Module C Exam

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hoving22
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79764
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Module C Exam
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2011-04-14 23:06:53
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Health assessment
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Module C Health assessment exam
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  1. abdominal cavity contains these organs:
    stomach, spleen, liver, gall bladder, appendix
  2. sympotoms of peritonitis
    rebound tenderness
  3. Organs of digestion
    • esophagus
    • stomach
    • small intestine
    • large intestine
    • rectum
    • liver
    • gall bladder
    • pancreas
    • spleen
  4. separates esophagus from stomach at cardiac orafis. stops reflux
    cardiac sphincter
  5. LUQ

    stores food during eating, secretes digestive juices and mixes food with juices, hydrocholoric acid to break food down
    stomach
  6. composed of:
    duodenum-1ft
    jejunum-8ft
    iluem-12ft

    completes digestion throught the action of enzymes and bile
    small intestine
  7. composed of:
    cecum, ascending, transverse, descending and ends at sigmoid colon

    function:
    absorbs H20, lubricate intestinal contents, neutralize acids
    large intestines
  8. veins that dilate and can be either internal or external
    hemorrhoids
  9. RUQ

    functions:
    produce & secret bile
    metabolism of protein, fat & CHO
    glucose storage
    detoxifies substances
    liver
  10. attached to inferior surface of liver

    function:
    concentrates and stores bile

    needed for breakdown of fats
    gives feces its brown color
    gallbladder
  11. choloenystitis
    inflammation of the gallbladder
  12. located under L lobe of liver

    function:

    endocrine- produce enzymes insulin, glucagon

    exocrine- secretes enzymes used to breakdown
    pancreas
  13. LUQ

    functions:
    stores 1-2% of erythrocytes & platelets
    contains macrophages
    spleen
  14. organs of excretion
    • kidneys
    • ureters
    • bladder
    • prostrate
  15. Function:
    waste removal of water soluble waste
    kidneys
  16. connect kidneys to bladder
    ureters
  17. storage of urine
    bladder
  18. excrete urine
    urethra
  19. function:
    produce a secretion to help facilitate sperm in passages from testes
    prostate
  20. inflammation of the prostate
    prostititis
  21. dysuria
    urinary difficulty
  22. whisy sound of arteries and veins of the abdomen
    bruie
  23. indicates liver disease

    yellow skin
    jaundice
  24. fluid in abdomen

    liver or heart problem
    ascites
  25. PQRST
    • Problem
    • Quality
    • Radiation
    • Sensitivity
    • Time
  26. asymmetric distention may indicate _____
    hernia
  27. expected sounds of the abdomen
    "active" every 5 sec
  28. stomach growling
    borborygmi
  29. Arterial and Venous sounds

    expected sounds
    "active" no sounds heard

    abnormal would be bruie
  30. push into abdomen, rapidly release

    testing peritoneum irratation
    rebound tenderness
  31. pt lies supine, place hand over lower thigh and have patient raise leg
    iliopsoas m. test
  32. pt supine, flex leg at hip and knee to 90 then rotate leg
    obturator m. test

    testing for ruptured appendix
  33. after stool look for change in color
    guiac test
  34. 2 components of cardiovascular system:
    • heart
    • blood vessels
  35. 2 loops of circulation for blood
    • systemic circulation - to body
    • pulmonary circulation - to lungs
  36. functions of CV system
    transport O2, nutrients to body tissues and cells

    remove CO2 and waste from body cells
  37. anterior chest that overlies the heart area
    precordium
  38. area under breast bone btwn lungs
    mediastinum
  39. protective sac with serus membrane and fluid
    pericardium
  40. outer layer, covers heart surface
    epicardium
  41. middle m. layer of the heart
    myocardium
  42. inner layer of heart, covers chambers and valves
  43. know

    arteries->arterioles->capillaries->exchange->venules->veins
  44. heart at rest

    ventricles are relaxed and recieving blood
    diastole
  45. heart is working

    ventricles contract and sweeze blood out to pulmonary artery and aorta
    systole
  46. leak in the ventricles
    murmurs
  47. "pacemaker" 60-100 bpm
    SA node
  48. 40-60 bpm
    AV node
  49. go to the bathroom after laying down
    nocturia
  50. faint, light headed
    syncope
  51. pulse amplitude
    0-4 scale
  52. allens test
    test for collateral circulation of the hand
  53. dorsiflex pt foot to assess the calf pain response for possible thrombophlebitis
    homans test
  54. pitting edema
    0-4 scale

