CEN GI/GU/OB/GYN Flashcards
Ectopic Pregnancy interventions include administering _______if mother is RH _____; therapy with _____ ________and consider __________IM
RHOGAM; Negative; IV crystalloids; methotextrate
What color is the discharge that occurs with TRICHOMONAS with a _____odor What color is the discharge in candida vaginal? What color is the discharge of VAGINOSIS
Yellow-Green; fishy White Gray
4 Processes of the GI system are ___ ___ ___ __ and assisting the body’s metabolism is a function of the ________system
Ingestion Digestion Absorption Elimination Pulmonary
Abdominal pain in RUQ is most likely______ Leukocytosis, fever and diarrhea likely______ the result of the release of digestive pancreatic enzymes into tissue of the pancreas
Cholecystitis appendicitis Acute pancreatitis
Somastatin is secreted from the _____cells GLUCAGON is secreted from the ________cells INSULIN is secreted from the ________
Delta Alpha Beta
Spastic to dull pain around the abdomen and HYPERACTIVE BS may cause a change in bowel habits an is a sign of
EARLY bowel obstruction
What is PHIMOSIS? condition in which the _______ ____ predisposing factors are
penis is tight ended and unable to retract over the gland; poor hygiene, congenital condition, scarring and inflammation.
Wearing a lap belt would result in _______; For MVC patient, look for the _______sings which consists of
bladder rupture; seat belt: abrasion and contusion.
Possible causes of peritonitis
appendicitis pancreatitis trauma from a GSW or knife Peritoneal dialysis
Clay colored stool indicates_________ and it is a blockage of any duct that carries bile from the liver to the gallbladder; Tarry stool is indication of ________; BRIGHT RED BLOOD is indication of ________
Biliary obstruction; Upper GIB; lower GIB.
The death of expulsion of the fetus or ______ ______ before the age of viability is_______
products of conception; Abortion
A __________spontaneous abortion is one in which the patient experiences moderate cramping with MODERATE vaginal bleeding and her CERVICAL OPEN More than 3CM with a GROSS RUPTURE OF MEMBRANES
Inevitable .
A __________spontaneous abortion is one in which the patient experiences moderate cramping with MILD UTERINE CRAMPING with SLIGHT vaginal bleeding and her CERVICAL CLOSED with a SOFT ENLARGED UTERUS
THREATENED
A __________spontaneous abortion is one in which the patient visually identified symptoms that signal the LOSS OF THE PRODUCTS OF CONCEPTION
IMMINENT
A __________spontaneous abortion is one in which the patient does not experience cramping or contraction, only has SLIGHT VAGINAL BLEEDING< her CERVICAL OS remains CLOSED, and her body RETAINS DEAD PRODUCTS OF CONCEPTION
MISSED
When the stomach uses PEPSIN to break down proteins, what do the proteins become?
Polypeptides
When the stomach uses PEPSIN to break down proteins, what do the proteins become? _______ They are then broken down into ____ and _____ in the small intestines
Polypeptides ; Proteins; amino acids.
In the stomach, Carbohydrates are broken down into __________ and the process begins in the _____
Disaccharides; mouth
When you hear TYMPANY percussion tone over an abdomen, what does it normally indicate
A gastric bubble or gas
A float percussion tone indicates a ________ A dull percussion indicates the _______, a full ______ or a full _______
Bone Liver, sigmoid colon, bladder
Stage I of labor is when the patient is ______
Stage II of labor is when the patient _____
Stage III of labor is when the infant ______
Stage IV of labor is when the ______
Experiencing regular contractions and dilating
has full cervical dilation and infant ready to crown
has been delivered but the PLACENTA has not
Placenta has been delivered for four hours.
What is the defined point of neutrality in the pH scale?
What does it mean when the patient’s urine has a decreased acidity level?
Seven
It is indication that the patient’s kidney is retaining acids and SODIUM
An increased in urine acitity means what?
That the patient’s body is retaining bicarbonate
A UTI is associated with ________(alkaline or acidic) urine.
Renal tubular acidosis is associated with (acidic or alkaline) urine and serum (alkalinity or acidity)
Alkaline
Alkaline; Acidosis
What is the normal pH of the vagina?________
STI with erythema of the cervix is __________
_______causes rash that itches and is reddish in color
______ rash that is reddish in color
Rash red or reddish bronw with PENNY-SIZED SORES
3.8 - 4.5
Chlamydia
Gonorrhea
Genital Herpes
Siphillis
When the vagina pH is less ______, there is more chance for infection.
