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LPC Second Set_Team 4 Flashcards | StudBud
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LPC Second Set_Team 4
LPC Second Set_Team 4
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1
Wax in the ears, may cause hearing loss, pain usually absent, TM obscured by this during otoscopic exam, MO referral
Otitis media
Cerumen impaction
Swimmers ear
Otitis externa
2
Drains the middle ear to the nasal part of the pharynx (nasopharynx). AKA middle ear tube.
Eustachian tube
Middle ear
Hammer
Auricle or pinna
3
Painkiller used for mod/severe pain, may cause respiratory depression w/repeated doses, nausea/vomiting
Antifungals
Antihistamines
Antibiotics
Analgesics
4
You always withdraw the needle before constricting band is released because of potential for heavy blood loss/hematoma
True
False
5
Fungal infection known as athlete's foot
Tinea pedis
Tinea corporis
Tinea cruris
Tinea capitis
6
Superficial layer of skin, no blood vessels or nerves, protects dermis from infection and drying
Dermis
Subcutaneous layer
Epidermis
Granulation
7
Band of scar tissue that binds together two anatomical surfaces normally separated, commonly found in abdomen
epithelialization
adhesion
cellulitis
phagocytosis
abscess
dehiscence
8
ABX type- less invasive, easy to use, absorptioon through mucous membranes is very rapid
Oral
Rectal
Topical
Intravenous
9
Shaped to collect sound waves and direct them towards the external auditory meatus
Tragus
Tympanic membrane
Hammer
Auricle or pinna
10
May be caused by anything interfering w/airflow into sinuses/drainage of mucous out of sinuses
Allergic rhinitis (hay fever)
Epistaxis
Acute sinusitis
Sinus infections
11
Abbreviation for left eye
Oculus sinister (O.S.)
Oculus uterque (O.U.)
Oculus dexter (O.D.)
12
Protects tissue from histamine effects. Fexofenadine, Diphendydramine, Loratadine, Cetirizine.
Antifungals
Bronchodilators
Antihistamines
Histamines
13
Chemical compound that inhibits or kills the growth of bacteria, not to be saved for later use or to be shared
Antihistamines
Analgesics
Antibiotics
Antifungals
14
Colored part of eye, located between cornea and lens, controls amt of light entering eye
Pupil
Iris
Lacrimal glands
Retina
Conjuctiva
Sclera
15
Sore throat, cough, sputum, nasal congestion/discharge, usually result of virus but can be bacterial, lungs may be clear
Pharyngitis
Upper respiratory infection
PTA
Infectious mononucleosis
16
First choice of vein in the antecubital space, well supported, least apt to roll
Basilic vein
Median cubital vein
Antecubital fossa
Cephalic vein
17
3 stage process by which neutrophils, monocytes, and macrophages engulf & destroy microorganisms, other foreign antigens
infection
cellulitis
epithelialization
extravasation
phagocytosis
dehiscence
18
Inflammation/infection of paranasal sinuses, bacterial/viral or allergen caused, facial tenderness to percussion
Sinus infections
Epistaxis
Allergic rhinitis (hay fever)
Acute sinusitis
19
Red flags of sinus complaints include
None of the above
All of the above
visual changes
severe pain
mental/cognitive changes
fever of 101o F or greater
20
Tough layer (white), protects inner structure, helps retain shape, connected to 6 muscles that allow for movement
Sclera
Retina
Pupil
Iris
Conjuctiva
Lacrimal glands
21
Helps raise/lower suspicion of fluid behind TM, lack of movement in TM w/this test could indicate ear infection
Valsalva maneuver
Visual acuity test
Ossicle transference maneuver
Cerumen impaction
22
Commonly result in mucous buildup in Eustachian tube, poss. causes hear loss during course of infection. AKA head cold.
