NR 509 Final
Study online at https://quizlet.com/_ffyvif
1. Know that in a psychologic
47-year-old man
ED is usually
___________ rather
than testos-
terone
2. Erectile dys- early morning erection is preserved.
function may it may also reflect decreased testosterone, decreased blood flow in the hypogastric
be from psy- arterial system, impaired neural innervation, and diabetes
chogenic causes,
especially if
3. When perform- may be fixed to skin or underlying tissues (may cause dimpling of skin or retraction
ing a breast when arms are lifted over head or hands are pressed against hips)
exam, know what
abnormal mass-
es should do
when the arm
4. Fibroadenoma very mobile/mobile
and cysts
mobility
5. Know that a BSE
high proportion
of breast masses
are noted during
________
6. Breast stage 1 preadolescent- elevation of nipple only
7. Breast stage 2
, NR 509 Final
Study online at https://quizlet.com/_ffyvif
breast bud stage- elevation of breast and nipple as a small mound; enlargement
of areolar diameter
8. breast stage 3 further enlargement of elevation of breast and areola, with no separation of their
contours
9. breast stage 4 projection of areola and nipple to form a secondary mound above the level of
breast
10. breast stage 5 mature stage- projection of nipple only; areola has receded to general contour of
the breast (although in some individuals the areola continues to form a secondary
mound)
11. Know where epigastric, may radiation straight to the back of other areas of the abdomen; 20%
pain is located with severe sequelae of organ failure
with pancreatitis:
acute
12. Know where epigastric, radiating to back
pain is located
with pancreatitis:
chronic
13. Know how he- Transmitted through fecal-oral route. Fecal shedding followed by poor handwash-
patitis A is trans- ing contaminates water and foods leading to infection of household and sexual
mitted contacts
14. Stress inconti- the urethral sphincter is weakened so that transient increases in intra-abdominal
nence pressure raise the bladder pressure to levels that exceed urethral resistance.
Causes include childbirth and surgery, postmenopausal atrophy of the mucosa,
and urethral infection. May follow prostate surgery in men.
15. urge inconti- detrusor contractions are stronger than normal and overcome the normal urethral
nence resistance. The bladder is typically small. Mechanisms: Decreased cortical inhibi-
, NR 509 Final
Study online at https://quizlet.com/_ffyvif
tion of detrusor contractions from stroke, brain tumor, dementia, and lesions of
the spinal cord above sacral level. Also hyperexcitability of sensory pathways ie:
bladder infections, tumors, and fecal impaction. Deconditioning of voiding reflexes
ie: frequent voluntary voiding at low bladder volumes.
16. overflow inconti- detrusor contractions are insufficient to overcome urethral resistance, causing
nence urinary retention. The bladder is typically flaccid and large, even after an effort to
void. Mechanisms: obstruction of the bladder outlet ie: BPH or tumor. Weakness
of the detrusor muscle associated with peripheral nerve disease at S2-4 level.
Impaired bladder sensation that interrupts the reflex arc ie: diabetic neuropathy.
17. functional incon- the patient is functionally able to reach the toilet in time because of impaired health
tinence or environmental conditions. Mechanism: problems in mobility resulting from
weakness, arthritis, poor vision, or other conditions. Also environmental factors
such as an unfamiliar setting, distant bathroom facilities, bed rails, or physical
restraints.
18. Incontinence sec- drugs may contribute to any type of incontinence listed. Ex: sedatives, tranquilizers,
ondary to med- anticholinergics, sympathetic blockers, and potent diuretics
ications
19. Know where · Strep throat àstreptococcal pharyngitis, bacterial infection that may cause a sore,
lymph nodes scratchy throat
should be with · Common childhood infection has a classic presentation of erythema of the
strep posterior pharynx and palatal petechiae
· Enlarged swollen cervical lymph nodes -> superficial cervical lymph nodes
Superficial cervical -> superficial to the sternocleidomastoid
20. What vaccines tdap, flu, Pneumococcal, meningococcal, Hepatitis B, rho gam
are safe during *NOT MMR, polio, or varicella
pregnancy
21.
