Comp 283 Final Exam/ 169 Questions with
Verified Solutions.
late stage cirrhosis - Answer: liver becomes smaller and nodular
splenomegaly
ascites, distended abdominal veins, increased pressure in portal system
bleeding tendancies, decreased vitamin K and prothrombin, anemia
esophageal varices, internal hemorrhoids
dyspenia (from ascites and anemia)
pruritis from dry skin
clay colored stools; no bile in stool
tea colored urine; bile in urine
End stage cirrhosis - Answer: hepatic encephalopathy/coma
Page 1 of 38
,portal hypertension - Answer: A potential complication of chronic alcoholism
resulting in liver damage and obstruction of venous blood flow through the liver.
The rising blood pressure in the veins between the gastrointestinal tract and liver
causes engorgement of veins around the umbilicus (navel). The characteristic
radiating pattern of veins is called a "caput medusae" (head of Medusa). Medusa
was the "snake-haired lady" in Greek mythology.
end-stage cirrhosis
self breast exam - Answer: Monitor for any change in size, contour, dimpling.
Perform exam every month, 7 days after your period. Use finger pads of the three
middle fingers.; lay down arm up, or stand in front of mirror
postmenopausal (or MEN) - pick same day every month
self testicular exam - Answer: Looking for lumps that may be the first sign of
cancer common in men ages 15-35
perform in shower, roll 'ball' between fingers
Addison's disease - Answer: A rare, chronic endocrine disorder in which the
adrenal glands do not produce sufficient steroid hormones.
s/s fatigue, weakness, hypotension, crave salty food (hyponatremia)
need life long cortisol replacement
Monitor for addisonian crisis
Addisonian crisis - Answer: N/V confusion, abdominal pain, extreme weakness,
hypoglycemia, dehydration, EXTREME decreased BP
Page 2 of 38
,triggered by stress or infection
MEDICAL EMERGENCY
Cushing's syndrome - Answer: caused by prolonged exposure to high levels of
cortisol
Cush Man- moon face, central /trunkal obesity, easily bruised thin skin, fatigue,
muscle weakness, depression/anxiety, hypertension, hypernatremia (polydipsia),
hypokalemia, hyperglycemia
Nutritional needs for infant - Answer: breast or bottle MAIN source of nutrition
for first year
no juice
no honey (not even pacifier dip)
no water
no sugar
Warfarin - Answer: Coumadin
Anticoagulant
used in A-fib and DVT
Vit K is the antidote for OD
INR therapeutic range 2-3
PT 1.5-2X the normal
Inerdisciplinary team (rounds) - Answer: late stage Parkinson's
cystic fibrosis
Page 3 of 38
, MS
dialysis
pts who DO NEED; multidemeantional needs, do they have 2 or more of the needs
in the hierarchy triangle
PT NEEDS REHABILITATION
Car seat safety - Answer: Use rear-facing car seat in back seat, preferably the
middle until age 2 or until the child reaches max height and weight
anchored in the car!!!!
emergent - Answer: require immediate treatment to survive
ABC issues
trach deviation
loss of life or limb
airway obstruction
cardiac arrest
shock
urgent - Answer: mild issue
stable v/s
stable for the moment
Non-urgent - Answer: Lowest priority; minor conditions which are not time-
sensitive and care is not needed immediately
rashes
Page 4 of 38
Verified Solutions.
late stage cirrhosis - Answer: liver becomes smaller and nodular
splenomegaly
ascites, distended abdominal veins, increased pressure in portal system
bleeding tendancies, decreased vitamin K and prothrombin, anemia
esophageal varices, internal hemorrhoids
dyspenia (from ascites and anemia)
pruritis from dry skin
clay colored stools; no bile in stool
tea colored urine; bile in urine
End stage cirrhosis - Answer: hepatic encephalopathy/coma
Page 1 of 38
,portal hypertension - Answer: A potential complication of chronic alcoholism
resulting in liver damage and obstruction of venous blood flow through the liver.
The rising blood pressure in the veins between the gastrointestinal tract and liver
causes engorgement of veins around the umbilicus (navel). The characteristic
radiating pattern of veins is called a "caput medusae" (head of Medusa). Medusa
was the "snake-haired lady" in Greek mythology.
end-stage cirrhosis
self breast exam - Answer: Monitor for any change in size, contour, dimpling.
Perform exam every month, 7 days after your period. Use finger pads of the three
middle fingers.; lay down arm up, or stand in front of mirror
postmenopausal (or MEN) - pick same day every month
self testicular exam - Answer: Looking for lumps that may be the first sign of
cancer common in men ages 15-35
perform in shower, roll 'ball' between fingers
Addison's disease - Answer: A rare, chronic endocrine disorder in which the
adrenal glands do not produce sufficient steroid hormones.
s/s fatigue, weakness, hypotension, crave salty food (hyponatremia)
need life long cortisol replacement
Monitor for addisonian crisis
Addisonian crisis - Answer: N/V confusion, abdominal pain, extreme weakness,
hypoglycemia, dehydration, EXTREME decreased BP
Page 2 of 38
,triggered by stress or infection
MEDICAL EMERGENCY
Cushing's syndrome - Answer: caused by prolonged exposure to high levels of
cortisol
Cush Man- moon face, central /trunkal obesity, easily bruised thin skin, fatigue,
muscle weakness, depression/anxiety, hypertension, hypernatremia (polydipsia),
hypokalemia, hyperglycemia
Nutritional needs for infant - Answer: breast or bottle MAIN source of nutrition
for first year
no juice
no honey (not even pacifier dip)
no water
no sugar
Warfarin - Answer: Coumadin
Anticoagulant
used in A-fib and DVT
Vit K is the antidote for OD
INR therapeutic range 2-3
PT 1.5-2X the normal
Inerdisciplinary team (rounds) - Answer: late stage Parkinson's
cystic fibrosis
Page 3 of 38
, MS
dialysis
pts who DO NEED; multidemeantional needs, do they have 2 or more of the needs
in the hierarchy triangle
PT NEEDS REHABILITATION
Car seat safety - Answer: Use rear-facing car seat in back seat, preferably the
middle until age 2 or until the child reaches max height and weight
anchored in the car!!!!
emergent - Answer: require immediate treatment to survive
ABC issues
trach deviation
loss of life or limb
airway obstruction
cardiac arrest
shock
urgent - Answer: mild issue
stable v/s
stable for the moment
Non-urgent - Answer: Lowest priority; minor conditions which are not time-
sensitive and care is not needed immediately
rashes
Page 4 of 38
