Chapter 30

Question 0

Abnormal drooping of the eyelid caused by edema or impairment of the third cranial nerve.

Answer 0

Pytosis

Question 1

An involuntary, rhythmical oscillation of the eyes, occurs as a result of local injury to eye muscles and supporting structures or disorder of the cranial nerves innervating the muscles

Answer 1

Nystagmus

Question 2

A thin white ring along the margin of the iris and is common with aging but is abnormal in anyone under age 40

Answer 2

Arcus senilis

Question 3

The ability to see small details is?

Answer 3

Visual acuity

Question 4

Testing for ____ is only important if the patient has a defect in the pupillary response to light

Answer 4

Accommodation

Question 5

If assessment of pupillary reaction is normal in all tests, record the abbreviation ____

Answer 5

PERRLA ( pupils, equal, round, reactive to light and accommodation)

Question 6

What are the 3 types of hearing loss?

Answer 6

Conduction
Sensineural
Mixed loss

Question 7

Hearing loss that interrupts sound waves as they travel from the outer ear to cochlea of the inner ear because sound waves are not transmitted through the outer and middle ear

Answer 7

Conduction

Question 8

Farsightedness. Persons are able to see clearly see distant objects but not close objects

Answer 8

Hyperopia

Question 9

Nearsightedness. Able to see near

Answer 9

Myopia

Question 10

Impaired near vision

Answer 10

Presbyopia

Question 11

Congenital condition in which both eyes do not focus on an object simultaneously. Eyes appear crossed

Answer 11

Strabismus

Question 12

Local skin breakdown

Answer 12

Excoriation

Question 13

For the patient with nasogastric tube, routinely check for local skin breakdown _____of the naris, characterized by redness and skin breakdown

Answer 13

Excoriation

Question 14

Tumor like growths

Answer 14

Polyps

Question 15

true or false

Anemia causes pallor of the lips

Answer 15

True

Question 16

Cyanosis is caused by?

Answer 16

Respiratory and cardiovascular problems

Question 17

Cherry colored lips indicated by?

Answer 17

Carbon monoxide poisoning

Question 18

Symmetrical smile reveals?

Answer 18

Normal facial nerve function

Question 19

Thick white patches _____ are often precancerous lesion in heavy smokers and alcoholic

Answer 19

Leukoplakia

Question 20

Random, sudden rein flatiron of groups of alveoli, disruptive passage of air through small airways. They are high pitch fine, short usually not cleared with coughing

Answer 20

Crackles

Question 21

Loud, low pitched, rumbling coarse sounds are heard either during inspiration or expiration and sometimes cleared by coughing. They primarily heard over trachea and bronchi

Answer 21

Rhonchi

Question 22

Hugh pitched continuous musical sounds are like squeak heard continuously during inspiration or expiration, usually louder on expiration. Heard all over lung fields.

Answer 22

Wheezes

Question 23

Dry rubbing or grating quality is heard during inspiration

Answer 23

Pleural friction rub

Question 24

Positioning to assessed rectum and vagina

Answer 24

Sims

Question 25

Position aids in detecting murmurs/heart

Answer 25

Lateral recumbent

Question 26

This is most normally relaxed position. It provides easy access to pulse sites. But if patient becomes sob raise the head of bed.

Answer 26

Supine

Question 27

Sitting upright provides full expansion of lungs

Answer 27

Sitting

Question 28

Position is for abdominal assessment because it promotes relaxation of abdominal muscles

Answer 28

Dorsal recumbent

Question 29

Position is only for assessing extension of hip joint, skin, buttocks

Answer 29

Prone

Question 30

Position provides maximal exposure of rectal area

Answer 30

Knee chest

Question 31

Non blanching, pinpoint size, red or purple of the skin caused by small hemorrhages in the skin layers

Answer 31

Petechiae

Question 32

Thickening of skin

Answer 32

Senile keratosis

Question 33

Change in angle between nail and nail base ( 180 deg) causes chronic lack of oxygen: heart or pulmonary disease

Answer 33

Clubbing

Question 34

Spoon nails or concave nails causes iron deficiency, syphillis pr use of strong detergent

Answer 34

Koilonychia

Question 35

Red or brown linear streaks in nail bed causes by minor trauma, subacute bacterial endocarditis

Answer 35

Splinter hemorrhages

Question 36

Inflammation of skin base of nail

Answer 36

Parang chia

Question 37

Transverse depression causes by severe infection

Answer 37

Beau's lines

Question 38

Are sustained swishing or blowing sounds heard at the beginning, middle, or end of the systolic or diastolic phase

Answer 38

Murmurs

Question 39

An increased lumbar curvature or swayback

Answer 39

Lordosis

Question 40

Lateral spinal curve

Answer 40

Scoliosis

Question 41

Exaggeration of the posterior curvature of the thoracic spine. This is postural abnormality is common in older adults

Answer 41

Kyphosis