THIRD TEST Flashcards
(136 cards)
1
Q
deep, constant, throbbing pain; pressure like pain in one specific area; face is tender
A
sinus headache
2
Q
stabbing pain; may be accompanied by tearing, eyelid drooping, reddened eye, or runny nose
A
cluster headache
3
Q
dull, tight, diffuse
A
tension headache
4
Q
accompanied by nausea, vomiting, and sensitivity to noise or light
A
migraine
5
Q
aching, steady; neurologic and mental symptoms as well as nausea and vomiting may develop
A
tumor related migraine
6
Q
present with moon shaped face with reddened cheeks and increased facial hair ; hump
A
cushing syndrome
7
Q
seen in hyperthyroidism
A
exophthalmos
8
Q
virus causes cranial nerves to tense up ; one sided facial paralysis
A
bell palsy
9
Q
characterized by a dull, puffy face; edema around the eyes; dry, course and sparse hair
A
hypothyroidism/ myxedema
10
Q
otorrhea
A
drainage ; indicates infection in the ear
11
Q
purulent bloody drainage suggests infection of the external ear
A
external otitis
12
Q
purulent drainage associated with pain and a popping sensation
A
otitis media with a perforated tympanic membrane
13
Q
otalgia
A
earache
14
Q
pain that occurs when wiggling the pinna
A
otitis externa ; swimmers ear
15
Q
tinnitus is associated with
A
earwax buildup, high bp, or certain ototoxic medications
16
Q
associated with inner ear problem; true spinning motion
A
vertigo
17
Q
client feels they are spinning
A
subjective vertigo
18
Q
client feels the room is spinning around them
A
objective vertigo
19
Q
what happens with benign paroxysmal positional vertigo
A
crystals in the otolith organs become dislodged, creating a dizzy feeling (in the inner ear that deals with equilibrium)
20
Q
when hearing loss reaches 40 dB
A
loss is considered disabling
21
Q
combination of conduction and sensorineural hearing loss. means there may be damage in the outer or middle ear and in the inner ear or auditory nerve
A
mixed hearing loss
22
Q
when hearing loss is due to problems of the inner ear, aka nerve related hearing loss
A
sensorineural hearing loss
23
Q
hearing loss due to problems with the ear canal, ear drum, or middle ear and its little bones
A
conductive hearing loss
24
Q
performed with a tuning fork that detects conductive or sensorineural hearing loss
A
weber test
25
compares air conduction and bone conduction
rinne test
26
test used to determine neurological function for balance
romberg test
27
congenital deformity in which the external ear and sometimes the ear canal are not fully developed
microtia
28
congenital excessive enlargement of the external ear
macrotia
29
cone of light in the left ear is at what position
7 o clock
30
cone of light in the right ear is at what position
5 o clock
31
where should the tuning fork be for the weber test
at the center of the clients forehead
32
where should the tuning fork be for the rinne test
mastoid process
33
controls sense of smell
cranial nerve I - olfactory nerve
34
controls central and peripheral vision
cranial nerve ii - optic nerve
35
controls pupillary constriction in the eyes
cranial nerve iii- oculomotor nerve
36
move the eyes down and toward the tip of the nose
cranial nerve iv- trocholear nerve
37
covers most of the face
cranial nerve v- trigeminal nerve
38
eye movement to the sides
abducens nerve vi
39
what test do you perform to test abducens
6 cardinal points
40
controls facial movements and expression
facial nerve cranial nerve vii
41
how to test for facial nerves
have patient puff out cheeks, smile, pucker lips, show teeth
42
located in the ears and controls hearing
acoustic nerve viii
43
checked together; innervate the tongue and throat
glossopharyngeal nerve ix and vagus nerve x
44
controls neck and shoulder movement
spinal accessory nerve xii
45
innervates the tongue
hypoglossal nerve
46
how to test hypoglossal nerve
ask patient to stick out tongue ; check with eating, swallowing, or speaking.
