ASU DNP 605 Midterm Exam - Questions And Answers In hypothyroidism what do you usually see in regards to HSN ✔️Ans - Dry brittle nails and coarse hair What is the strongest risk factor for developing nonmelanoma skin cancer?✔️Ans - UV rays If 2 features of ABCDE are present what should be done ✔️Ans - biopsy What is solar elastosis ✔️Ans - Yellow thickened skin with bumps, wrinkles, or furrowing Terry nails ✔️Ans - Seen in liver disease Nail plate turns white with a ground-glass appearance, a distal band of reddish brown, and obliteration of the lunula What is tinea capitis? ✔️Ans - ringworm of the scalp Mostly seen in children How many inches / month does a child's hair grow ✔️Ans - 1cm/month Congenital nevi are not commonly found in children t/f ✔️Ans - false, they are very common.What are the most commonly pigmented nevi ✔️Ans - mongolian spots, cafe au lait spots Vascular malformations are NOT present at birth t/f ✔️Ans - false, they are present at birth BUT HEMANGIOMAS are not present at birth and emerge by 1 mo of age.Pemberton's sign ✔️Ans - facial flushing (facial plethora), distended head and neck superficial veins, inspiratory stridor, increased JVP upon raising both arms above head. Positive in SVC syndrome (associated with small cell lung carcinoma/mediating mass ) 1 / 2
Hard or fixed nodes suggest what ✔️Ans - malignancy Nodules > -- cm, frim , and fixed to adjacent tissues are concerning for malignancy ✔️Ans - 2cm Myxedema is associated with ✔️Ans - Hypothyroidism open angle glaucoma ✔️Ans - the most common form of glaucoma, where the trabecular meshwork gradually becomes blocked, causing a buildup of pressure - GRADUAL
- peripheral loss
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normal spatial relationship between iris and cornea is preserved and iris is fully lit Macular degeneration ✔️Ans - Loss of central vision What are contraindications for mydriaic drops (dilation) ✔️Ans - pregnancy, breast feeding, suspicion of narrow angle glaucoma, coma, head injury What does absence of red eye reflex indicate ✔️Ans - fake eye, retinoblastoma, retinal detachment, cataracts Optic disc should look like --- ✔️Ans - pink and yellow with defined edges, 1.5mm (optic disc.What is bullous myringitis ✔️Ans - A bullous/vesicular inflammation of the tympanic membrane that may occur in association with acute otitis media.URGENT may require surgery What is the anterior posterior diameter to lateral chest diameter: ✔️Ans - 0.7-0.75. Increases with age and in COPD >0.9 (Barrel chest wall appearance) When do you have decreased tactile fremitus ? ✔️Ans - COPD, Pleural effusion, Pneumothorax How big should the PMI be? ✔️Ans - <2.5 cm if > 2.5 evidence of LV hypertrophy