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NSG 6020 > Quiz 2 Adv Assessment > Flashcards

Quiz 2 Adv Assessment Flashcards

1
Q

Characterisitics of Chronic Bronchitis

A

Recurrent cough & Increased sputum production
Exertional dyspnea
Digital clubbing
Dusky color to cyanotic (Blue Bloater)

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2
Q

Characterisitics of Emphysema

A 
Increased CO2 retention (PINK)
Purse Lip Breathing (PUFFER)
Orthopneic
Barrel Chest
Thin Appearance
Hyperresonance on Chest Percussion
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3
Q

Normal chest percussion sound

A

Resonance

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4
Q

Where are VESICULAR breath sounds heard?

A

Lower Lobes

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5
Q

Where are BRONCHIAL breath sounds heard?

A

Upper Lobes

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6
Q

What exam findings are noted with CONSOLIDATION?

A

Dullness to percussion
Increased tactile fremitus (have pt say 99)
Bronchial or tubular breath sounds, often with late inspiratory crackles that do not clear w/ cough
EGOPHONY: “eee” sounds like ah

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7
Q

What exam findings are noted with PLEURAL INFLAMMATION?

A

Sharp, localized pain, worse w/ deep breath, movement, cough

Audible pleural friction rub (sounds like stepping in fresh snow)– heard on inspiration & expiration

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8
Q

What physical exam findings are noted w/ AIR TRAPPING?

A 
Hyperresonance
Decreased tactile fremitus
Wheeze (exp. first, insp. later)
Low diaphragms
Increased AP diameter
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9
Q

Normal percussion sound for thorax

A
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10
Q

Normal percussion sound for abdomen

A
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11
Q

Abnormal percussion sounds for thorax and indications

A
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12
Q

Abnormal percussion for abdomen and indications

A
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13
Q

What is EGOPHONY and indications

A
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14
Q

What is BRONCHPHONY and indications

A
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15
Q

Difference between ACUTE cough?

A 
< 3 weeks
Indicates: acute resp infection
Exacerbation of COPD
Asthma
Pneumonia
PE
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16
Q

Difference between CHRONIC cough?

A 
> 8 weeks
Indicates: Asthma
GERD
Pertussis, atypical pneumonia
ACE inhibitors (begins 1-2 weeks p starting med)
Chronic bronchitis
Bronchiectasis
Lung Ca
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17
Q

What medications can cause a chronic cough?

A

Angiotensin-Converting Enzyme Inhibitors (ACEI)

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18
Q

What microorganisms are associated with community acquired pneumonia (CAP)?

A

Strep pneumoniae
H. influenzae
Mycoplasma
Chlamydophila pneumonia

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19
Q

What is the CURB 65 criteria?

A

Confusion of new-onset
Blood Urea nitrogen
Respiratory rate > 30
Age 65 or older

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20
Q

What is the Centor criteria?

A 
absence of Cough
Exudative tonsils
Anterior cervical adenopathy
Hx of fever 
Age

Score > 2 screen for Strep

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21
Q

What does asymmetrical chest expansion indicate?

A

Pneumothorax

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22
Q

Maculopapular rashes that are oval w/ Herald patch (Christmas tree) occurs mainly on the trunk

A

Pityriasis rosea

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23
Q

Ringworm of the scalp

A

Tinea Capitis

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24
Q

Ringworm of the body

A

Tinea Corporis

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25
Q

Jock itch: Ringworm of the groin

A

Tinea cruris

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26
Q

Athlete’s foot

A

Tinea pedis

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27
Q

Tinea of the hands

A

Tinea manuum

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28
Q

Pityriasis versicolor (caused by yeast)

A

Tinea versicolor

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29
Q

Onchymycosis: Toenail fungus

A

Tinea Unguium

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30
Q

Movement away from body

A

Abduction (Varus)

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31
Q

Movement toward the body

A

Adduction (VALGUS)

32
Q

Test that indicates De Quervain’s tenosynovitis from inflammation of the tendon at the base of the thumb. Pain w/ ulnar deviation

A

Finkelstein’s test

33
Q

Full wrist flexion for 60 sec (backward praying hands) + if tingling of median nerve
indicates CTS

A

Phalen’s test

34
Q

Tap anterior wrist briskly. + if “pins & needles” sensation used to diagnosis carpal tunnel

