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What test do you do if you suspect choleocystitis ---------CORRECT ANSWER---------
--------Murphys sign- palpate inferior liver border while pt deep breathes
How do you assess for enlarged spleen ---------CORRECT ANSWER-----------------
percuss L anterior axillary line
How to assess for peritonitis ---------CORRECT ANSWER-----------------rebound
tenderness (+ Blumberg)
markle sign
increased WBC
How to assess CN IX and X in child ---------CORRECT ANSWER-----------------stick
tongue out and say "ahh"
What does increased tactile fermitus suggest ---------CORRECT ANSWER--------------
---PNA
,Patient with pain down butt and with lifting suggests ---------CORRECT ANSWER----
-------------sciatica
What is not a sign of fibromyalgia ---------CORRECT ANSWER-----------------swelling
Signs of fibromyalgia and what causes ---------CORRECT ANSWER-----------------
stress induced.
tired, fatigue, pain, and tender points
Lesion on CVII facial nerve is a sign of ---------CORRECT ANSWER-----------------Bells
palsy
A 35 y/o soccer player presents to urgent care with complain of swelling and pain
on medial aspect of right knee. on exam the knee is swollen and tender on the
joint. to assess for possible injury to meniscus, which maneuver will yield the best
information for the NP. ---------CORRECT ANSWER-----------------mcMurrarys test,
fully bend leg and pull outward bow legged while externally rotating as you
extend knee. Click or pain=+
The NP begins the exam of a 29 y/o female presenting for cough. noted is
depression of the lower part of the sternum. Which of the following best
, describes the appearance of the chest. ---------CORRECT ANSWER-----------------
Pectus excavatum "sunken in appearance". birth defect, cup shaped.
When examining the cervix of a 20 y/o female you note that most of the cervix is
pink but there is a small ring of dark red tissue surrounding the os. This is most
likely? ---------CORRECT ANSWER-----------------Strawberry cervix- not linked to Ca.
Causes: hormones, pregnancy, PO birth control, and age (young,puberty)
Testing CN IX and X for a child ---------CORRECT ANSWER-----------------swallow and
gag
say "ah" and stick tongue out to observe uvula and soft palate.
Describe McMurray's test ---------CORRECT ANSWER-----------------Assess for
meniscus tear.
Lateral: pt supine w. knee completely flexed, old joint with one hand and foot in
the other. rotate foot internally while extending knee. click/pain=positive
medial: hold knee and fully bend leg and pull outward bow legged while
externally rotating and extending knee.
Bell's Palsy (facial nerve paralysis) ---------CORRECT ANSWER-----------------lesion on
CN VII
cannot move eyebrows.