Assessment test 4
Terms
undefined, object
copy deck
- What quad. is the liver located?
- RUQ
- What quad. is the gallbladder in?
- RUQ
- Where is the duodenum?
- RUQ
- What quad is the head of pancreas in?
- RUQ
- What quad. is the right kidney and adrenal located in?
- RUQ
- What quad. is the hepatic flexure of the colon located in?
- RUQ
- What two quadrants is the transverse colon in?
- RUQ, LUQ
- What two quadrants is the descending colon in?
- LUQ, LLQ
- What quad is the ascending colon in?
- RUQ
- What quad is the stomach in?
- LUQ
- What quad is the spleen in?
- LUQ
- What quad is the left lobe of the liver in?
- LUQ
- What quad is the body of the pancreas in?
- LUQ
- What quadrand is the left kidney and adrenal in?
- LUQ
- What quadrant is the splenic flexure of the colon in?
- LUQ
- What quad is the cecum in?
- RLQ
- What quad is the appendix in?
- RLQ
- What quad is the right ovary and tube located in?
- RLQ
- What quad is the right ureter located in?
- RLQ
- What quad is the right spermatic cord located in?
- RLQ
- What quad is the sigmoid colon located in?
- LLQ
- What quad is the left ovary and tube located in?
- LLQ
- What quad is the left ureter located in?
- LLQ
- What quad is the left spermatic cord located in?
- LLQ
- Where does the uterus lie if it is enlarged?
- midline
- Where does the bladder lie if it is distended?
- midline
- Where does the aorta lie?
- midline
- 4 contour's of abdomen
- flat, scaphoid, rounded, protuberant
- What do you look for on the abdomen?
- bulging, mass, asymmetric shape
- Where does the umbilicus lie?
- midline
- what color are recent striae?
- pink or blue
- what color are older striae?
- silvery white
- striae
- stretch marks
- Pattern of pubic hair in males
- diamond
- pattern of pubic hair in females
- triangle
- What do you do after inspecting the abdomen?
- auscultate of bowel and vascular sounds
- What are the vascular sounds you listen to in the abd?
- aorta, renal, iliac and femoral arteries
- Normal bowel sounds
- high pitched, gurgling, cascading
- hyperactive sounds
- loud, high pitched, rushing, tinkling sounds
- What do hyperactive bowel sounds signal?
- increased motility
- Name one type of normal hyperactive bowel sound
- borborygmus "stomach growling"
- How long must you listen before you can determine that bowel sounds are abscent?
- 5 min
- What part of steth do you use when listening for vascular sounds?
- bell
- When would you find hypoactive of absent bowel sounds?
- after abd sx, with inflammation of peritoneum
- What noise do you hear over the general abd?
- tympany
- what sound do you hear over the liver?
- dull
- What is the normal range of liver span?
- 6-12cm
- What note do you hear over the spleen?
- dull
- When would you feel pain when you test the CVA?
- inflammation of kidney or paranephric area
- what is involuntary rigidity?
- constant boardlike hardness of muscles
- What type of mechanism is involuntary rigidity?
- protective
- Voluntary guarding difference b/t involuntary rigidity?
- VG muscles relax on exhalation
- What palpation tech do you use on a very large person?
- bimanual
- Is the spleen palpable?
- not generally
- When does the spleen enlarge?
- with mono and trauma
- Which kidney is higher?
- left
- Rebound tenderness?
- pain on release of pressure
- What is rebound tenderness a sign of?
- peritoneal inflammation accomp. appendicitis
- Another name for rebound tenderness?
- blumbergs sign
- contour of infant abd
- protuberant
- flexion
- bending limb at joint
- extension
- straightening a limb at joint
- abduction
- moving limb away from body
- adduction
- moving limb toward body
- pronation
- palm down
- supination
- palm up
- circumduction
- moving arm in circle
- inversion
- moving sole of foot inward at ankle
- eversion
- moving the sole of the foot outward at the ankle
- rotation
- moving the head around a central axis
- protraction
- moving a body part forward and parallel to the ground
- retraction
- moving a body part backward and parallel to ground
- elevation
- raising a body part
- depression
- lowering a body part
- freely movable joint
- synovial
- immovable joint
- nonsynovial
- bone to bone
- ligaments
- loss of bone density
- osteoporosis
- how is muscle pain usually felt?
