Exam Four - Think Tank Flashcards
presentation of gout
redness, hot, swollen, and painful
s/s of goiter
impaired swallowing, do not raise arms while eating
Cranial Nerve IX injury
not able to shrug shoulders
Describe OA type of pain
improves with rest
Tests for carpal tunnel syndrome
Positive Phalen’s test and positive Tinel’s test
What is an indication for a positive Finkelstein’s test
DeQuervain’s tenosynovitis (inflammation of the tendons of the thumb side of the wrist)
s/s of Addison’s disease
craving salt & weight loss because they cannot keep food down
s/s of SCFE (slipped capital femoral epiphysis)
not able to bear weight on limb
What is the main function of the Circle of Willis?
provides collateral cerebral circulation (goes around blockage)
Trauma to the RAS (reticular activating system) will exhibit this …
disruptions in the sleep/wake cycle
Injury to the frontal cortex will cause
personality change
Neurological function assessment includes/does not include
includes: facial droop, affect, memory, speech pattern
does not include: gait
the 3 branches of cranial nerve V
trigeminal cranial nerve, branches are ophthalmic, mandibular, maxillary
Hallmark symptom of osteoporosis
Dowager’s hump (buffalo hump)
What is the best position for the patient to be in when testing cranial nerves?
Sitting
Explain cranial nerve XII
hypoglossal (tongue). Assessment = tongue movement
How do you check cranial nerve XII on an infant
sucking and swallowing
What is tabetic stamping ?
high-stepping, feet slapping on ground. Late stage neurosyphilis
S/S of temporal lobe injury
problems with taste and smell
What does a positive McMurray’s test indicate?
meniscus tear of the knee
s/s of hypoparathyroidism
muscle spasms, recent seizure, spasticity
Heberden’s nodes are signs of what disease process ?
osteoarthritis
Kid limping and having hip pain. what is this diagnosis?
Legg-Calve-Perthes disease
a bruit heard over the thyroid suggests
hyperthyroidism
In hyperventilation, what happens to the blood vessels and why?
blood vessels constrict because of decreased PCO2
Pregnant woman comes in complaining of waddling, can’t walk straight. Why?
Normal finding, increase in pelvic girth, ligaments become elastic
describe a sprain injury
injury due to overstretching
Cushing’s syndrome in women - how does it manifest
moon face, excessive hair growth, scalp baldness
What is the purpose of the Denver Development Screening Test on children
screen for developmental delays, infants/preschool
growth, motor, personal, social
What does the adrenal cortex do
regulates hormones, cortisol and aldosterone, and secondary sex hormones
How to treat hypoglycemia orally?
well-balance of proteins, carbs, and sugars
How would gouty arthritis present?
occurs mostly at night, can come with fever and chills (b/c of the inflammation)
What is the most concerning fracture in children?
Long bone/epiphysial b/c of the growth plate
10-month-old progressing well, what can they do
standing while holding onto something, crawling, grasp objects, feed themselves
what test will you evaluate proprioception, cerebral function?
finger-to-nose, Romberg, heel-to-toe, rapid alternating movement
Characteristics of Grave’s disease?
exophthalmos, moist/sweaty skin
function of a baby’s fontanelles
room to grow
how to examine the pt’s thyroid
stand behind the patient when palpating. Ask the pt to turn laterally to side you are examining
asymmetry of the face
facial nerve problem
What kind of fracture would you expect from swinging a kid by the arms
radial head subluxation
Function of ligaments
connective tissue, flexible, connects and supports the bones
when is RA pain the most pronounced
in the morning, after a long rest
Cushing’s triad ….
hypertension, bradycardia, and irregular respirations
What is the main function of the sympathetic of the autonomic nervous system?
fight or flight response
Ipsilateral Horner syndrome …
ptosis caused by a CVA
Islets of Langerhans make what ?
alpha, beta, & delta cells
alpha = glucagon
beta = insulin
delta = somatostatin