Valsalva maneuver
URIs
Swimmers ear
Otitis externa
23
Common medications that cause anaphylaxis include all of the following
Aspirin
All of the above
Vaccines
None of the above
Antibiotics
Topical and injectable medications containing iodine
24
A visual acuity recording of 20/200 means Pt can read at 20 feet what avg person can read at
20 feet
0.1 feet
200 feet
10 feet
25
Infection of the skin characterized by heat, pain, redness, edema
adhesion
dehiscence
abscess
cellulitis
epithelialization
phagocytosis
26
Separates external and middle ear, healthy one appears pearly gray to amber, can be visualized w/otoscope
Auricle or pinna
Middle ear
Hammer
Tympanic membrane
27
Type of antibiotic effective against a wide range of microorganisms
Topical
Broad spectrum
Imidazoles
Narrow Spectrum
28
Mod/severe pain in casualties who are alert and conscious, morphine allergies, dosage/route: 800 ug transbuccal
Naloxone
Fentanyl (Actiq)
Meloxicam
C17H19NO3
29
Red flags of respiratory complaints include
Abnormal pulse oximetry (<95% oxygen saturation)
Abnormal breath sounds: rhonchi, rales, wheezing
SOB
All of the above
Fever greater than 101 degrees F
Accessory muscle use
30
Second layer of skin, contains structures that affect cooling, sensation, and circulation of nutrients
Dermis
Epidermis
Granulation
Subcutaneous layer
31
Vein selection for drawing blood includes the following criteria except
Select veins from the antecubital space, if possible
Avoid infected, irritated, or injured veins
Always ask the patient their choice of vein and go with their choice
Do not draw blood from small or fragile veins because it can cause collapse
32
Antibiotics are indicated for URIs
False
True
33
Air filled cavity w/in temporal bone, contains three ossicles; malleus (hammer), incus (anvil), and stapes (stirrup)
Middle ear
Hammer
Tympanic membrane
Auricle or pinna
34
The invasion and multiplication of infective agents in body tissues w/resultant reaction to presence and to toxins
phagocytosis
adhesion
epithelialization
infection
cellulitis
dehiscence
35
Red flags of eye complaints include
Hx of trauma
Photophobia
Foreign body
All of the above
Severe eye pain
Visual loss
36
Injuries to soft tissue with break in skin, potential for blood loss and infection
Closed wounds
Hematoma
Contusion
Open wounds
37
Used to prevent and/or treat fungal infections known as mycoses
NSAIDs
Analgesics
Antifungals
Antihistamines
38
Examples of OTC fungal treatments include all of the following EXCEPT
Undecylenic acid
Imidazoles- Lotrimin, Nizoral
Trizole- Fluconazole
Itraconazole- Sporanox
39
Nodule eminence that points backwards over the entrance of the EAC
Auricle or pinna
Tragus
Hammer
Tympanic membrane
40
When equipment, light and/or space do not permit, (a) _ _ _ is recommended as opposed to no vision exam
wearing eyepro
snellen chart exam
flushing the eyes for 20 mins
gross vision examination
41
Inflammation/infection of EAC, "my ear hurts," S/S ear pain, canal swelling, drainage,low grade fever,bacterial or viral
Valsalva maneuver
Otitis media
Cerumen impaction
Otitis externa
42
Red flags of ear complaints include
None of the above
All of the above
fever of 101o F or greater
Embedded foreign objects
Histort of trauma to ear
Hearing loss
43
The transcutaneous puncture of a vein to withdraw specimen of blood, start IV, or administer medication
ventolin
venipuncture
intraosseous infusion
phlebotomy
44
Bacterial infection of tonsils, complication of strep, muffled "hot potato" voice, surg emergency, ABX therapy
Infectious mononucleosis
Peri-tonsillar abscess
Upper respiratory infection
Streptococcal pharyngitis
45
Fungal infection known as jock itch
Tinea cruris
Tinea corporis
Tinea pedis
Tinea capitis
46
Severe pain, PO, IM, SC, IV. Initial IV dose would be 5mg slow IV push over 1-2 minutes.
