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CEN Review: Vocab.
Terms to review for the CEN (Certified Emergency Nurse) exam
| Question | Answer |
|---|---|
| Babinski’s Sign | Loss of Achilles tendon reflex. Great toe extends and other toes fan out when sole of foot is stroked. Should be absent in those over 2 years old. Spinal cord damage |
| Balance Sign | Resonance over the right flank with the patient lying on their left side. Splenic rupture |
| Beck’s Triad | JVD, hypotension, muffled heart tones Cardiac Tamponade |
| Bitot’s Spots | Superficial foamy gray, triangular spots on the conjunctiva. Vitamin A deficiency |
| Brudzinski’s Sign | Flexion of the neck results in flexion of the hip and knee. Meningitis |
| Chvostek’s Sign | Spasm of facial muscles when tapping cheek (anterior to ear and below zygoma). Tetany = hypocalcemia |
| Copper Nails Sign | Bruising of the scrotum or labia. Pelvic Fracture |
| Cullen’s Sign | Periumbilical bluish discoloration. Retroperitoneal bleed |
| Cushing’s Response | HTN (increased SBO, widening pulse pressure), irregular respirations, and bradycardia. Increased ICP |
| Hill’s Sign | Disproportionate femoral systolic hypertension. Chronic aortic insufficiency |
| Grey-Turner Sign | Bluish discoloration to the flanks. Retroperitoneal bleed |
| Janeway Lesions | Petechial lesions on hands and feet. Endocarditis |
| Kehr’s Sign | Referred left shoulder pain. Splenic rupture or peritoneal irritation |
| Kernig’s Sign | Flexing hips to 90 degrees, then extending knees causes pain. Meningitis |
| Koplik’s Spots | Tiny bluish-white lesions on the buccal mucosa. Measles |
| Kussmaul Respirations | Hyperventilation, deep gasping respiratory patters. DKA, Metabolic acidosis |
| Kussmaul’s Sign | JVD during inspiration. Right ventricular MI, right-sided heart failure, constrictive pericarditis |
| Lhermitte’s Sign | “Electric shock” pain to entire body with neck flexion. C-spine injury, MS, tumor, spondylosis |
| McBurney’s Point | Midway between umbilicus and right iliac crest. Pain on palpation = appendicitis |
| Murphy’s Sign | Unable to take deep breath during palpation beneath right costal margin (RCM). Gallbladder or liver disease |
| Osler’s Nodes | Painful lesions to fingertips. Endocarditis |
| Prehn’s Sign | Scrotal pain that is relieved with elevation of the scrotum. Epididymitis |
| Psoas Sign | RLQ pain with hyperextension of right hip and elevation of right leg while patient is lying on left side. Appendicitis |
| Quincke’s Sign | Alternating blanching and flushing of the nail bed with each pulse. Aortic insufficiency |
| Roth’s Spots | Oval white spots with central hemorrhages on retina. Endocarditis |
| Rovsing’s Sign | LLQ pressure intensifies RLQ pain. Appendicitis |
| Splinter Hemorrhages | Small linear hemorrhages on nail beds. Endocarditis |
| Trousseau’s Sign | Spasmodic contractions of muscles provoked by pressure on nerves (BP cuff inflated on arm causes contractions of hand/wrist). Tetany = hypocalcemia |
Created by:
AmandaWalter80
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