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NURS 623 : HEALTH ASSESSMENT : MODULE 5 NECK/LYMPH: TEST QUESTIONS AND ANSWERS
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what two tests are advised with palpable solitary nodules? -- Answer โโ 1. ultrasound
thyroid enlargement that includes the isthmus and lateral lobes; there are no discretely palpable nodules -- Answer โโ diffuse enlargement 3 causes of diffuse thyroid enlargement -- Answer โโ 1. Graves disease
lymph node group at the base of the skull posteriorly -- Answer โโ Occipital lymph node group lymph node group superficial to the SCM muscle -- Answer โโ Anterior superficial cervical lymph node group lymph node group along the anterior edge of the trapezius -- Answer โโ posterior cervical lymph node group lymph node group deep to the SCM muscle and often inaccessible to examination -- Answer โโ deep cervical chain lymph node group lymph node group deep in the angle formed by the clavicle and the SCM muscle -- Answer โโ supraclavicular lymph node group a persistent neck mass in an adult older than 40 years should raise a suspicion of what? -
masses in the neck may cause tracheal deviation to one side, raising suspicion of what three conditions in the thorax? -- Answer โโ 1. mediastinal mass
lymphadenopathy in the head and neck is caused by: -- Answer โโ pharyngitis/tonsilitis "lymphadenopathy is usually dramatic" is caused by: -- Answer โโ mononucleosis diffuse esophageal spasm involving the smooth muscle of the esophagus -- Answer โโ achalasia what is the most common cause of motor dysphagia -- Answer โโ achalasia achalasia is the most likely cause of what? -- Answer โโ aspiration pneumonia what will the patient complain of with achalasia? -- Answer โโ 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 โโ achalasia 2 diagnostic studies for achalasia -- Answer โโ swallow studies and enoscopy a general term referring to an inflammation of the esophagus -- Answer โโ 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 โโ esophagitis diagnostic study for esophagitis -- Answer โโ endoscopy 2 medicines used to treat esophagitis -- Answer โโ 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 โโ Barrett's esophagus patient may describe a burning sensation in the throat or difficulty swallowing -- Answer โโ Barrett's esophagus diagnostic study for barrett's esophagus -- Answer โโ 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 โโ regular follow-up a mucosal narrowing of the distal esophagus at the squamocolumnar junction -- Answer โโ Schatzki's Ring signs/symptoms of schatzki's ring -- Answer โโ dysphagia (especially with the ingestion of solid foods) diagnostic study for Schatzki's Ring -- Answer โโ endoscopy how do you alleviate symptoms of Schatzki's Ring? -- Answer โโ 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 โโ scleroderma