CEN GI/GU/OB/GYN Flashcards
1
Q
Ectopic Pregnancy interventions include administering _______if mother is RH _____; therapy with _____ ________and consider __________IM
A
RHOGAM; Negative; IV crystalloids; methotextrate
2
Q
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
A
Yellow-Green; fishy White Gray
3
Q
4 Processes of the GI system are ___ ___ ___ __ and assisting the body’s metabolism is a function of the ________system
A
Ingestion Digestion Absorption Elimination Pulmonary
4
Q
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
A
Cholecystitis appendicitis Acute pancreatitis
5
Q
Somastatin is secreted from the _____cells GLUCAGON is secreted from the ________cells INSULIN is secreted from the ________
A
Delta Alpha Beta
6
Q
Spastic to dull pain around the abdomen and HYPERACTIVE BS may cause a change in bowel habits an is a sign of
A
EARLY bowel obstruction
7
Q
What is PHIMOSIS? condition in which the _______ ____ predisposing factors are
A
penis is tight ended and unable to retract over the gland; poor hygiene, congenital condition, scarring and inflammation.
8
Q
Wearing a lap belt would result in _______; For MVC patient, look for the _______sings which consists of
A
bladder rupture; seat belt: abrasion and contusion.
9
Q
Possible causes of peritonitis
A
appendicitis pancreatitis trauma from a GSW or knife Peritoneal dialysis
10
Q
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 ________
A
Biliary obstruction; Upper GIB; lower GIB.
11
Q
The death of expulsion of the fetus or ______ ______ before the age of viability is_______
A
products of conception; Abortion
12
Q
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
A
Inevitable .
13
Q
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
A
THREATENED
14
Q
A __________spontaneous abortion is one in which the patient visually identified symptoms that signal the LOSS OF THE PRODUCTS OF CONCEPTION
A
IMMINENT
15
Q
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
A
MISSED
16
Q
When the stomach uses PEPSIN to break down proteins, what do the proteins become?
A
Polypeptides
17
Q
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
A
Polypeptides ; Proteins; amino acids.
18
Q
In the stomach, Carbohydrates are broken down into __________ and the process begins in the _____
A
Disaccharides; mouth
19
Q
When you hear TYMPANY percussion tone over an abdomen, what does it normally indicate
A
A gastric bubble or gas
20
Q
A float percussion tone indicates a ________ A dull percussion indicates the _______, a full ______ or a full _______
A
Bone Liver, sigmoid colon, bladder
21
Q
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 ______
A
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.
22
Q
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?
A
Seven
It is indication that the patient’s kidney is retaining acids and SODIUM
23
Q
An increased in urine acitity means what?
A
That the patient’s body is retaining bicarbonate
24
Q
A UTI is associated with ________(alkaline or acidic) urine.
Renal tubular acidosis is associated with (acidic or alkaline) urine and serum (alkalinity or acidity)
A
Alkaline
Alkaline; Acidosis
25
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
26
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.
27
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
28
* *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**
29
5 Common causes of **Upper GIB**
**Mallory Weiss syndrome**, peptic or gastric ulcers, esophagitis, frequent **NSAID**s use**, ESOPHAGEAL VARICES**
30
Which portion of the male urethra enters the perineum
The Membraneous portion
31
**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.
32
**Male urethra** conducts urine from the bladder and semen from \_\_\_\_\_\_\_\_\_\_
Ejaculatory ducts
33
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
34
**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.
35
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
36
A\_\_\_\_\_\_\_\_\_\_\_ test is used to determine if there are fetal red cells in the maternal circulation
**Kleihauer-Betke test**
37
A _______ \_\_\_ screen is used to determine if there is a potential **incompatibility in the blood type between the mother and the fetus**
**Antibody screen**
38
_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**
39
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
40
When a patient's **chloride** is _high_, suspect \_\_\_\_
\_\_\_\_\_\_\_May be a factors if a patient's **calcium** levels are l**_ow_**
\_\_\_\_\_\_\_may be a factor if the patient's **phosphorus** levels are _low_
Dehydration
Acute pancreatitis
**Malnutrition/ Malabsorption syndrome**
41
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**
42
A PERCUSSION tone, **drum-like, loud, high pitch** quality generally heard in the **STOMACH or BOWEL**
TYMPANY
43
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
44
\_\_\_\_\_\_\_\_is the percussion tone that has a thud-like quality and is located around the \_\_\_\_\_, ____ or \_\_\_\_\_
DULL; liver, spleen, heart
45
The normal phosphorus level is __ to ___ mg/Dl. Pt with elevated phosphorus has \_\_\_\_\_\_dsease
3.0-4.5 ; Kidney
46
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.