Naloxone
Fentanyl (Actiq)
Morphine
Meloxicam
47
Purpose (s) of obtaining blood sample include (s)
Determine presence of abnormalities or disease organisms
None of the above
Information about infection based on # and characteristics of WBCs
Information about anemia based on # and shape of RBCs
Assess blood's normal cells and other components
All of the above
48
Pt w/bacterial acute otitis media has classic "earache" accompanied by fever of 102o F or higher
False
True
49
Precipitating factors of asthma include
Physical exertion
Allergic components
URI
Drugs that can precipitate bronchospams
Emotional upsets
Cold weather
50
Common cause strep bacteria, S/S fever, tender/swollen neck glands, exudate on tonsils/pharynx, absent cough, ABX tx
Streptococcal pharyngitis
Peri-tonsillar abscess
Infectious mononucleosis "Kissing disease"
URI
51
Inner layer contains rods and cones, continuation of optic nerve
Iris
Conjuctiva
Pupil
Lacrimal glands
Sclera
Retina
52
Acute S/S of asthma include
Spasms of bronchial smooth muscle narrowing of large & small airways
All of the above
Production of excessive mucus
Edema and inflammation of bronchial mucosa
53
Only two sinuses accessible to physical examination to check for swelling and tenderness
Frontal sinuses
Ethmoidal sinuses
Maxillary sinuses
54
Hollow or depressed area at the bend of the elbow
Antecubital fossa
Cephalic vein
Median cubital vein
Basilic vein
55
The mainstay treatment for pneumonia
Antibiotics
Antihistamines
Antifungals
Analgesics
56
Needle used for venipuncture should pierce skin at 15-30 degree angle, bevel up
False
True
57
The regrowth of skin over a wound
dehiscence
cellulitis
abscess
epithelialization
phagocytosis
adhesion
58
When Pt states, "my hay fever is acting up," or "I'm all stuffed up, feel tired, like crap," you should suspect
Epistaxis
Sinus infections
Acute sinusitis
Allergic rhinitis (hay fever)
59
^ intensity of pain, lethargy, fever, nausea, highly contagious, myalgia
appendicitis
influenza
pneumonia
common cold
60
The most important step in evaluating ocular problems is visual acuity
False
True
61
Red, burning, itchy eyes, w/discharge. Can be caused by chemical irritation, infections, or allergies
URI
Conjuctivitis (Viral, bacterial, or allergic)
Otitis media
Otitis externa
62
Cavity containing purulent discharge, surrounded by inflamed tissue, formed as result of localized infection
adhesion
cellulitis
epithelialization
phagocytosis
dehiscence
abscess
63
Monospot w/throat culture to rule out strep, Pts advised to avoid contact sports for at least 30days, Tx symptomatic
Peri-tonsillar abscess
Infectious mononucleosis "Kissing disease"
Streptococcal pharyngitis
URI
64
Third layer of skin; insulates and adds shape to body, stores energy. Varies in thickness depending on its location.
Dermis
Epidermis
Collagen
Subcutaneous layer
65
Located in upper-outer aspect of each upper eye lid, prevents infections, moistens eys, drains through ducts
Lacrimal glands
Retina
Sclera
Iris
Conjuctiva
Pupil
66
Separation of a surgical incision or rupture of a wound closure
cellulitis
dehiscence
adhesion
infection
epithelialization
phagocytosis
67
S/S of pneumonia include all of the following
Rhochi, rales
productive cough, chest pain
SOB at rest
lethargy, malaise
tachycardia, tachyapnea
poor appetite
68
Abbreviation for right eye
Oculus dexter (O.D.)
Oculus uterque (O.U.)
Oculus sinister (O.S.)
69
Mod/Severe pain, can cause hallucinogenic terrors, contraindicated in children <3 and those w/hx of schizophrenia
Acetaminophen 500 mg, 2tabs PO every 8hrs
OTFC 800ug, may repeat once after 15mins if needed
Ketamine 20-30mg IV/IO slow push, 50mg-100mg IM/IN
Mobic 15mg PO once a day
70
Anisocoria is the term used to describe the unequal size of pupils, may be congenital in approx. 20% of normal people
True
False
71
Pt in field w/PHx of asthma presents w/dyspnea and auditory wheezing. COA after 2 puffs of inhaler-
Begin PPV
Administer saturated oxygen via NRB
Administer 1st dose of ABX
Evacuate
72
Fungal infection known as ringworm of the body
Tinea corporis
Tinea cruris
Tinea pedis
Tinea capitis
73
According to DA PAM 40-506, contact lenses are allowed for wear during BT, FTX, gas chamber exercises, & deployments
False
True
74
Oxygen and carbon dioxide is exchanged through a process called diffusion
True
False
75
ABX type- oldest method, safest, most convenient, most economical, easy to give. Levofloxacin and Septra.
