the MOST critical distinguishing clinical feature is:
Answer: Altered mental status or loss of consciousness
Heat stroke is distinguished from heat exhaustion by central nervous system dysfunction (altered mental status, confusion, or unconsciousness) with a core temperature typically above 40°C.
In an occupational hearing conservation program, audiometric testing that shows a 'standard threshold shift' (STS) is defined by OSHA as an average shift of how many dB at which test frequencies?
Answer: 10 dB average at 2000, 3000, and 4000 Hz
OSHA defines a Standard Threshold Shift as a 10 dB or more average change in hearing threshold at 2000, 3000, and 4000 Hz in either ear.
A chemical plant worker presents with chest tightness, wheezing, and rhinorrhea that consistently worsen during work shifts and improve on weekends. This pattern is MOST consistent with:
Answer: Occupational asthma
Occupational asthma is characterized by symptoms that improve away from work and worsen during or after work shifts, distinguishing it from non-occupational asthma.