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NU || 650 || through || Midterm || (multiple || choice) ||
Exam || with || verified || solutions
A || patient || is || seen || in || the || office || for || amenorrhea, || for || which || you || obtain || a || urine || pregnancy || test || in || the || office || that || returns || negative. || You || would || document || this || finding || in || which || of || the || following || sections || of || the || encounter? A. || HPI B. || CC C. || Subjective || Data D. || Objective || Data || - || Correct || answer || ✔D: || Objective || data A || patient || you || are || seeing || for || the || first || time || in || your || office, || brings || their || previous || medical || records || for || the || review. || you || would || document || a || summer || of || the || previous || medical || records || in || which || of || the || following || sections || of || the || encounter || note? A. || HPI B. || CC C. || Subjective || Data D. || Objective || Data || - || Correct || answer || ✔C: || Subjective || data The || most || effective || process || to || elicit || the || ROS || is || for || the || NP || to: A. || Limit || the || ROS || to || systems || related || to || the || CC B. || Follow || the || patients || lead || regarding || the || order || of || symptoms
C. || incorporate || the || ROS || during || the || physical || exam, || stopping || to || make || notes || as || necessary D. || Start || with || general || questions || on || each || of || the || different || body || systems || - || Correct || answer || ✔D The || NP || can || determine || higher || cognitive || function || by || asking || the || patient || to || perform || which || of || the || following || tasks? A. || Explain || the || meaning || of || a || proverb B. || Identify || the || day || of || the || week, || month, || season, || date || and || year C. || Recall || details || of || historical || events D. || Spell || a || five-letter || word || such || as || WORLD || backward || - || Correct || answer || ✔A The || NP || will || ask || the || patient || which || of || the || following || questions || to || assess || for || depression? A. || have || you || ever || been || annoyed || by || other || criticizing || your || alcohol || use? B. || Over || the || past || two || weeks || have || you || felt || little || interest || or || pleasure || in || doing || things? C. || Over || the || past || two || weeks || have || you || been || unable || to || stop || or || control || worrying? D. || How || often || do || you || have || contact || with || those || that || you || care || about || or || care || about || you? || - || Correct || answer || ✔B The || NP || will || document || the || reason || for || visit || in || which || of || the || following || sections || of || the || encounter? A. || HPI B. || CC
D. || Validate || the || patients || feelings || without || agreeing || with || their || reasons. || - || Correct || answer || ✔D Which || of || the || following || variables || should || have || the || greatest || affect || as || to || how || the || NP || will || conduct || the || H || & || PE || of || a || child? A. || The || child's || developmental || level B. || the || child's || chronological || age C. || The || expected || head || to || toe || format || and || order || of || examination || techniques D. || The || child's || birth || history || - || Correct || answer || ✔A Match || the || primary || skin || lesion || to || the || description A. || Macule || 1. || Lesion || is || raised B. || Papule || 2. || Lesion || is || raised || > || 1 || cm || & || fluid || filled C. || Plaque || 3. || Lesion || is || flat D. || Vesicle || 4. || Lesion || is || raised, || > || 1cm || but || not || fluid || filled E. || Bullae || 5. || Lesion || is || raised || - || Correct || answer || ✔Macule || --> || Lesion || is || Flat Papule || --> || lesion || is || raised Plaque || --> || lesion || is || raised, || > || 1 || cm || but || not || fluid || filled Vesicle || --> || lesion || is || raised Bullae || --> || lesion || is || raised, || > || 1 || cm || and || fluid || filled A || linear || arrangement || along || a || nerve || distribution || is || a || description || of || which || type || of || skin || lesion? A. || Annular
B. || Zosteriform C. || Keratitis D. || Linear || - || Correct || answer || ✔B A || wood's || lamp || is || especially || useful || in || diagnosing || __________ A. || tine || versicolor B. || herpes || zoster C. || contact || dermatitis D. || All || of || the || above || - || Correct || answer || ✔A. || tine || versicolor || (woods || lamp || helps || diagnosis || yeast || infections) Mr. || P. || has || had || a || "terrible || itch" || for || several || months || that || he || has || been || scratching || continuously. || Upon || examination, || the || nurse || might || expect || to || find: A. || a || keloid B. || a || fissue C. || keratosis D. || Lichenification || - || Correct || answer || ✔D The || NP || has || identified || a || solid, || elevated, || circumscribed || lesion || that || is || less || than || 1 || cm || in || diameter || and || palpable || into || the || dermis. || This || NP || will || correctly || document || this || finding || as || a || _________ A. || bulla B. || wheal C. || nodule
