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Exam (elaborations)

CEN Exam Questions and Answers

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Kehr's sign Ans- Referred pain down the left shoulder; indicative of a ruptured spleen. Homan's sign Ans- pain in *calf upon dorsiflexion* of foot and may indicate DVT Cullen's sign Ans- superficial edema and bruising in the subcutaneous fatty tissue around the umbilicus caused by pancreatit...

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  • August 2, 2024
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  • 2024/2025
  • Exam (elaborations)
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CEN Exam Questions and
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Kehr's sign


Ans- Referred pain down the left shoulder; indicative of a ruptured spleen.




Homan's sign


Ans- pain in *calf upon dorsiflexion* of foot and may indicate DVT




Cullen's sign


Ans- superficial edema and bruising in the subcutaneous fatty tissue around

the umbilicus caused by pancreatitis




Chvostek's sign


Ans- Hypocalcemia (facial muscle spasm upon tapping)

,Trousseau's sign


Ans- arm/carpal spasm associated with hypocalcemia




Murphy's sign


Ans- pain with palpation of the RUQ during inspiration, indicative of

cholecystitis




Beck's triad


Ans- Hypotension, JVD, muffled heart sounds; cardiac tamponade




trauma triad of death


Ans- hypothermia, acidosis, coagulopathy




Cushing's triad


Ans- Signs of increased intracranial pressure:


1. hypertension

,2. bradycardia


3. irregular respirations




Battle's sign


Ans- Bruising behind the ears, indicative of a basilar skull fracture




coarse crackles (rales)


Ans- Low pitched, bubbling, moist sounds that may persist from early

inspiration to early expiration.


May indicate PNEUMONIA




fine crackles (fine rales)


Ans- high pitched, (rubbing hair by ear, fire); alveoli "popping open" as air hits

previously closed alveoli upon inspiration; Upon expiration, alveoli closing; think

pulmonary edema, fibrosis




Rhonchi

, Ans- loud rumbling sounds heard on auscultation of bronchi obstructed by

thick sputum - COPD, CF, pneumonia




Stridor


Ans- strained, high-pitched sound heard on inspiration caused by obstruction in

the pharynx or larynx, also caused by croup




Bronchiolitis


Ans- Inflammation of the bronchioles that usually occurs in children younger

than 2 years and is often caused by the respiratory syncytial virus.




Preload


Ans- volume of blood in ventricles at end of diastole




Afterload


Ans- the amount of resistance to ejection of blood from the ventricle




cardiac contractility

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