4 Factors that make vagina less acidic
acidic
Diabetes, unprotected sex, poor hygiene and Multiple sex partners
Vaginosis, STIs, yeast infection.
Tests used to evaluated renal function:
BUN is affected by _________
- *BUN and creatinine** are both _________
- *IVP** is used to rule out what _______
BUN and Creatinine
Diet
Waste products of protein metabolism
Obstruction
- *Not** a symptom of UPPER GI bleed is _______
- *Symptoms of UPPER GIB**
Hematochezia
Hematemesis, melena, coffee-groud emesis, Weakness dizzines, postural hypotension and potentially sx of hypovolemic shock
5 Common causes of Upper GIB
Mallory Weiss syndrome, peptic or gastric ulcers, esophagitis, frequent NSAIDs use, ESOPHAGEAL VARICES
Which portion of the male urethra enters the perineum
The Membraneous portion
3 Segments of the male urethra are
The male urethra is _____than the femal urethra
The prosthatic portion enters what?_____
The penile portion forms within the ___
prostatic, membranous and spongy
Longer
Prostate gland
Shaft of the penis.
Male urethra conducts urine from the bladder and semen from __________
Ejaculatory ducts
The MANTRES score is used to help diagnose a patient’s probability of having _______. Each diagnostic test is worth one point except __________ and __________which are worth 2 points
Appendicitis; tenderness in the RLQ; Leukocytosis
MANTRES score stands for:
(M) Migration of pain to the RLQ
(A) Anorexia
(N) Nausea and vomiting
(T) Tenderness in RLQ
(R) Rebound pain
(E) Elevated Temperature
(S) shift of WBCs to the left.
Used to detect gestational diabetes is _______. It measures glucose level _____hour after administation of a ____gram of oral glucose loads. Blood sugar values over ____mg/DL identifies ____% women with gestational diabetes.
Glucose challenge; one; 50; 140; 80
A___________ test is used to determine if there are fetal red cells in the maternal circulation
Kleihauer-Betke test
A _______ ___ screen is used to determine if there is a potential incompatibility in the blood type between the mother and the fetus
Antibody screen
RLQ pain can be caused by appendicitis, _______, Ovarian torsion and cysts, ___________, ______, Tubo-ovarian abscess, ____________ or_________ diverticulitis
inguinal hernia, ruptured ectopic pregnancy, PID, mesenteric adenitis, Meckel’s
Normal chloride is ________mEq/L and when the patient chloride is low it could be a sign of ____ ____ _______
96-106; diarrhea, vomiting and intestinal obstruction
When a patient’s chloride is high, suspect ____
_______May be a factors if a patient’s calcium levels are low
_______may be a factor if the patient’s phosphorus levels are low
Dehydration
Acute pancreatitis
Malnutrition/ Malabsorption syndrome
Light palpation with large pulsating mass is suggestive of _________and you should _____the palpation because rupture is life threatening. A light palpation is when you use fingers to depress ___ to ___ cm into various areas of the abdomen
Abdominal Aortic Aneurysm ; STOP; 1-2
A PERCUSSION tone, drum-like, loud, high pitch quality generally heard in the STOMACH or BOWEL
TYMPANY
PERCUSSION tone with a booming quality and is located around the HYPERINFLATED LUNGS.
________is the percussion tone that has a HOLLOW QUALITY located around the normal lung
HYPERRESONANT ; RESONANT
________is the percussion tone that has a thud-like quality and is located around the _____, ____ or _____
DULL; liver, spleen, heart
The normal phosphorus level is __ to ___ mg/Dl. Pt with elevated phosphorus has ______dsease
3.0-4.5 ; Kidney
What does it mean when hernia becomes INCARCERATED? there will be _____ and _____ and the site of herniation with possible signs of _____ ______
Its blood supply is compromised; pain and swelling; interstinal obstruction.
A male patient who has priaprism should have a ____________conducted in order to rule out ___________ ________ Leukemia.
peripheral blood smear
CHRONIC MYELOID LEUKEMIA
A _____ ___ ____ should be conducted to assess the patient’s glucose concentration level
Corpus Cavernosum aspirate
Does a sonogram meausre the bladder volume?’
A sonogram generates a localized ?
No;
deep heat to the tissues, monitors a developing fetus, and images an internal body structure
How does the US detect abnormalities?
Using high frequency sound waves to detect abnormalities.