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NR 509 Final Exam Questions With Accurate Answers
Typology: Exams
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Cause of saddle numbness and urinary retention - accurate answers-Cauda equina syndrome Presentation of retinal detachment - accurate answers-If sudden visual loss is unilateral and painless, Obtunded - accurate answers-patient opens the eyes and looks at you but responds slowly and is somewhat confused. Alertness and interest in the environment are decreased. Cranial nerve for lateral gaze - accurate answers-CN6: Abducens Adult Illnesses - accurate answers-Medical: Illnesses such as diabetes, hypertension, hepatitis, asthma, and human immunodeficiency virus (HIV); hospitalizations; number and gender of sexual partners; and risk-taking sexual practices ■ Surgical: Dates, indications, and types of operations ■ Obstetric/Gynecologic: Obstetric history, menstrual history, methods of contraception, and sexual function ■ Psychiatric: Illness and time frame, diagnoses, hospitalizations, and treatments Present Illness - accurate answers-chronologic description of the problems prompting the patient's visit, including the onset of the problem, the setting in which it developed, its manifestations, and any treatments to date.Each problem/symptom needs: (1) location; (2) quality; (3) quantity or severity; (4) timing, including onset, duration, and frequency; (5) the setting in which it occurs; (6) factors that have aggravated -meds, allergies, tobacco use, ETOH and drug use Absence of red reflex - accurate answers-an opacity of the lens (cataract) or, possibly, the vitreous (or even an artificial eye). Less commonly, a detached retina or, in children, a retinoblastoma may obscure this reflex. S/S of seasonal allergies - accurate answers-Itching, watery eyes, sneezing, ear congestion, postnasal drainage
Presentation of optic neuritis - accurate answers-Enlarged blind spot, vision loss in 1 eye, loss of color vision, hole in center of vision, trouble seeing to the side, eye pain pityriasis rosea - accurate answers-Multiple round to oval scaling violaceous plaques on abdomen and back Acromion - accurate answers-tip of shoulder What to do for + finding on physical exam, but - workup - accurate answers- continue using test, but less lab and diagnostics Cause of falsely high BP - accurate answers--too small of a BP cuff
Acute RA - accurate answers-Tender, painful, stiff joints in RA, usually with symmetric involvement on both sides of the body. The distal interphalangeal (DIP), metacarpophalangeal (MCP), and wrist joints are the most frequently affected. Note the fusiform or spindle-shaped swelling of the PIP joints in acute disease. Chronic RA - accurate answers-swelling and thickening of the MCP and PIP joints. Range of motion becomes limited, and fingers may deviate toward the ulnar side. The interosseous muscles atrophy. The fingers may show "swan neck" deformities (hyperextension of the PIP joints with fixed flexion of the distal interphalangeal [DIP] joints). Less common is a boutonnière deformity (persistent flexion of the PIP joint with hyperextension of the DIP joint). Rheumatoid nodules are seen in the acute or the chronic stage. subjective data - accurate answers-- Symptoms
Signs of increased ICP - accurate answers-Papilledema ( pink, hyperemic, loss of venous pulsations, disc more visible, disc swollen with blurred margins, physiologic cup not visible) signs of respiratory distress - accurate answers-Tachypnea, cyanosis or pallor, audible whistling during inspiration over neck or lungs, stridor, use of accessory muscles, objective information - accurate answers-Vitals, info you detect during examination, physical exam findings Signs of otitis externa - accurate answers--After swimming
constitutional ROS - accurate answers-fatigue, weakness, fever, chills, night sweats, weight changes, pain Dim response of olfactory nerve in elderly - accurate answers-Normal finding C-section should be listed under surgeries - accurate answers- psoriasis presentation - accurate answers--Scattered erythematous round drop- like, flat-topped well-circumscribed scaling papules and plaques on trunk (guttate psoriasis) -Scattered erythematous to bright pink well-circumscribed flat-topped plaques on extensor knees and elbows, with overlying silvery scale; plaque psoriasis vasovagal syncope - accurate answers--neurocardiogenic (also called neutrally mediated vasodepressor syncope or vasovagal syncope) and of cardiac origin from arrhythmias in only ∼20% of cases Angina pectoris - accurate answers-Consider this as a differential diagnosis for chest pain subconjunctival hemorrhage - accurate answers--no pain -vision not affected