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NR509 Final Exam Questions With Correct Answers
Sources of Joint Pain - accurate answers-Nonarticular, intra-articular (Acute < weeks), Intra-articular (Chronic, >6 weeks) Non-articular sources - accurate answers-Trauma/fractures, fibromyalgia, polymyalgia, rheumatica, bursitis, tendinitis Intra-articular (Acute, <6weeks) - accurate answers-Arthritis (infectious arthritis, gout, pseudo gout, reiter syndrome) Intra-Articular (Chronic, >6weeks) - accurate answers-Arthritis (inflammatory/non-inflammatory), Lupus, OA, RA, scleroderma, polymyostis What causes saddle numbness? - accurate answers-Cauda equina syndrome how does retinal detachment present? - accurate answers-sudden painless unilateral vision loss obtunded means? - accurate answers-eyes open, slow to respond, slighty confused, decreased interest/alertness in environment cranial nerve in charge of lateral gaze? - accurate answers-Cranial nerve 6, abducens What should be listed under an adults health history? - accurate answers- Medical, surgical, OBGYN, psychiatric What conditions do not have a red reflex? - accurate answers-opacity of the lens (cataracts), vitreous (fake eye), rare but retinal displacement, retinoblastoma in children Signs of seasonal allergies - accurate answers-Red, runny nose, sneezy, watery, red, and itchy eyes optic neuritis presents by? - accurate answers-Sudden Painful unilateral vision loss. sometimes associated with MS
how does pityriasis rosacea present? - accurate answers-Oval lesions on trunk, can be in the shape of a christmas tree, especially on children, (Harolds sign)- Largest lesion first What is listed under present illness? - accurate answers-OLDCART onset, location, duration, characteristics, aggravated factors, relieving factors, and treatment Know where the acromion process is? - accurate answers-between clavicle and shoulder (Sticks off) What can cause falsy high BP? - accurate answers-brachial artery below heart, too small of a cough, white coat syndrome nystagmus (What is it/how to check for it?) - accurate answers-involuntary movements of the eyes with quick and slow movements. Note the direction of the gaze and the plane of it (horizontal, vertical, rotary, mixed) & the direction of quick and slow movements. it is named for the direction of the quick component. Have patient stare at object across the room and see if nystagmus increases or decreases yellow sclera indicates> - accurate answers-high billirubin, jaundice signs of degenerative joint disease? - accurate answers-"giving out sensation" hurts with bending, lifting, twisting, and sitting relieved by changing positions, walking, running, laying down Otosclerosis presents with Weber and Rinne test - accurate answers--Weber test: Vibrations are heard in impaired. (room noises not heard well, so detection of vibrations improves) -Rinne Test: BC>=AC. tuning fork at external auditory meatus, then the mastoid bone --- air conduction through the external or middle ear is impaired, vibrations through the bone bypass the problem and reach the cochlea Are cherry angiomas benign or not? - accurate answers-Benign Visual Acuity score - accurate answers-20/40---- 20 is how far the patient is standing from the chart
*in complete tear: active abduction and forward flexion at the glenohumeral joint are severely impaired--producing a shrug of the shoulder and a positive drop arm test what joints on condylar - accurate answers-knee & temporo mandibular joint RA acute - accurate answers-tender, painful, systemic spindle shaped swelling can have nodules RA chronic - accurate answers-thick swelling Swan neck deviate towards ulnar side boutonnier deformity subjective data - accurate answers-what the patient tells you Risk factors for melanoma - accurate answers-personal or family history great or equal to 50 moles aytypical/large moles red/light hair solar lentingines (brown spots) freckles UV light-sun/beds light eye or skin color severe blistering sunburn when kid immunosupression from HIV or chemo subarachoinoid hemorage - accurate answers-worst headache of my life, neck stiffness with resistence to flexion, N/V absence seizures - accurate answers-sudden brief lapse in conscious. blinking, staring, movements of lips and hands but no failing. atypical or typical. typical is less than 10 seconds, prompt return to normal ... atypical is greater than 10 seconds, may be confused what cranial nerve assess when you touch soft palate and move the uvula - accurate answers-X vagus
signs of Increases ICP - accurate answers-headache, blurred visio, n/v, changes in behavior, weakness, lack of energy, sleep, problems talking/moving, less alert, buldginf fontenell respitory distress - accurate answers-tachypnea, cyanosis, audible sounds, contraction of muscles objective info - accurate answers-what you detect in the exam, lab values, test data Causes of epistaxis - accurate answers-trauma (nose picking) crusting/ drying nasal mucousa, tumors, foreign bodies, inflammation otitis externa signs - accurate answers-tug test. pull on tragus and auricle signs of pneumonia - accurate answers-dullness replaces resonance crackles plural rubs localized bronchophony and egophony pleuratic pain-sharp knifelike aggrevated by deep inspiration coughing movements fever sputum sings of meningitis - accurate answers-neck stiffness with resistance to flexion signs of asthma - accurate answers-cough at times with mucoid sputum, especially near end of attack eposodic wheezing, dyspnea may have history of allergies signs of lyme disease - accurate answers-circle rash wiht bullseye middle flu-like symptoms ( fever, headache, fatigue) what does acanthosis nigrican clue to - accurate answers-DM red flags for headaches - accurate answers-new onset after 50 worse and more frequent in 3 month period sunder onset like thunder calp aggrevated/relieved by position changes
