wilkes NSG 500 test 2
-systolic murmurs are heard just after ___
m
-diastolic murmurs are heard just after ___ - ANSWER s=s1 d=s2
.co
ail
1st pelvic exam - ANSWER Gyn symptoms or 21 years old
gm
35 bowel sounds a minute - ANSWER hyperactive
r@
he
5 bowel sounds a minute - ANSWER hypoactive
hig
abdominal aorta - ANSWER normal 2-3 cm
ing
abnormal aortic palpation - ANSWER pulsation, tenderness
fly
acute iritis - ANSWER Don't mistake this for conjunctivitis, sx: Eye pain, photophobia,
blurry vision, redness, sluggish irregular pupils, watery d/c
, 2
allergy seen in nairs - ANSWER bluish gray, swollen boggy turbinates
Amsler grid - ANSWER macular degeneration
m
Angle of Louis - ANSWER lump in mid sternum, follow to second rib intercostal space
.co
ail
Ankle Brachial Index - ANSWER bp of foot to arm foot/arm 0.8-0.9 arterial disease,
normal 1-1.4 gm
r@
Ankle Brachial Index ranges 1-1.4= 0.9-1= 0.8-0.9= 0.5-0.8= 0.5 and below - ANSWER
he
1-1.4= normal
hig
0.9-1= ok
0.8-0.9= vascular disease treat risk factors
ing
0.5-0.8 moderate disease refer ton specialist
fly
below 0.5= severe disease refer to specialist
aortic disection pain - ANSWER ripping tearing
, 3
Aortic palpation technique - ANSWER auscultate first
press firmly into upper abdomen
slightly left of midline
Appendicitis S/S - ANSWER RLQ, lumbar, low grade fever, nausea, rebound
m
tenderness at McBurney's point, rovsing sign, dunphys sign
.co
ail
arcus senilis - ANSWER White ring around the cornea in older adults. 40+ if younger
gm
consider hypercholesterolemia
r@
arterial pulse - ANSWER produced by injection of blood into aorta. absence results in
he
cold cianotic tissue
hig
Arteriovenous nicking - ANSWER Arteriovenous nicking (Compression of venule by
ing
arteriole causing vein to bulging in either side; seen in Hypertensive retinopathy)
fly
ascities test - ANSWER supine percuss dull, lying on side tympany, air rises. most
sensitive test. Fluid waves is the most specific
, 4
astigmatism - ANSWER imperfectly shaped cornea affects light focus
asymetrical chest rise - ANSWER pneumothorax
Austin Flint murmur - ANSWER Aortic regurgitation use bell of stethascope at apex of
m
heart
.co
ail
Bacterial conjunctivitis - ANSWER pink eye, yellow discharge, red conjunctiva, eyes
gm
glued shut in the morning, sudden onset, normal vision, gritty pain, clear cornia, normal
pupil, purulent d/c, self limiting
r@
he
bacterial vaginosis wet mount - ANSWER clue cell
hig
barrel chest - ANSWER emphysema
ing
fly
Bell Hears what pitch? - ANSWER low pitch
bilateral fremitis - ANSWER copd, chest wall thickening