Exam 3 chs. 11-16, 21-22 Flashcards

1
Q

define crepitus. if palpated in thorax, it indicates

A

a grating sound or sensation, severe upper resp pneumonia

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2
Q

pectus excavatum is

A

funnel chest

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3
Q

pectus cariatum is

A

pigeon chest

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4
Q

Covered eye test: what If the eye turns outward? inward? constant malalignment of the eyes?

A

If the eye turns outward it is called exotropia. If the uncovered eye turns inward, it is called esotropia. Strabismus is constant malalignment of the eyes.

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5
Q

ABCDEs of melanoma

A

assymmetry, border, color, diameter, evolution

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6
Q

clubbing most often seen in pts with

A

COPD

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7
Q

uremic frost indicates _____. What causes it?

A

kidney problems, urea and nitrogen in swet

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8
Q

hirsutism often seen in ___ pts

A

endocrine

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9
Q

hemangiomas usually resolve by age

A

9

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10
Q

clear fuid leading from ear or nose in head injury could mean —-? what’s the fluid, what’s the risk?

A

basilar skull fracture, fluid os cerebrospina, risk is infection

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11
Q

emergency lymph node referral needed with ___

A

larger than 1 cm, fixed, nontender, irregular, hard or rubbery

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12
Q

who usually has shotty lymph nodes

A

children under 5

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13
Q

Anterior cervical nodes might indicate___, posterior cervical nodes might indicate ____, and posterior auricular nodes might indicate ___

A

pharyngitis, mononucleosis, otitis media.

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14
Q

why worry about supraclavicular lymph nodes?

A

can be a sign of metastatic cancer

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15
Q

called the signal node, found on the left supraclavicular) is associated with lung and abdominal cancer.

A

The Virchow node

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16
Q

Would a hypothyroid lady have high or low TSH?

A

high

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17
Q

coarse hair is a sign of

A

hypothyroid

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18
Q

most common type of hypothyroidism

A

Graves disease

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19
Q

assess me for thyroid disease

A

palpate, if enlarge, auscultate for bruits (meaning toxic goiter)

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20
Q

can look as if someone is having a stroke. Remember though that it just affects the face and nothing else (meaning no extremity deficits).

A

• Bells Palsy

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21
Q

buffalo hump, fat deposits at the nape of the neck, moon face and the velvety discoloration around the neck (acanthosis nigra, also seen in diabetes).

A

• Cushing syndrome

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22
Q

hardening of the skin usually in the face and hands. Presents as shiny, tight skin in the face

A

• Scleroderma

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23
Q

glaucoma in a first degree relative increases the patient’s risk for the same problem by

A

two to three times

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24
Q

3 hereditary eye diseases

A

cataracts, glaucome, macular degeneration

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25
Q

toddler normal vision

A

20/200

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26
Q

Why check Cardinal fields of gaze?

A

allow the nurse to detect muscle defects that cause misalignment or uncoordinated movements of the eyes

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27
Q

when you give the cover test, you are checking for

A

eye accomodation

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28
Q

what is the test for strabismus?

A

corneal light reflex

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29
Q

2 nongenetic abnormal eye movements

A

nystagmus, strabismus

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30
Q

what cases Arteriovenous (AV) nicking, and what is it?

A

results from high blood pressure and retinal hemorrhages in the form of dot-blot spots or flame hemorrhages.

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31
Q

what causes copper wiring

A

• Chronic hypertension causes retinal arterioles to thicken

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32
Q

what can you visualize on tympanic membrane?

A

malleus and cone of light

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33
Q

inner ear goes to cranial nerve ___ called the ___

A

VIII, vestibulocochlear

34
Q

what are the types of tibiotabular flexion

A

plantar and dorsiflexion

35
Q

adduct your arm- is it added to your side or removed

A

added

36
Q

what position in hands can hold soup

A

supine

37
Q

what is the Romberg test

A

test for ataxia, cerebellar function, balance

38
Q

When the patient’s left eye repeatedly does not see your fingers until they have crossed the line of gaze, a ___ is present.

A

When the patient’s left eye repeatedly does not see your fingers until they have crossed the line of gaze, a left temporal hemianopsia is present.

39
Q

lies beneath the cerebral hemispheres. Names its structures.

