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Exam (elaborations)

Navy Hospital Corpsman HCB Test 9 Questions and Answers 2023

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Navy Hospital Corpsman HCB Test 9 Questions and Answers 2023 kidneys are said to be retroperitoneal located between the levels of the last thoracic and third lumbar vertebral a position where they are partially protected by ribs 11 and 12 kidneys what do the kidneys do? filter blood excrete waste products maintain fluid balance an analysis of the vL and physical chemical and microscopic properties of urine urinalysis how much urine can the bladder hold? 200-400 mL what is the function of the urethra discharge urine from the body a lack of voluntary control over micturition incontinence failure to void urine completely or normally retention testes produce __________ and secrete _______________ sperm and hormones (testosterone) whats the function of the vagina carries menstrual flow from uterus serves as terminal pt of birth canal receptive organ for sex where does the uterus sit pelvic cavity between bladder and rectum where are the Fallopian tubes located? upper pt of the uterus and extend laterally to the ovaries what do the ovaries secrete? estrogen and progesterone what the the functions of estrogen and progesterone controlling menstrual cycle supporting pregnancy a bacterial infection of the lower urinary tract, more common in females urinary tract infection whats the plan for a UTI urinalysis admin antibiotics pt edu. about hydration and hygiene an acute infection of the kidneys (upper urinary tract infection) pyelonephritis what can you do to test for pyelonephritis costovertebral angle tenderness whats the plan for pyelonephritis urinalysis admin antibiotics admin IV fluids stones formed in the pelvis of the kidney which obstruct urinary tract renal calculi (kidney stone) marked by severe cramping flank pain with nausea and vomiting renal colic whats the plan for renal calculi urinalysis admin pain meds x ray/ct scan admin IV fluids diet changes pregnancy occurring outside the uterus, most commonly in the Fallopian tube, but can occur elsewhere ectopic pregnancy whats the plan for ectopic pregnancy blood draw admin meds possible surgery an infection of a woman's reproductive organs uterus, usually happens when a STI, like gonorrhea or chlamydia, isn't treated quickly pelvic inflammatory disease whats the plan for pelvic inflammatory disease pregnancy test cervical culture admin antibiotics inflammation of the epididymis, often seen in association with a UTI, may also result because of an STI epididymitis whats the plan for epididymitis (9) draw blood urinalysis ultrasound admin iv fluids admin meds rest cold therapy elevate scrotum abstain sex testicle rotates, twisting spermatic cord that brings blood to the scrotum, most common between ages 12- 16 testicular torsion whats the plan for testicular torsion testicular repositioning admin pain meds possible surgery a single lumen catheter inserted into the bladder through the urethra to empty the bladder, or in some cases, to instill medication, then it is removed straight or intermittent catheter inserted via the urethra and has a sterile preassembled closed drainage system that acts as a reservoir for urine drained from the bladder indwelling catheter kidneys connected to the bladder via ureters what constitute the male genitalia penis testicles epididymes scrotum prostate gland seminal vesicles what are the external female genitalia mons pubis labia majora labia minora clitoris vestibular glands vaginal vestibule vaginal orifice urethral opening what are the internal female genitalia vagina uterus fallopian tubes ovaries where are kidney stones formed pelvis of the kidney indications for an indwelling catheter include the following accurate measurement of urine output postoperate urine drainage increase comfort in incontinent patients bladder obstruction pressure ulcer that cannot heal food enters the mouth first and is broken down by both saliva and chewing mechanical digestion food passes from the mouth through the oropharynx and into the the esophagus where it is transported to the stomach chemical digestion what organ continues to break down nutrients and absorb them small intestine how many parts is the small intestine divided into and what are they 3 duodenum jejunum ileum what removes water from waste products as they move toward elimination large intestine what organ produces bile, detoxifies harmful substances, stores sugar, and assists in the production of blood products liver what organ serves as a storage system for the bile from the liver gallbladder what organ is involved in regulating sugar in bloodstream and secretes juices that assist in breaking down proteins, carbohydrates, and fat pancreas what organ filters out blood cells spleen what organ is often considered with the digestive system because an infected __________________ is common cause of abdominal pain appendix the area below the diaphragm and above the pelvis abdomen what are the 4 fxs of the abdomen digestive reproductive endocrine regulatory most organs are enclosed within the peritoneum what peritoneum covers the organs visceral what peritoneum is attached to the abdominal wall parietal the area between the abdomen and the back retroperitoneal space what is included in the retroperitoneal space kidneys pancreas aorta the bladder and most of the rectum are positioned where to the peritoneum inferior a bluish periumbilical discoloration Cullen's sign What does Cullen's sign indicate? intra abdominal bleeding hyperactive bowel sounds may occur with gastoenteritis early intestinal obstruction hunger hypoacitve bowel sounds occur with peritonitis an infection of the appendix, most common cause of person needing surgery 1 in 15 develop this appendicitis a presents with nausea, pain in umbilicus, followed by RLQ pain what do you think the pt has appendicitis whats the plan for appendicitis appendectomy antibiotics b4 surgery inflammation of the gallbaldder, often called gall stones chloecystitis pt presents with RUQ and epigastic pain, pain radiates to shoulder and chest and can be confused for cardiac complaints, palpation of RUQ causes pain chloecystitis whats the plan for chloecystitis laparoscope surgery iv antibiotics inflammation of the pancreas, common in patients with chronic alcohol problems pancreatitis Patient presents with pain in the epigastric area radiating to the back/shoulders increased pain while walking/supine position worsened by sitting/leaning forward nausea Pancreatitis What's the plan for pancreatitis Refer to provider Saclike mucosal out pouching's through the colonic muscle Diverticula May involve any part of the Gastro intestinal track the sigmoid is the most commonly affected location most patients are asymptomatic Diverticulitis Patient presents with LLQ pain anorexia nausea vomiting and altered bowel Habits (constipation) pain localizes to site of inflammation possible abdominal distention lower G.I. bleed Diverticulitis

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