47
A male patient who has **priaprism** should have a \_\_\_\_\_\_\_\_\_\_\_\_conducted in order to rule out ___________ \_\_\_\_\_\_\_\_ Leukemia.
peripheral blood smear
CHRONIC MYELOID LEUKEMIA
48
A _____ \_\_\_ ____ should be conducted to assess the patient's glucose concentration level
**Corpus Cavernosum aspirate**
49
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
50
How does the US detect abnormalities?
Using **high frequency sound waves** to detect abnormalities.
51
\_\_\_\_\_\_\_\_\_ is the gold standard for ruling out GIB
Endoscopy
52
Term used to indicate that a female **has not had any** live births\_\_\_\_\_\_\_\_
Term used to indicate that the female's pregnany is **her first** \_\_\_\_\_\_
Term used to indicate that the female has given birth to **more than one live** child
Nullipara
Primipara
Multipara
53
Most appropriate medication for a patient with H. Pylori infection? ______ or \_\_\_\_\_\_x __ days in addition to a ____ \_\_\_\_ -\_\_\_\_\_ and ____ are absolutely contraindicated
**Clarithromycin/ AMOXICILLIN**; 10; Proton Pump inhibitor. **NSAIDs**
54
Causes of priaprism :
Tumor
sickle cell disease
PHOSPHODIESTERASE TYPE 5 INHIBITOR and pharmacological injections injected directly into the **corpus cavenosum** in the treament of **Erectile dysnfuntion.**
55
What is **IMPALEMENT**? It is an example of \_\_\_\_\_\_\_\_Trauma as it penetrates the body\> Examples are .
Penetrating
GSW, projectiles, stab wounds
56
\_\_\_\_\_\_\_ the result of applied force _without_ the creation of an _OPEN WOUND_
**BLUNT TRAUMA**
57
When a **loop of bowel** telescopes within itself, a mechanical obstruction known as _________ occurs. _3 symptoms_ are: ____ \_\_\_\_ _____ most common in children 3 ____ to ____ years of age
**Intussusception**
**Currant jelly stools**
**Sausage-shaped abdominal mass**
vomiting
**_FACIAL GRIMACING WITH LEGS DRAWN TO CHEST_**
**_3 months- 5_**
58
When a loop of intestine completely **twists around its mesenteric attachment** site? \_\_\_\_\_\_\_
VOLVULUS
59
* *Endocrine function** involves the secretion of _______ and \_\_\_\_\_\_
* *Exocrine function** include the secretion of _______ to neutralize chyme and the secrtion of \_\_\_\_\_\_\_juice for the digestion of \_\_\_\_\_\_\_
Insulin; glucagon
Bicarbonate; pancreatic; carbohydrates.
60
What is placenta previa?
What is marginal previa?
Placeneta is located abnormally in her lower uterine segment and over the opening
Placenta's edge os at the **Internal Os's margin typically 2-3 cm of the os**
61
\_\_\_\_\_\_\_\_ Previa means that placental tissue is **COMPLETELY** covering the internal OS.
\_\_\_\_\_\_\_\_Previa means that the placental tissue is **partially** covering the internal os
Total ; Partial ;
62
An appropriate intervention for managing the woman with the **BARTHOLIN'S CYSTS** Abscess? \_\_\_\_\_\_\_and\_\_\_\_\_\_compresses. Symptoms include swelling and tenderness of \_\_\_\_\_\_\_
Sitz Baths
Warm compresses
Vulva
63
If a patient is having difficulty with **INGESTION** with which compoent of the GI system is the patient MOST likely having trouble with?
