A provider observes that a patient had clubbing of the fingers and toes on physical examination. Which of the following should the medical assistant document the plural form of the term for fingers and toes?
Pleura
Plexus
Phalanges
Pharynges
The Correct Answer is C
A. Pleura: Pleura refers to the membranes surrounding the lungs, not fingers or toes.
B. Plexus: Plexus refers to a network of nerves or vessels in the body, not fingers or toes.
C. Phalanges: Phalanges are the correct term for the bones in the fingers and toes. This is the correct plural form of the term.
D. Pharynges: Pharynges is the plural form of pharynx, which refers to the part of the throat behind the mouth and nasal cavity, not fingers or toes.
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Correct Answer is B
Explanation
A. Perform orthostatic blood pressure. Orthostatic blood pressure measurements are used to assess changes in blood pressure when a patient moves from lying down to standing, not in response to emotional upset.
B. Recheck the blood pressure after a few minutes. This is the correct action, as the initial elevated reading could be due to the patient's emotional state. Waiting a few minutes and rechecking can provide a more accurate reading.
C. Measure blood pressure at the wrist. Wrist blood pressure readings are less accurate than those taken at the upper arm and are not recommended in this scenario.
D. Use the palpatory method for blood pressure. The palpatory method is used when auscultation is difficult, but it does not address the issue of an elevated reading due to emotional upset.
Correct Answer is D
Explanation
A. Left bundle branch: The left bundle branch is stimulated after the atrioventricular node and bundle of His, not immediately after the sinoatrial node.
B. Purkinje fibers: The Purkinje fibers are stimulated later in the conduction pathway, after the bundle branches.
C. Right bundle branch: The right bundle branch is also stimulated after the atrioventricular node and bundle of His.
D. Atrioventricular node: After the sinoatrial node initiates the heartbeat, the electrical impulse travels to the atrioventricular node, which then passes the signal to the bundle of His and down to the bundle branches.