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NURS 623 : HEALTH ASSESSMENT : MODULE 5 NECK/LYMPH: TEST QUESTIONS AND ANSWERS, Exams of Nursing

Virginia Commonwealth University (VCU)Nursing

NURS 623 : HEALTH ASSESSMENT : MODULE 5 NECK/LYMPH: TEST QUESTIONS AND ANSWERS

Typology: Exams

2024/2025

Available from 06/21/2025

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NURS 623 : HEALTH ASSESSMENT : MODULE 5 NECK/LYMPH:
TEST QUESTIONS AND ANSWERS
what two tests are advised with palpable solitary nodules? -- Answer โœ”โœ” 1. ultrasound
2. fine-needle aspiration
what is a hallmark of heart failure? -- Answer โœ”โœ” jugular venous distention
describe lymph nodes that are concerning for malignancy -- Answer โœ”โœ” >2 cm, firm,
and fixed to adjacent tissues
what has the USPSTF recommended when it comes to screening for thyroid cancer? --
Answer โœ”โœ” recommended against screening
what do you see "moon face" with? -- Answer โœ”โœ” Cushing syndrome
the face becomes edematous and often pale. Swelling usually appears first around the
eyes and in the morning. When severe, the eyes appear slit-like -- Answer โœ”โœ”
nephrotic syndrome
the face of what disease is described?dull puffy face. Edema is often pronounced around
the eyes and does not pit with pressure. The hair and eyebrows are dry, coarse, and
thinned, classically with loss of the lateral third of the eyebrows -- Answer โœ”โœ”
myxedema
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NURS 623 : HEALTH ASSESSMENT : MODULE 5 NECK/LYMPH:

TEST QUESTIONS AND ANSWERS

what two tests are advised with palpable solitary nodules? -- Answer โœ”โœ” 1. ultrasound

  1. fine-needle aspiration what is a hallmark of heart failure? -- Answer โœ”โœ” jugular venous distention describe lymph nodes that are concerning for malignancy -- Answer โœ”โœ” >2 cm, firm, and fixed to adjacent tissues what has the USPSTF recommended when it comes to screening for thyroid cancer? -- Answer โœ”โœ” recommended against screening what do you see "moon face" with? -- Answer โœ”โœ” Cushing syndrome the face becomes edematous and often pale. Swelling usually appears first around the eyes and in the morning. When severe, the eyes appear slit-like -- Answer โœ”โœ” nephrotic syndrome the face of what disease is described?dull puffy face. Edema is often pronounced around the eyes and does not pit with pressure. The hair and eyebrows are dry, coarse, and thinned, classically with loss of the lateral third of the eyebrows -- Answer โœ”โœ” myxedema

thyroid enlargement that includes the isthmus and lateral lobes; there are no discretely palpable nodules -- Answer โœ”โœ” diffuse enlargement 3 causes of diffuse thyroid enlargement -- Answer โœ”โœ” 1. Graves disease

  1. Hashimoto thyroiditis
  2. Endemic goiter an enlarged thyroid gland with two or more nodules -- Answer โœ”โœ” Multinodular goiter what does a multinodular goiter suggest? -- Answer โœ”โœ” metabolic rather than neoplastic process 3 further tests when a thyroid abnormality is found -- Answer โœ”โœ” 1. thyroid-stimulating hormone (TSH)
  3. free T
  4. thyroid ultrasound or radionuclide scan most common type of thyroid enlargement -- Answer โœ”โœ” simple nontoxic goiter (euthyroid goiter) 2 medications that may cause euthyroid goiter -- Answer โœ”โœ” 1. amiodarone
  5. lithium 2 forms of multinodular goiter -- Answer โœ”โœ” 1. nontoxic MNG
  6. toxic MNG toxic goiter is associated with what? -- Answer โœ”โœ” higher production of thyroid hormones leading to a suppressed TSH and hyperthyroidism
  1. symmetric
  2. smooth without nodules
  3. nontender 4 potential abnormal findings for thyroid palpation -- Answer โœ”โœ” 1. large/goiter
  4. tender
  5. asymmetric
  6. nodular when might you see supraclavicular lymph enlargement -- Answer โœ”โœ” breast or lung malignancy does adenopathy = tenderness? -- Answer โœ”โœ” no lymph node group in the midline a few centimeters behind the tip of the mandible -- Answer โœ”โœ” submental lymph node group lymph node group midway between the angle and the tip of the mandible -- Answer โœ”โœ” submandibular lymph node group lymph node group in front of the ear -- Answer โœ”โœ” preauricular lymph node group lymph node group superficial to the mastoid process -- Answer โœ”โœ” posterior auricular lymph node group lymph node group at the angle of hte mandible -- Answer โœ”โœ” Tonsillar (jugulodiagstric) lymph node group

lymph node group at the base of the skull posteriorly -- Answer โœ”โœ” Occipital lymph node group lymph node group superficial to the SCM muscle -- Answer โœ”โœ” Anterior superficial cervical lymph node group lymph node group along the anterior edge of the trapezius -- Answer โœ”โœ” posterior cervical lymph node group lymph node group deep to the SCM muscle and often inaccessible to examination -- Answer โœ”โœ” deep cervical chain lymph node group lymph node group deep in the angle formed by the clavicle and the SCM muscle -- Answer โœ”โœ” supraclavicular lymph node group a persistent neck mass in an adult older than 40 years should raise a suspicion of what? -