A

diencephalon: thalamus& hypothalamus

40
Q

name the 8 major chains of lymph nodes in the neck

A

preauricular

  1. posterior auricular
  2. occipital
  3. superficial cervical (extending from the tonsillar to supraclavicular nodes)
  4. deep cervical
  5. posterior cervical
  6. submental
  7. submandibular
41
Q

death of the optic nerve- what color is disc

A

white

42
Q

uric acid crystals associated with gout; may appear as hard nodules on the ear surface

A

tophus

43
Q

discuss reflex scores. What’s abnormal

A

1+ (present but decreased) to 2+ (normal) to 3+ (increased or brisk, but not pathologic).
0 occurs when a component of the lower motor neurons or reflex arc is impaired and may be seen with spinal cord injuries. 4+ may be seen with lesions of the upper motor neurons and when the higher cortical levels are impaired.

44
Q

urticaria is

A

hives

45
Q

so upset your mouth goes dry

A

xerostomia

46
Q

the major indicator for Webers test

A

unilateral hearing loss

47
Q

cranial nerve II aka

A

optic nerve

48
Q

The transmission of sound waves in the inner ear is referred to as “perceptive” or “sensorineural hearing.”

A

“perceptive” or “sensorineural hearing.”

49
Q

cranial nerves assessed with cardinal fields of gaze

A

III oculomotor IV trochlear VI abducens

50
Q

peripheral injury to cranial nerve VII (facial) that causes the inability to close the eyes, wrinkle the forehead, or raise the forehead, along with paralysis of the lower part of the face

A

Bell’s palsy

51
Q

blue extremities due to anxiety

A

peripheral cyanosis

52
Q

To assess the function of the parietal lobe, the nurse should test for

A

tactile sensation

53
Q

skin infection with honey colored crust

A

impetigo

54
Q

initially on the face, with progressive caudal spread. In 3–4 days, the rash becomes brownish with a fine desquamation (commonly called skin peeling or shedding)

A

rubeola

55
Q

What should the nurse assess to test the function of the temporal lobe?

A

impulses from the ear

56
Q

What task should a nurse ask a client to perform to assess the function of cranial nerve XII? What is the nerve’s name?

A

move tongue from side to side, hypoglossal nerve

57
Q

has a “herald patch”

A

Pityriasis Rosea

58
Q

The spinal segments associated with the knee reflex are L2, L3, and L4.

A

Lumbar 2, L3, and L4.

59
Q

area of pallor surrounding each lesion, rash appears as fever resolves

A

roseola

60
Q

can produce bilateral tinnitus.

A

At high doses, aspirin toxicity

61
Q

the woman whose head is stuck in one position has

A

dystonia

62
Q

pathogenic fungus that make hypopigmanted patches

A

tinea versicolor

63
Q

glasgow points for withdrawal from pain, no eye response, no verbal response

A

4, 1, 1

64
Q

papular bluish-to-purple lesion blanches on pressure

A

venous lake

65
Q

associated with optic atrophy, glaucoma, and vitamin A deficiency.

A

Night blindness is

66
Q

inflammatory skin disorder characterized by macular pink, red or orange-yellow lesions that may or may not have a fine scale. Distribution is usually on the face, scalp, and ears

A

seborrhea

67
Q

May accompany states of hormonal fluctuation (oral pathology)

A

gingival hyperplasia

68
Q

Amsler grid test for

A

macular degeneration

69
Q

job of canal of sclemm

A

drains aqueous humor

70
Q

vitamin implicated in gingivitis

A

B

71
Q

the middle layer of the eye

A

CHOROID

72
Q

allow the nurse to detect muscle defects that cause misalignment or uncoordinated movement of the eyes.

A

cardinal fields test

73
Q

The cover test is for

A

accomodation

74
Q

Corneal light reflex tests fo

A

strabismus

75
Q

Inability to close eyes occurs due to damage of cranial nerve

A

VII

76
Q

bruise aka

A

ecchymosis

77
Q

Cranial nerve III is responsible for the damage to

A

pupillary response

78
Q

palpable bruise aka

A

hematoma

79
Q

Bones in synovial joints are joined by

A

ligaments

80
Q

The pulp of the index finger is innervated by the

A

median nerve

81
Q

if you truly think the bowel sounds are absent. then

A

don’t palpate