18, 19 20, 21,23 Assessmrnt Test Review.

Front 1

reference lines for posterior
and anterior thorax

Back 1

posterior = spine ( retrebral process)
p.304. anterior line ( mid sternal & mid clavicular.

Front 2

most important thing to remember when auscultating the lungs

Back 2

listen to a complete respiratory cycle

Front 3

LUNG CANCER RISK FACTORS

Back 3

smoking
enviromental exposure
africal american men
beta carotenesupplements

Front 4

Tripod positioning

Back 4

COPD or Emphasema b/c it tries to fully expand the lungs by giving the chest cavity more space

Front 5

test for lung expansion by...

Back 5

placing hands on back, take a deep breath, look for how big a breath they can take. looking for 5-10 cm

Front 6

sounds you expect to hear over the posterior thorax

Back 6

resonance
(hear the air w/in the lungs)

Front 7

client w/ ephasima or COPD , expect to hear...

Back 7

hyper resonance (over inflation)

Front 8

if you are percussing posterior thorax at the clavicular line

Back 8

listen for flatness of the scapula

Front 9

lower pt of ribcage, on rightside

Back 9

listen for dullness = over the liver

Front 10

broncophony

Back 10

'99,99' = auscultate and listen for NOMAL = muffled.

If Clear=alectisis, tumor or pneumonia

Front 11

Egophony

Back 11

repeat letter (long) E.
listen to chest wall. should sound muffled.
If clear = consolidation of tissue

Front 12

Whispered Pectoriloquy

Back 12

"whisper 1,2,3"
should be faint and muffled. clear = consolidation of tissue. (pneuonia)

Front 13

Crepitus

Back 13

vibration detected by palm of the hands, have them take deep breaths

Front 14

how often should a woman do her breast exam

Back 14

once a month at the same day

Front 15

paying most attention to...

Back 15

upper outer quadrant, and the tail of spence

Front 16

signs of malignancy

Back 16

dimpling, tenderness,discharge,asymetric veneous pattern, retracted nipple ( previously everted).restricted movement, fibrosis

Front 17

track of blood thru heart

Back 17

pulm. A leaves heart, goes to lungs carrying deoxygenated blood, pulmonary vein carries oxygenated from lungs back to the heart.

Front 18

electrical conduction starts in the

Back 18

SA NODE ( pacemaker), sends it to the AV node, then to bundle of his and to the purjinke fibers.

Front 19

P wave

Back 19

atrial depolarization

Front 20

T wave

Back 20

ventricular repolarazation

Front 21

S wave

Back 21

ventricular depolarization

Front 22

S1

Back 22

systolic
mitral and tricuspid

Front 23

S2

Back 23

diastolic
aortic and pulmonary

Front 24

auscultating the heart and the rate is so fast you can't tell which is which, how do you figure it out?

Back 24

listen, auscultate the chest, auscultate and palpate carotid artery and pulse at the same time = s2.
Pulse = S2.

Front 25

what projects of of NAM?

Back 25

a tetrapeptide

Front 26

palpating carotid artery

Back 26

one at a time

Front 27

pulse amplitude scale

Back 27

normal is 2+
0= absent
1+ weak
3+ increased
4+ bounding

Front 28

palpating PMI or 1st or 2nd intercostal, think you hear something but not sure, what do you do

Back 28

roll to left side, feel for a thrill.

Front 29

aortic area for

Back 29

R sternal border 2 intercostal space

Front 30

erbs point

Back 30

3-5 intercostal, left sternal border

Front 31

mitral 5th

Back 31

mid clavicular line
*only one not on a sternal border

Front 32

pulmonic

Back 32

4th intercostal, rt sternal border.

Front 33

biggest difference betw.venal and arterial insufficiency

Back 33

EDEMA ( VENOUS)

Front 34

primary risk factors for cervical cancer

Back 34

exposure to HPV
(human papilova virus)
multiple sex partners

Front 35

pap smear

Back 35

scrape cells off cervix and look under microscope for cancerous legions

Front 36

anteverted

Back 36

normal uterus position

Front 37

RETROVERTED

Back 37

NORMAL VARIATION IN WHICH UTERUS IS TILTED BACK

Front 38

RETROFLEXED

Back 38

normal variation uterine body flexed posteriorly

Front 39

ANTEFLEXED

Back 39

flexed anteriorly

Front 40

Midposition

Back 40

normal, pointed slightly more anterior

Front 41

normal cervix w/ no kids

Back 41

looks like a donut

Front 42

children or abortion

Back 42

slit or wink

Front 43

cystocele

Back 43

anterior wall bulging

Front 44

retrocele

Back 44

posterior wall bulging

Front 45

Vulva (pudendum)

Back 45

external genitalia; extends from mons pubis to anal opening.

Front 46

mons pubis

Back 46

fat pad over pubis symphasis; covered w/ hair;absorbs force during coitus.

Front 47

labia majora

Back 47

2 foldso of skin
extend posteriorly & inferiorly from mons pubis to perineum.
composed of fat, sweat glands, sebaceuos glands.
inferior surface is smooth, pink and moist.

Front 48

Labia minora ( inside labia minora)

Back 48

these folds join anteriorly at the clitoris & form a hood ( prepuce). posteriorly they form the FRENULUM; hairless; promote lubrication & maintain moist enviroment .

Front 49

Clitoris

Back 49

located @ anterior end of labia minora glans (visible rounded portion);corpus (the body);crura (2 bands of fibrous tissue that attatch it to the pelvis bone).

Front 50

Vestibule

Back 50

boat shaped fossa created by the folds of both labias; contains several openings 1.ureathral meatus and skene's glands.

Front 51

Skene's glands
(lesser vestibular glands)

Back 51

located on either side of the urethral opening. Usually not visible. they secrete mucus.

Front 52

Vaginal orifice

Back 52

external opening of vagina; can be slit like or irregular circular structure, depending on the configuration of the hymen.

Front 53

Hymen

Back 53

a fold of membraneous tissue that covers part of the vagina.

Front 54

Bartholian Glands
(greater vestibular glands)

Back 54

either side and slightly posterior to vaginal orifice (betw. orifice and laboria minora)