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Parasympathetic Nervous System Functions & State of Changes Questions

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HA Review for Final: April 26

(50 questions)

1. The name the opening of the cervix? Cervical os

2. Cervical mucous isincreased/thin/stringy/elasticduring ovulation.

3. Position patient assumes during vaginal exam?lithotomy

4. Special accommodations made during vaginal exam if she is hearing impaired?

- Lift the head of bed so she can see you and read your lips

5. Expected genital changes for males after going through puberty?

- testicular enlargement/ pubic hair development/ enlargement of the penis

6. Inspection of the glans penis- requires what?????????????

- Instruct the patient tohold the penis in his handand examine the head. If not circumcised, he should gently pull

back the foreskin to expose the glans. Inspection and palpation of the entire head of the penis should be

performed in a clockwise motion while the patient carefully looks for any bumps, sores, or blisters on the skin.

7. Technique used to detect inguinal hernia.

- With the patient standing, ask him to bear down as if having a bowel movement. While he is straining, inspect

the area of the inguinal canal and the region of the fossa ovalis. After asking the patient to relax again, insert

your examining finger into the lowerpart of the scrotum and carry it upward along the vas deferens into the

inguinal canal. You can auscultate for bowel sounds, which will be present in uncomplicated reducible hernias.

Which finger you use depends on the size of the patient. In the young child, the little finger is appropriate; in the

adult, the index or middle finger is generally used. You should be able to feel the oval external ring. Ask the

patient to cough.If an inguinal hernia is present, you should feel the sudden presence of a viscus against your

finger.The hernia is described as indirect if it lies within the inguinal canal. It may also come through the external

canal and even pass into the scrotum. Because an indirect hernia on one side strongly suggests the possibility of

bilateral herniation, be sure to examine both sides thoroughly. If the viscus is felt medial to the external canal, it

probably represents a direct inguinal hernia.

8. The most common type of hernia in young males.

-Indirect hernia → Presents as soft swelling in area of internal ring; pain on straining.

9. Complication of mumps.

- Orchitis →Acute inflammation of the testis secondary to infection.

10. The usual number of vertebral bodies.

- 33

11. When does the mental/musculoskeletal exam start?

- As soon as patient walks in the door

12. Legg calusperthes disease

13. The hallmark of osteoporosis – exam finding?

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14. Function of the parasympathetic nervous system – in general.

- functions to conserve body resources and maintain day-to-day body functions such as digestion and

elimination.

15. The nerves that arise from the brain are called? Cranial nerves

16. Know the function of CN X & CN XI.

- CN X (mixed)→ swallowing & speech

- CN XI → test motor & muscle strength (trapezius & sternocleidomastoid)

17. Myelinization of the brain occurs during what time period?1

year of life

18. Body surface innervated by what spinal nerve? Dermatome

19. Read about assessing the cremasteric reflex- should be done bilaterally.

- Stroke the inner thigh with a blunt instrument such as the handle of the reflex hammer, or for a child,

with your finger. The testicle and scrotum should rise on the stroked side.

20. Your physical exam should begin with? inspection

21. After gathering subjective and objective data – what’s the next step? The SOAP note (an acronym for

subjective, objective, assessment, and plan) is a method of documentation employed by health care providers to

write out notes in a patient's chart, along with other common formats, such as the admission note.

22. When diagnosing →think of the MOST likely and probable diagnosis first; not the most

obscure/complicated one.

23. When you start interview →ask patient what is the most bothersome/ urgent matter?

24. What are the terms used when patient starts telling you a bunch of stories? red herring

25. Know the “stages of change”? (quitting habits etc.)

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HA Review for Final: April 26th(50 questions) 1. 2. 3. 4. 5. 6. The name the opening of the cervix? Cervical os Cervical mucous isincreased/thin/stringy/elasticduring ovulation. Position patient assumes during vaginal exam?lithotomy Special accommodations made during vaginal exam if she is hearing impaired? Lift the head of bed so she can see you and read your lips Expected genital changes for males after going through puberty? testicular enlargement/ pubic hair development/ enlargement of the penis Inspection of the glans penis- requires what????????????? - 7. Instruct the patient tohold the penis in his handand examine the head. If not circumcised, he should gently pull back the foreskin to expose the glans. Inspection and palpation of the entire head of the penis should be performed in a clockwise motion while the patient carefully looks for any bumps, sores, or blisters on the skin. Technique used to detect inguinal hernia. - With the patient standing, ask him to bear down as if having a bowel movement. While he is straining, inspect the area of the inguinal canal and the region of the fossa ovalis. After asking the patient to relax again, insert your examining finger into ...
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Tags: Cervical mucous Inguinal hernia Parasympathetic Nervous System Motor maturation Babinski sign