Exam Four - Think Tank

Question 1

presentation of gout

Answer 1

redness, hot, swollen, and painful

Question 2

s/s of goiter

Answer 2

impaired swallowing, do not raise arms while eating

Question 3

Cranial Nerve IX injury

Answer 3

not able to shrug shoulders

Question 4

Describe OA type of pain

Answer 4

improves with rest

Question 5

Tests for carpal tunnel syndrome

Answer 5

Positive Phalen’s test and positive Tinel’s test

Question 6

What is an indication for a positive Finkelstein’s test

Answer 6

DeQuervain’s tenosynovitis (inflammation of the tendons of the thumb side of the wrist)

Question 7

s/s of Addison’s disease

Answer 7

craving salt & weight loss because they cannot keep food down

Question 8

s/s of SCFE (slipped capital femoral epiphysis)

Answer 8

not able to bear weight on limb

Question 9

What is the main function of the Circle of Willis?

Answer 9

provides collateral cerebral circulation (goes around blockage)

Question 10

Trauma to the RAS (reticular activating system) will exhibit this …

Answer 10

disruptions in the sleep/wake cycle

Question 11

Injury to the frontal cortex will cause

Answer 11

personality change

Question 12

Neurological function assessment includes/does not include

Answer 12

includes: facial droop, affect, memory, speech pattern
does not include: gait

Question 13

the 3 branches of cranial nerve V

Answer 13

trigeminal cranial nerve, branches are ophthalmic, mandibular, maxillary

Question 14

Hallmark symptom of osteoporosis

Answer 14

Dowager’s hump (buffalo hump)

Question 15

What is the best position for the patient to be in when testing cranial nerves?

Answer 15

Sitting

Question 16

Explain cranial nerve XII

Answer 16

hypoglossal (tongue). Assessment = tongue movement

Question 17

How do you check cranial nerve XII on an infant

Answer 17

sucking and swallowing

Question 18

What is tabetic stamping ?

Answer 18

high-stepping, feet slapping on ground. Late stage neurosyphilis

Question 19

S/S of temporal lobe injury

Answer 19

problems with taste and smell

Question 20

What does a positive McMurray’s test indicate?

Answer 20

meniscus tear of the knee

Question 21

s/s of hypoparathyroidism

Answer 21

muscle spasms, recent seizure, spasticity

Question 22

Heberden’s nodes are signs of what disease process ?

Answer 22

osteoarthritis

Question 23

Kid limping and having hip pain. what is this diagnosis?

Answer 23

Legg-Calve-Perthes disease

Question 24

a bruit heard over the thyroid suggests

Answer 24

hyperthyroidism

Question 25

In hyperventilation, what happens to the blood vessels and why?

Answer 25

blood vessels constrict because of decreased PCO2

Question 26

Pregnant woman comes in complaining of waddling, can't walk straight. Why?

Answer 26

Normal finding, increase in pelvic girth, ligaments become elastic

Question 27

describe a sprain injury

Answer 27

injury due to overstretching

Question 28

Cushing's syndrome in women - how does it manifest

Answer 28

moon face, excessive hair growth, scalp baldness

Question 29

What is the purpose of the Denver Development Screening Test on children

Answer 29

screen for developmental delays, infants/preschool growth, motor, personal, social

Question 30

What does the adrenal cortex do

Answer 30

regulates hormones, cortisol and aldosterone, and secondary sex hormones

Question 31

How to treat hypoglycemia orally?

Answer 31

well-balance of proteins, carbs, and sugars

Question 32

How would gouty arthritis present?

Answer 32

occurs mostly at night, can come with fever and chills (b/c of the inflammation)

Question 33

What is the most concerning fracture in children?

Answer 33

Long bone/epiphysial b/c of the growth plate

Question 34

10-month-old progressing well, what can they do

Answer 34

standing while holding onto something, crawling, grasp objects, feed themselves

Question 35

what test will you evaluate proprioception, cerebral function?

Answer 35

finger-to-nose, Romberg, heel-to-toe, rapid alternating movement

Question 36

Characteristics of Grave's disease?

Answer 36

exophthalmos, moist/sweaty skin

Question 37

function of a baby's fontanelles

Answer 37

room to grow

Question 38

how to examine the pt's thyroid

Answer 38

stand behind the patient when palpating. Ask the pt to turn laterally to side you are examining

Question 39

asymmetry of the face

Answer 39

facial nerve problem

Question 40

What kind of fracture would you expect from swinging a kid by the arms

Answer 40

radial head subluxation

Question 41

Function of ligaments

Answer 41

connective tissue, flexible, connects and supports the bones

Question 42

when is RA pain the most pronounced

Answer 42

in the morning, after a long rest

Question 43

Cushing's triad ....

Answer 43

hypertension, bradycardia, and irregular respirations

Question 44

What is the main function of the sympathetic of the autonomic nervous system?

Answer 44

fight or flight response

Question 45

Ipsilateral Horner syndrome ...

Answer 45

ptosis caused by a CVA

Question 46

Islets of Langerhans make what ?

Answer 46

alpha, beta, & delta cells alpha = glucagon beta = insulin delta = somatostatin