**OROPHARYNX**
64
**First** and **second** stage of **swallowing** , ingestion, salivation, and mastication are functions of the \_\_\_\_\_\_\_\_\_\_\_but the t**hird stage** of swallowing and vent for extra gastric pressures are function of the\_\_\_\_\_\_\_\_\_\_\_. Functions of the \_\_\_\_\_\_\_Inlude _secretion of gastric enzymes, absorption of water,_ and reduction of os_malality of food a_nd the \_\_\_\_\_\_\_\_include r_eceiving biles and pancreatic fluid in order_ to aid digestion and moving chyme by using \_\_\_\_\_\_\_and \_\_\_\_\_\_\_\_\_
Nasopharynx; Esophagus; stomach; small intestine; **peristalsis, segmentation.**
65
**OUTERMOST** layer of the GI tract is the __________ cell layer and it is continuous with the \_\_\_\_\_\_\_\_. The \_\_\_\_\_\_\_\_Cell layer is the thin cell layer composes of smooth muscle and that is found betweeb the serosa and the\_\_\_\_\_\_\_\_\_\_\_ ; the _________ dense cell layer composed of connective tissue that supports the mucosa. the\_\_\_\_\_\_\_\_cell layer is the **INNERMOST** layer of the GI tract that is exposted to dietary material
**SEROSA**; Muscularis; Submucosa; **mucosa**
66
For Hepatitis B, interferon agenst are given ______ (route) and other four drugs _____ ,\_\_\_\_\_\_\_,\_\_\_\_\_,\_\_\_\_\_\_ are given orally. The drug approved for **HIV patients** is called \_\_\_\_\_\_\_\_\_
Injection; lamivudine, adefovir, dipivoxil, entevir, telbivudine; **Zidovidine**
67
The **MOST COMMON** type of **PEPTIC ULCERS** is
Peptic ulcers are due to the disruption of the protective \_\_\_\_\_\_Barrier and increased \_\_\_\_\_\_secretion
Duodenals are characterized by increased \_\_\_\_\_\_\_Cells
and stress ulcers are the result of \_\_\_\_\_\_\_stress and develop after period of illness, \_\_\_\_\_\_or \_\_\_\_\_\_\_
**DUODENAL ULCERS;mucosal ; acid**
**Parietal cells**
**ischemic stres; trauma; injury.**
68
A patient test positive for **GENITAL HERPES** would be started on \_\_\_\_\_\_or \_\_\_\_\_\_
A patient tested positive for **GONORRHEA** or CHANCROID would be prescribed
A patient tested positive for **CHLAMYDIA** would be prescribed\_\_\_\_\_\_\_
Acyclovir or FamCYCLOVIR
Ceftriaxone / CefiXime for gonorrhea
**Doxycycline**
69
Signs of i**mpending delive**ry:
bloody show
mother stating needs to defecate
bulging of vulva membranes
Rupture of amniotic fluid
70
If the patient has **UTERUS pain,**it is caused by \_\_\_\_\_and\_\_\_\_\_
If the patient has **fallopian or ovary pain,** the pain is caused by \_\_\_\_\_\_or \_\_\_\_\_\_\_
If the patient has **PERITONEAL PAIN**, it is related to _________ accumulation from an \_\_\_\_\_\_\_Cyst
and the pain is causd by \_\_\_\_\_\_\_\_\_
Contractions and spasms
Distention, inflammation
blood; ovarian; inflammation
71
If the patient experienced a **postpartum hemorrhage** after delivery , which of the following occured? Blood loss of \_\_\_\_\_\_Within\_\_\_\_hours after delivery.
Blood loss is **severe if** it's more than\_\_\_\_\_\_\_\_within _____ after delivery. It is **early hemorrhage** if it occurs within \_\_\_\_\_hours after delivery; It is **late hemorrhage** if it occurs after \_\_\_\_to \_\_\_weeks after delivery.
