Exam 2

Question 1

What is ABC DE stand for?

Answer 1

Asymmetry, border, color, diameter, evolution

Red flags: color variation (black, blue-grayish)

If the diameter is greater than 6mm

If there is a change is size,shape or color or new lesions form

Question 2

Is melanomas curable?

Answer 2

Almost always curable by surgical excision alone

Question 3

What is the most serious form of skin cancer?

Answer 3

Melanoma

Question 4

What is the most common malignancy in Caucasian?

Answer 4

Basal cell carcinoma

Question 5

What is the second most common skin cancer?

Answer 5

Squamous cell carcinoma

Question 6

What are characteristics of Merkel cell carcinoma?

Answer 6

They are a rare, aggressive malignancy.
They are rapidly growing, Painless, nontender, shiny, flesh colored or bluish-red intracutaneous nodule on neck or head region

Question 7

What is the skin issue for:

Sandpaper like skin, beefy red erythematous enlarged tonsils, Associated with group strep A, And the patient will have a strawberry like tongue

Answer 7

Scarlatina

Question 8

What is the skin issue:

Known as sixth disease, associated with herpes human virus six and seven, begins with a high fever then subsides, rose pink blanchable macule and papules that may spread to the trunk

Answer 8

Roseola

Question 9

What is this skin illness:

The patient will have a slapped cheek appearance, a Lacey rash that is blanchable, and can occur over torso and upper extremities

Answer 9

Fifth disease

Question 10

What virus causes fifth disease?

Answer 10

Parovirus B19

Question 11

What’s the skin illness associated with this?

Flesh colored, dome shaped papules. Can occur anywhere except the palms and soles. Associated with contact sports and can be sexually transmitted

Answer 11

Molluscum contagiosum

Question 12

Herald patch and Christmas tree distribution are associated with what skin illness?

Answer 12

Pityriasis rosea

Question 13

What skin illness is associated:

HSV 1 or 2, known as kaposi varicellform eruption.

Answer 13

Eczema herpeticum

Question 14

What skin illness is known as ritter disease?

Answer 14

Staphylococcal scalded skin syndrome

Question 15

Which 2 skin illnesses need to go to the ER?

Answer 15

Staphylococcus scalded skin syndrome and eczema herpeticum

Question 16

What immunoglobulin is involved in allergic rhinitis?

Answer 16

IgE

It attaches to mast cells that release histamine and cause bv to open which causes skin redness, swollen membranes, sneezing and congestion

Question 17

What are some causes of non allergic rhinitis?

Answer 17

Cigarette smoke, pollutants, strong odors, alcoholic beverages, cold temps

Question 18

Blockages in the nose, deviated septum, infections and over use of decongestants are what type of rhinitis?

Answer 18

Non allergic rhinitis

Question 19

What is hay fever associated with?

Answer 19

Seasonal allergic rhinitis

Question 20

What rhinitis is caused by a hypersensitivity to ragweed?

Answer 20

Seasonal allergic rhinitis

Question 21

What type of rhinitis is associated with pet hair, mold on wallpaper, houseplants, carpeting, upholstery and automobile pollution?

Answer 21

Perennial allergic rhinitis

Question 22

What is sinusitis?

Answer 22

Caused by a bacterial or viral infection

Question 23

What does CAGE stand for in regards to the alcohol screening tool?

Answer 23

Cut, annoyed, guilty, and eye-opener

Question 24

What is aged related macular degeneration?

Answer 24

Physical disturbance of the center of the retina called the macula

Question 25

What is proptosis know as?

Answer 25

Bulging eyes Due to swelling of the muscles, fat, and tissue behind the eye

Question 26

What eye condition is this? Degenerative form of eye disease in which the lens gradually becomes opaque and vision “mists’ over

Answer 26

Cataracts

Question 27

What is CMV retinitis associated with?

Answer 27

Infection of the retina, associated with AIDS

Question 28

What is strabismus?

Answer 28

Crossed eyes

Question 29

What’s eye condition is this? A build of fluid in the eye creates pressure, damaging the optic nerve

Answer 29

Glaucoma

Question 30

What eye condition is this? The cornea becomes thin and cone shaped (cornea is usually round)

Answer 30

Keratoconus

Question 31

What is amblyopia?

Answer 31

Lazy eye It’s poor vision in a eye that doesn’t receive adequate use during childhood

Question 32

What is this term: low Vision

Answer 32

Ordinary glasses or contact lenses do not produce clear vision

Question 33

Uveitis is what?

Answer 33

Inflammation of one or more parts of the eye that make up the uvea

Question 34

What’s the medical term for swimmers ear?

Answer 34

Otitis externa

Question 35

What is a virus that causes mononucleosis?