Study online at https://quizlet.com/_ffyvif
1. Know that in a psychologic
47-year-old man
ED is usually
___________ rather
than testos-
terone
2. Erectile dys- early morning erection is preserved.
function may it may also reflect decreased testosterone, decreased blood flow in the hypogastric
be from psy- arterial system, impaired neural innervation, and diabetes
chogenic causes,
especially if
3. When perform- may be fixed to skin or underlying tissues (may cause dimpling of skin or retraction
ing a breast when arms are lifted over head or hands are pressed against hips)
exam, know what
abnormal mass-
es should do
when the arm
4. Fibroadenoma very mobile/mobile
and cysts
mobility
5. Know that a BSE
high proportion
of breast masses
are noted during
________
6. Breast stage 1 preadolescent- elevation of nipple only
7. Breast stage 2
, NR 509 Final
Study online at https://quizlet.com/_ffyvif
breast bud stage- elevation of breast and nipple as a small mound; enlargement
of areolar diameter
8. breast stage 3 further enlargement of elevation of breast and areola, with no separation of their
contours
9. breast stage 4 projection of areola and nipple to form a secondary mound above the level of
breast
10. breast stage 5 mature stage- projection of nipple only; areola has receded to general contour of
the breast (although in some individuals the areola continues to form a secondary
mound)
11. Know where epigastric, may radiation straight to the back of other areas of the abdomen; 20%
pain is located with severe sequelae of organ failure
with pancreatitis:
acute
12. Know where epigastric, radiating to back
pain is located
with pancreatitis:
chronic
13. Know how he- Transmitted through fecal-oral route. Fecal shedding followed by poor handwash-
patitis A is trans- ing contaminates water and foods leading to infection of household and sexual
mitted contacts
14. Stress inconti- the urethral sphincter is weakened so that transient increases in intra-abdominal
nence pressure raise the bladder pressure to levels that exceed urethral resistance.
Causes include childbirth and surgery, postmenopausal atrophy of the mucosa,
and urethral infection. May follow prostate surgery in men.
15. urge inconti- detrusor contractions are stronger than normal and overcome the normal urethral
nence resistance. The bladder is typically small. Mechanisms: Decreased cortical inhibi-
, NR 509 Final
Study online at https://quizlet.com/_ffyvif
tion of detrusor contractions from stroke, brain tumor, dementia, and lesions of
the spinal cord above sacral level. Also hyperexcitability of sensory pathways ie:
bladder infections, tumors, and fecal impaction. Deconditioning of voiding reflexes
ie: frequent voluntary voiding at low bladder volumes.
16. overflow inconti- detrusor contractions are insufficient to overcome urethral resistance, causing
nence urinary retention. The bladder is typically flaccid and large, even after an effort to
void. Mechanisms: obstruction of the bladder outlet ie: BPH or tumor. Weakness
of the detrusor muscle associated with peripheral nerve disease at S2-4 level.
Impaired bladder sensation that interrupts the reflex arc ie: diabetic neuropathy.
17. functional incon- the patient is functionally able to reach the toilet in time because of impaired health
tinence or environmental conditions. Mechanism: problems in mobility resulting from
weakness, arthritis, poor vision, or other conditions. Also environmental factors
such as an unfamiliar setting, distant bathroom facilities, bed rails, or physical
restraints.
18. Incontinence sec- drugs may contribute to any type of incontinence listed. Ex: sedatives, tranquilizers,
ondary to med- anticholinergics, sympathetic blockers, and potent diuretics
ications
19. Know where · Strep throat àstreptococcal pharyngitis, bacterial infection that may cause a sore,
lymph nodes scratchy throat
should be with · Common childhood infection has a classic presentation of erythema of the
strep posterior pharynx and palatal petechiae
· Enlarged swollen cervical lymph nodes -> superficial cervical lymph nodes
Superficial cervical -> superficial to the sternocleidomastoid
20. What vaccines tdap, flu, Pneumococcal, meningococcal, Hepatitis B, rho gam
are safe during *NOT MMR, polio, or varicella
pregnancy
21.
