NR 507 Final EXAM Study questions

NR 507 Final EXAM Study questions Endometrial Cycle - ANWERThree Phases: Proliferative Phase, Secretory Phase, Ischemic Phase, Ovulation occurs between the follicular/proliferative and the luteal/secretory phase uterine prolapse - ANWERthe decent of the cervix or entire uterus into the vaginal canal ** can be severe protruding completely through vagina and protrude from introitus PCOS - ANWEROligo-ovulation or anolvulation elevated androgen levels and polycystic ovaries testicular cancer - ANWERhighly treatable cancer develops in young middle aged men cure rate 90% often manifests as painless enlargement that is gradual sensation of heaviness with dull ache Risk factors for testicular cancer - ANWERcryptorchidism, abnormal testicular development, hiv, aids, Klinefelter syndrome, Hx of testicular CA. Eval for breast Ca - ANWERPainless lump in the breast palpable nodes in the axilla retraction of the tissue or dimpling of the skin bone pain caused by metastasis to vertebrae. Premenstrual dysphoric disorder - ANWERcycle in recurrence (occurs in the luteal phase) distressing physical psychological or behavioral changes that impair relationship or interfere with usual activity. dysfunctional uterine bleeding - ANWERheavy menstrual bleeding which does not appear to have any anatomical cause other causes have been ruled out accounts for 70% of hysterectomies and ablations. prostate cancer - ANWERcancer of the prostate gland, usually occurring in men middle-aged and older chronic exposure to arsenic as well as estrogen is a risk factor HPV and Cervical Cancer - ANWER- HPV found in 95% of cervical cancer - 80-90% transient, gone 1-2 years (which is why we test q 3 years) - 10-20% persist (of these, 2% progress to cervical cancer) Human papillomavirus linked to development of precancerous cells known as dysplasisa high hormone levels - ANWERcauses negative feed back decreasing secretion of the tropic hormone. Cushing's syndrome - ANWERa condition caused by prolonged exposure to high levels of cortisol moon face , trunk obesity, buffalo hump Cause of hypoparathyroidism - ANWERThyroid or parathyroid surgery, autoimmune, congenital associated with DiGeorge syndrome low calcium levels chronic alcoholism malnutrition aminoglycoside antibiotics chemo-agents parenteral nutritional therapy Parathyroid syndrome - ANWERhypocalcemia dry skin loss of body hair ridges on nails labs for primary hypothyroidism - ANWERdocumentation of clinical symptoms of hypothyroidism and measurement of increased levels of TSH and Decreased TH Thyroid storm - ANWERdeath can occur within 48 hrs w/o treatment can develop spontaneously in those with un-diagnosed or partially treated or severe hyperthyroidism Cause of Thyroid storm - ANWERinfection pulmonary disorder cardiovascular disorder trauma burn seizure surgery OB complication emotional stress Dialysis Thyriodtoxicosis symptoms - ANWERHyperthermia tachycardia high-out put heart failure agitation delirium N&V Diarrhea Shock dermatome - ANWERarea of skin innervated by a spinal nerve spondylosis - ANWERa degenerative disorder that can cause the loss of normal spinal structure and function involves the lamina and neural arch of vertebra cerebral cortex - ANWERcontrols motor function and sensory function in the brain cerebral infarction - ANWERdue to either embolism or thrombosis of the intra or extracranial arteries Agnosia - ANWERthe inability to recognize familiar objects. accumulation of blood in the subarachnoid hemorrhage - ANWERwhen leaking blood ozzes when a tear occurs blood under pressure is pumped into the subarachnoid space ICP increases irritation of meninges and tissues impaired CSF Meningitis - ANWERinflammation of the meninges of the brain and spinal cord caused by bacteria viruses fungi parasites or toxins diet prevention of prostate cancer - ANWERhigh intake of animal products (protein) to fruits and vegetables will slow the progression of the indolent to the aggressive forms of prostate cancer. BPH - ANWERprostate enlarges as nodules form and grow usually can cause urinary symptoms such as bladder out flow obstruction urge to urinate often delay in start and decreased force.