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1. What are the positions for the rectal examination: Knees chest
lithotomy
left lateral with knees and hip flexed
standing with hips flexed forward
2. Normal prostate exam findings: prostate feels like pencil eraser, firm, smooth and slightly moveable
non-tender
4 cm diametes
3. Hemorrhoid Exam findings: swollen veins @ lower portion of rectum or anus
4. External hemorrhoid exam findings: varicose veins originating below the anorectal line
c/o itching, bleeding, discomfort
5. Internal hemorrhoid exam findings: varicose veins originating above anorectal junction covered
by rectal mucosa
no c/o discomfort or itching
6. causes of rectal bleeding: anal fissures
asprin containing medications
bleeding disorders
colitis
esophageal varicose
hemorrhoids
iron poisoning
Ulcers
polyps
7. Normal MSK changes in the elderly: bone loss with increased density r/t increased absorption
reduction in total mass, tone and strength
8. What is joint effusion?: swelling from excess fluid in the joint capsule
9. Risk factors for carpal tunnel: compression of the median nerve, repetitive motions, hand vibrations,
local edema
10. Tests for carpal tunnel syndrome: Phalen's test and Tinel's sign
11. s/s of carpal tunnel syndrome: numbness
burning
tingling in hands at night
12. what is gout: a form of arthritis causes by an over accumulation of uric acid
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13. who gets gout: men >40
post menopausal women
14. What is spinal stenosis?: narrowing of the spinal canal
15. what causes spinal stenosis: bone and ligament hypertrophy
16. s/s of spinal stonsis: pain with walking and standing that starts at the buttock and radiates down leg
stooped forward gait
weakness
sensory loss (late)
17. What is RA: autoimmune, chronic inflammation of synovial joints
18. presentation of RA: joint pain & stiffness occuring in arm
fatigue
myalgia
wt loss
low grade fever
19. What is OA: detoritation r/t overuse of joint
bone rubbing against bone
bone spur formation
20. Identification of Scoliosis: deformity of the spine S or C curve
scoliometer > 7
21. Neer Test: forward flexion of patient arm while depressing the scapula, assessing for rotator cuff inflammation/
tear
22. Hawkins-Kennedy Test: producing shoulder impingement with shoulder abducted 90 degrees, elbox
flexed 90 degrees, internal rotation
if pain felt = rotator cuff inflammation/tear
23. how is strength graded: 0-5 scale
24. Abduction: Movement away from the midline of the body
25. Adduction: Movement toward the midline of the body
26. Supination: movement that turns the palm up
27. Pronation: turning the palm downward
28. W or Reverse Tailor Position: indication of in-toeing in pediatric population associated with femoral
anterversion
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