NSG 500: Exam 2
Aaron sign - ANSWER pain in the abdominal region over the McBurney point that is
elicited when pressure is applied and indicates appendicitis
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Abnormal breath sounds - ANSWER Crackles
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Rhonchi
Wheezes
Friction Rub
gm
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Mediastinal crunch
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hig
Abnormal findings of aging eyes - ANSWER Macular degeneration
Decreased accommodation
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Cataracts d/t compressed fibers
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Adnexa of uterus - ANSWER fallopian tubes and ovaries
Adult Otoscopic Exam - ANSWER Pull auricle upward and back
, 2
Altered resonance - ANSWER bronchophony
whispered pectoriloquy
egophony
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Appendicitis s/sx - ANSWER Anorexia, N/V, Waxing and waning pain that is
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becoming more intense, Psoas/ Iliopsoas sign, + obturator signs.
ail
gm
Are systolic murmurs usually serious? - ANSWER No.
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Ascities: Appearance - ANSWER Glistening, taut
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Shifting dullness to dependent side
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Assessing for inguinal hernias - ANSWER Patient to bear down and inspect the area of
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the inguinal canal.
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Insert finger into part of the scrotum and carry it upward along the vas deferens into the
inguinal canal.
Biot respiration - ANSWER Irregular breathing
, 3
Varies in depth
Interrupted irregularly w/ apneic intervals
Borborygmi sounds - ANSWER loud, prolonged gurgles. (Stomach growling).
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Bronchophony - ANSWER Clarity and loudness of spoken sounds.
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Cardiac Auscultation Mnemonic - ANSWER All Patient Easily Take Medicine
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Cervix changes with early pregnancy - ANSWER Softens (Goodell sign)
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Bluish color (Chadwick sign)
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hig
CVA tenderness indicates? - ANSWER nephrolithiasis, ureteropelvic junction
obstruction, pyelonephritis.
ing
renal abcess
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renal calculi
Define Menopause - ANSWER 1 year without menses
, 4
Distance person is from chart is what a normal person can see at 20 feet - ANSWER
20/20 vision
Does a venous hum have any pathologic significance? - ANSWER No.
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Egophony - ANSWER nasal quality spoken voice
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increased resonance of voice sounds when auscultating the lungs
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Air-filled lung tissue in an insulator of sound
gm
Explain murmur grade scale - ANSWER The higher you go, the worse and more severe
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the murmur.
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hig
Fibroadenomas: Do they fluctuate with the menstrual cycle? - ANSWER No.
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Fibrocystic changes: Do they fluctuate with the menstrual cycle? - ANSWER Yes.
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Fluid wave in ascites: Where to assess - ANSWER supine, feel for impulse of a fluid
wave