A blood loss GREATER THAN 500ml.; 24
1000; 24 hours
24 hours'; 6 weeks
72
Management of postpartum hemorrhage include:
**Manual pressure**
**High flow Oxygen**
Large bore IV
blood transfusion
**Oxytocic agents OXYTOCIN**
73
What is the most common **PRIAPRISM?** It is caused by \_\_\_\_\_\_\_\_\_\_\_\_blood flow and _______ stasis
Ischemic priaprism
decreased venous blood flow
vascular
74
**Ischemic priaprism** is associated with progressive __________ of the ________ tissues and ___________ \_\_\_\_\_\_\_\_.
\_\_\_\_\_\_\_\_\_\_\_priaprism is caused by the **_fistula_** between the \_\_\_\_\_\_\_\_tissue and the \_\_\_\_\_\_\_artery
\_\_\_\_\_\_\_\_\_\_priaprism is caused by **clumping of erythrocytes** that leads to the venoocclusion. **the best** describing word is **INTERMITTENT**
\_\_\_\_\_\_\_\_\_ priaprism is caused by the invasion of __________ \_\_\_\_\_\_ by malignant neoplasm
fibrosis; carvenosal; Erectyle dysfunction.
Nonischemic; corporal tissue ; carvenosal.
Stuttering priaprism
Malignant; Corpora Carvenosa
75
Regulation of bile flow is a function of the \_\_\_\_\_\_\_\_\_
Functionof the liver is ___________ of bacteria; conversion of ammonia to ______ and the formation of \_\_\_\_\_\_\_. Conversion of complex sugar to \_\_\_\_\_\_sugar, carbs to \_\_\_\_\_\_; stored glucose to _______ ; amino acids to ______ and CREATINE to \_\_\_\_\_\_\_\_
GALLBLADDER
Urea
Cholesterol.
Simple; fats; glucose; proteins; creatinine
76
\_\_\_\_\_\_\_\_\_\_should always be considered in a patient with abdominal pain and tachycardia
Hypovolemia
77
Through which of the followng do the kidnes excrete urine\_\_\_\_\_\_\_\_\_.there are \_\_\_\_\_\_ureters , one located in the \_\_\_\_\_\_and the bottom half of the \_\_\_\_\_\_\_. They are ____ to \_\_\_\_inches long.Urine excreted from kidneys are stored in the _____ which uses the \_\_\_\_\_\_to expel the urine from the body.
URETER;
2; abdomen; pelvis
10-12
Bladder; urethra.
78
Basic absorption mechanism that r**equires an energy** and is known to absorb substance such as proteins, glucose, potassium and sodium\_\_\_\_\_\_\_\_\_\_.
Basic absorption mechanism uses a **PASSIVE movement** to absorb substance such as water and free fatty acids is \_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_is a basic absorption mechanism that **requires a carrier** and is known to absorb \_\_\_\_\_\_\_
\_\_\_\_\_\_\_ \_\_\_\_\_\_\_transport is basic absorption mechanism that is known to absorb drugs and _____ \_\_\_\_\_ \_\_\_\_\_\_\_
Active transport
PASSIVE DIFFUSION
**Faciliated Diffusion; fructose**
Non-ionic ; **Unconjugated bile salts.**
79
What is the most **COMMON** cause of GASTROENTERITIS? such as ________ and \_\_\_\_\_\_\_\_
Infectious agents
SALMONELLA and E.COLI
80
Parts of the **ALIMENTARY CANAL** includes: start with the ______ and ends at the \_\_\_\_\_\_
Accessory organs are \_\_\_\_\_, \_\_\_\_\_\_, \_\_\_\_\_\_, \_\_\_\_\_and \_\_\_\_\_
Mouth; anus; Includes to
oropharynx; esophagus; stomach; small intestine; large intestine
tongue; salivary glands; pancreas; gallbladder, liver
81
\_\_\_\_\_\_\_\_\_\_ presents as an abdominal pain that is located in the **RUQ** and is described as cramping pain
\_\_\_\_\_\_\_ presents as an abdominal pain that is located in the **LUQ** and is described as boring and worsens when lying down
\_\_\_\_\_\_\_\_\_\_\_ is inflammation of the lining of the stomach, caused **by chronic NSAID** use and presents as pain accompanied by N/V
cholecystitis. or Peptic ulcer gnawing and burning pain
Pancreatitis
Gastritis
82
The _________ sphincter or upper \_\_\_\_\_\_\_sphincter opens when food enters the _______ so that it can move through the **esophagus**
The _________ or lower \_\_\_\_\_\_\_\_sphincter opens so that food can enter the **stomach** from the _________ this **_final phase in swallowing_** is involuntary and takes approximately \_\_to \_\_-seconds to complete
HYPOPHARYNGEAL; ESOPHAGUS; ESophagus
Gastroesophageal ; esophageal ; 5-10
83
Drugs used in an acute GI hemorrhage\_\_\_\_\_\_\_ and _______ is used to cause vasoconstriction in a GI hemorrhage. \_\_\_\_\_\_\_\_acting as a mucosal barrier.
