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Physical Assessment > Physical Assessment Exam 2 > Flashcards

Physical Assessment Exam 2 Flashcards

1
Q

Distorted/bad taste (symptoms, complaints):

A
  1. B12 deficiency anemia
  2. Diabetes mellitus
  3. Renal disease
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2
Q

Glossodynia (S,C):

A
  1. B12 deficiency anemia
  2. Folate deficiency anemia
  3. Diabetes
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3
Q

Xerostomia (S,C):

A
  1. Iron deficiency anemia
  2. Diabetes
  3. Sjogren’s syndrome
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4
Q

Pain in the mandible (S,C):

A
  1. Myeloma
  2. Sickle cell anemia
  3. Thalassemia
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5
Q

Excessive bleeding when brushing (S,C):

A

Thrombocytopenia due to:

  1. Leukemia
  2. Aplastic anemia
  3. Cancer
  4. Idiopathic thrombocytopenic purpura
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6
Q

Anemia is a:

A

symptom, not a disease

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7
Q

Mucosal pallor (sign):

A

Anemia

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8
Q

Angular chelitis (sign):

A
  1. Iron deficiency anemia

2. Folate deficiency

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9
Q

Non specific stomatitis (sign):

A
  1. B12 deficiency anemia

2. Folate deficiency anemia

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10
Q

Ulcerative stomatitis (sign):

A
  1. Aplastic anemia
  2. Folate deficiency anemia
  3. Leukemia
  4. Neutropenia
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11
Q

Beefy red tongue (sign):

A
  1. B12 deficiency anemia (smooth and shiny tongue)

2. Folate deficiency anemia

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12
Q

Periodontal bleeding and inflammation:

A

Uncontrolled diabetes

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13
Q

Petechiae/ecchymosis (sign):

A

Thrombocytopenia due to:

  1. Leukemia
  2. Aplastic anemia
  3. Cancer
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14
Q

Loose teeth (sign):

A
  1. Myeloma

2. Diabetes

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15
Q

Gingival hyperplasia (sign):

A

Leukemia

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16
Q

Abnormal radiographs:

A
  1. Myeloma
  2. Thalassemia
  3. Hyperparathyroidism
  4. Sickle cell anemia
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17
Q

Prothrombin time INR for:

A

patients on coumadin

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18
Q

PTT, PT, Platelet function assay (PFA), CBC with platelet count for:

A
  1. family history of bleeding
  2. patients with petechiae/ecchymosis
  3. hematomas
  4. unexplained gingival bleeding
  5. liver disease or alcoholics
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19
Q

PFA:

A

patients on NSAIDS

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20
Q

CBCs:

A
  1. patients with anemia
  2. infections
  3. unexplained oral lesions, gingival hyperplasia, gingival bleeding
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21
Q

Hemoglobin A1C:

A

long term diabetic control

22
Q

Leukemia oral symptoms:

A
  1. excessive bleeding when brushing
  2. ulcerative stomatitis
  3. petechiae/ecchymosis
  4. gingival hyperplasia
23
Q

Thrombocytopenia oral symptoms:

A
  1. excessive bleeding when brushing

2. petechiae/ecchymosis

24
Q

Diabetes oral symptoms:

A
  1. distorted/bad taste
  2. glossodynia
  3. xerostomia
  4. periodontal bleeding/inflammation
  5. loose teeth
25
Q

Hyperparathyroidism oral symptoms:

A
  1. Abnormal radiographic findings
26
Q

B12/Folate deficiency oral symptoms:

A
  1. distorted/bad taste
  2. glossodynia
  3. mucosal pallor
  4. angular cheilitis
  5. stomatitis
  6. ulcerative stomatitis
  7. beefy/red tongue
  8. smooth/shiny tongue
27
Q

Organs evaluated by CMP:

A

Bone, kidney, liver

28
Q

children have:

A
  1. higher lymphocyte count

2. lower neutrophil count

29
Q

Tests for detection of anemia:

A
  1. RBC
  2. Hematocrit
  3. Hemoglobin
  4. RBC indices
30
Q

Physiological causes of leukocytosis:

A
  1. Exercise
  2. Emotional disturbance
  3. Exposure to cold
31
Q

Increase in mean corpuscular volume (MCV):

Decrease in MCV:

A

larger than normal RBCs or Macrocytosis

smaller than normal RBCs or Microcytosis

32
Q

Mean corpuscular hemoglobin (MCH):

A

weight of hemoglobin of average RBC

33
Q

Mean corpuscular hemoglobin concentration (MCHC):

A

average concentration % of hemoglobin in RBC; macrocytic cells have normal MCHC

34
Q

A low MCHC indicates:

A

hypochromic

35
Q

When is MCHC increased?

A

Hereditary spherocytosis

36
Q

Red cell distribution width (RDW):

A

variation in sizes of RBCs (higher # equals more variation)

37
Q

Macrocytic anemia:

A
  1. MCHC normal
  2. Hemoglobin/Hematocrit/RBC decreased
  3. MCV/MCH increased

low hemoglobin and increased MCV

38
Q

Microcytic anemia:

A
  1. RBC normal
  2. Hemoglobin/hematocrit/MCV/MCH/MCHC decreased

decreased MCV and MCHC

39
Q

Normocytic anemia:

A
  1. Hemoglobin/hematocrit/RBC decreased
  2. MCV/MCH/MCHC normal

MCV normal

40
Q

Anisocytosis:

A

abnormal variation in size

41
Q

Poikilocytosis:

A

abnormal variation in shape

42
Q

Hypochromia:

A

decreased color due to decreased hemoglobin

43
Q

Polychromasia:

A

bluish color due to RNA presence

44
Q

neutrophilic leukocytosis:

A

bacterial infections or cellular inflammation and necrosis

45
Q

eosinophilia:

A

allergic reactions or parasitic infestations

46
Q

lymphocytosis:

A

viral infections such as mono and hepatitis

47
Q

monocytosis:

A

solid tumors, leukemia, multiple myeloma

48
Q

basophilia:

A

CML, myeloid metaplasia

49
Q

Abnormal findings in thrombocytopenia:

A

TBT and platelet count

50
Q

Abnormal platelet function test:

A

bleeding time test

51
Q

Factor VII deficiency test:

A

PT

52
Q

Patient on coumadin should have:

A

PT and INR

Physical Assessment (1 decks)

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