- cramping or aching
- what do you use to screen for safety of independent living?
- functional assessment
- ROM
- range of motion
- goniometer
- used to measure ROM
- dislocation
- bone in a joint out of position
- subluxation
- partial dislocation of a joint
- contracture
- shortening of a muscle
- ankylosis
- stiffness or fixation of joint
- TMJ
- temporomandibular joint
- What do you feel for with the TMJ
- crepitus
- phalens test
- hold both hands back to back for 60 sec
- what does phalens test for?
- carpel tunnel
- What does mcmurray test test for?
- torn meniscus
- S curve of spine
- scoliosis
- what does ortolani's maneuver test for?
- congenital hip dislocation
- old person having back hump
- kyphosis
- type and function of nerve 1
- sensory and smell
- type and function of nerve 2
- sensory and vision
- type and function of nerve 3
- motor eye movement
- type and function of nerve 4
- motor, eye movement
- type and function of nerve 5
- mixed, mastication muscles
- type and function of nerve 6
- motor eye movement
- type and function of nerve 7
- mixed, facial muscles
- type and function of nerve 8
- sensory, hearing and equilibrium
- type and function of nerve 9
- mixed, pharynx and taste
- type and function of nerve 10
- mixed gag
- type and function of nerve 11
- motor, movement of trapezius and sternomastoid muscles
- type and function of nerve 12
- motor, move tongue
- nerve 1
- olfactory
- nerve 2
- optic
- nerve 3
- oculomotor
- nerve 4
- trochlear
- nerve 5
- trigeminal
- nerve 6
- abducents
- nerve 7
- facial
- nerve 8
- acoustic
- nerve 9
- glossopharyngeal
- nerve 10
- vagus
- nerve 11
- spinal
- nerve 12
- hypoglossal
- test for nerve 1
- smell vial
- test for nerve 2,
- visual acuity and fields of vision
- test for nerve 3,4,6
- EOM and PERRLA
- test for nerve 5
- palpate masseter and temporal muscles; sharp dull
- test for nerve 7
- funny faces
- test for nerve 8
- weber, rinne, whispered voice
- test for nerve 9
- uvula rise symmetric in midle
- test for nerve 10
- gag reflux
- test for nerve 11
- push down on shoulder and push cheek against hand
- test for nerve 12
- tongue against blade
- papilledema
- increaded intercranial pressure
- nystagmus
- movement of eye (shaking)
- Romburg test
- feet together, arms to side, eyes closed
- what does romburg test test for?
- balance
- atrophy
- decreased in size
- hypertrophy
- increased size and strength
- paresis
- weakness
- flaccidity
- decreased resistance
- spasticity and rigidty
- increased resistance
- test for gait
- walk 10-20 feet, walk back heel to toe
- normal gait test
- walks smooth, rhythmic and effortless, opposing arm swing,
- ataxia
- uncoordinated or unsteady gait
- RAM
- rapid alternating movements
- dysdiadochokinesia
- slow, clumsy, and sloppy response
- when does dysdiadochokinesia occuer?
- cerebeller disease
- What does opposition test for?
