Week 4 final

Question 1

What condition is synonymous with myxedema? What are its symptoms?

Answer 1

• Hypothyroid
• rough, dry, flaky skin, sparse and brittle hair
• puffy, edematous face
• dry, coarse hair

Question 2

What fingernail deformity is associated with melanoma?

Answer 2

Brown lines

Question 3

What do nails look like in arterial insufficiency?

Answer 3

Thick and ridged

Question 4

What condition is synonymous with Graves disease? Symptoms?

Answer 4

• Hyperthyroid
• smooth, soft, velvety skin
• Exophthalmos
• goitre
• heat intolerance
• thin silky hair

Question 5

What are the four functions of the spleen?

Answer 5

• store rbc’s
• destroy old rbc
• antibody production
• filter microorganisms

Question 6

What does the Wells score calculate? What are values of concern?

Answer 6

• Risk of DVT
• 1-2 = moderate
• 3+ = high

Question 7

What is hirsutism?

Answer 7

• Excessive hair
• Due to increased androgen
• Rule out ovarian/adrenal tumor

Question 8

What are the five recommendations regarding sun from the CDN skin cancer foundation?

Answer 8

• SPF 30 or greater sunscreen
• avoid sun from 10-1600
• cover skin
• seek shade
• use sunglasses

Question 9

What do nails look like with iron deficiency anemia?

Answer 9

Spoon shaped

Question 10

What are s/sx of venous insufficiency?

Answer 10

• Ulcers to medial malleolus
• Leg pain that is worse at the end of the day
• Hemosiderin/brown pigment
• Bleeding, uneven edges

Question 11

Tension HA s/sx?

Answer 11

• Bilateral, front, back, sides of head
• Band like
• Gradual onset
• Lasts for days
• Stress, anxiety, depression

Question 12

What are s/sx of arterial insufficiency?

Answer 12

• Claudication
• Diminished pulses
• Ulcers to toes, feet, and lateral malleoli
• No bleeding/weeping

Question 13

Migraine HA s/sx

Answer 13

• Generally one sided
• Behind eyes
• Pulsing/throbbing
• Rapid onset
• Triggers: alcohol, caffeine, stress, sleep deprivation
• Need to lie down

Question 14

Cluster HA s/sx

Answer 14

• Intermittent, excruciating, unilateral
• One sided, temporal, eye, cheek
• 45-90 minutes
• Sudden onset
• Multiple times per day
• Need to move
• Exacerbated by alcohol, daytime napping