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NR 302 exam 2

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
show Protection Prevents penetration Perception-touch, pain, temp, pressure Temp regulation Self image Communication-emotions Wound repair-surface Absorption/secreation Production of vit d from cholesterol  
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Vellus versus terminal hair   show
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show -free of terminal hair only have lanugo(soft fine downy hair), no temp regulation, vernix(thick cheesy covering)-helps with temp reg-milka- pimples from mom estrogen -stork bites-head beating on opening in delivery-mongolian spots-bottom go away 1-2 yrs  
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pregnant skin changes   show
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geriatric skin changes   show
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subjective data for past skin diseases   show
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show Pallor-pale Jaundice-yellow Cyanosis-blue Erythema-red, Change in nails Sun exposure Skin self-exam ruddy/blue-(low O2, from bone marrow)  
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Moles need to know   show
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show a lot of moisture  
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show dryness  
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Pruritus   show
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show color, eye, dark mucous membranes-liver problems, temp-warm, thickness uniform, edema, mobility, turgor, vascularity,  
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edema skin scale   show
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show cherry angiomas-trunk after 30 yrs age bruising- contusion, hemotoma tattoos- educate for hep c  
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abnormal skin ABCDE criteria   show
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Primary lesions of macule   show
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Primary lesions of patch   show
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show raised, solid palpable masses, smaller than 0.5 cm, circular border Ex.) mole, warts  
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show larger than 0.5 cm, groups of papules that form lessions Ex.) psoriasis, actinic keratosis  
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Primary lesions of Vesicle   show
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show larger than 0.5 cm, full of water no pus, round, oval blister  
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show small, inflamed, pus-filled, blister-like lesions  
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Primary lesions of purpura   show
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Primary lesions of cyst   show
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show crusty common skin infection caused by streptococcus (strep) or staphylococcus (staph)  
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show benign vascular lesions that result from dilated venules  
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Vascular lesions Spider angioma   show
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show small, purpuric lesions up to 2 mm across  
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Vascular lesions Ecchymosis   show
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Malignant lesions basal cell carcinoma   show
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show dark irregular  
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Malignant lesions melanoma   show
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show j shaped  
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show dandruff, cradle cap  
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(hair)tinea capitis   show
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(hair)alopecia areta   show
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(hair)folliculitis   show
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(hair)Furuncles   show
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(nails)normal profile   show
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show 180 degrees  
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(nails)Schamroth technique   show
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show blanching for dehydration, blood flow  
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facial land marks of eyes   show
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show 1-preauricular-hair line by ear 2-postauricular-high behind the ear 3-occiptal- mid low behind ear 4-retropharngeal jaw lower lobe 5- Middle jaw line 6-submental-chin of jaw 7-superficial cervical chain-under ear middle neck 8-deep cervical chain--  
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pediatric bones head   show
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show -facial and extremities edema -thyroid enlarges slightly -headache 1st trimester from increased hormones Late sign of preeclampsia  
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Geriatric Head, Neck, and Lymph   show
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subjective headache migraine   show
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subjective headache cluster   show
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show -normal everyday -frontal band-like tightness  
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show Light head, blackout (nero/cardiac), seizure verigo, dizzines  
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subjective vertigo   show
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objective vertigo   show
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objective head-inspection, palpation, auscultation head   show
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objective head-inspection, palpation, auscultation neck ROM   show
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objective head-inspection, palpation, auscultation lymph nodes   show
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show Carotid arteries-bruits- bell ends low pitch while holding breath Jugular veins –internal, external -central venous pressure with ruler lie flat JVD normal- 3 cm above sternal angle at 45’ meaning of abnormal reading  
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abnormal head Hydrocephalus-   show
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abnormal head Acromegaly   show
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abnormal head Bell’s palsy   show
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abnormal head Cushing’s syndrome   show
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abnormal head Down syndrome   show
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show mask like expression  
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abnormal head CVA   show
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abnormal head Hypothyroidism   show
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abnormal head Hyperthyroidism   show
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show Iris is brown to dark, greyish blue by 3 months real color appears 4th week tears Vision in both eyes by 6 weeks Adult size by age 8 Peripheral vision by age 3  
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eyes pregnant   show
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show By age 45 lens losses elasticity, decrease tear, dryness, decrease pupillary size/response Presbyopia-cant accommodate for near vision depth perception fails Cataracts-cloudy clumping proteins arcus senilis-lipids around limbus Macular degeneration-ce  
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show Photophobia-inability to tolerate light floaters- strings or dots that’s normal unless obstruct vision with myopia lacrimation- tearing epiphora- excessive tearing strabismus- walleves were both eyes go outward differently  
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3 types of strabismus of eye subjective   show
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eyes Objective-inspect, palpation, opthalmoscope. Snellen-visual acuity is   show
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eyes Objective-inspect, palpation, opthalmoscope. Jaegar or Rosenbaum   show
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eyes Objective-inspect, palpation, opthalmoscope. Fields of vision by confrontation   show
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show Person stares straight ahead light shines 12 inches away, note for same reflextion spot on both eyes  
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eyes Objective-inspect, palpation, opthalmoscope. cover test   show
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show Head steady follow object with parallel eyes  
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eyes Nystagmus   show
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eyes Ptosis   show
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show Horizontal, upward-Asian’s  
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show protrusion of eyeballs  
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show lower lids roll out  
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show lower lids roll in  
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eyes Sclera should be   show
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show Pupils Equal Round, React to Light, and Accommodate (direct same side, consensual with other pupil)  
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eyes Mydriasis   show
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show constriction of the pupil  
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show Drooping eyelid (ptosis), Sinking of the eyeball into the face, Small (constricted) pupil (the black part in the center of the eye)  
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EYES Argyll Robertson   show
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show blocked duct in one of the Meibomian glands  
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eye abnormal Stye   show
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show top curl of ear  
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ear Tragus   show
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ear Lobus-   show
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show triangle that points to nose  
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ear Malleus   show
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ear Eustachian tube   show
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ear pediatric   show
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ear pregnant   show
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ear geriatric   show
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show equal size, shape, bilateral -skin color same as face -no tenderness pinna, tragus, mastoid process -External-no swelling, redness, discharge of cerumen (color, texture) -Tympanic-color(pearly grey), membrane intact, scarring,Otorrhea, tinnitus, vert  
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ear objective tympanic membrane   show
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show bump sm outside  
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show blood in tympanic membrane  
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show infection of outer ear  
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show infection of inner ear  
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show small yellowish non-tender nodules, uric acid crystal, gout  
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show 1 ear at time, 1-2 feet away 3 random words to test high frequency loss  
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show tunning forks for conductive hearing loss, equal bilaterally Air conduction 30 sec Bone conduction 15 sec  
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show conductive or nerve damage, midline frontal forehead with no lateralization Conductive loss from impact cerumen, infection, bad eardrum Nerve loss- lateralization to better ear  
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show eye corners by nose on eyebrow, percuss  
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show above corners of mouth meet with nose holes  
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show pink, smooth, moist  
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show 1+ visible 2+ halfway between pillars and uvula 3+ touching uvula 4+ touching each other  
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show protrudes midline -halitosis- bad breath  
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show both side close in, long  
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show Perforated-small circular hole  
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show tongue anchored to bottom born with  
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show smooth glossy vit deficiency  
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show canker sores  
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show white patches from smoking/drinking, precancerous  
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  show
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