Pcm 2 Final Exam

Front 1

what type of hair is thisshort fine, inconspicuous, unpigmented (peach fuzz)

Back 1

vellus hair

Front 2

what are the five axis of DSM IV

Back 2

I: clinical syndromes ( MDD GAD)
II: PD and MR
III medical condtions HTN
IV: psychosocial stressors
V global assessment scale 0-100

Front 3

what color do you turn w carbon monoxide posioning

Back 3

red- bc of oxyhemoglobin

Front 4

where do you look for red from oxyhemoglobin

Back 4

fingertips, lips, mucous membranes- on dark skinned people is on palms and soles

Front 5

where do you look for central cyanosis

Back 5

lips, oral mucosa, tongue,

Front 6

what is skin turgor

Back 6

the ease with which skin return to place

Front 7

a nodule filled with fluid or semisolid it is usually encapsulated

Back 7

cyst

Front 8

koebner phenomena

Back 8

skin traua from scratching may cause new lesions, ex poison ivy

Front 9

what do you lose in an ulcer

Back 9

a deeper lose of epidermis

Front 10

what degree burn is this: only epidermis ( sunburn) erythema, pain, sloughing off of skin after a couple days

Back 10

first degree

Front 11

what degree burn is involves dermis and sub Q

Back 11

third degree

Front 12

what degree burn is this: extends into bone and muscle

Back 12

4th

Front 13

what degree burn is this

Back 13

involves epidermis and dermis superficial and deep are the two types

Front 14

what does it mean to be a superficial partial thickness burn

Back 14

extends into the papillary dermis

Front 15

what does it mean to be a deep partial thickness burn

Back 15

into reticualr dermis and will reepithelialize

Front 16

what does it mean to be a full thickness burn

Back 16

extends entire dermis and epidermis and into the sub Q ; this usually included 3rd and 4th degree burns

Front 17

what degree is this: erythema and pain without blebs

Back 17

first degree

Front 18

white painles eschar

Back 18

third degree

Front 19

what degree: blebs, blanch, fast cap refill, sheraing of CT bw epi and dermis

Back 19

superficial 2nd degree

Front 20

what degree: mottled, dry, plus or minus pain, slow cap refill

Back 20

deep 2nd degree

Front 21

what degree: charred muscle and or bone

Back 21

4th degree

Front 22

what us the rule of nines for an adult

Back 22

ant trunk:18 face/head=9
post trunk:18 leg: 18
arm:9
hand:1

Front 23

what is the rule of 9s for the child

Back 23

HEAD:18 ant trunk: 18
post trunk: 18 arm:9
LEG:14 hand:1

Front 24

what do you want to measure in the blood od a patient with an inhalation injury

Back 24

CO and carboxyhemoglobin levels

Front 25

what is the treatment for a pt with an inhalation injury

Back 25

warm humidified oxygen, pulmonary toilet, resp failure, intubation, mechanical ventilation

Front 26

what are sx of pt with carboxy hemoglobin levels bw 15-25

Back 26

nausea and HA

Front 27

what are sx of pt with carboxy hemoglobin levels bw 30-40

Back 27

confusion, stupor, weakness

Front 28

what are sx of pt with carboxyhemoglobin levels between 40-60

Back 28

coma
if greater than 60- death

Front 29

where do circumferential burns take place

Back 29

nack chest abdomen and extremities
may constrict and need escharotomy

Front 30

what type of burn has myoglobin in the urine- - port wine urine

Back 30

electrical burn- from extensive damage to muscle

Front 31

what is the parkland formula for fluid resusitation of burns

Back 31

3-4 cc of crystallizes/ Kg (x %BSA) in the first 24 hours
you give alf of it in the first 8 hours and the rest over the next 16 hours

Front 32

how many cc of fluid do you want to maintain in a burn pt per hour

Back 32

.5 cc/kg/hr

Front 33

what is the parkland formula for pediatrics

Back 33

1.5cc/kg (x % BSA) In first 24 hours also give half of it in first 24 hrs
- maintain .5-1 cc/kg/hr

Front 34

does a pt who is partial thickness greater than 10 percent of BSA need to go to a burn unit

Back 34

yes

Front 35

ulcerated area of scar from old burn wound- high malignant potential and requires a biopsy

Back 35

morjorlin ulcer

Front 36

skin eruption occuring as a sx of systemic dz

Back 36

exanthem

Front 37

eruptive lesion on the mucous membranes

Back 37

enanthem

Front 38

erythema of culva, buttocks, medial thighs, but the inguinal creases are spared

Back 38

diaper dermatitis

Front 39

beefty red, erthmatous plaque with satellite papules and papulopustules

Back 39

diaper candidiasis- located in the same areas as irritant dermatitis

Front 40

what is the main treatment of oral candidiasis

Back 40

nystatin

Front 41

red pruritc ill defined, papules/plaques diaper area is spared

Back 41

atopic dermatitis

Front 42

what is the treatment for molluscum contagiosum

Back 42

spontaneous clearing over years; cantharidin (blister beetle extract), imiquimod cream, & topical tretinoin cream

