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Exam 2: 175

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Turbinates   3 bones that protrude into the nasal cavity from the internal portion of the nose.  
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Eustachian tubes   Connect the nasopharynx with the middle ears and open during swallowing to equalize pressure within the middle ear.  
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Carnia   The trachea branches into the right and left mainstream bronchi at this junction.  
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Acinus   The structural unit consisting of a respiratory bronchiole, an alveolar duct and an an alveolar sac.  
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Hemoptysis   Blood in the sputum.  
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Paroxysmal nocturnal dyspnea (PND)   Intermittent dyspnea during sleep.  
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Methoglobinemia   Altered iron state that does not carry oxygen, resulting in tissue hypoxia (cyanosis unresponsive to oxygen therapy; chocolate brown colored blood).  
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Thoracentesis   The aspiration of pleural fluid or air.  
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Aphonia   Inability to produce sound.  
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Leukoplakia   White, patchy lesions.  
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Erythroplakia   Red, velvety patches.  
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Cor Pulmonale   Right-sided heart failure caused by pulmonary disease.  
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Steatorrhea   Excessive fat in stools.  
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Hemoptysis   Bloody sputum.  
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Fibrinolysis   Clot breakdown.  
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Decidua vera   Endrometrium; external layer that has no contact with the fetus.  
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Decidua basalis   Endometrium; uterine lining beneath the site of implantation.  
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Decidua capsularis   Endometrial tissue that covers the baby.  
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Chadwick's sign   One of the earliest signs of pregnancy; discoloration (bluish, purple hue) that appears on the cervix, vagina, and vulva.  
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Goodell's sign   Cervical softening from stimulation from estrogen and progesterone.  
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Leukorrhea   Whitish vaginal discharge  
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Chloasma   Dark, blotchy brownish pigmentation along the hairline, brow, nose, and cheeks.  
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Epulis gravidarum   Red, raised nodules appearing at the gum line during pregnancy.  
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Ptyalism   Excessive saliva production often with a bitter taste.  
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Diastasis recti   The rectus abdominis muscles separate (during pregnancy).  
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Pediculosis   Pubic lice  
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Involution   The reduction in uterine size after birth to the nonpregnant state.  
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Mentum   Fetal chin  
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Sinciput   Anterior area known as the "brow"  
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Bregma   Large, diamond-shaped anterior fontanel  
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Vertex   The area between the anterior and the posterior fontanels.  
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Occiput   The area beneath the posterior fontanel.  
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Lightening   The beginning of engagement where fetal head settles downward.  
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Bloody show   The expulsion of a blood-tinged mucus plug  
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Amniotomy   When the health care practitioner ruptures the amniotic membranes.  
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Tachycardia (fetus)   >160 bpm for 10+ minutes  
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Bradycardia (fetus)   <110-120 bpm for 10+ minutes  
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Nuchal cord   Cord that is tightly wrapped around the fetal neck  
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Acrocyanosis   Normal newborn cyanosis at the 1 minute Apgar check.  
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Lochia   Bloody vaginal discharge  
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Lochia rubra   Bloody vaginal discharge that appears bright red.  
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Puerperium   The 6 weeks after giving birth "fourth trimester"  
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Subinvolution   Failure of the uterus to return to the nonpreganant state.  
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Parturition   The act of giving birth  
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DSM-IV axis I   Reason for admission  
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DSM-IV axis II   Pyshcological disorders of long-standing  
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DSM-IV axis III   Physical disorders  
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DSM-IV axis IV   Psycho-social stressors  
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DSM-IV axis V   GAF (Global Assessment of Functioning)  
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Rusty sputum   Bacterial pneumonia  
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Thin mucoid sputum   Viral bronchitis  
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Gradual increase of sputum over time   Chronic bronchitis  
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Pink-tinged mucoid sputum   ?lung tumor, broken blood vessels  
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Profuse, frothy pink sputum   Pulmonary edmea  
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Malodorous sputum and bad breath   Lung abscess, anaerobic infection  
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Clear to gray with brown specks sputum   Smoking sputum  
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Respiratory assessment: SOIPPA   History, physical exam: inspection, palpation, percussion, auscultation  
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