Proton Pump inhibitor;(omeprazole, pantoprazole).
Vasopression
Sucralfate.
84
Nausea is not a symptom associated with\_\_\_\_\_\_but is associated with PID, menstrual syndrom, tubal-ovarian abscesses and torsion of ovary.
Endometriosis ; \_\_\_\_\_\_,\_\_\_\_\_,\_\_\_\_,\_\_\_\_\_
85
Syphillis is generally associated with \_\_\_\_\_lesions; Multiple shallow vesicles are associated with _____ \_\_\_\_\_
Chancre; genital herpes.
86
\_\_\_\_\_\_\_\_\_is a STI caused by Neisseria Gonorrhea or Chlamydia Trachomatis: Caused by an infection ________ fromt the urinary tract. Treatment include \_\_\_\_\_,\_\_\_\_\_ and _______ .
**Epididymitis.** ASCENDING, cytoscopy, postate surgery, catheterization of the urinary bladder.
87
\_\_\_\_\_\_Fractures often seen as a results from sitting in a straddling position during a motorcycle collision
Pelvic fractures.
88
\_\_\_\_\_\_\_\_\_\_ bacterial infection, often caused by **E.Coli** that causes inflammation of the kidneys involving the \_\_\_\_, _____ and ______ pelvis.
Symptoms include **severe flank of back pain, fever, chills headaches, pyuria, hematuria, and bacteremia**
**PYELONEPHRITIS**; tubules, glomeruli, renal pelvis
89
Toxin-mediated systemic response usually caused by a strain of S.aureus is known as
Toxic Shock syndrome (TSS).
90
yyyhWhen a child is in a bicycle collision, which type of injury may not be apparent until later \_\_\_\_\_\_\_\_
**Abdominal injuries.**
91
Saliva consists of **Ptyalin** and **mucus**. 3 things that stimulate saliva are \_\_\_\_\_,\_\_\_\_\_ and \_\_\_\_\_
Sight, smell, taste and **THOUGHTS**
92
The \_\_\_\_\_\_\_in saliva started breaking down polysaccharides to disaccharides . \_\_\_\_\_\_provides lubricant. **Salivary glands** secretes \_\_\_\_\_liter of saliva daily
Ptyalin; Mucus; 1 liter
93
Renal response to **alkalosis** include
Renal response to **acidosis** include:
**Decreased hydrogen ion secretion**
**Decreased production of ammonia**
**increased bicarbonate excretion**
**Increased in hydrogen ion secretion**
**increased in bicarbonate secretion**
**increased in ammonia production**
94
The **most common** cause of **_esophageal obstruction_** in children is
Foreign body
95
**Crohn's Disease** affect the \_\_\_\_\_\_\_side of the colon, while **Ulcerative Colitis**
affect the ______ side of the colon. In crohn's disease, bleeding is\_\_\_\_\_
Right; Left.; rare
96
Hepatitis A takes ___ to \_\_\_\_weeks to incubate and is \_\_\_\_% curable
Hepatitis B causes 15-25 % of people to develop \_\_\_\_\_\_
Hepatitis C causes 20-50% people to develop \_\_\_\_\_\_\_\_and 20 % develop ______ and same number develop _____ \_\_\_\_\_
2 to 6; 99
Liver Cancer
Cirrhosis; liver cancer; liver failure.