Front 43

Gray-white vesicular lesions on palms & soles (less often on dorsal/lateral surfaces hands/feet)..may also have vesicles on the mouth

Back 43

coxsackie 1 16 virus- hand foot and mouth

Front 44

the oral lesions and fever of hand foot and mouth with out the exanthem is called

Back 44

herpangina coxsackie a and B

Front 45

what is the treatment of coxsackie

Back 45

pain control, adequate hydration
Lesions resolve in approx. 1 week

Front 46

assoc with high fever for 3-5 d, when fever goes down a rash devel on trunk then extremities and then face, it is blanchable with a halo, edematous eyelide

Back 46

roseola ( exanthem subitum)

Front 47

Lacy, reticulated eruptions on ext. & trunk
1-4d following facial rash
rash fades over 2-3wks
Rash may intermittently reoccur in response to environmental stimuli (1-3 wks)

Back 47

fifth disease

Front 48

how do you tell herpetic gingivostomatitis from the other oral lesions

Back 48

is it more widespread than the others and you can do a culture to see

Front 49

how long is a measles pt infectious

Back 49

1-2 days before prodrome until 4 days after the onset of the rash

Front 50

appear during prodromal period (punctuate, gray-white to erythematous papules on buccal mucosa)

Back 50

koplic spots

Front 51

how long is incubation of measels

Back 51

8-12 d

Front 52

what is teh tx for scarlet fever

Back 52

For acute rheumatic fever prevention tx with Abx within 9 days of sx
Tx: Penicillin V

Front 53

rose pink macules and paules start on the head and go to foot, can be totally asymptomatic

Back 53

rubella (german measels)

Front 54

what is the incubation for german measels

Back 54

14-23 days

Front 55

what is the enanthem of rubella

Back 55

Forschheimer’s spots (petechiae on soft palate)

Front 56

when during the fetal period can the fetus catch rubella

Back 56

first trimester

Front 57

what is the prodome to chicken pox and how long is the incubation period of chicken pox

Back 57

Asymptomatic to fever, malaise, HA, arthralgia & myalgia
Rash begins 24-48 hrs later
incubation is 10-21 days

Front 58

Red macule or papule that rapidly become vesicular (‘dew drop on rose petal’)
Begin on scalp, face & trunk  ext.

Back 58

chicken pox

Front 59

what is a normal birth weight

Back 59

greater than 2500 g

Front 60

what is an extremely low birth weight

Back 60

less than 1000 grams

Front 61

what does ortolani test for

Back 61

post hip dislocation

Front 62

what does barlow test test for

Back 62

ability to sublux or dislocate intact but unstable hip

Front 63

if barlow /ortani test are postive what do you do

Back 63

get imaging to see if it is a developmental hip dysplasia- the test are not reliable after 3 mo old bc the hip capsule tightens

Front 64

what do you palpate in an ear eaxam

Back 64

pinnae, tragus mastoid

Front 65

rub side of mouth and baby turns to that side

Back 65

tragus

Front 66

put baby prone and they lift their head up and straighten the spine

Back 66

rooting

Front 67

4-6 months- put baby prone and slowly loer head toward the surface, arms and legs will extend ina protetive fashion

Back 67

landau

Front 68

what is normal weight and height gain after 2yo

Back 68

2-3kg and 5 cm height/year

Front 69

what murmur is this:grade II/VI musical, vibratory, midsystolic

Back 69

still's

Front 70

what murmur is this: soft, continuous, louder in diatole

Back 70

venous hum

Front 71

what murmur is this : mudsystolic, usu louder on left and eliminated by carotid compression

Back 71

carotid burst

Front 72

what stage is this: breast/areola enlarge with no separation of contour

Back 72

tanner 3

Front 73

what stage is this: mature project nipple only

Back 73

tanner 5

Front 74

what stage: projection of areola. nipple fomr secondary mount

Back 74

tanner 4

Front 75

what stage: elev breast/nipple small mound

Back 75

tanner 2

Front 76

what stage: pubic hair is dark and coarse, penis enlarged and testis further enlarge

Back 76

tanner 3

Front 77

what stage: pubic hair is curly but not on thigh penis has a glans, scrotum darker

Back 77

tanner 4

Front 78

no pubic hair

Back 78

tanner 1

Front 79

sparse pubic hair, penis not enlarged but tesis is

Back 79

tanner 2

Front 80

pubic hair on inner thigh, penis and testis is large

Back 80

tanner 5

Front 81

when should you do a cover test on a child

Back 81

9 mo - 3 y
and start visual acuity at 3yo

Front 82

when do adolescents start limit testing

Back 82

15-16 middle adolescents

Front 83

what is considered overweight, at risk, and underweight

Back 83

under is less than 5%, at risk is over 85 % and Overweight is >95%