- coordination
- past-pointing
- constant deviation to one side
- dysmetria
- clumsy movement with overshooting mark
- hypalgesia
- decreased pain sensation
- analgesia
- absent pain sensation
- hyperalgesia
- increased pain sensation
- hypoesthesia
- decreased touch sensation
- anesthesia
- absent touch sensation
- hyperestesia
- increased touch sensation
- astereognosis
- inability to identify object correction
- stereognosis
- regognize object when placed in hand
- graphesthesia
- ability to "read" a number drawn into your hand
- DTR
- deep tendon refulx
- clonus
- short jerking contractions of same muscle
- hyperreflexia
- exaggerated reflex
- hyporeflexia
- absence of relex
- name type of reflexs
- bicep, tricep, brachial radialis, patellar, achilles, planter
- another name for patellar relfex
- quadriceps
- Babinskis sign
- dorsiflexion of big toe
- rooting reflex
- brush babies cheek turn to that side
- sucking reflex
- touch lips present at birth
- stroke
- family hx, smoking, meds
- seizure
- meds and chemical imbalances
- phimosis
- unable to retract foreskin
- paraphimosis
- unable to return foreskin to original position
- hypospadias
- ventral location of meatus
- epispadias
- dorsal location of meatus
- stricture
- narrowed opening
- TSE
- testicular self examination
- cryptorchidism
- undescended testes
- hydrocele - male
- cystic collection of serous fluid in the tunica vaginalis surrounding testes
- priaprism
- prolonged painful erection
- testicular torsion
- twist of spermatic cord
- LMP
- last menstrual period
- menarche
- begin of period
- amenorrhea
- absent menses
- menorrhagia
- heavy menses
- menopause
- cessation of menstruation
- gravida
- number of pregnancies
- para
- number of births
- abortions
- interrupted pregancies
- cystocele
- bladder goes into vagina
- rectocele
- rectum into vagina
- uterine prolapse
- uterus into vagina or can drop out
- S/S malnutriion
- edematous, obese,
- RDI of fats
- use sparingly
- RDI of milk, yogurt and cheese
- 2-3
- RDI of meat
- 2-3
- RDI of veggies
- 3-5
- RDI of fruit
- 2-4
- RDI of grain
- 6-11
- test in a CBC
- RBC, WBC, Platelet, HGB, HCT
- tests in blood chemistries
- Na, K, Cl, CO2, BUN, Glucose, Creatinine, Ca, Cholesterol, Triglycerides
- male norm HGB
- 14-18 g/dL
- female norm HGB
- 12-16 g/dL
- norm platelet count
- 150-400
- norm WBC count
- 4500-10000
- norm RBC male
- 4.6-6
- norm RBC female
- 4 - 5
- norm HCT male
- 40-54%
- norm HCT female
- 36-46
- norm Na level
- 135-145
- norm K level
- 3.5 - 5.0 mEq/L
- norm glucose range
- 70-110 mg/dL
- norm ca level
- 9-11 mg
- norm cholesterol level
- <200
- norm triglyceride level
- 20-150
- norm Cl level
- 95-105
- norm CO2 level
- 22-30
- norm BUN
- 5-25
- norm PT time
- 9.5-12
- norm APTT
- 20-45
- APTT
- activated thromboplastin time
- What is HGB
- O2 carry compound
- what is HCT
- measures volume of RBC in whole blood
- norm % or neutrophils
- 45-74%
- norm % of lymphocytes
- 16-45%
- norm % of monocytes
- 4-10 %
- normal % of basophils
- 0-2%
- normal % eosinophils
- 0-7%
- what do neutophils do?
- 1st line against bacteria and severe stress
- What do lymphocytes do?
- fight acute/chronic bacterial infection
- what do monocyes do?
- phagocytes
- what do basophils do?
- vary little except with bone marrow alteration
- what do eosinophils do?
- associated with antigen/antibody reaction
- left shift
- usually implies acute infection
- right shift
- chronic infection
- which test does slices of body?
- CT
- CT
- computerized tomography
- MRI
- magnetic resonance imaging
- Which test uses huge magnet?
- MRI
- what must you do in preparing a ct for an MRI
- remove all metal
- another name for ultrasound
- sonogram
- S/S of chlamydia in male
- dysuria, tingling inside urethra, discharge
- S/S of chlamydia in female
- chylamydial endocervicitis
- Tx of chlamydia
- 7 days of tetracycline
- S/S of gonorrhea male
- dysuria, purulent discharge *80% asymptomatic
- S/S of gonorrhea in female
- late symptoms, PID or arthrisic proctitis
- Trichomoniasis S/S
- vaginal discharge, vulvar erythremia, edema pruritia
- Tx of gonorrhea
- PCN or tetracycline
- how do you dx gonorrhea?
- culture
- Tx of trichomoniasis
- metronidazole PO
- S/S of genital herpes
- tiny fluid filled vesicles which erupt into ulcers, pain itching, dysuria, vag discharge
- Tx of genital herpes
- no cure, acyclovir, 100% cotton underware, sitz baths
- S/S of syphilis
- painless sore, skin rash, mucous, patches, alopecia, malaise
- Tx of syphilis
- parenteral PCN
- Dx of syphilis
- VDRL