Exam 3 chs. 11-16, 21-22

Question 1

define crepitus. if palpated in thorax, it indicates

Answer 1

a grating sound or sensation, severe upper resp pneumonia

Question 2

pectus excavatum is

Answer 2

funnel chest

Question 3

pectus cariatum is

Answer 3

pigeon chest

Question 4

Covered eye test: what If the eye turns outward? inward? constant malalignment of the eyes?

Answer 4

If the eye turns outward it is called exotropia. If the uncovered eye turns inward, it is called esotropia. Strabismus is constant malalignment of the eyes.

Question 5

ABCDEs of melanoma

Answer 5

assymmetry, border, color, diameter, evolution

Question 6

clubbing most often seen in pts with

Answer 6

COPD

Question 7

uremic frost indicates _____. What causes it?

Answer 7

kidney problems, urea and nitrogen in swet

Question 8

hirsutism often seen in ___ pts

Answer 8

endocrine

Question 9

hemangiomas usually resolve by age

Answer 9

9

Question 10

clear fuid leading from ear or nose in head injury could mean —-? what’s the fluid, what’s the risk?

Answer 10

basilar skull fracture, fluid os cerebrospina, risk is infection

Question 11

emergency lymph node referral needed with ___

Answer 11

larger than 1 cm, fixed, nontender, irregular, hard or rubbery

Question 12

who usually has shotty lymph nodes

Answer 12

children under 5

Question 13

Anterior cervical nodes might indicate___, posterior cervical nodes might indicate ____, and posterior auricular nodes might indicate ___

Answer 13

pharyngitis, mononucleosis, otitis media.

Question 14

why worry about supraclavicular lymph nodes?

Answer 14

can be a sign of metastatic cancer

Question 15

called the signal node, found on the left supraclavicular) is associated with lung and abdominal cancer.

Answer 15

The Virchow node

Question 16

Would a hypothyroid lady have high or low TSH?

Answer 16

high

Question 17

coarse hair is a sign of

Answer 17

hypothyroid

Question 18

most common type of hypothyroidism

Answer 18

Graves disease

Question 19

assess me for thyroid disease

Answer 19

palpate, if enlarge, auscultate for bruits (meaning toxic goiter)

Question 20

can look as if someone is having a stroke. Remember though that it just affects the face and nothing else (meaning no extremity deficits).

Answer 20

• Bells Palsy

Question 21

buffalo hump, fat deposits at the nape of the neck, moon face and the velvety discoloration around the neck (acanthosis nigra, also seen in diabetes).

Answer 21

• Cushing syndrome

Question 22

hardening of the skin usually in the face and hands. Presents as shiny, tight skin in the face

Answer 22

• Scleroderma

Question 23

glaucoma in a first degree relative increases the patient’s risk for the same problem by

Answer 23

two to three times

Question 24

3 hereditary eye diseases

Answer 24

cataracts, glaucome, macular degeneration

Question 25

toddler normal vision

Answer 25

20/200

Question 26

Why check Cardinal fields of gaze?

Answer 26

allow the nurse to detect muscle defects that cause misalignment or uncoordinated movements of the eyes

Question 27

when you give the cover test, you are checking for

Answer 27

eye accomodation

Question 28

what is the test for strabismus?

Answer 28

corneal light reflex

Question 29

2 nongenetic abnormal eye movements

Answer 29

nystagmus, strabismus

Question 30

what cases Arteriovenous (AV) nicking, and what is it?

Answer 30

results from high blood pressure and retinal hemorrhages in the form of dot-blot spots or flame hemorrhages.

Question 31

what causes copper wiring

Answer 31

• Chronic hypertension causes retinal arterioles to thicken

Question 32

what can you visualize on tympanic membrane?

Answer 32

malleus and cone of light

Question 33

inner ear goes to cranial nerve ___ called the ___

Answer 33

VIII, vestibulocochlear

Question 34

what are the types of tibiotabular flexion

Answer 34

plantar and dorsiflexion

Question 35

adduct your arm- is it added to your side or removed

Answer 35

added

Question 36

what position in hands can hold soup

Answer 36

supine

Question 37

what is the Romberg test

Answer 37

test for ataxia, cerebellar function, balance

Question 38

When the patient’s left eye repeatedly does not see your fingers until they have crossed the line of gaze, a ___ is present.

Answer 38

When the patient’s left eye repeatedly does not see your fingers until they have crossed the line of gaze, a left temporal hemianopsia is present.

Question 39

lies beneath the cerebral hemispheres. Names its structures.

