Health Assessment Exam 2 - Youngshields

Front 1

Which type of headache is occipital, frontal, or with bandlike tightness; may be caused by stress and anxiety; dull ache

Back 1

tension headache

Front 2

Type of headache; located supraorbital, retro-orbital, or frontotemporal; with photophobia or phonophobia, may have N/V; lie down to feel better

Back 2

migraine headache

Front 3

Type of headache with pain around the eye, temple, forehead, cheek; may be unilateral (one side, always same); precipitated by increased alcohol consumption, lack of sleep

Back 3

cluster headache

Front 4

Who is most prone to cluster headaches?

Back 4

men

Front 5

How get pain relief from cluster headache?

Back 5

movement

Front 6

How get pain relief from migraine?

Back 6

lie down

Front 7

Which headache type may have a family history?

Back 7

migraine

Front 8

What physical exam findings would you expect to see with hyperthyroidism?

Back 8

enlarged thyroid, tachycardia, shortness of breath, excessive sweating, fine muscle tremor, thin silky hair and skin infrequent blinking, staring appearance

Front 9

What are symptoms of hyperthyroidism?

Back 9

nervousness, fatigue, weight loss, muscle cramps, heat intolerance

Front 10

If you hear accelerated or turbulent blood flow while using the bell of the stethoscope, what is this called?

Back 10

bruit

Front 11

What are effects of aging on the skin?

Back 11

lose elasticity, wrinkles, sage, lose elastin and collagen, less subQ fat (protective cushioning), less muscle tone, sweat glands and sebaceous gland function decreases, decreased vascularity, delayed wound healing

Front 12

What is most common skin complaint of adolescents?

Back 12

acne...may be mild to severe. Can use topical creams but side effect is photophobia (avoid sun or burn)

Front 13

What do the following drugs do to skin? antimalarial, antineoplastic agents, hormones, metals, tetracyclene

Back 13

hyperpigmentation

Front 14

What are some health promotion behaviors that increase a person's risk for infection?

Back 14

cut calluses too deeply, peel off scabs and lesions, scratching with dirty fingernails, creams or dyes may irritate skin

Front 15

What is vitiligo? Signs and symptoms?

Back 15

loss of melanin (melanocytes destroyed) that results in patchy depigmentation; often symetrical bilaterally; acquired over time

Front 16

jaundice - what does it look like?

Back 16

increased bilirubin production by liver; yellow sclera up to edge of iris; also yellow at junction of hard and soft palate

Front 17

What are signs of shock in light/brown/dark skin?

Back 17

light - pallor
brown - more yellow/brown
black - ashen gray

Front 18

What is nail clubbing?

Back 18

nails straighten to 180 degrees

Front 19

What will happen to the nails of people with chronic bronchitis, congential chronic cyanotic heart disease, and emphysema?

Back 19

clubbing (early)

Front 20

What is degenerative tissue disease characterized by hard and tightening skin, thin pursed lips, absence of expression?

Back 20

scleroderma

Front 21

Does scleroderma effect just skin?

Back 21

No - it effects skin, blood vessels, synovium, and skeletal muscles

Front 22

What are smooth lightly raised brightly red dots that commonly appear on trunk of adults over 30, increase with aging

Back 22

cherry senile angioma

Front 23

What happens to skin of pregnant woman?

Back 23

stretch marks (striae), chloasma (mask of pregnancy), linea nigra, vascular spiders on arms, chest, neck

Front 24

what terms describes lesions that run together, like seen in hives?

Back 24

confluent lesions

Front 25

What is term for prolonged, intense scratching of the skin that produces thick skin with tightly packed sets of papules, like surface of moss

Back 25

lichenification

Front 26

Term to described self-inflicted abrasion on superficial layer of skin; ex: insect bites, scabies, dermatitis,

Back 26

excoriation

Front 27

tinea capitis

Back 27

scalp ringworm; caused by funal infection (flouresce blue-green under wood's light); highly contagious

Front 28

tinea corporis

Back 28

body ringworm; scales, hyperpigmented in whites, depigmented in dark skin

Front 29

tinea pedis

Back 29

foot ringworm; athlete's foot; between toes and sides of feet and soles, grows scaley and hard

Front 30

tinea versicolor

Back 30

fine, scaling round pathces of pink, tan, or white; do not tan in sunlight; caused by superficial funal infection; usual on neck, trunk, arms

Front 31

signs of dehydration on skin and oral mucosa:

Back 31

poor turgor; oral mucosa looks dry and flaky, lips cracked

Front 32

Signs of inflammation light/dark skin:

Back 32

light: erythema is intense redness from blood
dark: may not see; must palpate for warmth, tightness

Front 33

Sign: rash with distinctive bull's eye, red macular or papular rash in 50% of cases; in axilla, midriff, inguina, behind knee

Back 33

lyme disease

Front 34

Nails spooned (concave shape), brittle, beds white pale pink =

Back 34

iron deficiency anemia

Front 35

3 pairs of salivary glands and draining

Back 35

parotid (Stenson duct on buccal check by second upper molar), submandibular (Wharton's duct drains adjacent to frenulum), sublingual (drains along sublingual fold)

Front 36

Which cranial nerve tested by shoulder shrug test?

Back 36

cranial nerve 11 (controls sternomastoid and trapezius)

Front 37

What is the most common congential deformity?

Back 37

cleft lip

Front 38

Boggy, swollen tubinates are a sign of....

Back 38

Infection. Normal turbinates are pink and smooth.

Front 39

What is function of turbinates?

Back 39

Increase surface area of the nasal cavity (more blood vessels to warm and humidify air), more filtering

Front 40

Which sinuses are part of exam?

Back 40

frontal, maxillary, ethmoid and sphenoid

Front 41

What should P feel as palpate sinuses?

Back 41

PRESSURE, not pain!

Front 42

Health history questions for nose?

Back 42

Discharge/drainage, frequent colds/upper respiratory infections, sinus pain, trauma, epistaxis, allergies, altered smell, surgery

Front 43

Health history questions for mouth and throat?

Back 43

sores or lesions, sore throat, bleeding (gums), toothache, hoarseness, dysphagia, altered taste, smoking, alcohol consumption, self-care behaviors, dentures, surgery

Front 44

How taste patency on of nose?

Back 44

Patient pushes/closes one nostril and sniffs through opposite; switch side

Front 45

How choose speculum for otoscope?

Back 45

short and wide

Front 46

What color should the nasal cavity be?

Back 46

consistent with oral cavity (pink with fair skin, darker with darker skin)

Front 47

What assess of the septum?

Back 47

deviations, perforations, bleeding (record in chart)

Front 48

What assess of turbinates?

Back 48

color, exudate, swelling, polyps

Front 49

Why perform transillumination?

Back 49

To check for openess of sinuses; should be red light; closed will look dark (means mucus plugging sinuses)