Final Review

Question 0

Migraine

Answer 0

One or both sides
4-72 hours

Notice: aura, tingling, or visual changes may precede a migraine

Relief: lie down in dark, quiet room

Question 1

Cluster headache

Answer 1

One sided
Abrupt onset
Lasts up to an hour and a half

Notice: Nasal symptoms, agitation, pacing

Question 2

Tension

Answer 2

Both sides of head, or occipital

Gradual onset, may last 30 min to several days

Mild to moderate pain

“Feels like my head is in a vice!”

Relief: rest, massage

Question 3

Tracheal shift (trachea deviated to one side) may indicate:

Answer 3

Pushed AWAY FROM: aortic aneurism, tumor, thyroid enlargement, pneumothorax (anything that creates a mass)

Trachea is pulled TOWARDS: atelectasis, pleural adhesions, fibrosis (anything creating a vacuum, or that connects to trachea and pulls it)

Question 4

Chronic open angle glaucoma

Answer 4

Gradual onset; expect slow loss of peripheral vision.

Question 5

Acute narrow angle glaucoma

Answer 5

Medical emergency

Sudden pain

Sudden vision problems and halos around light

Question 6

Ptosis

Answer 6

Drooping eyelid

Suspect CN III damage if sudden, and one sided

Question 7

Hordolum

Answer 7

Stye: a local staph infection of eyelid. Painful pustule.

Question 8

Relex grading scale

Answer 8

\+4: hyperactive, disease process
\+3: brisker than average, may indicate disease
\+2: average
\+1: diminished
0: no response

Question 9

Biceps reflex response should be…

Answer 9

Flexion of forarms

contraction of biceps

Question 10

Triceps reflex response should be:

Answer 10

Extension of forearm

Question 11

Brachioradialis reflex response should be

Answer 11

Flexion and supination of forarm “scooping motion”

Question 12

Quadriceps reflex response:

Answer 12

Extension of lower leg

The quadriceps reflex is the “knee jerk” reflex

Question 13

Achilles reflex response

Answer 13

Plantar flexion

Question 14

Clonus

Answer 14

Repeated reflex movements

Rapid, rhythmic contractions

Question 15

Plantar reflex

Answer 15

Plantar flexion of toes

Flexion of forefoot

Question 16

Tanner staging for males

Answer 16

1) no pubic hair, preadolescent
2) scant pubic hair, TESTIS ENLARGE (first sign of puberty)
3) darker pubic hair, penis enlarging
4) thick hair growth, not on thighs
5) pubic hair all over the place. Adult sized penis and testes

Question 17

Female tanner Staging

Answer 17

1) No pubic hair
2) sparse growth of pale pubic hair
3) darker sparse growth
4) pubic hair is coarse and curly, does not cover thigh
5) pubic hair covers thighs.

Question 18

Menopause occurs when?

Answer 18

48-51 for most females

Question 19

Positioning for female genital exam

Answer 19

Lithotomy

Question 20

Trichomoniasis

Answer 20

STD

Watery, frothy, green yellow discharge

Question 21

Bacterial vaginosis

Answer 21

Foul, “fishy” odor

Thin, grey-white discharge

Question 22

Candidiasis

Answer 22

Intense itching, thick white discharge