Quiz 1

Question 1

lymph nodes infected in strep infection

Answer 1

cervical

Question 2

lymph nodes infected in mono infection

Answer 2

cervical

Question 3

nodes can get enlarged with bug bits to scalp

Answer 3

post auricular and occipital

Question 4

facial findings with hyperthyroidism

Answer 4

Bulging eyes (exophthalmos), face is thin from weight loss, swelling neck (goiter). Pts have a bright eyes stare. an a lid lag. Hyperthyroidism can occur in pregnant women from increased secretion of human chorionic gonadotropin (HCG) with a molar pregnancy. Women with hyperthyroidism are at increased risk of complication from preeclampsia and thyroid storm.

Question 5

facial findings with hyperlipidemia

Answer 5

xanthelasma, arcus senilis

Question 6

dacrostenosis

Answer 6

blocked tear duct

Question 7

ciliary flush

Answer 7

Conjunctival vessels are most dilated at the corneal edge. Could be a sign of corneal injury/infection, acute iritis, or glaucoma.

Question 8

symptoms of retinal detachment

Answer 8

floaters, flashes of light, a curtain effect across vision that doesn’t go away, sudden loss of vision (medical emergency)

Question 9

testing for corneal abrasion

Answer 9

a fluorescein stain is applied to the eye, adhering to abrasions only, and illuminated with a Wood’s lamp

Question 10

systemic presentation of Hypothyroid disease

Answer 10

Hypo….bradycardia, decreased systolic and increased diastolic pressure, decreased intensity of heart sounds, dry, coarse, cool skin, non-pitting edema, loss of hair, impaired memory, mixed hearing loss, somnolence, peripheral neuropathy, carpal tunnel, peri-orbital puffiness. Decreased DTR

Question 11

URI/allergies effect on tympanic membrane

Answer 11

cause retraction of TM

Question 12

Wharton’s duct

Answer 12

Base off the tongue, duct of the submandibular gland. Open on either side of the lingual frenulum.

Question 13

5 parts of treatment plan

Answer 13

Non pharmacological intervention
Pharmacological intervention
Education needs of patient and family
Follow up
Referral

Question 14

5 parts of well-child history

Answer 14

head circumference weight and length, nutrition and elimination, development stage, immunization, birth history

Question 15

conjunctivitis types and types of drainage

Answer 15

allergic - mucoid
bacterial - purulent
viral - clear

Question 16

three subjective and objective findings of otitis externa

Answer 16

S: otalgia, otorrhea, loss of hearing
O: swelling, erythema, otorrhea, edema of canal

Question 17

tympanometry

Answer 17

test for fluid behind eardrum or eustachian tube blockage - it is an objective test of middle-ear function. Helpful in making a diagnosis of otitis media.

Question 18

strawberry tongue

Answer 18

glossitis which manifests with hyperplastic (enlarged) fungiform papillae, giving the appearance of a strawberry. White strawberry tongue is seen in early scarlet fever, turns red after 4-5 days

Question 19

correct order of history

Answer 19

Allergies, medications, immunizations, illness/surgeries, LMP

Question 20

bell’s palsy cranial nerve findings

Answer 20

CN VII - facial paralysis or droop, hyperacusis (increased sensitivity to hearing) present

Question 21

N-B (Nylen Barany test)

Answer 21

Also known as the Dix-Hallpike Test or head over bed test - diagnostic maneuver used to identify benign paroxysmal positional vertigo (BPPV). from a sitting position the patient then rotates 45 degrees and is laid down quickly with the head hanging at 20 degrees. observe eyes for 45 seconds for nystagmus.

Question 22

nystagmus as an abnormal finding

Answer 22

vestibular dysfunction, rhythmic osscilation of the eyes. Disorders of the labryrinth and the cerbellar system? Lesion from the brain stem, cerrebellum, vestibular system, or along the busual pathways in the the cerebral hemispheres.

Question 23

how to reinforce DTR’s

Answer 23

isometric contraction of other muscles which may increase reflex activity (use when symmetrically diminished or absent)

Question 24

most common type of headache

Answer 24

tension headache

Question 25

Brudzinski

Answer 25

One of the physically demonstrable symptoms of meningitis is Brudzinski’s sign. Severe neck stiffness causes a patient’s hips and knees to flex when the neck is flexed.

Question 26

red flag for sciatica

Answer 26

Numbness, decreased/abnormal sensations to the the thigh and lower extremity. Radiating pan in one or both legs from lower back to thigh and leg. Difficulty walking.

Question 27

finding for L3/L4 herniation

Answer 27

reduced knee jerk DTR

Question 28

findings for carpal tunnel syndrome

Answer 28

Tinel - Phalen. Possible findings… Aching, tingling and numbness in second, third and fourth volar fingers is a positive Phalen’s sign.
Tinel…Percuss lightly over medial nerve and you will get tingling or electrical sensation, this positive sign of Tinel suggesting carpal tunnel.

Question 29

5 techniques to assess low back pain

Answer 29

Straight leg raise, percussion, range of motion, deep tendon reflexes, palpation of spine muscles, lateral bending, abduction and adduction. Crossed straight leg raising sign.

Question 30

5 parts of neuro

Answer 30

sensory, DTRs, strength, CNs, mental status, coordination

Question 31

5 general observations in general survey of PE

Answer 31

Apparent state of health… whether acutely ill, frail or robust, vigorous
Level of consciousness
Signs of Distress….Cardiac of resp., distress, pain, anxiety or depression
Skin color and obvious lesions.
Dress, grooming and personal hygiene
Facial expression….watch for eye contact, is natural. Star….hyperthyroidsim; flat or sad affect
Odors of the body of breath
Posture, gait and motor activity.
Speech, pattern and hearing.

Question 32

three subjective and objective findings of otitis media

Answer 32

S: otalgia, otorrhea, tinnitus
O: fever, bulging red TM, change in light reflex

Question 33

hyperthyroid

Answer 33

Tachycardia or atrial fib,increased systolic and decreased diastolic pressure, warm, smooth, moist,skin. Tremor and proximal muscle weakness. Graves disease, eye signs such as lid lag, stare and exophtalmus.