YOU'VE GOT THIS

Question 1

Initial agent used to clean a noninfected wound

Answer 1

Sterile saline

Question 2

Shallow crater with a moist wound bed is characteristic of what stage pressure injury

Answer 2

stage 2

Question 3

An intact blister with a boggy feel is characteristic of what stage pressure injury

Answer 3

Stage 2

Question 4

Common s/s of dermatitis

Answer 4

Lack of fever
Itching
Normal temp of LEs
Inflammation
Tender to touch
Presence of vesicles and crusting
Unilat or Bilat

Question 5

Common s/s of cellulitis

Answer 5

Fever
Elevated temp of LEs
Erythema
Inflammation
Tenderness
Unilateral distribution

Question 6

Atrophie blanche

Answer 6

White, scar like areas associated with pain at rest and when standing
Affected areas present as smooth white plaques

Question 7

Superficial venous thrombosis is characterized by

Answer 7

Pain and tenderness along the affected vein - usually the saphenous vein

Question 8

Hydrofibers are used for moist or dry wounds?

Answer 8

They are used with wounds that have heavy exudate `

Question 9

Dry wound would best be autolytically debrided using what

Answer 9

Transparent film dressing

Question 10

Foam dressing - used for dry or moist

Answer 10

Best used for a moist, draining wound

Question 11

Pacinian corpuscles are responsible for what

Answer 11

Vibration and pressure sense

Question 12

Krause end bulbs are responsible for what

Answer 12

cold sense

Question 13

Free nerve endings are sensitive to what

Answer 13

pain and itch

Question 14

GTOs are sensitive to

Answer 14

mm contraction force

Question 15

Wound on plantar aspect of foot is not healing with 2 months of conservative care - what can be done to promote healing?

Answer 15

Need to off load the plantar foot

Total contact casting is the accepted standard for off loading pressure areas on plantar surface of foot

Question 16

Dark, raised spot that bleeds with minimal contact- sounds like

Answer 16

Malignant melanoma

Question 17

Redness, scaling, and edema of the skin sounds like

Answer 17

contact dermatitis

Question 18

Red, fluid filled vesicles that vary in size sounds like

Answer 18

Herpes zoster

Question 19

Ring shaped pigmented patches covered with scales sounds like

Answer 19

Ringworm - or tinea corporis

Question 20

RUQ pain and radiates to the upper back (maybe the scapula, right shoulder, or neck area)

Answer 20

Gallbladder

Question 21

Functional incontinence

Answer 21

Occurs in people who have normal urine control but who have difficulty reaching a toilet in time because of mm or joint dysfunction

Question 22

Stress incontinence

Answer 22

Is loss of urine during activities that increase intraabdominal pressure such as coughing, lifting, or laughing

Question 23

Urge incontinence

Answer 23

Sudden, unexpected urge to urinate and the uncontrolled loss of urine
Often related to bladder capacity or detrusor instability

Question 24

Overflow incontinence

Answer 24

Constant leaking of urine from a bladder that is full but unable to empty

Question 25

Normal micturation requires what

Answer 25

Contraction of detrusor | Relaxation of pelvic floor

Question 26

Hernia repair - walking

Answer 26

Walking is encouraged within the first week | MET of 3 (speed of about 2.6 mph)

Question 27

Hernia repair - avoid straining for how long

Answer 27

4-6 weeks

Question 28

s/s of bradycardia, constipation, cold intolerance

Answer 28

HYPOthyroidism

Question 29

Cortisol and menstrual function

Answer 29

Increased cortisol can lead to menstrual dysfunction | Elevated cortisol suppresses GnRH which suppresses LH and FSH

Question 30

FSH and menstruation

Answer 30

Low levels of FSH will result in menstrual dysfunction

Question 31

Optimal exercise duration for achieving weight loss with a walking program is what

Answer 31

30-60 min of continuous aerobic activity

Question 32

CO - pregnancy

Answer 32

Increases 30-60%

Question 33

Oxygen consumption - pregnancy

Answer 33

increases 15-20%

Question 34

RR - pregnancy

Answer 34

No change

Question 35

HR - pregnancy

Answer 35

Increases

Question 36

Neck stiffness after hiking trip and red rash with partial central clearing = indicative of

