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.
Help!
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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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Created by:
mbruckman03