7.Shadow H Post Exam Activities.pdf

1. Suppose you had found that Tina’s pupils were reactive to both direct and consensual light, yet unequal in size. Which condition would you suspect? a. Unequal visual acuity b. Optic neuritis c. Glaucoma d. Anisocoria (Correct Response) Anisocoria is condition in which the pupils are unequal in size. Anisocoria can be found in about 20% of normal individuals2. Imagine that, during your physical exam with Tina, you had palpated an enlarged left supraclavicular lymph node. What would this finding have indicated? a. Nothing, because this is a normal variant b. A serious pathology (Correct Response)- Malignancies originating in the pelvis or abdomen are likely to metastasize to the left supraclavicular lymph node, also known as Virchow's node. c. A previous infection of the throat d. An active infection of the throat3. If you had observed Arteriovenous (AV) nicking during the retinal exam on Tina, what would you have seen? a. Transparent arterial walls b. Opaque arterial walls c. Tortuous arteries and veins d. Vein stops on either side of the artery (Correct Response) Correct: AV nicking is the compression of the vein at arteriovenous crossings due to arterial stiffening. This results in bulging of the vein on either side of the artery making the vein appear to stop on either side of the artery. AV nicking is usually a result of chronic hypertension.. Suppose that you had detected a click while palpating Tina’s temporomandibular joint (TMJ). What could have been the cause? • Crepitus, limited mobility, and pain in the jaw are probable indicators of temporomandibular joint dysfunction (TMJ syndrome). The clicking noises are most likely caused by displacement of the disc between the condyle and fossa (ball and socket) at the temporomandibular joint