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Exam 1
Physical Exam
85
Pharmacology
Professional
09/12/2011

Additional Pharmacology Flashcards

 


 

Cards

Term
LUQ
Definition
stomach & spleen
Term
RUQ
Definition
gallbladder
Term
RLQ
Definition
appendix or colon (diverticulitis, sm. Intestine, ulcerative colitis, chron's disease)
Term
LLQ
Definition
diverticulitis, small intestine, ulcerative colitis, chron's disease
Term
what does ↑ bowel sounds indicate
Definition
diarrhea or obstruction
Term
what does ↓ bowel sounds indicate
Definition
infections or meds like anticholinergics or opioids
Term
what is an abdominal bruit
Definition
abdominal aortic aneurysm (AAA)
Term
what is the normal peristalsis time
Definition
5-30 times per minute
Term
tingling & rushing in the colon indicate what
Definition
increased amounts of fluid e.g. diarrhea
Term
what does +BS mean
Definition
presence of bowel sounds (normal)
Term
in the abdomen what does shifting dullnes indicate
Definition
ascites / cirrhosis of the liver (e.g. alcoholism)
Term
if you percuss and found the liver was 14cm what does that indicate
Definition
hepatomegaly (liver normally = 6-12cm)
Term
"fluid wave" & tenderness in the abdomen indicates what
Definition
peritinitis / ascites
Term
what is a Guaiac test
Definition
fecal occult blood test (FOBT)
Term
what is PSA
Definition
prostate specific antigen
Term
deformities & stiffness in the hands indicate
Definition
long standing arthritis
Term
soft tissue swelling in the hands indicate
Definition
early rheumatoid arthritis
Term
what is podagra
Definition
gouty inflammation of the first MTP joint
Term
deep red and warm to touch foot indicates
Definition
gout
Term
flexion
Definition
elbow / arm up
Term
extension
Definition
elbow arm down
Term
pronation
Definition
palm down
Term
supenation
Definition
palm turn upward
Term
abduction
Definition
abduct/movement away from core of body
Term
adduction
Definition
add/movement toward core of body
Term
dorsiflexion
Definition
foot flexed upward (toes up)
Term
plantar flexion
Definition
foot flexed downward (toes down)
Term
what is CN VIII
Definition
vestibular cochlear nerve (acoustic nerve) many drugs can cause hearing loss / vestibular issues
Term
what is CN II
Definition
optic
Term
what is A&O x 3
Definition
person is alert & oriented times three
Term
what questions are asked to determine mental status
Definition
person? Place? Time?
Term
stereognosis
Definition
feel what item is in hand
Term
graphesthesia
Definition
draw something on patients hand and patient detemrines what it is "8"
Term
two point
Definition
use one or two points and make patient state 1 or 2
Term
point localization
Definition
point then make patient point to same location
Term
extinction
Definition
point to two opposite positions then make patient point/distinguish how many and where
Term
romberg test
Definition
people with cerebellar disorder will sway
Term
pronator drift
Definition
palms up and out. Patient will turn pronator and down (spasticity &/or motor neuron lesion)
Term
when patient curls toes downward after testing plantar reflex indicates what
Definition
normal sign
Term
when patient bends toes upward after testing plantar reflex indicates what
Definition
babinski response-- STROKE
Term
DTR recording: what is normal
Definition
2+ throughout & arrow pointing down (around foot)
Term
flexing a child's neck which causes relfex of lower extremity indicates
Definition
brudzinski sign (meningeal inflammation)
Term
moving child's leg up to 90 degree and leg bends indicates
Definition
kernig (meningeal inflammation)
Term
massaging the carotid will do what
Definition
decrease heart rate / blood pressure
Term
thyroid bruit indicates what
Definition
hyperthyroidism
Term
what is normal capillary refill time
Definition
< 3 seconds
Term
what can cause delay in capillary refill time
Definition
volume depletion (dehydration), vasoconstriciont, peripheral edema, room temperature (false elevation)
Term
vasculitis & gangrene of fingertips can be caused by
Definition
rheumatoid arthritis
Term
allen test
Definition
check to see if radial and ulnar pulses are both working
Term
stiffness, pain, and ropey /chord feeling in calf indicates what
Definition
DVT
Term
Homan Sign
Definition
test for DVT
Term
Jugular venous distention indicates
Definition
congestive heart failure (must be >4 to 5 cm)
Term
Hepatojugular Reflux (HJR)--what is the test--what does it indicate
Definition
palpate liver--looking for jugular distention--indicates congestive heart failure
Term
what is sternal angle
Definition
angle between manubrium & body of sternum
Term
Lungs: how many right lobes? How many left lobes
Definition
right = 3 -----left = 2
Term
where can you listen to the RUL, LUL, etc.
Definition
RUL=front-back LUL=front-back RML=side-front RLL=back LLL=back
Term
what is normal respiratory rate
Definition
12-20 breaths/min
Term
what is indicated with AP greater than 1:2
Definition
AP=anteroposterior diameter--greater than 1:2 means barrel chest / EMPHYSEMA (COPD)
Term
pursed lips indicates what
Definition
COPD/emphysema/asthma
Term
define clubbing
Definition
broadening thickening of fingertips and flattening of angle between cutical and nail
Term
clubbing indicates what
Definition
longstanding hypoxemia - cytic fibrosis - end stage emphysema (check-clubbing-cyanosis-edema)
Term
costovertebral angle tenderness (CVAT) indicates
Definition
renal disease (pyelonephritis)--is not a pulmonary disease test
Term
while checking chest expansion-would the movement be more or less on the restrictive side
Definition
LESS
Term
what is the practitioner doing & what does the patient say while performing Tactile Fremitus
Definition
Palpation: 99
Term
increased fremitus indicates
Definition
pneumonia
Term
decreased fremitus indicates
Definition
pleural effusion (fluid between lung and parietal pleura)
Term
is Tactile Fremitus test diagnostic
Definition
NO--only provides supporting evidence
Term
where is the narrow area to percuss the lungs
Definition
between scapula and spinal column
Term
Percussion: what is loud, low pitch
Definition
resonant (normal)
Term
Percussion: what sound would pneumonia or solid organ give
Definition
dullness
Term
Percussion: what is very loud & low pitch
Definition
hyperresonant
Term
what is diaphragmatic excursion
Definition
indication of lungs ability to expand during inspiration!
Term
air moving through fluid (discontinuous sporadic)
Definition
crackles
Term
air moving through narrow airways (whistling sound)
Definition
wheezes
Term
secretions in large airways (sounds like milkshake)
Definition
rhonchi
Term
AUSCULTATION: you hear 99 louder in one area indicates
Definition
bronchophony (pneumonia--airless lung)
Term
AUSCULTATION: you hear an A when patient is saying E
Definition
Egophony (pneumonia--airless lung)
Term
AUSCULTATION: you hear 123 louder than normal (normally should be faint - indistinguishable)
Definition
Whispered pectoriloquy (pneumonia--airless lung)
Term
Stridor means
Definition
someone has blocked airway--medical emergency
Term
what is CTA & P
Definition
clear to auscultation and percussion
Term
turgor skin is normal or abnormal
Definition
normal
Term
tenting skin is normal or abnormal
Definition
abnormal
Term
what is PERRLA
Definition
pupils equal round reactive light accomodation
Term
T/F pupils have consensual constriction
Definition
True: pupils constrict even when only one eye is exposed to light
Term
papiladema indicates
Definition
hypertension (bulging disk in the eye)
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