FINAL

Question 1

Difference between albumin and prealbumin

Answer 1

48-72 hours

Prealbumin is a reflection of protein and calorie intake for the last 2-3 days, normal value 15-36mg

Question 2

Correct findings for percussing the abdomen

Answer 2

RU should be dull, others should be resonant

Question 3

Normal BMI

Answer 3

18.5-24.9

Question 4

Pt has one shoulder higher than the other

Answer 4

scoliosis

Question 5

Assess cranial nerve VII

Answer 5

facial nerve: facila expressions, puffing cheeks, taste

Question 6

STD that is transmitted by the oral/penile route

Answer 6

chlamydia

Question 7

Children screened for cholesterol at what age

Answer 7

3

Question 8

“Serum” albumin can be affected by

Answer 8

damaged liver, low blood, low fluid, trauma, surgery

normal range is 3.5 to 5

Question 9

Assessing risk factor for liver disease

Answer 9

CAGE, gallbladder, history of hep, travel to other countries, social behavior such as exposure to needles

Question 10

Chronic inflammation autoimmune disease affecting spine, attacking/affecting spine, also shoulder blades, hips, feet

Answer 10

anchylosis spinalitis

Question 11

fibroadenoma consists of

Answer 11

glandular fibrous tissue

Question 12

range of HDL

Answer 12

males >45

females >55

Question 13

range of LDL

Answer 13

male and female 60-180

Question 14

range of triglycerides

Answer 14

male 40-160

female 35-135

Question 15

when to screen for alcohol/drug abuse

Answer 15

every time an assessment is done/ NOT every encounter

Question 16

gynecomastia

Answer 16

abnormal hormonal breast tissue in males

Question 17

rare cancer affecting nipple and skin of breast

Answer 17

Pagets

Question 18

Physical exam shows large tonsular lymph node

Answer 18

assess for infection in the area of lymph affected

Question 19

Part of OLDCART that nurse asks what alleviates pain

Answer 19

treatment

Question 20

Pregnancy gait

Answer 20

lordosis

Question 21

What is kyphosis

Answer 21

hunchback

Question 22

An increase in uric acid crystals

Answer 22

gout (kings disease)

Question 23

Creation of new bone slower than the depletion of old bone

Answer 23

osteoporosis

Question 24

Patient with GERD symptoms would have

Answer 24

heartburn, cough, indigestion, wheeze, aspiration, horesness

Question 25

Increased muscle tone in both directions

Answer 25

rigidity

Question 26

During palpation feel popping under joint

Answer 26

crepetis

Question 27

6 cardinal symptoms to watch for in the musculoskeletal system

Answer 27

Pain, edema, erythema, deformity, loss of function, warmth

Question 28

When to palpate and injured joint

Answer 28

last

Question 29

Assessing for appendicitis

Answer 29

Mcburneys point, rebound tenderness, psois

Question 30

Step after inspecting the abdomen

Answer 30

auscultate

Question 31

How to divide the abdomen

Answer 31

RL, RU, LU, LL | down and across the umbilicus

Question 32

Pitting edema can be a symptom of

Answer 32

CHF, renal failure (nephrotic syndrome)

Question 33

Aunt betty cant read the newspaper, shes 80 years old

Answer 33

Presmyopia

Question 34

1.048 specific gravity, what does this indicate

Answer 34

Anything greater than 1.029 indicates dehydration

Question 35

Which body shape has an increased health risk apple or pear?

Answer 35

Apple

Question 36

When screening for breast cancer?

Answer 36

Tell the patient to do a daily self exam, decrease alcohol consumption (2 drinks a day increases risk by 50%), mammogram at age 40, starting at 30 if there is a family history of breast cancer

Question 37

What can happen to all men if they live long enough

Answer 37

BPH (benign prostatic hypertrophy)

Question 38

Patient has redness, pain, edema in only one joint

Answer 38

Septic arthritis

Question 39

Signs/symptoms of prostate cancer

Answer 39

weak urinary flow, pain on urination, hematuria, frequency

Question 40

Tuning fork used on mastoid bone and then next to/behind ear

Answer 40

Rinne test

Question 41

what are you examining with a breast exam

Answer 41

Breast axillae and nipple

Question 42

Taking care of patients with diabetes and you see black necrotic tissue

Answer 42

unstageable

Question 43

Patient has cerebral palsy, rate dependent, increased resistance, rapid movement

Answer 43

spastic