The Examination Of The Lymphatic System Paper
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Quizzes NUR7580900 – Advanced Health Assessment
Examination of the Lymphatic System
- The examination of the cervical lymphatic nodes is best accomplished with the examiner?
- Standing on the side nodes being examined
- Standing in front of the patient
- Standing behind the patient
- Standing on the right side of the patient
- The examination of the cervical and axillary lymph nodes is best performed with the patient?
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- Seated upright
- Standing
- Propped up in bed at 45 degrees
- Lying supine
- The following are secondary lymph organs
- Pancreas and Spleen
- Thymus and Tonsils
- Spleen and Liver
- Tonsils and Oropharynx
- When is the examination of the epitrochlea nodes done?
- Examination of the neck
- Examination of the upper limbs
- Examination of the chest
- Examination of the lower limbs
- A patient presenting with unilateral non-pitting lower limb edema could be caused by?
- Blocked major artery
- Blocked lymphatics
- Blocked major vein
- Blocked capillaries
- Examination of the lymphatic system involves the examination of the abdomen too.
- True
- False
Hodgkin Disease
- The pathognomic finding in Hodgkin lymphoma is?
- Lymphocytic infiltrates
- Reed-Sternberg cells
- Unilateral lymphadenopathy
- Weakened immune system
- The ABVD chemotherapy treatment in Hodgkin lymphoma includes?
- Adriamycin
- Busulfan
- Vincrinstine
- Doxorubicin
- The following are the risk factors for Hodgkin Lymphoma, except?
- HIV
- EBV
- Family history
- Female gender
- The prognostic factors for Hodgkin lymphoma include the following, except?
- Presence of B symptoms
- Age above 45 years
- WBC > 15000 cells/mm3
- WBC > 10000 cells/mm3
- Peak age of onset of Hodgkin lymphoma is?
- 20-30 yrs
- 20-40 yrs
- 30-40 yrs
- 40-60 yrs
- The Hodgkin lymphoma type with the best prognosis?
- Nodular sclerosis
- Lymphocyte predominat
- Lymphocyte depleted
- Mixed celluratity
- The Hodgkin lymphoma type that is EBV related and is common outside the U.S.?
- Nodular sclerosis
- Lymphocyte predominant
- Lymphocyte depleted
- Mixed cellularity
- A patient present with multiple matted, bilateral, non-tender, cervical lymphadenopathy with non-tender hepatomegaly. The patient is determined to have Hodgkin Lymphoma. What AnnArbor stage can the patient be classified?
- Stage I
- Stage II
- Stage III
- Stage IV
- The B symptoms in Hodgkin lymphoma include the following, except?
- Unexplained fevers (<38 C)
- Night sweats
- Headache
- Unexplained weight loss (10% over 6 months)
Lymphadenopathy
- This group of lymph nodes do not make up part of the Waldeyer’s Ring
- Buccal
- Tubal
- Palatine
- Pharyngeal
- The lymphadenopathy in Stage I WHO of HIV disease is
- Tender and Generalized
- Persistent and Generalized
- Recurrent and Generalized
- Reactive and Generalized
- The following are mechanism of lymph node enlargement expect?
- Replication of cells in response to antigenic stimulation
- Edema due to local cytokine production
- Suppuration following tissue necrosis
- Hypertrophy of the cells within the node
- The following medication cause generalized lymphadenopathy, except?
- Penicillin
- Phenobarbitone
- Phenytoin
- Piridoxine
- An 18-year old patient presents with tender, solitary, left, cervical lymphadenopathy, with fever and generalized body malaise. The most likely cause of the lymphadenopathy is?
- Lymphangitis
- Lymphadenitis
- Lymphadenopathy
- Lymphoma
- A 3-months old female patient presents with a left-sided neck swelling that has been present since birth and has been increasing in size. The swelling is non-tender, no overlying skin color changes, it is immobile and transilluminates. Your likely diagnosis is?
- Lymphadenopathy
- Lymphangioma
- Cystic Hygroma
- Lymphoma
Decubitus Ulcers/Bed Sores/Pressure Sores/Pressure ulcers
- The pressure ulcer that develops as people are dying is called?
- Mooren’s ulcer
- Kennedy ulcer
- Peptic ulcer
- Youren ulcer
- Patients with all types of wounds should receive the following, except?
- Zinc
- Vitamin A
- Vitamin B12
- Vitamin C
- The following are stages of ulcer repair, except?
- Inflammatory phase
- Hematoma phase
- Proliferative phase
- Remodeling phase
- The pathogenesis mechanism of decubitus ulcer is?
- Pressure necrosis
- Caseaous necrosis
- Liquifactive necrosis
- Coagulative necrosis
- Decubitus ulcer shaped like a blister or a scrape is what stage decubitus ulcer?
- Stage 1
- Stage 2
- Stage 3
- Stage 4
- In the prevention of pressure ulcers, the patient who is bedridden should change positions every?
- 5 hr
- 1 hr
- 5 hr
- 2 hr
- What stage of pressure ulcers can be treated with hydrotherapy?
- Stage 1
- Stage 2
- Stage 3
- Stage 4
Older Adults
- Assessment of activities of daily living in the elderly includes
- Shopping
- Bathing
- House chores
- Cooking
- An elderly patient who is being assessed for cognitive decline would most likely be administered which text?
- IQ test
- Mini-mental status exam
- Psychiatric interview
- Mathematica test
- The following assessment is most important in the assessment of older adult
- Cognitive assessment
- Psychiatric assessment
- Functional assessment
- Behavioral assessment
- In the elderly patient, depression often exists with dementia.
- True
- False
- Don’t know
- When performing the physical examination in an older adult, it is important to pay attention to?
- Cognition
- Memory
- Mood
- All the above
- The health promotion immunizations important for the elderly include all the following, except?
- Influenza vaccine
- HPV vaccine
- Zoster vaccine
- Pneumococcal vaccine
- The following cancer screening are not recommended for older adults, except?
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- Lung Ca
- Skin Ca
- Breast Ca
- Ovarian Ca
- Elder mistreatment includes all the following, except?
- Self-Neglect
- Abandonment
- Exploitation
- None of the above
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