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255 Cards in this Set

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  • Back
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
nsg concerns of chlamydia
sterility
nsg concerns of gonorrhea
infertility, mandatory to reprot to PHD
nsg concerns of trichomoniasis
none
nsg concerns of genital herpes
active C-section, lifelong, 6 mo yearly pap smear
nsg concerns of syphilis
ck PCN allegy, mandatory to report to PHD