Week 6: Endocrine
Week 7: Burns & Pressure Injuries
Week 8: Wounds & amputations
Week 9: Oncology
Week 10: Psychiatric & Cognitive Disorders
Pictures
100
Which endocrine pathology presents with elevated calcium levels?
Answer: Hyperparathyroidism
Resource: table 8.5 & 8.6 in Goodman & Fuller
100
Which body region(s) account for a larger percentage of total body surface area in a child compared to an adult, according to the Rule of Nines for burn assessment?
Answer: The head
Resource: O'Sullivan pg 946
100
What is the MOST common cause of arterial ulcers?
Answer: Arteriosclerosis
Resource: Myers pg 232
100
Why is the lung the most common place for cancer to metastasize to?
Answer: LUNGS: After the malignant cells are dumped into the circulatory system, it is the first place the mutated cells are filtered through capillaries
Resource: Goodman & Fuller pg 141
100
What BMI is recommended to initiate physical therapy with a patient suffering from an eating disorder?
Answer: 18 or higher
Resource: Goodman & Fuller pg 7.68E54
100
Which type of ulcer is seen in the image:
Answer: Venous insufficiency ulcer
Resource: Myers Ch 10
200
What is the role of beta cells in the pancreas?
Answer: Produce and secrete insulin for blood sugar management
Resource: Goodman & Fuller pg 22
200
What type of burns will most likely require a skin graft?
Answer: Full-thickness burns and subdermal burns
Resource: Myers pg 382
200
Which stages of pressure injuries are MOST likely to have undermining?
Answer: Stage 3 and 4 ( more common in stage 4)
Resource: Myers pg 315
200
What does N0 indicate in the TNM staging system for cancer?
Answer: No regional lymph node involvement/swelling
Resource: Goodman & Fuller pg 140
200
What are the 3 affective disorders relating to disturbances in mood?
Answer: Bipolar, depression, & mania
Resource: Goodman & Fuller pg 7.68E59
200
What is the most likely underlying cause of the ulcer seen in the image?
Answer: Neuropathy
Resource: Myers Ch 15
300
What differentiates gigantism from acromegaly?
Answer:
Gigantism develops in children before the age when the epiphyses of the bones close. Gigantism develops abruptly. Gigantism has overgrowth of long bones.
Acromegaly is a disease of adults and develops after closure of the epiphyses. Acromegaly develops slowly. Acromegaly increases bone thickness mostly in the face, jaws, hands, and feet.
Resource: Goodman & Fuller pg 211
300
Which type of burn will MOST likely result in ECG changes?
Answer: Subdermal burn
Resource: Myers pg 382
300
What location(s) do venous insufficiency ulcers most commonly appear at?
Answer: Medial malleolus, medial lower leg, areas of trauma
Resource: Myers Table 11-6
300
What is the most common type of cancer seen with men and the most common type of cancer seen with women?
Answer: Men = prostate; Women = breast
Resource: Goodman & Fuller Figure 6.1
300
Name 3 changes seen within the brain relating to Alzheimer’s Disease.
Answer:
Irreversible cerebral cortex damage
Destruction of neurons involved in Ach transmission
Amyloid plaques
Neurofibrillary tangles
Resource: Goodman & Fuller pg 635
300
What is the name of the amputation seen in the images?
Answer: Tarsometatarsal aka Lisfranc
Resource: O'Sullivan Table 22.1
400
What are 3 signs and symptoms of diabetic ketoacidosis?
Answer: Acetone breath, dehydration, weak and rapid pulse, Kussmaul respirations, polyuria, thirst, neurological abnormalities,
Resource: Goodman & Fuller pg 237
400
Which 2 classifications of burns will blanch with rapid capillary refill?
Answer: Epidermal Burn (or Superficial Burn) and Superficial Partial-Thickness Burn
Resource: Myers pg 381
400
What two signs are evident in this image of venous insufficiency?
Answer: Hemosiderin deposition and lipodermatosclerosis
Resource: Myers Table 11-6
400
What two components of a poor diet lead to cancer the MOST?
Answer: high fat and low fiber
Resource: Goodman & Fuller Box 6.2
400
Your patient presents with frequent crying, has difficulty making decisions, and overreacts to your constructive criticism on decreasing compensations during therapy. Do they have mild, moderate, or severe depression?
Answer: Moderate
Resource: O’sullivan Table 26.7
400
What is the underlying pathology that results in the ECG wave form seen in the image?
Answer: Hyperkalemia
Resource: Goodman and Fuller table 2.5
500
What would be the expected PaCO2 of a patient with compensated diabetic ketoacidosis?
Answer: Low PaCO2, typically around 22-25 mmHg
500
DAILY DOUBLE: (1) What does the Braden Scale assess for? (2) And name 4 out of the 6 components of the Braden Scale.
Answer: The Braden Scale for Predicting Pressure Sore Risk consists of six subscales: mobility, activity, sensory perception, skin moisture, nutritional status, and friction and shear
Resource: Myers pg 307
500
Which stage of lymphedema neither pits with digital pressure when applied nor has reduction of edema with elevation?
Answer: Stage 2
Resource Myers table 15-2
500
What is the most significant risk factor for cancer?
Answer: Age
Resource: Goodman & Fuller pg 143
500
When discussing the upcoming discharge home your patient presents with tachycardia and reports “heart palpitations”. Do they have mild, moderate, or severe anxiety about going home?
Answer: Moderate
Resource: O’sullivan Table 26.2
500
What sign is seen in the image and what underlying pathology causes it?
Answer: Charcot foot: A “rocker bottom” deformity of the bone and joint, associated with nerve damage, common with diabetic neuropathy
Resource: Myers pg 350