Answer 39

diencephalon: thalamus& hypothalamus

Question 40

name the 8 major chains of lymph nodes in the neck

Answer 40

preauricular 2. posterior auricular 3. occipital 4. superficial cervical (extending from the tonsillar to supraclavicular nodes) 5. deep cervical 6. posterior cervical 7. submental 8. submandibular

Question 41

death of the optic nerve- what color is disc

Answer 41

white

Question 42

uric acid crystals associated with gout; may appear as hard nodules on the ear surface

Answer 42

tophus

Question 43

discuss reflex scores. What's abnormal

Answer 43

1+ (present but decreased) to 2+ (normal) to 3+ (increased or brisk, but not pathologic). 0 occurs when a component of the lower motor neurons or reflex arc is impaired and may be seen with spinal cord injuries. 4+ may be seen with lesions of the upper motor neurons and when the higher cortical levels are impaired.

Question 44

urticaria is

Answer 44

hives

Question 45

so upset your mouth goes dry

Answer 45

xerostomia

Question 46

the major indicator for Webers test

Answer 46

unilateral hearing loss

Question 47

cranial nerve II aka

Answer 47

optic nerve

Question 48

The transmission of sound waves in the inner ear is referred to as “perceptive” or “sensorineural hearing.”

Answer 48

“perceptive” or “sensorineural hearing.”

Question 49

cranial nerves assessed with cardinal fields of gaze

Answer 49

III oculomotor IV trochlear VI abducens

Question 50

peripheral injury to cranial nerve VII (facial) that causes the inability to close the eyes, wrinkle the forehead, or raise the forehead, along with paralysis of the lower part of the face

Answer 50

Bell's palsy

Question 51

blue extremities due to anxiety

Answer 51

peripheral cyanosis

Question 52

To assess the function of the parietal lobe, the nurse should test for

Answer 52

tactile sensation

Question 53

skin infection with honey colored crust

Answer 53

impetigo

Question 54

initially on the face, with progressive caudal spread. In 3–4 days, the rash becomes brownish with a fine desquamation (commonly called skin peeling or shedding)

Answer 54

rubeola

Question 55

What should the nurse assess to test the function of the temporal lobe?

Answer 55

impulses from the ear

Question 56

What task should a nurse ask a client to perform to assess the function of cranial nerve XII? What is the nerve's name?

Answer 56

move tongue from side to side, hypoglossal nerve

Question 57

has a "herald patch"

Answer 57

Pityriasis Rosea

Question 58

The spinal segments associated with the knee reflex are L2, L3, and L4.

Answer 58

Lumbar 2, L3, and L4.

Question 59

area of pallor surrounding each lesion, rash appears as fever resolves

Answer 59

roseola

Question 60

can produce bilateral tinnitus.

Answer 60

At high doses, aspirin toxicity

Question 61

the woman whose head is stuck in one position has

Answer 61

dystonia

Question 62

pathogenic fungus that make hypopigmanted patches

Answer 62

tinea versicolor

Question 63

glasgow points for withdrawal from pain, no eye response, no verbal response

Answer 63

4, 1, 1

Question 64

papular bluish-to-purple lesion blanches on pressure

Answer 64

venous lake

Question 65

associated with optic atrophy, glaucoma, and vitamin A deficiency.

Answer 65

Night blindness is

Question 66

inflammatory skin disorder characterized by macular pink, red or orange-yellow lesions that may or may not have a fine scale. Distribution is usually on the face, scalp, and ears

Answer 66

seborrhea

Question 67

May accompany states of hormonal fluctuation (oral pathology)

Answer 67

gingival hyperplasia

Question 68

Amsler grid test for

Answer 68

macular degeneration

Question 69

job of canal of sclemm

Answer 69

drains aqueous humor

Question 70

vitamin implicated in gingivitis

Answer 70

B

Question 71

the middle layer of the eye

Answer 71

CHOROID

Question 72

allow the nurse to detect muscle defects that cause misalignment or uncoordinated movement of the eyes.

Answer 72

cardinal fields test

Question 73

The cover test is for

Answer 73

accomodation

Question 74

Corneal light reflex tests fo

Answer 74

strabismus

Question 75

Inability to close eyes occurs due to damage of cranial nerve

Answer 75

VII

Question 76

bruise aka

Answer 76

ecchymosis

Question 77

Cranial nerve III is responsible for the damage to

Answer 77

pupillary response

Question 78

palpable bruise aka

Answer 78

hematoma

Question 79

Bones in synovial joints are joined by

Answer 79

ligaments

Question 80

The pulp of the index finger is innervated by the

Answer 80

median nerve

Question 81

if you truly think the bowel sounds are absent. then

Answer 81

don't palpate