  • Answer โœ”โœ” malignancy enlarged tender lymph nodes commonly accompany ________________ -- Answer โœ”โœ” pharyngitis enlargement of the thyroid gland -- Answer โœ”โœ” goiter 6 symptoms of hyperthyroidism -- Answer โœ”โœ” 1. nervousness
  1. weight loss despite increased appetite
  2. excessive sweating and heat intolerance
  3. palpitations
  4. frequent bowel movements
  5. tremor and proximal muscle weakness
  1. weight loss
  2. moist velvety skin
  3. palpations 5 conditions to consider with lymphadenopathy -- Answer โœ”โœ” infectious, inflammatory or malignant conditions such as:
  4. HIV or AIDS
  5. infectious mononucleosis
  6. lymphoma
  7. leukemia
  8. sarcoidosis caused by extreme deficiency of thyroid secretion -- Answer โœ”โœ” myxedema a small hard tender "tonsillar node" high and deep between the mandible and the SCM is probably what? -- Answer โœ”โœ” elongated temporal styloid process enlargement of a supraclavicular node, especially on the left (Virchow's node) suggests what? -- Answer โœ”โœ” possible metastasis from a thoracic or an abdominal malignancy discrete or matte4d together -- Answer โœ”โœ” delimination enlarged or tender nodes, if unexplained, call for what two things? -- Answer โœ”โœ” 1. re- examination of the regions they drain
  9. careful assessment of lymph nodes in other regions to identify regional from generalized lympahdenopathy

masses in the neck may cause tracheal deviation to one side, raising suspicion of what three conditions in the thorax? -- Answer โœ”โœ” 1. mediastinal mass

  1. atelectasis
  2. large pneumothorax an ominous, high-pitched musical sound from severe subglottic or tracheal obstruction that signals a respiratory emergency -- Answer โœ”โœ” strido 4 causes of stridor -- Answer โœ”โœ” 1. epiglottis
  3. foreign body
  4. goiter
  5. stenosis from placement of an artificial airway retrosternal goiters can cause what 4 things? -- Answer โœ”โœ” 1. hoarseness
  6. shortness of breath
  7. stridor
  8. dysphagia from tracheal compression more than 85% of goiters are __________ -- Answer โœ”โœ” benign flushing during neck hyperextension and arm elevation from compression of the thoracic inlet from the thyroid gland itself or from clavicular movement -- Answer โœ”โœ” pemberton sign describe the thyroid in Graves disease -- Answer โœ”โœ” soft and may be nodular describe the thyroid in Hashimoto thyroiditis and malignancy -- Answer โœ”โœ” firm (though not always uniformly)

lymphadenopathy in the head and neck is caused by: -- Answer โœ”โœ” pharyngitis/tonsilitis "lymphadenopathy is usually dramatic" is caused by: -- Answer โœ”โœ” mononucleosis diffuse esophageal spasm involving the smooth muscle of the esophagus -- Answer โœ”โœ” achalasia what is the most common cause of motor dysphagia -- Answer โœ”โœ” achalasia achalasia is the most likely cause of what? -- Answer โœ”โœ” aspiration pneumonia what will the patient complain of with achalasia? -- Answer โœ”โœ” discomfort or fullness in the throat with difficulty swallowing in the elderly client who is nonverbal, aspiration may be the first sign of what? -- Answer โœ”โœ” achalasia 2 diagnostic studies for achalasia -- Answer โœ”โœ” swallow studies and enoscopy a general term referring to an inflammation of the esophagus -- Answer โœ”โœ” esophagitis patient comes in describing burning and pain in the esophagus with or without dysphagia. The symptoms may occur more with eating or drinking and at night when the patient is recumbent -- Answer โœ”โœ” esophagitis diagnostic study for esophagitis -- Answer โœ”โœ” endoscopy 2 medicines used to treat esophagitis -- Answer โœ”โœ” H2 blockers and proton pump inhibitors

condition typically associated with GERD or with mucosal damage secondary to chemotherapy or radiation: it is characterized by inflammation of the lower esophagus with possible ulceration -- Answer โœ”โœ” Barrett's esophagus patient may describe a burning sensation in the throat or difficulty swallowing -- Answer โœ”โœ” Barrett's esophagus diagnostic study for barrett's esophagus -- Answer โœ”โœ” endoscopy with a biopsy of the mucosal tissue what do you need to make sure you do with patients who have Barrett's Esophagus? -- Answer โœ”โœ” regular follow-up a mucosal narrowing of the distal esophagus at the squamocolumnar junction -- Answer โœ”โœ” Schatzki's Ring signs/symptoms of schatzki's ring -- Answer โœ”โœ” dysphagia (especially with the ingestion of solid foods) diagnostic study for Schatzki's Ring -- Answer โœ”โœ” endoscopy how do you alleviate symptoms of Schatzki's Ring? -- Answer โœ”โœ” dilation of the stricture a chronic disease of unknown etiology characterized by a progressive systemic fibrosis of the skin, joints, and internal organs, especially the esophagus, gastrointestinal (GI) tract, heart, lung and kidney -- Answer โœ”โœ” scleroderma