Answer 35

Epstein barr virus

Question 36

For acute viral rhinosinusitis the fever can last for how long?

Answer 36

24 to 48 hours

Question 37

For acute bacterial rhinosinusitis how long does the fever last?

Answer 37

Greater than 48 hours

Question 38

What is the duration for acute rhinosinusitis?

Answer 38

Less than 10 days

Question 39

What is the duration for acute bacterial rhinosinusitis?

Answer 39

Greater than 10 days

Question 40

What type of headache wakes you up from sleep?

Answer 40

A cluster headache

Question 41

What type of headache is associated with nausea occurs more in women and can see in Aurora or see flashes?

Answer 41

Migraine headache

Question 42

How long can a migraine headache last?

Answer 42

4 to 72 hours

Question 43

What headache is associated with Periorbital pain and occurs more and men?

Answer 43

A cluster headache

Question 44

What a headache feels like they have a band across their head?

Answer 44

It’s stress or tension headache also called muscle contraction headache

Question 45

If a patient reports this is the worst headache I have ever had in my life what do you think the problem could be?

Answer 45

A possible brain bleed or hemorrhagic stroke This can also be called a thunder clap headache

Question 46

What are some red flags for patients associated with headaches?

Answer 46

Change in size and symptoms, difficulty thinking, patient is greater than 55 who report the signs or symptoms, and early morning vomiting

Question 47

When instilling Fluirescein dye into the eye, where should you apply the dye strip?

Answer 47

Apply it to the lower lid and have the patient blink

Question 48

What color is the fluorescein eye dye?

Answer 48

Green

Question 49

In doing cerumen removal, How should you hold the ear?

Answer 49

Retract the pinna posteriorly and laterally to straighten out the external auditory canal

Question 50

What is trigeminal autonomic cephalagia associated with?

Answer 50

Cluster headache and paroxysmal hemicrania

Question 51

What is pseudotumor cerebri also known as?

Answer 51

Idiopathic intracranial hypertension

Question 52

What are some lifestyle causes for headaches?

Answer 52

``` Red wine (etoh use) Sleep changes or lack of sleep Processed meats because of nitrates Poor posture Skipped meals Stress ```

Question 53

What is the maximum dose for lidocaine?

Answer 53

Maximum dose for lidocaine is 4.5 mg per kilogram

Question 54

What is the duration of lidocaine?

Answer 54

30 minutes

Question 55

When using Eppy with lidocaine how much time can I extend the duration?

Answer 55

4 to 6 hours

Question 56

What can cryo-therapy be used on?

Answer 56

Common warts, | Actinic keratosis, and seborrheic keratosis

Question 57

The greater density for X-rays means what for penetration?

Answer 57

Less penetration It’ll be white

Question 58

The less density an object has means what for penetration?

Answer 58

The more penetration it’ll have Black

Question 59

The heart appears larger in what chest x-ray of you?

Answer 59

The heart appears larger on the anterior-posterior view

Question 60

If a patient is able to stay and white chest x-ray order should the provider do?

Answer 60

PA and lateral view

Question 61

If a patient is not able to stand and what X-ray order should the provider do?

Answer 61

AP view

Question 62

The heart appears larger on which chest x-ray view?

Answer 62

The PA view Because it’s closer to the film

Question 63

On a chest x-ray, the hemi diaphragm separates what?

Answer 63

It separates the chest from the abdomen

Question 64

What is consistent with a silhouette sign, loss of borders and landmarks and increase density that occurs with infiltrates?

Answer 64

Pneumonia

Question 65

What is the first thing you lose on a chest x-ray when a patient has a plural effusion?

Answer 65

The costophrenic angle

Question 66

For a patient that has a plural effusion, What chest x-ray dimension would show you how high the fluid fills?

Answer 66

The lateral chest x-ray

Question 67

What is a abdominal x-ray KUB flat plate?

Answer 67

Kidneys ureter and bladder Done while lying down

Question 68

What is included in abdominal series?

Answer 68

Flat plate KUB, upright, and PA chest

Question 69

What is the most common cause of abdominal pain in children under eight years old?

Answer 69

Lower lobe pneumonia which irritates the diaphragm

Question 70

What is the sail sign associated with?

Answer 70

It is associated with swelling

Question 71

What ultrasound mode is most commonly use for pocus?

Answer 71

Two dimensional mode It’ll show gray to black images

Question 72

What ultrasound mode is best for you in cardiac structure And it’s flow?

Answer 72

M mode or motion mode

Question 73

For the color ultrasound mode, red and blue mean what?

Answer 73

Red is towards and blue is away Color does not indicate artery or vein but flow towards the probe