A

Tinel’s test

35
Q

Painful condition that affects the ball of your foot most commonly between the 3rd & 4th toes may feel as if you are standing on a pebble

A

Morton’s neuroma

36
Q

Rotator cuff muscles

A 
Supraspinatus (abduction)
Infraspinatus (external rotation)
Teres minor (external rotation)
Subscapularis (internal rotation)
37
Q
A

Apley scratch test

38
Q
A

Hawkins shoulder test

39
Q

What test is used to indicate rotator cuff tear? Tenderness is greater at the supraspinatus insertion

A

Empty can test

40
Q

Test that indicates knee instability/ torn ligaments that prevent the femur from sliding posteriorly on the tibia and hyperextension of the knee & limits medial rotation of the femur when the foot is on the ground and the leg is flexed

A

Anterior drawer test (ACL)

41
Q

The test that indicates knee instability/torn ligament of the ligament that prevents the femur from sliding anteriorly on the tibia particularly when the kee is flexed

A

Posterior drawer test (PCL)

42
Q

Test conducted at 30-degree flexion suggests ACL damage

A

Lachman test

43
Q

“Click” on manipulation of knee w/ rotation of ankle indicates injury to a medial meniscus tear. Passive flexion, varus stress & external rotation of the LLE

A

McMurray test (Medial/ lateral meniscus)

44
Q
A

Apley’s grinding test

45
Q

Skin and nail appearance in hypothyroidism

A
46
Q

Hand at or above the level of shoulder begins to be painful in lateral shoulder area
Reach up into pantry/ closet = PAINFUL

A

Impingement syndrome

47
Q

Lateral deltoid pain, weakness, loss of strength in external rotation or abduction usually disturbs sleep

A

Rotator cuff tear

48
Q

Anterior shoulder pain, joint stiffness, measurable loss of movement in external rotation and abduction common in diabetes

A

Adhesive capsulitis (Frozen shoulder)

49
Q

In a ring ( Bull’s eye lesion-Lyme disease) - central clearing

A

Annular

50
Q

Blisters > 1 cm w/ fluid (burn)

A

Bulla

51
Q

Lesion occurring in a group w/o pattern (herpes)

A

Clustered

52
Q

Multiple lesions blending together (psoriasis vulgarsis)

A

Confluent or Coalescent

53
Q

Raised, encapsulated fluid-filled lesion

A

Cyst

54
Q

Skin thickening usually found over pruritic or friction areas

A

Lichenification

55
Q

Lesion distributed in streaks (poison ivy)

A

Linear

56
Q

Flat non-palpable are of discoloration < 1 cm (freckle)

A

Macule

57
Q

Solid lesion > 0.5 - 2 cm (> 2 cm tumor)

A

Nodule

58
Q

Solid elevation < 0.5 cm (mole)

Smooth papule dome-shaped w/ central w/ white plug (molluscum contagiosum)

A

Papule

59
Q

Flat, non-palpable area of skin discoloration larger that a macule (vitiligo)

A

Patch

60
Q

< 1 cm (thrombocytopenia)

A

Petechiae

61
Q

Elevated, variable shape > 1 cm (psoriasis)

A

Plaque

62
Q

Flat, red-purple discoloration that does not blanch w/ pressure

A

Purpura

63
Q

Vesicle like lesion w/ purulent content (impetigo)

A

Pustule

64
Q

Netlike cluster

A

Reticular

65
Q

Raised superficial lesions that flake w/ ease (dandruff)

A

Scale

66
Q

generalized over body w/o specific pattern (rubella/ roseola)

A

Scattered

67
Q

Clear filled (herpes)

A

Vesicle

68
Q

Circumscribed area of skin edema (urticaria)

A

Wheal

69
Q

Maculopapular butterfly rash (malar rash)
thick scaly red rash on sun-exposed areas (discoid rash)
Autoimmune
photosensitivity

A

Systemic Lupus erythematosus (SLE)

70
Q

Order of examination for ABDOMEN

A

Inspect
Auscultate
Percuss
Palpate

71
Q

Order of examination for Chest

A

Inspect
Palpate
Percuss
Auscultate

72
Q

Flat lung sounds on percussion indicate

A

Pleural effusion

73
Q

Dull lungs sounds indicate

A

Pneumonia

74
Q

Resonant lung sounds

A

Healthy lung

75
Q

Hyperresonant lung sound

A

Emphysema, pneumothorax

NSG 6020 (4 decks)

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