NCLEX PN Notes 7 Common Signs and Symptoms

Question 1

PTB –

Answer 1

low-grade afternoon fever.

Question 2

PNEUMONIA –

Answer 2

rusty sputum.

Question 3

ASTHMA –

Answer 3

wheezing on expiration.

Question 4

EMPHYSEMA –

Answer 4

barrel chest.

Question 5

KAWASAKI SYNDROME –

Answer 5

strawberry tongue.

Question 6

PERNICIOUS ANEMIA –

Answer 6

red beefy tongue.

Question 7

DOWN SYNDROME –

Answer 7

protruding tongue.

Question 8

CHOLERA –

Answer 8

rice watery stool.

Question 9

MALARIA –

Answer 9

stepladder like fever with chills.

Question 10

TYPHOID –

Answer 10

rose spots in abdomen.

Question 11

DIPTHERIA –

Answer 11

pseudo membrane formation

Question 12

MEASLES –

Answer 12

koplik’s spots.

Question 13

SLE –

Answer 13

butterfly rashes.

Question 14

LIVER CIRRHOSIS –

Answer 14

spider like varices.

Question 15

LEPROSY –

Answer 15

lioning face.

Question 16

BULIMIA –

Answer 16

chipmunk face.

Question 17

APPENDICITIS –

Answer 17

rebound tenderness.

Question 18

DENGUE –

Answer 18

petechiae or (+) Herman’s sign.

Question 19

MENINGITIS –

Answer 19

Kernig’s sign (leg flex then leg pain on extension), Brudzinski sign (neck flex = lower leg flex).

Question 20

TETANY –

Answer 20

hypocalcemia (+) Trousseau’s sign/carpopedal spasm; Chvostek sign (facial spasm).

Question 21

TETANUS –

Answer 21

risus sardonicus.

Question 22

PANCREATITIS –

Answer 22

Cullen’s sign (ecchymosis of umbilicus); (+) Grey turners spots.

Question 23

PYLORIC STENOSIS –

Answer 23

olive like mass.

Question 24

PDA –

Answer 24

machine like murmur.

Question 25

ADDISON’S DISEASE –

Answer 25

bronze like skin pigmentation.

Question 26

CUSHING’S SYNDROME –

Answer 26

moon face appearance and buffalo hump.

Question 27

HYPERTHYROIDISM/GRAVE’S DISEASE –

Answer 27

exopthalmus.

Question 28

INTUSSUSCEPTION –

Answer 28

sausage shaped mass, Dance Sign (empty portion of RLQ)

Question 29

MS –

Answer 29

Charcot’s Triad (IAN)

Question 30

MG –

Answer 30

descending muscle weakness

Question 31

Guillain Barre Syndrome –

Answer 31

ascending muscle weakness

Question 32

DVT –

Answer 32

Homan’s Sign

Question 33

CHICKEN POX –

Answer 33

Vesicular Rash (central to distal) dew drop on rose petal

Question 34

ANGINA –

Answer 34

Crushing stubbing pain relieved by NTG

Question 35

MI –

Answer 35

Crushing stubbing pain which radiates to left shoulder, neck, arms, unrelieved by NTG

Question 36

LTB –

Answer 36

inspiratory stridor

Question 37

TEF –

Answer 37

4Cs’ Coughing, Choking, Cyanosis, Continous Drooling

Question 38

EPIGLOTITIS –

Answer 38

3Ds’ Drooling, Dysphonia, Dysphagia

Question 39

HODGEKIN’S DSE/LYMPHOMA –

Answer 39

painless, progressive enlargement of spleen & lymph tissues, Reedstenberg Cells

Question 40

INFECTIOUS MONONUCLEOSIS –

Answer 40

Hallmark: sore throat, cervical lymph adenopathy, fever

Question 41

PARKINSON’S –

Answer 41

Pill-rolling tremors

Question 42

FIBRIN HYALIN –

Answer 42

Expiratory Grunt

Question 43

CYSTIC FIBROSIS –

Answer 43

Salty skin

Question 44

DM –

Answer 44

polyuria, polydypsia, polyphagia

Question 45

DKA –

Answer 45

Kussmauls breathing (Deep Rapid RR)

Question 46

BLADDER CA –

Answer 46

painless hematuria

Question 47

BPH –

Answer 47

reduced size & force of urine

Question 48

PEMPHIGUS VULGARIS –

Answer 48

Nikolsky’s sign (separation of epidermis caused by rubbing of the skin)

Question 49

RETINAL DETACHMENT –

Answer 49

Visual Floaters, flashes of light, curtain vision

Question 50

GLAUCOMA –

Answer 50

Painfull vision loss, tunnel/gun barrel/halo vision (Peripheral Vision Loss)

Question 51

CATARACT –

Answer 51

Painless vision loss, Opacity of the lens, blurring of vision

Question 52

RETINO BLASTOMA –

Answer 52

Cat’s eye reflex (grayish discoloration of pupils)

Question 53

ACROMEGALY –

Answer 53

Coarse facial feature

Question 54

DUCHENNE’S MUSCULAR DYSTROPHY –

Answer 54

Gowers’ sign (use of hands to push one’s self from the floor)

Question 55

GERD –

Answer 55

Barretts esophagus (erosion of the lower portion of the esophageal mucosa)

Question 56

HEPATIC ENCEPHALOPATHY –

Answer 56

Flapping tremors

Question 57

HYDROCEPHALUS –

Answer 57

Bossing sign (prominent forehead)

Question 58

INCREASE ICP –

Answer 58

HYPERtension BRADYpnea BRADYcardia (Cushing’s Triad)

Question 59

SHOCK –

Answer 59

HYPOtension TACHYpnea TACHYcardia

Question 60

MENIERE’S DSE –

Answer 60

Vertigo, Tinnitus

Question 61

CYSTITIS –

Answer 61

burning on urination

Question 62

HYPOCALCEMIA –

Answer 62

Chvostek & Trosseaus sign

Question 63

ULCERATIVE COLITIS –

Answer 63

recurrent bloody diarrhea

Question 64

LYME’S DSE –

Answer 64

Bull’s eye rash