P3 Pa Test 1 Hent Signs And Symptoms

Front 1

what are some of the none allergic causes of rhinitis

Back 1

chemical rhinitis - smell clorox nose runs

infectious rhinitis - common cold

Front 2

why is it important to know whether the pt has been using nasal sprays with allergic rhinitis

Back 2

may indicate drug induced dependence

Front 3

allergic rhinitis is an Ig-what mediated response

Back 3

IgE

Front 4

what are some of the SSx of allergic rhinitis

Back 4

allergic shiners
clear postnasal drip (mucus usually clear)
transverse nasal crease
nasal mucosa - pale boggy, gray/bluish/purple color
ears are plugged
nasal turbinates (concha) are swollen

Front 5

what are some of the SSx of common cold

Back 5

cervical lymph nodes may be enlarged
nasal mucosa - swollen and red with clear white discharge
conjuctiva and throat may be slightly red

Front 6

what gen of antihistamines are used to treat the cold and allergic rhinitis

Back 6

allergic rhinitis - 2nd gen antihistamines
cold - 1st gen antihistamines

Front 7

what lymph nodes could you check to see whether pt has allergic rhinitis or a cold

Back 7

cervial lymph nodes (if enlarged = cold)

Front 8

what are the differentiating points of influenza

Back 8

PHOTOPHOBIA AND WATERY EYES
N/V

Front 9

what are some of the complications of influenza

Back 9

bronchitis and pneumonia
myocarditis
encephalitis

Front 10

edema of nasal mucosa blocking small sinus ostia causes what

Back 10

sinusitis

Front 11

what are the SSx of acute sinusitis

Back 11

yellow/green nasal discharge
facial pain (b/c mucous building up in sinuses therefore increase pressure)
toothache
headache - worse when bending forward
periorbital edema
fever (more prominant than in chronic)
nasal congestion

Front 12

what are the SSx of chronic sinusitis

Back 12

cough - chronic and worse at night
-cough is productive
popping ears

nasal congestion may or may not be present - may not see classic green/yellow discharge

ache/pressure across face or headache
popping ears
halitosis

Front 13

what form of sinusitis would you see halitosis

Back 13

chronic

Front 14

how long does it take acute and chronic sinusitis to develop

Back 14

acute - 4 wks
chronic - 12 wks

Front 15

what would be seen in exam for sinusitis

Back 15

fever - more prominent in acute
periorbital edema, allergic shiners
nasal mucosa w/ green/yellow discharge
frontal and maxillary sinus pain on percussion
LYMPADENOPATHY

Front 16

what is otitis externa

Back 16

infection of external auditory canal

Front 17

what is a common ear infection in new onset of DM

Back 17

otitis externa

Front 18

what kind of hearing loss is seen in otitis externa

Back 18

conductive

Front 19

if someone had otitis externa, manipulation of what parts of the ear would cause intense pain

Back 19

pinna, tragus

pain also from chewing

Front 20

what is otitis media

Back 20

infection of the middle ear

Front 21

what is serous otitis media

Back 21

accumulation of fluid in the middle ear that lasts more than 3 months
NON-INFECTIOUS
occurs at all ages

Front 22

what age group is more succeptible to otitis media

Back 22

children - possibly due to their eustachean tubes not being fully developed

Front 23

what is commonly seen before someone gets otitis media

Back 23

upper respiratory infection (ex: cold)

Front 24

what are the SSx of acute otitis media

Back 24

earache, hearing loss, nasal discharge, cough, fever

Front 25

in acute otitis media what happens to the tympanic membrane

Back 25

full or bulging
opaque, yellow, red
ear discharge if TM is perforated

Front 26

what are the SSx of serous otitis media

Back 26

asymptomatic or
sensation of fullness, popping/crackling sounds when chewing

Front 27

in serous otitis media what happens to the TM

Back 27

may have bubbles or increased fluid level?

Front 28

what parts of the ear could you see conductive hearing loss

Back 28

external ear
tympanic membrane
middle ear

Front 29

how would you see conductive hearing loss in the external ear

Back 29

cerumen impaction, otitis externa, bony overgrowth

Front 30

how would you see conductive hearing loss in the tympanic membrane

Back 30

middle ear infection (otitis media)
TM perforation
barotrauma - sudden change in pressure

Front 31

how would you see conductive hearing loss in the middle ear

Back 31

otosclerosis

Front 32

what is otosclerosis

Back 32

degeneration of bones in middle ear resulting in them moving less

Front 33

sensoy hearing loss affects what part of the ear

Back 33

cochlea - due to loss of hair cell from organ of Corti

Front 34

what are some causes of sensory hearing loss

Back 34

ototoxicity from drugs
aging
noise trauma

Front 35

what are some ototoxic agents that are reversible

Back 35

NSAIDs and Salicylates
diuretics - furosemide, mannitol, ethacrynic acid
carbon monoxide
erythromycin

Front 36

how would you know ototoxicity is occuring with salicylate use

Back 36

at high dosese ASA causes ringing in the ear and also indicates at a toxic level

Front 37

what are irreversible ototoxic drugs

Back 37

aminoglycosides
vancomycin
cisplatin

Front 38

how would you access to see if pt on ototoxic meds

Back 38

check for other risk factors - noise, trauma, infections like CMV
family history
diagnostic audiometry
high peak serum levels correclated to degree and risk of ototoxicity
many of the same meds cause renal toxicity

Front 39

what test would be inadequate for accessing whether or not pt on ototoxic medes

Back 39

screening with PE

Front 40

what is an inflammation of the pharynx and surrounding tissues

Back 40

pharyngitis

Front 41

what should you ask the pt when pharyngitis is expected

Back 41

smoking, sexual practices, duration?

Front 42

what are some of the signs of viral pharyngitis

Back 42

gingival vescicles/ulcers

Front 43

what is seen in mononucleosis

Back 43

1-2 month intubation
lymphadenopathy - generalized
splenomegaly
atypical lymphocytosis

Front 44

is oral cavity cancer more common in men or women and why? also what must you refrain from to prevent from getting it.

Back 44

more common in men 3:1 b/c dipping

RF: drinking, smoking, dipping

Front 45

what is the clinical presentation of oral cavity cancer

Back 45

lympadenopathy in submandibular region
leukoplakia
mouth ulcers

Front 46

what is leukoplakia

Back 46

white lesions that can't be removed by rubbing off

Front 47

what are some causes of leukoplakia

Back 47

dentures - that don't fit
tobacco

Front 48

what is the difference b/t leukoplakia and candidiasis

Back 48

candidiasis - CAN RUB OFF,
-anemia, DM, immunosuppressed

Front 49

where would you find hodgkins and non hodgkins lymphoma

Back 49

neck, supraclavicular, and axillary nodes

Front 50

what symptoms cause hodgkins and non-hodgkins lymphoma to be mistaken for TB

Back 50

fever
night sweats
weight loss in adults