Physical Assessment Exam 2

Question 1

Distorted/bad taste (symptoms, complaints):

Answer 1

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

Question 2

Glossodynia (S,C):

Answer 2

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

Question 3

Xerostomia (S,C):

Answer 3

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

Question 4

Pain in the mandible (S,C):

Answer 4

1. Myeloma
2. Sickle cell anemia
3. Thalassemia

Question 5

Excessive bleeding when brushing (S,C):

Answer 5

Thrombocytopenia due to:

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

Question 6

Anemia is a:

Answer 6

symptom, not a disease

Question 7

Mucosal pallor (sign):

Answer 7

Anemia

Question 8

Angular chelitis (sign):

Answer 8

1. Iron deficiency anemia

2. Folate deficiency

Question 9

Non specific stomatitis (sign):

Answer 9

1. B12 deficiency anemia

2. Folate deficiency anemia

Question 10

Ulcerative stomatitis (sign):

Answer 10

1. Aplastic anemia
2. Folate deficiency anemia
3. Leukemia
4. Neutropenia

Question 11

Beefy red tongue (sign):

Answer 11

1. B12 deficiency anemia (smooth and shiny tongue)

2. Folate deficiency anemia

Question 12

Periodontal bleeding and inflammation:

Answer 12

Uncontrolled diabetes

Question 13

Petechiae/ecchymosis (sign):

Answer 13

Thrombocytopenia due to:

1. Leukemia
2. Aplastic anemia
3. Cancer

Question 14

Loose teeth (sign):

Answer 14

1. Myeloma

2. Diabetes

Question 15

Gingival hyperplasia (sign):

Answer 15

Leukemia

Question 16

Abnormal radiographs:

Answer 16

1. Myeloma
2. Thalassemia
3. Hyperparathyroidism
4. Sickle cell anemia

Question 17

Prothrombin time INR for:

Answer 17

patients on coumadin

Question 18

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

Answer 18

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

Question 19

PFA:

Answer 19

patients on NSAIDS

Question 20

CBCs:

Answer 20

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

Question 21

Hemoglobin A1C:

Answer 21

long term diabetic control

Question 22

Leukemia oral symptoms:

Answer 22

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

Question 23

Thrombocytopenia oral symptoms:

Answer 23

1. excessive bleeding when brushing

2. petechiae/ecchymosis

Question 24

Diabetes oral symptoms:

Answer 24

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

Question 25

Hyperparathyroidism oral symptoms:

Answer 25

1. Abnormal radiographic findings

Question 26

B12/Folate deficiency oral symptoms:

Answer 26

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

Question 27

Organs evaluated by CMP:

Answer 27

Bone, kidney, liver

Question 28

children have:

Answer 28

1. higher lymphocyte count | 2. lower neutrophil count

Question 29

Tests for detection of anemia:

Answer 29

1. RBC 2. Hematocrit 3. Hemoglobin 4. RBC indices

Question 30

Physiological causes of leukocytosis:

Answer 30

1. Exercise 2. Emotional disturbance 3. Exposure to cold

Question 31

Increase in mean corpuscular volume (MCV): | Decrease in MCV:

Answer 31

larger than normal RBCs or Macrocytosis | smaller than normal RBCs or Microcytosis

Question 32

Mean corpuscular hemoglobin (MCH):

Answer 32

weight of hemoglobin of average RBC

Question 33

Mean corpuscular hemoglobin concentration (MCHC):

Answer 33

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

Question 34

A low MCHC indicates:

Answer 34

hypochromic

Question 35

When is MCHC increased?

Answer 35

Hereditary spherocytosis

Question 36

Red cell distribution width (RDW):

Answer 36

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

Question 37

Macrocytic anemia:

Answer 37

1. MCHC normal 2. Hemoglobin/Hematocrit/RBC decreased 3. MCV/MCH increased low hemoglobin and increased MCV

Question 38

Microcytic anemia:

Answer 38

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

Question 39

Normocytic anemia:

Answer 39

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

Question 40

Anisocytosis:

Answer 40

abnormal variation in size

Question 41

Poikilocytosis:

Answer 41

abnormal variation in shape

Question 42

Hypochromia:

Answer 42

decreased color due to decreased hemoglobin

Question 43

Polychromasia:

Answer 43

bluish color due to RNA presence

Question 44

neutrophilic leukocytosis:

Answer 44

bacterial infections or cellular inflammation and necrosis

Question 45

eosinophilia:

Answer 45

allergic reactions or parasitic infestations

Question 46

lymphocytosis:

Answer 46

viral infections such as mono and hepatitis

Question 47

monocytosis:

Answer 47

solid tumors, leukemia, multiple myeloma

Question 48

basophilia:

Answer 48

CML, myeloid metaplasia

Question 49

Abnormal findings in thrombocytopenia:

Answer 49

TBT and platelet count

Question 50

Abnormal platelet function test:

Answer 50

bleeding time test

Question 51

Factor VII deficiency test:

Answer 51

PT

Question 52

Patient on coumadin should have:

Answer 52

PT and INR