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Assessment Final Review
Review questions
58
Nursing
Undergraduate 3
11/18/2011

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Cards

Term
What is the order of inspection for breast lymph nodes?
Definition
Central to Lateral to Pectoral to Sub Scapular
Term
Are the testicals and breast perfectly round?
Definition
No they are not often oval
Term
What causes gynoclamastia?
Definition
hormonal change of estrogen, common in young boys (check for distention)
Term
What are different positions to examine breast?
Definition
Hands up, Hands on hips, hands reinforcing each other.
Term
What is nocturnal dyspnea?
Definition
Heart failure causing pt to wake up after two hours of sleep out of breath from being supine.
Term
What is tactile fermitus?
Definition
a palpable vibration that decreases upon obstructions like pneumothorax and increases with compression or consolidation like lobar pneumonia
Term
What part of stethoscope is used for auscultating the chest?
Definition
The diaphragm
Term
What sac holds the heart?
Definition
pericardium
Term
Blood flow thru heart goes?
Definition
to right atrium to right ventricle to pulmonary artery to lungs to pulmonary vein to left atrium to left ventricle
Term
What are risk factors for heart attack?
Definition
HTN, Cholesterol, Smoking, Diabetes, Family History,
Term
Where is the Apical pulse?
Definition
5th I.C mid clavicular
Term
Where is herbs point?
Definition
3rd I.C. immediate left sternum
Term
When assessing the carotid what side of stethoscope is used?
Definition
the bell
Term
What are the pulses in the foot?
Definition
Dorsal pedialus and posterial tibius
Term
Infection in the foot would effect what lymph node?
Definition
Inguinal
Term
Types of sounds heard with stehoscope?
Definition
A) Tymphany over abdomen, Resonance over Lungs, hyper resonance over abnormal lungs, Dullnes over solid organ, Flatness over bone.
Term
Organ not located in RUQ?
Definition
stomach, pancreases, appendix, colon, most of spleen
Term
Order of abdominal inspection?
Definition
inspection, auscultation, percussion, palpation
Term
CVA tenderness is a sign of?
Definition
kidney infection
Term
In a end stage alcoholic what can be expected?
Definition
Asictes
Term
What is loridosis
Definition
correction by pregnant woman to counter balance child, leaning back, posture of pregnant woman
Term
Know the anatomy of the joints? TMJ
Definition
Temporal mandibular joint
Term
What does dexiscan do?
Definition
Show if a pt has osteoperosis
Term
) What are the number of the strength scale?
Definition
1-5 5 is full ROM against resistance and gravity
Term
What are the numbers to a murmur?
Definition
1-6 with 6 being heard without stethoscope
Term
What is the reflex arc controlled by?
Definition
the Spinal cord
Term
What does rapid motion test?
Definition
RM test the cerebellum
Term
What are the cranial nerves of the eye?
Definition
II and III and VII controls eye lids
Term
How do you check Cranial nerve XI?
Definition
Spinal accessory is checked by shrugging of the shoulder
Term
When to do a full neuro?
Definition
Head trauma, weakness in one side, altered LOC
Term
) What to do when you cant get response on DTR’s?
Definition
Reinforcement
Term
The anatomy of the external genitalia?
Definition
Corona, Corpus cavernosum, corpus spongiosum, Urethra, bulbourethral gland, prostate scrotum , testis, epididymis, bladder, seminal vesicle, rectum, prostate, vas deferens
Term
What is a Direct Hernia?
Definition
Direct inguinal behind and through external inguinal ring. Painless and round brought on by heavy lifting , easily reduced when supine.
Term
What to ask older male during GI inspection?
Definition
difficulty peeing, waking up often to pee, pain when peeing, inciontinence
Term
What causes Large Prostate?
Definition
Hormonal changes (BPH) and cancer
Term
What can you notice on pt’s when performing a valsalva?
Definition
Rectal prolapse or hemroids
Term
What organ is located at the end of the vagina?
Definition
Cervix
Term
What changes happen during menopause?
Definition
atrophy of vaginal wall, uterus, an ovaries
Term
What does Grava, Para and Abortion mean?
Definition
grava is times been pregnant, Para is live births and abortions are normal, therapeutic and spontaneous
Term
When assessing a teenager for Sexual Hx what is it important to check for?
Definition
Abuse
Term
) What is a irritated white discharge from vaginal tract?
Definition
Yeast infection or cndadyisis
Term
What is a major hormone made during pregnanacy and what does it do?
Definition
Pregesterone, helps protect uterine wall to carry child
Term
Where is it best to assess daily living of the elderly?
Definition
At their home
Term
Most common sense lost in elderly?
Definition
Sensineural
Term
What are individuals with disabilities called?
Definition
handicap
Term
) Best position of pat to examine head and neck?
Definition
When they are sitting?
Term
When do you see plantar flexion of toes?
Definition
bibinski test
Term
How to differentiate between rheumatoid arthritis and osteoarthritis?
Definition
Rheumatoid is inflammation and symmetry of joints, Osteo is calcification of joints
Term
What is eggophony?
Definition
a long EEEE sound, abnormal is long AAA sound
Term
) what is whispered Tranquilily?
Definition
a clear ABC sound is abnormal, normal should be muffeled?
Term
What is Bronchophony?
Definition
should hear muffeled 99, abnormal is clear 99 sound
Term
What is the pace maker of the heart?
Definition
SA node, 60 -100 impulses per minutes
Term
What is spinal bifida?
Definition
Non closure back spine
Term
What is the hearing nerve and what may cause hearing problems?
Definition
CN VIII and caused by acoustic neuroma
Term
What is Pigeon chest?
Definition
pronounced point of chest called Pectus Carinatum
Term
What are the muscles of the eyes?
Definition
superior rectus, inferior rectus,Lateral rectus, Medial rectus,inferior oblique, superior oblique
Term
What is epispadius?
Definition
Urethra opening on dorsal side of Penis
Term
What is Hypospadius?
Definition
Urethra opening in ventral side of penius
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