97
Medications used to decreased portal pressure by relaxing the ________ vascular smooth muscle is \_\_\_\_\_\_\_\_\_\_; Alternative is a combination of IV _________ and SL or _______ \_\_\_\_\_\_\_\_
Mesenteric; **Octreotide or Sandostatin**; **Vasopressin**; SL or Transdermal Nitroglycerin
98
If an individual's **pH is \>7, it** indicates that the individual is at risk for a _______ stone.
If an individual's **pH is \< 5,** the individual is at risk for developing a ____ \_\_\_\_\_stone
Struvite
uric acid stone
99
If an individual's urine appears **orange-pink in** color, it is an indication of ___ \_\_\_ \_\_\_\_
If it is orange colored only, it may indicate \_\_\_\_\_\_\_\_
Uric acid crystals
medications
100
Digestion of carbohydrates started in the ________ and it this breaks down polysaccharides to disaccharides
Mouth
101
Renal TRAUMA is considered major if there are ______ \_\_\_\_\_\_lacerations and \_\_\_\_\_\_\_lacerations
Critical Renal trauma include ______ \_\_\_\_\_\_\_ or a ____ \_\_\_\_ injury
**Deep Cortical**; **CALICEAL** laceration
**Renal fracture ; Renal Vascular**
102
Medication generally prescribed for trichomonas is \_\_\_\_\_\_\_
Benzathine (bicillin) and doxycycline medictations are usually prescribed for\_\_\_\_\_\_
Flagyl
Syphillis
103
What is **MITTELSCHMERZ**
Middle pain, used to refer to pain around the middle of the menstrual cycle.
104
What organs does the **_left gastric branch_** of the **CELIAC ARTERY** supply
The **Hepatic to right gastric branch** of the celiac artery supplies only the \_\_\_\_\_\_
The **GASTRODUODENAL BRANCH** of the **celiar artery** supplies in the _______ and the \_\_\_\_\_\_\_\_\_
The SPLENIC BRANCH of the Celiac artery supplies the \_\_\_\_\_\_, the ______ and the \_\_\_\_\_\_\_\_\_
**Stomach and esophagus**
**Stomach**
**Stomach and the Duodenum**
**Stomach, pancreas and spleen.**
105
Which **2 ribs** could cause penetration of the kidney if the become fractured?
The \_\_\_\_kidney is **lower** than the _____ kidney therefore they _____ kidney is more susceptible to injury than the ____ kidney.
When the **left kidney** is injured, it is often **accompanied** by \_\_\_\_\_injury
When the **right kidney** is injured, it is often **accompanied** by \_\_\_\_\_injury
Ribs 11 and 12
Left; right; right ; left
Spleen
Liver
106
Fractures of the **1st and 2nd ribs** can result in injury to the \_\_\_\_\_\_, \_\_\_\_\_aorta, \_\_\_\_\_Artery and \_\_\_\_\_\_
Lungs, **ASCENDING,** subclavian, **brachial plexus**
107
Normal amylase is ______ and Normal lipase \_\_\_\_\_\_\_and they are both elevated in \_\_\_\_\_\_\_\_\_cancer
23-125; ______ 10-180; pancreatic.
108
During pregnancy , HR \_\_\_\_\_\_and CO \_\_\_\_\_\_
Oxygen consumption
Abdominal injuries and hemorrhage are masked : T/F
increases; increases
increases
True
109
HELLP stands for _____ \_\_\_\_ ____ \_\_\_ ____ it is an obstetric emergency and varinat of ______ \_\_\_\_\_
Hemolysis, elevated liver Enzyms and low Platelet.
severe preeclampsia
110
Ulcerative coltis is characterized by **SBLLQ**
Severe diarrhea
Bloody stoll
LLQ tenderness
111
Crohn's Disease is characterized by abdominal pain \_\_\_\_\_\_, weight loss, \_\_\_\_\_\_\_, and \_\_\_\_\_\_\_
Low grade fever
Intestinal obstruction
Anal fissures or abscess
112
Complications of Gonorrhea are associated with _____ \_\_\_\_\_\_ and \_\_\_\_\_
Vaccinations for HPV is for ages\_\_\_\_\_\_\_\_, and the vaccination is \_\_\_\_\_\_\_
Epididymitis, chronic pelvic pain, fallopian tube damage
13-26; Gardasil
113
Bladder pain is caused by \_\_\_\_\_\_\_and \_\_\_\_\_\_
Ureteral pain is caused by _______ and \_\_\_\_\_\_
Overdistention; inflammation.
