Other Systems Part Two

Question 1

description of pain that may indicate metastasis

Answer 1

pain at site distal to initial tumor site

Question 2

where would gallbladder pain hurt

Answer 2

RUQ

right scapula

Question 3

what is metastasis

Answer 3

movement of cancer cells from one body part to another (spread via lymphatic system or blood stream)

Question 4

what is hemarthrosis

Answer 4

bleeding into joint spaces

Question 5

difference between benign and malignant tumors

Answer 5

benign - localized, grows slowly.. non-invasive

malignant - invasive, rapid growth giving rise to metatasis, can be life-threatening

Question 6

what organ may be replaced with sickle cell disease

Answer 6

spleen

Question 7

what is hand-foot syndrome

Answer 7

painful swelling of soft tissue of the hands and feet

Question 8

most common places for cancers to metastasize to bone

Answer 8

lung

breast

prostate

thyroid

lymphatic

Question 9

where does the esophagus refer pain

Answer 9

midback

Question 10

where does colon, appendix, pelvic viscera refer pain

Answer 10

low back/sacrum

Question 11

what intervention is contraindicated with sickle cell disease and why

Answer 11

cold therapy (increases vasoconstriction and sickling)

Question 12

hypovolemic shock is caused by…

Answer 12

hemorrhage

vomitting

diarrhea

Question 13

a positive Murphy’s Sign would be seen with

Answer 13

cholecystitis

Question 14

where does liver, diaphgragm, or pericardium refer pain

Answer 14

shoulder

Question 15

patients with neutropenia are at risk for…

Answer 15

infections

Question 16

skin appearance with anemia

Answer 16

pallor or yellow

Question 17

small cell cancer of the lung can result in

Answer 17

Cushing’s Syndrome

Question 18

what is anemia

Answer 18

decrease in hemoglobin levels of the blood

Question 19

what is dysphagia

Answer 19

difficulty swallowing

Question 20

hand-foot syndrome is common with what disease

Answer 20

sickle-cell crisis

Question 21

what other clotting factor may be deficient with hemophilia

Answer 21

clotting factor IX (hemophilia B or Christmas Disease)

Question 22

what is sickle cell crisis

Answer 22

acute episodic condition occuring in children with sickle cell anemia

Question 23

exercise is contraindicated for people with what level of platelets

Answer 23

under 20,000

Question 24

what is not used as an intervention for hemophilia

Answer 24

PROM (myositis ossificans)

closed chain (too much compressive force through the joint)

Question 25

what is sarcoma

Answer 25

malignant tumor origininating in connective and mesodermal tissues (muscle, bone, fat)

Question 26

what is asterixis

Answer 26

myoclonus of the hand with the wrist in extension

Question 27

when can gallbladder pain worsen

Answer 27

after a fatty meal

Question 28

what is asterixis indicative of

Answer 28

hepatic encephalopathy drug overdose Wilson's Disease

Question 29

what is sickle cell trait

Answer 29

sickle cell anemia characterized by abnormal red blood cells

Question 30

what is neutropenia

Answer 30

decreased neutrophils in blood

Question 31

what is cholecystitis

Answer 31

partial or complete obstruction of the common bile duct resulting in inflammation of the gallbladder

Question 32

what is obstipation

Answer 32

intractable constipation with resulting fecal impaction or inability to pass gas and the retention of hard, dry stools in the rectum and colon

Question 33

where is hemarthrosis most common

Answer 33

synovial joints (knees, ankles, elbows, hips)

Question 34

what is hemophilia

Answer 34

a group of hereditary bleeding disorders

Question 35

what is Murphy's Sign

Answer 35

palpate near right subcostal margin as patient takes a deep breath (pain is ilicited)

Question 36

in order to aid in venous return during shock, what position should the patient be placed in

Answer 36

supine modified Trendelenberg

Question 37

what is carcinoma

Answer 37

malignant tumor origininating in epithelial tissues (skin, stomach, colon, breast, rectum)

Question 38

what is paraneoplastic syndrome

Answer 38

signs and symptoms are produced at a site distant from the tumor or its metastasized sites

Question 39

what is commonly present regarding muscles for hemophilia

Answer 39

CONTRACTURES hip, knee, elbow flexion plantar flexion

Question 40

severe anemia can lead to

Answer 40

liver kidney heart failure

Question 41

high-dose radiation around joints for cancer can result in

Answer 41

decreased ROM

Question 42

what muscles are commonly affected by hemophilia

Answer 42

forearm flexors gastroc/soleus iliopsoas

Question 43

where is pallor/yellow skin seen with anemia

Answer 43

face hands nail beds lips

Question 44

where does gallbladder, stomach, pancreas, small intestine refer pain

Answer 44

midback/scapular

Question 45

low-platelet count numbers

Answer 45

anything under 20,000

Question 46

what clotting factor is most commonly absent with hemophilia

Answer 46

clotting factor VIII (hemophilia A)

Question 47

what is shock

Answer 47

an abnormal condition of inadequate blood flow to the body tissues

Question 48

what is lymphoma

Answer 48

affectng the lymphatic system (Hodgkin's, lymphatic leukemia)

Question 49

what kind of pain results from surgery, radiation, or chemotherapy

Answer 49

iatrogenic

Question 50

what is ahalasia

Answer 50

lower esophageal sphincter fails to relax and food is trapped in the esophagus