47
difficulty swallowing is related to what cranial nerves
ix- glossopharyngeal
x- vagus
xii- hypoglossal
48
what to do for a stroke patient
```
act
FACE- ask person to smile
ARMS- ask person to raise both arms
SPEECH- ask person to repeat a simple phrase
TIME- if any signs are observed call 911
```
49
where to palpate for liver
ruq
50
palpate for appendix
rlq
51
palpate for spleen
luq
52
sign for inflammation of the gall bladder
murphy sign
53
Joining of muscle fibers and aponeuroses at the midline of the abdomen forms a white line
linea alba
54
Metabolic and regulatory functions, glucose storage, formation of blood plasma proteins and clotting factors, urea synthesis, cholesterol production, bile formation, destruction of RBC, storage of iron and vitamins and detoxification
liver functions
55
endocrine gland and accessory organ of digestion
pancreas function
56
filters blood of cellular debris, to digest microorganisms, and return the breakdown products to the liver
spleen
57
tenderness is best assessed at the costovertebral angle
kidney
58
Filtration and elimination of metabolic waste products, blood pressure control, maintenance of water, salt, and electrolyte balance, secrete hormones
kidney function
59
what usually causes peptic ulcer disease
h. pylori
60
one or two lymphatic groups are enlarged
regional lymphadenopathy
61
enlargement of 3 or more groups
generalized lymphadenopathy
62
what is considered legally blind
20/200
63
nearsighted
myopia
64
seeing halos around lights is associated with
glaucoma
65
pressure within the eye damages the optic nerve
glaucoma
66
- EYE PAIN
- Severe headache, nausea, halos around lights, eye redness
- very farsightedness
closed glaucoma
67
- Patchy blind spots in side or central vision
- Tunnel vision in the advanced stages
- high myopia
open glaucoma
68
Visual impairment that affects the macular portion of the retina
macular degeneration
69
what supplements should you not take if at risk for macular degeneration
beta carotene supplements
70
oropharyngeal cancer is usually
squamous cell carcinoma
71
assist with digestion and receiving food
trigeminal, facial, glossopharyngeal, and hypoglossal
72
gradual sensorineural hearing loss that is common after age 50
presbycusis
73
connects middle ear to nasopharynx
eustachian tube
74
abdominal distention 5 f
fat, feces, fetus, fibroids, flatulence, and fluid
75
signs for pancreatitis
cullen sign and grey turner sign
76
bruising around the umbilicus
cullers sign
77
bruising around the flanks
grey turner sign
78
how to assess the abdomen
inspection, auscultate, percuss, palpate
79
Cranial nerves that assist the mouth throat and nose
Nerve V, nerve VII, nerve IX, and nerve XII
80
ethnicity most at risk for cataracts
hispanics
81
ethnicity most at risk for AMD
white people
82
ethnicity most at risk for glaucoma
african americans
83
exposure to light in one eye results in constriction of the pupil in the opposite eye
consensual reflex
84
constriction occurs in the eye exposed to the light
direct reflex
85
presence of blind spots either intermittent or constant
scotoma
86
light colored spots on the retinal background is in what disease
diabetes.
87
impaired near vision
presboypia
88
double vision indicates what
brain tumor
89
flank pain or any pain at the costavertebral area
kidneys
90
pain in the epigastric region
reflux
91
someone comes in with pain you want to rule out ..
cardiac, respiratory, and think about epigastric
92
segment to look at for a heart attack
st segment
93
what position does patient have to be for abdomen check
supine
94
what 3 things should you ask someone at risk for peptic ulcers
drink, smoke, are you stressed
95
if pt. mom died of colon cancer what would you want to know
how old was her mom when she got colon cancer then we want to check the pt. 10 years prior to that age. mom was 50, check pt. at 40
96
bright red stool
lower GI
97
tarry stool
upper GI
98
ASCITES
cirrhosis
99
looking at the stomach from the side and it sinks inward
scaphoid
100
looking at the stomach from the side and it extends out
distended
101
bowel protrudes through a separation between the 2 rectus abdominis ; moms belly
diastasis recti
102
2 reasons not to palpate spleen
mono and trauma
103
why do we treat strep throat
because strep can turn into hydronephrosis which can cause death ; enlarged kidney
104
first thing to see in TBI
LOC; headache
105
what are we worried about with people with tbi
brain bleeds/hemorrage
106
what tests LOC
glasgow scale ; TBI
107
difference in migraine headaches
patient will have aura- know that they're having one
108
what #1 question do you ask a patient with a headache
is this the worst headache of your life?
| let your provider know immediately
109
older patients thyroid is what
more nodule and can be enlarged; norma
110
kyphosis of the spine is known as
dowagers hump
111
what is black hairy tongue indicative of
using antibiotic that interrupts the normal flora
112
when you look at someones nose with allergies what do you expect
boggy blueish color
113
runny nose
rhinorrhea
114
change in ability to smell or taste
optic nerve and facial nerve
115
what diseases can affect taste and smell
parkinsons and alz
116
injectant sclera
redness
117
how to tell the difference between bacterial conjunctivitis and viral
bacterial the eye will be shut closed from junk
| viral- just tears
118
reacts to light
pupil
119
first thing to look for when someone comes in with eye pain
foreign object
120
amseler test does what
tests the mac degeneration
121
what test do you use to measure glaucoma
tonometry- measures pressure within the eye
122
what is a direct and consensual pupillary test
shining pen light in one eye and it constricts. shining pen light in the same eye and the other eye constricts too
123
pen light testing pupils using what cranial nerve
oculomotor nerve
124
what does the rosenbaum chart test
pocket eye chart that has letters, numbers, and symbols.
125
how to test for near vision
jaeger test ; reading the news paper or sentences on a card
126
why do you use the ophthalmoscope
to see the red reflex
127
the higher the second number
the poorer the vision
128
constant malalignment of the eye axis in which the eye drifts and may case amblyopia
strabismus/ tropia
129
pupils will appear at the inner canthus
pseudostrabismus
130
noticed only with the cover test; inward and outward drift of eye
phoria
131
unequal size of pupils
anisocoria
132
constricted and fixed pupils
miosis
133
dilated and fixed pupils
mydriasis
134
client can hear sound in the poor/bad ear
conductive hearing loss
135
client can hear sound in the good ear
sensorineural hearing loss
136
sensory
ascending; spine