    • 0- no pitting
    • 1- rapid responce
    • 2- 10-15 seconds
    • 3- 1-2 minutes
    • 4- 2-5 minutes
  55. assesses for venous competence
    pt is supine, elevate leg above heart until veins are empty, then lower leg quickly
    Trendelenburg's test
  56. swelling of one leg
    Deep vein thrombosis
  57. pt at 30 degrees
    elevate and tilt chin opposite direction
    assess for visible pulsations of jugular veins
    Jugular venous distension
  58. 1st heart sound
    closure of mitral & tricuspid valves
    S1
  59. 2nd heart sound
    closure of aortic and pulmonic valves
    S2
  60. ventricular gallop sound
    S3
  61. atrial gallop sound
    S4
  62. Ausculotory of heart sounds

    Aoritic area
    s2>s1
  63. Ausculotory of heart sounds

    pulmonic area
    s2>s1
  64. Ausculotory of heart sounds

    erb's point
    s2=s1
  65. Ausculotory of heart sounds

    Tricuspid area
    s1>s2
  66. Ausculotory of heart sounds

    Mitral area
    s1>s1
  67. when s3 and s4 run together during systole
    summation gallop
  68. turb. flow in blood vessels
    bruie
  69. turb. flow throughout valve
    swish
  70. cardiac output changes with aging
    decreases 30-40%
  71. provides RBC production and mineral storage
    function of musculoskeletal
  72. # of bones in the body
    206
  73. non moveable joint
    synarthrotic
  74. semi moveable joint
    amphiarthrotic
  75. freely moveable joint
    diarthrotic
  76. Joints!

    flexion/extension (knee, finger)
    hinge
  77. Joints!

    movement of one bone articulating with ring/ notch of another bone (head of radius w/ radial arch of ulna)
    pivot
  78. Joints!

    thumb
    saddle
  79. Joints!

    condyle of bone fits w/ elliptical shape of ther bone ( radius w/ wrist bones)
    condyloid
  80. Joints!

    movement along axis/flat (vertebrae)
    gliding
  81. sac lined w/ synovial fluid membrane
    bursae
  82. foot raised high and strikes the ground suddenly w/ entire sole

    cerebellar disorders, alcohol
    ataxic
  83. paralysis of one side of body

    upper motor nueron disorder as in stroke
    hemiplegic
  84. legs cross at the thights or knees with each step, occurs in upper motor neuron disorders as in stroke
    scissors
  85. measures ROM
    goniometer
  86. muscle strength scale
    0-5 scale

    • 0- no contraction
    • 1- slight contraction
    • 2- full ROM without gravity
    • 3- full ROM with gravity only
    • 4- full ROM with gravity and slight resistance
    • 5- full ROM with full resistance
  87. 3 movements of the temporomandibular jt
    hinge, protraction/retraction, side to side
  88. expected neck movements

    flexion
    extension
    hyperextention
    lateral bending
    rotation
    • flexion- 45 deg forward
    • extension- 55 deg straight
    • hyperextention- back
    • lateral bending- 40 deg
    • rotation- 70 deg
  89. spine
    33 bones

    • cervical- 7
    • thoracic- 12
    • lumbar- 5
    • sacral- 5
    • coccygeal- 3
  90. spine is off alighnment side to side
    lateral curvature
    scoliosis
  91. curvature of upper back, often normal in older pt's
    kyphosis
  92. inward curvature of spine, protruding belly
    lordosis
  93. elbow movements

    flexion
    extension
    supination
    pronation
    • flexion-160
    • extention-180
    • supination-90
    • pronation-90
  94. wrist tests

    hands palmer flexed with dorsal sides together for 1 min
    phalens test
  95. wrist tests

    purcussion on wrist
    tinels
  96. swelling in the knee
    patellar ballottement
  97. hard time absorbing
    krones disease
  98. infection of bladder
    cystisis
  99. bacterial infection of kidney
    pyelonephritis
  100. biologically active form of vit D
    calcitrol
  101. cardiac output
    stroke volume x heart rate

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