Quiz #1 Flashcards Preview

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

Flashcards in Quiz #1 Deck (25)
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1
Q

What is acute illness?

A

Sudden onset and reversible

2
Q

What is chronic illness?

A

6 months or longer

3
Q

Maximal body functioning occurs during what age?

A

Early adulthood (20-40 y/o)

4
Q

What are the high risk groups of early adulthood?

A

Breast CA, testicular, skin, drug use, endocrine

5
Q

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

A

Early adulthood (20-40 y/o)

6
Q

When is middle adulthood?

A

40-65 y/o

7
Q

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

A

Middle adulthood

8
Q

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

A

Late adulthood 65+

9
Q

What is the #1 killer of the elderly?

A

CAD

10
Q

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

A

elderly

11
Q

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

A

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

12
Q

What does DRIP stand for?

A

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

13
Q

What are the female GU etiologies?

A

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

14
Q

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

A

male GU etiologies

15
Q

What are some of the general GU etiologies?

A

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

16
Q

What are some fall etiologies?

A

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
Q

Soft tissue injuries, fractures, subdural hematomas are complications of

A

falls

18
Q

What is post fall syndrome?

A

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
Q

Name 3 vision deficits

A

Glaucoma, macular degeneration, and cataracts

20
Q

Presbycubis is what kind of sensory deficit?

A

Hearing loss

21
Q

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

A

Delirium

22
Q

Demented patients respond to questions appropriately.

A

FALSE

23
Q

Dementia involves

A

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

24
Q

What is a reversible deficiency of dementia?

A

nutritional (Vitamin B12)

25
Q

Name 4 irreversible etiologies of dementia?

A

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