NR602 FINAL EXAM WITH QUESTIONS AND
CORRECT VERIFIED
DETAILED ANSWERS LATEST UPDATED
Legg-Calve-Perthes Disease - degeneration of femoral head due to avascular necrosis.
disease is self limiting and has 4 phases: condensation, fragmentation, re-ossification
and remodeling. presents with pain, decreased ROM, antalgic gait, positive
Trendelenburg sign. primary treatment focus is to relieve pain and maintain femoral
head in proper position.
Scoliosis - abnormal lateral curvature of the spine
Osgood-Schlatter disease - inflammation or irritation of the tibia at its point of
attachment with the patellar tendon
febrile seizures - Seizures that result from sudden high fevers, particularly in children.
testicular torsion - twisting of the spermatic cord causing decreased blood flow to the
testis
croup - an acute respiratory syndrome in children and infants characterized by
obstruction of the larynx, hoarseness, and a barking cough
genu varum - bow legged
Willms tumor - a rare type of malignant tumor of the kidney that occurs in young children
Turner Syndrome - A chromosomal disorder in females in which either an X
chromosome is missing, making the person XO instead of XX, or part of one X
chromosome is deleted.
Down Syndrome - a condition of intellectual disability and associated physical disorders
caused by an extra copy of chromosome 21.
,hip dysplasia - abnormal development of the pelvic joint causing the head of the femur
and the acetabulum not to be aligned properly
gastroenteritis - inflammation of the stomach and intestines
GERD - gastroesophageal reflux disease
cystocele - protrusion of the bladder
Causes of cystocele - childbirth chronic
constipation
violent coughing
heavy lifting
overweight age
hysterectomy
sx of cystocele - feeling of fullness
pressure in the vagina
increased discomfort when straining, coughing, bear down
feeling of incomplete empty repeated bladder infection
pain or urinary leak during sex
bulge of tissue into vaginal opening
prevention of cystocele - kegels
prevent constipation avoid
heavy lifting
avoid wt gain
descent or prolapse of the bladder - when speculum is retracting the posterior vaginal
wall ask to strain
dysmenorrhea - painful menstruation
tx of dysmenorrhea - NSAIDs, OCPs are TOC;
primary dysmenorrhea - Results from increased prostaglandin production during the
luteal phase of the menstrual cycle, when estrogen and progesterone levels decline
secondary dysmenorrhea - painful menstruation that begins during adult life, usually as
a consequence of a pelvic disorder
Primary amenorrhea - the failure to begin menstruating at puberty
, secondary amenorrhea - the absence of menstruation after a period of normal menses
for 6 months
interstitial cystitis - painful bladder syndrome not
STD
chronic condition causing bladder pressure sometimes
pelvic pain
sx of interstitial cystitis - nocturia, dysuria, urgency, suprapubic pressure
risk factors of interstitial cystitis - over 30
Tx of interstitial cystitis - pelvic PT
NSAIDS TCA
antihistamine
pentosane polysulfate sodium
linchen sclerosis - severe itching
dryness/irritation labia adhered
benign chronic inflammatory process
causes of lichen sclerosis - vitamin A deficiency
autoimmune excess
enzyme elastase
decreased activity of 5 alpha reductase
Sx of lichen sclerosis? - itching
vulvar pain pain with sex white
lesions
starts with erythema and edema over vulvar skin then white plaques and hyperkeratosis
then uniting of plaques and itching
Dx of lichen sclerosis - vulvar biopsy
fixed labia
adhesions
Tx lichen sclerosis - high potency topical steroids
avoid tight undies cleanse daily with soap and
dry
oral antihistamine at night
risk factor of lichen sclerosis - vulvar carcinoma
CORRECT VERIFIED
DETAILED ANSWERS LATEST UPDATED
Legg-Calve-Perthes Disease - degeneration of femoral head due to avascular necrosis.
disease is self limiting and has 4 phases: condensation, fragmentation, re-ossification
and remodeling. presents with pain, decreased ROM, antalgic gait, positive
Trendelenburg sign. primary treatment focus is to relieve pain and maintain femoral
head in proper position.
Scoliosis - abnormal lateral curvature of the spine
Osgood-Schlatter disease - inflammation or irritation of the tibia at its point of
attachment with the patellar tendon
febrile seizures - Seizures that result from sudden high fevers, particularly in children.
testicular torsion - twisting of the spermatic cord causing decreased blood flow to the
testis
croup - an acute respiratory syndrome in children and infants characterized by
obstruction of the larynx, hoarseness, and a barking cough
genu varum - bow legged
Willms tumor - a rare type of malignant tumor of the kidney that occurs in young children
Turner Syndrome - A chromosomal disorder in females in which either an X
chromosome is missing, making the person XO instead of XX, or part of one X
chromosome is deleted.
Down Syndrome - a condition of intellectual disability and associated physical disorders
caused by an extra copy of chromosome 21.
,hip dysplasia - abnormal development of the pelvic joint causing the head of the femur
and the acetabulum not to be aligned properly
gastroenteritis - inflammation of the stomach and intestines
GERD - gastroesophageal reflux disease
cystocele - protrusion of the bladder
Causes of cystocele - childbirth chronic
constipation
violent coughing
heavy lifting
overweight age
hysterectomy
sx of cystocele - feeling of fullness
pressure in the vagina
increased discomfort when straining, coughing, bear down
feeling of incomplete empty repeated bladder infection
pain or urinary leak during sex
bulge of tissue into vaginal opening
prevention of cystocele - kegels
prevent constipation avoid
heavy lifting
avoid wt gain
descent or prolapse of the bladder - when speculum is retracting the posterior vaginal
wall ask to strain
dysmenorrhea - painful menstruation
tx of dysmenorrhea - NSAIDs, OCPs are TOC;
primary dysmenorrhea - Results from increased prostaglandin production during the
luteal phase of the menstrual cycle, when estrogen and progesterone levels decline
secondary dysmenorrhea - painful menstruation that begins during adult life, usually as
a consequence of a pelvic disorder
Primary amenorrhea - the failure to begin menstruating at puberty
, secondary amenorrhea - the absence of menstruation after a period of normal menses
for 6 months
interstitial cystitis - painful bladder syndrome not
STD
chronic condition causing bladder pressure sometimes
pelvic pain
sx of interstitial cystitis - nocturia, dysuria, urgency, suprapubic pressure
risk factors of interstitial cystitis - over 30
Tx of interstitial cystitis - pelvic PT
NSAIDS TCA
antihistamine
pentosane polysulfate sodium
linchen sclerosis - severe itching
dryness/irritation labia adhered
benign chronic inflammatory process
causes of lichen sclerosis - vitamin A deficiency
autoimmune excess
enzyme elastase
decreased activity of 5 alpha reductase
Sx of lichen sclerosis? - itching
vulvar pain pain with sex white
lesions
starts with erythema and edema over vulvar skin then white plaques and hyperkeratosis
then uniting of plaques and itching
Dx of lichen sclerosis - vulvar biopsy
fixed labia
adhesions
Tx lichen sclerosis - high potency topical steroids
avoid tight undies cleanse daily with soap and
dry
oral antihistamine at night
risk factor of lichen sclerosis - vulvar carcinoma