Oral
Intravenous
Rectal
Topical
76
Fungal infection located in the scalp
Tinea capitis
Tinea corporis
Tinea cruris
Tinea pedis
77
Largest organ of the body, controls temp., retains/releases fluids, shields body from environment
Brain
Skin
Lungs
Heart
78
Vacutainer/Needle assembly consists of the following items
None of the above
Sterile disposable double-ended needle
Blood specimen tubes
All of the above
Vacutainer sleeve/holder
79
CO2 and O2 gas exchange occurs in the alveoli
False
True
80
Bacterial common in adults, viral common in infants and children, 6th leading medical cause of death in U.S.
common cold
appendicitis
pneumonia
influenza
81
Abbreviation for both eyes
Oculus dexter (O.D.)
Oculus uterque (O.U.)
Oculus sinister (O.S.)
82
Stimulates gastric secretion and causes dilation of capillaries, bronchial smooth muscle constriction, decreased BP
Histamines
Antifungals
Bronchodilators
Antihistamines
83
When speaking of wounds, the term "malodorous" defines something having an unpleasant smell
True
False
84
High pitch tinnitus,vertigo,deafness,hyperthermia,BH effects, and resp stimulation describe toxicity effects of-
Antifungals
Antihistamines
NSAIDs
Antibiotics
85
ABX type- for severe illness, rapid absorption, unconscious or uncooperative patients. Ancef, Ertapenem.
Topical
Intravenous
Oral
Rectal
86
3rd choice of vein in the antecubital space, often most prominent, tends to roll easily, makes venipuncture difficult
Cephalic vein
Basilic vein
Median cubital vein
Antecubital fossa
87
Mucus mebrane lines eyelid, extends to front of eyeball, pink/dark pink color is normal,
Sclera
Retina
Conjuctiva
Lacrimal glands
Iris
Pupil
88
Second choice of vein in the antecubital space, name derives from meaning of 'head', vein runs up to shoulder.
Basilic vein
Median cubital vein
Cephalic vein
Antecubital fossa
89
Viral infection w S/S sore throat, abd pain, swollen neck lymph nodes, shaggy, white-purple tonsillar exudate
URI
Peri-tonsillar abscess
Streptococcal pharyngitis
Infectious mononucleosis "Kissing disease"
90
Can cause liver damage if given at higher doses or if given for an extended period of time
Diphenhydramine
Acetaminophen
ASA
Allegra
91
Management for epistaxis includes the following
Have Pt sit up and lean forward
Tip head down and pinch nose for 10-15mins
If manual management does not work, use vasoconstrictive nasal spray
Gather hx of uncontrolled nosebleeds,may be sign of blood clotting disorder
All of the above
None of the above
92
Physical exam of the ear consists of inpection, palpation, and otoscopic exam of the ear using following two guidelines
Having patient close mouth and pinch nose while palpating ear
Complete hearing evaluation w/audiologist first
Using largest speculum ear canal will accomodate
Examining normal ear first
93
Middle ear infection, viral/bacterial, TM bulging or red, typically unilateral, "I have ear pain & have had a fever"
Otitis media
Otitis externa
Cerumen impaction
Valsalva maneuver
94
Fluid that has penetrated from blood vessels into surrounding tissues resulting from inflammation
infection
epithelialization
dehiscence
phagocytosis
exudate
cellulitis
95
S/S include nasal stuffiness/drainage, sore throat, cough, and avoidance of antihistamines
Acute sinusitis
Sinus infections
Allergic rhinitis (hay fever)
Epistaxis
96
Prolongs the clotting time of blood which may cause the service member to bleed excessively
Loratadine
ASA
Cetirizine
Acetaminophen