Answer 36

Lyme disease

Question 37

Most common metastatic sites for breast cancer

Answer 37

Lungs and bones

Question 38

Opioids and exercise

Answer 38

Slow RR and induce relative hypoxia and hypercapnia | RR may be blunted with exercise

Question 39

Piriformis performs

Answer 39

Abduction and ER

Question 40

An acute burn produces what

Answer 40

``` Hypermetabolism Can result in increased oxygen consumption Increased minute ventilation Increased core temp Fluids are all diminished ```

Question 41

Endothelial cells are most active in what phase of wound healing

Answer 41

Proliferative/Fibroblastic

Question 42

Fibroblasts are most active in what phase of wound healing?

Answer 42

Proliferative/Fibrobalstic

Question 43

Fibroblastic activity is facilitated by

Answer 43

Macrophages

Question 44

Leukocytes are most active during what phase of wound healing

Answer 44

Inflammatory phase

Question 45

Leukocytes arrive at the wound site in response to what

Answer 45

In response to the coagulation cascade | They arrive at the wound site after the platelets

Question 46

Platelets are most active in what phase of wound healing

Answer 46

Hemostasis phase They are the first cells to arrive at the wound site They attach to exposed collagen at the injury site and release chemicals that attract more platelets - collectively the platelets form a platelet plug to temporarily stop the bleeding

Question 47

Silver sulfadiazine works in what way

Answer 47

Topical antibiotic that interferes with bacterial nucleic acid production by disrupting folic acid synthesis Broad spectrum agent

Question 48

Problems that may arise with use of silver sulfadiazine

Answer 48

GI distress allergic reactions Sulfa drugs can also produce a decrease in the number of WBCs

Question 49

Hypercalcemia and norm

Answer 49

Norm is 8.4-10.2 | Too much is often associated with hyperparathyroidism

Question 50

Hypercalcemia s/s

Answer 50

Constipation Pain Nausea Vomiting

Question 51

Hyperkalemia and norm

Answer 51

Norm is 3.5 - 5 Levels higher than 7 have significant hemodynamic and neuro consequences Over 8.5 can cause resp paralysis or cardiac arrest

Question 52

Hypermagnesemia and norm

Answer 52

Normal is 1.5 - 2 | Hyper is rare because kidneys can excrete - renal failure is most common cause for it

Question 53

Hypernatremia and norm

Answer 53

Norm is 135-145 Most often cause is dehydration Primary symptom is thirst

Question 54

Tardive dyskinesia is what

Answer 54

An extrapyramidal adverse effect that can routinely occur with administration of neuroleptic (antipsychotic) meds Presents with involuntary and fragmented choreoathetoid mvmnts Tongue, mouth, jaw are often involved

Question 55

Two examples of antipsychotic meds that cause tardive dyskinesia

Answer 55

Haldol | Thorazine

Question 56

Diverticulitis - where pain

Answer 56

LLQ

Question 57

Peptic ulcer - where pain

Answer 57

epigastic

Question 58

Pancreatitis - where pain

Answer 58

epigastric

Question 59

Cardiac arrythmias - hyper or hypo parathyroidism?

Answer 59

Hypoparathyroidism can lead to cardiac arrhythmias

Question 60

OP - hyper or hypoparathyroidism

Answer 60

Hyperparathyroidism can lead to OP due to the demineralization of bones due to increased secretion of PTH and subsequent loss of bone density and strength

Question 61

Muscle spasms - hyper or hypo parathyroidism

Answer 61

Hypor PTH

Question 62

Dermatitis - warm to touch

Answer 62

Nope

Question 63

Cellulitis - breast cancer

Answer 63

Common post operative complication of surgical breast cancer tx Tends to develop where skin protective barrier of lymphatic flow have been disrupted

Question 64

Mastitis is what

Answer 64

infection of fatty breast tissue typically associated with breast feeding Painful lumps within the breast tissue

Question 65

Erysipelas characteristics

Answer 65

Form of cellulitis caused by strep bacteria Skin is warm and tender Defined borders in appearance and bright red