Quiz #1 Flashcards Preview

N635 - Med Surg II SPRING 2014 > Quiz #1 > Flashcards

Flashcards in Quiz #1 Deck (25):
1

What is acute illness?

Sudden onset and reversible

2

What is chronic illness?

6 months or longer

3

Maximal body functioning occurs during what age?

Early adulthood (20-40 y/o)

4

What are the high risk groups of early adulthood?

Breast CA, testicular, skin, drug use, endocrine

5

MVA, homicide, suicide, injuries are the leading causes of death in which age group?

Early adulthood (20-40 y/o)

6

When is middle adulthood?

40-65 y/o

7

During this age related assessment, you can see a slight decrease in respiratory capacity, cardiac fxn, hair and skin changes, menopause, decreased testosterone, sperm count, HTN, CV, DM, arthritis, generativity vs stagnation

Middle adulthood

8

Integrity vs despair, leading causes of death are CV, COPD, lung CA, colorectal CA, PNA, chronic illness, and polypharmacy

Late adulthood 65+

9

What is the #1 killer of the elderly?

CAD

10

CHF, HTN, A. fib, type II DM, abdominal aortic aneurysm, diverticular dz and CVA are are common illnesses of

elderly

11

Urinary incontinence is NOT a physiological change. T/F. Why?

TRUE. It is a symptom and can be improved if not cured

12

What does DRIP stand for?

Delirium/drugs, restricted mobility, infection/inflammation, polyuria

13

What are the female GU etiologies?

weak pelvic floor muscles (s/p childbirth and menopause), cystourethrocele, hypermobile bladder neck, idiopathic detrusor underactivity, bladder tumor/stones

14

BPH, bladder tumor/stones, prostate surgery/irradation are

male GU etiologies

15

What are some of the general GU etiologies?

Parkinsonism, stroke, dementia, depression, NPH, cerebral/spinal cord tumor/lesion, autonomic neuropathy

16

What are some fall etiologies?

Pain (DJD, Paget's dz, peripheral neuropathy, poor fitting shoes), joint stiffness/spasm (DJD, kyphosis, scoliosis, contractures, parkinsonism), muscle weakness (osteomalacia, peripheral neuritis), incoordination/ataxia (dementia, neurosyphilis, pernicious anemia, vestibular dz), unsafe environment/poor vision (dim lights, loose rugs, slippery floors, sidewalk cracks), and dizziness/vertigo, medications (sedatives, tranquilizers, antiseizure, antiHTN, diuretics, and antidepressants)

17

Soft tissue injuries, fractures, subdural hematomas are complications of

falls

18

What is post fall syndrome?

Develops post fall in which an elderly pt develops a lack of confidence and anxiety about further falls, leading to immobility w/ risks of urinary incontinence, pressure sores, pneumonia, loss of independence and eventually death

19

Name 3 vision deficits

Glaucoma, macular degeneration, and cataracts

20

Presbycubis is what kind of sensory deficit?

Hearing loss

21

This involves altered LOC, usually acute onset, may be superimposed over dementia, most often caused by illness, must treat underlying dz

Delirium

22

Demented patients respond to questions appropriately.

FALSE

23

Dementia involves

acquired, progressive intellectual impairment with clear consciousness loss of memory, changes in cognition, language, visulospatial skills, and must impact social or occupational functioning

24

What is a reversible deficiency of dementia?

nutritional (Vitamin B12)

25

Name 4 irreversible etiologies of dementia?

Alzheimer's, multi-infarct, Pick's, and subcortical