Obstruction; distention
114
**Diverticulitis** is inflammation of the \_\_\_\_\_\_\_\_
may be the result of ______ by ____ or fecal material
**Meckel diverticulum** is a small buldge that is located in the _____ intestine that was present at \_\_\_\_\_
**Diverticulosis** is multiple ______ that are NOT \_\_\_\_\_\_
Diverticula
obstruction ; food
small ; birth
diverticula; inflamed
115
**_Testicular Torsion_** is characterized by twisting of the _________ or the _______ cord and most common occurs in boys between ages ___ and \_\_\_\_
Immediate bedsid\_\_\_\_\_\_or surgical exploration with \_\_\_\_\_\_is performed
testicles; spermatic
12-18
Detorsion; ORCHIDOPEXY
116
**Inflammation** of the **bladder** cause _______ and ____ pain in the \_\_\_\_\_
**Overdistention** in the bladder causes pain in the \_\_\_\_\_area
**_Renal inflammation_** causes pain in the \_\_\_\_\_area
***_Prostate inflammation_*** causes pain in the _____ \_\_\_\_
burning; sharp; urethra
Suprapubic
FLANK
Lower back
117
Which male genital organs work together to produce semen?
\_\_\_\_\_\_\_\_ and \_\_\_\_\_\_\_\_
The testes produces ______ and \_\_\_\_\_\_\_\_
Secretes alkaline component of semen\_\_\_\_\_
Seminal vesicles
Prostate gland
Sperm ; testosterone
bulbourethral gland
118
Blood work not elevated in cirrhosis\_\_\_\_
what is normal LDH
WBC
90-200
119
MANTRELS score
\< 5 appendicitis \_\_\_\_\_
5-6 appendicitis \_\_\_\_\_\_
7-8 appendicitis \_\_\_\_\_
9-10 appendicitis \_\_\_\_\_\_
unlikely
likely
possible
highly likely
120
When a patient is diagnosed with epididymoorchitis, one of the things that should be monitored in case of complication is \_\_\_\_\_\_\_which is _____ in sperm
Hemospermia
blood
121
Which female genital organ is responsible for protecting a fetus\_\_\_\_\_
allows passage from fertilization and implantation is \_\_\_\_\_\_\_\_
Neck of the uterus and leads from the vagina is the \_\_\_\_\_
UTERUS
Fallopian tube
cervix
122
**Right UPPER QUADRANT** painis best asses with \_\_\_\_\_\_\_
Right or left **LOWER QUADRANT PAIN** is best assessed with
Ultrasound
CT scan
123
Which **type of bladder rupture** is generally associated with a **PELVIC FRACTURE\_\_\_\_**
**Bladder contusion** is type ___ and the most \_\_\_\_\_\_
* *INTRAPERITONEAL RUPTURE** generally resulst from _____ \_\_\_\_\_ trauma and is type \_\_\_\_
* *INTERSTITIAL INJURY** Type ____ is the most ____ type of bladder injury
Type IV: Extraperitoneal
Type I; common
lower abdomen; Type II
III; rare
124
Which male organ **store sperm** until they become mature \_\_\_\_\_\_\_
**Epididymis**
125
Operation of the large intestine is most likely because the patient is
unable to eliminate dignestive wastes effectively.
126
Deliver of the placenta following birth of the baby includes\_\_\_\_\_\_\_\_\_\_\_\_
Placental separation is the final stage of labor and generally occurs within minutes of birth but may take up to ____ minutes. the process should not be hurried.
Massaging the fundus immediatly after delivery of the placenta.