Which || of || the || following || represents || the || proper || position || for || the || NP || to || assess || the || patient's || abdomen? A. || Stand || at || the || patient's || left || side || and || proceed || in || a || systematic || fashion. B. || Stand || at || the || patient's || left || side || and || assess || any || problem || areas || first C. || Stand || at || the || patient's || right || side || and || process || in || a || systemic || fashion D. || Stand || at || the || patient's || right || side || and || assess || any || problem || areas || first || - || Correct || answer || ✔C The || NP || will || demonstrate || the || correct || order || of || examination || for || the || abdomen || by || using || examination || techniques || that || follows:
- || Auscultation
- || Inspection
- || Palpation
- || Percussion A. || 1-2-3- B. || 2-3-4- C. || 3-4-1- D. || 2-1-3-4 || - || Correct || answer || ✔D A || 36-year-old || female || patient || is || seen || in || the || clinic || for || a || reported || fever || and || back || pain. || She || complained || of || pain || when || the || NP || percussed || over || the || left || CVA || angle. || This || finding || supports || which || of || the || following || differential || diagnosis? A. || Pyelonephritis B. || Left || lower || lobe || pneumonia
C. || Splenomegaly D. || Cholecystitis || - || Correct || answer || ✔A The || liver || border || can || be || palpated || normally || below || the || costal || margin || at || the: A. || Left || mid-clavicular || line B. || Right || mid-axillary || line C. || Right || mid-calvicular || line D. || Left || mid-axillary || line || - || Correct || answer || ✔C The || NP || will || recognize || which || of || the || following || subjective || or || objective || findings || as || worrisome || for || an || abdominal || aortic || aneurysm? A. || aortic || width || of || 2.8 || cm B. || 25 || pack-year || smoking || history C. || age || of || 60 D. || Female || gender || - || Correct || answer || ✔B The || NP || will || use || which || of || the || following || examination || techniques || to || determine || muscular || resistance, || superficial || organs || and || masses || in || the || abdomen A. || inspection B. || light || palpation C. || deep || palpation D. || percussion || - || Correct || answer || ✔B
B. || Dull C. || Resonant D. || Hyperresonant || - || Correct || answer || ✔A Which || of || the || following || abdominal || exam || findings || would || prompt || the || NP || to || consider || cholecystitis || as || a || differential || diagnosis? A. || Positive || psoas || sign B. || Positive || Rovsing's || sign C. || Positive || Obturator || sign D. || Positive || murphy's || sign || - || Correct || answer || ✔D Which || of || the || following || symptoms || would || you || expect || from || a || young || adolescent || in || the || early || phase || of || appendicitis? A. || Abdominal || pain || two || hours || after || eating B. || CVA || tenderness C. || Severe || RLQ || pain || with || pallor || and || sweating D. || Constipation || - || Correct || answer || ✔C A || 40 || year || old || male || patient || presents || with || sinus || pain, || pressure || and || yellow || nasal || discharge. || Your || exam || would || include || palpation || of: A. || Ethmoid || and || frontal || sinuses B. || Maxillary || and || sphenoid || sinuses C. || Frontal || and || maxillary || sinuses D. || Sphenoid || and || ethmoid || sinuses || - || Correct || answer || ✔C
A || 60 || y.o || presents || with || a || 3-day || history || of || left || eye || irritation. || Which || of || the || following || findings || should || be || recorded || in || the || ROS? A. || Patient || denies || eye || pain || or || change || in || vision B. || Vision || is || 20/20 || by || Snellen || Chary C. || Yellow || crust || is || visible || at || the || inner || canthus || of || the || left || eye D. || all || of || the || above || - || Correct || answer || ✔A During || a || physical || exam || of || the || throat, || which || of || the || following || structures || of || the || mouth/throat || should || rise || when || the || patient || says || "aah"? A. || Hard || palate B. || Soft || palate C. || Lingual || frenulum D. || Buccal || mucosa || - || Correct || answer || ✔B In || conductive || type || hearing || loss, || you || would || expect: A. || sound || lateralizes || to || the || good || ear || when || the || weber || test || is || used B. || sound || lateralizes || to || the || affected || (bad) || ear || when || the || weber || test || is || used C. || The || weber || test || remains || unaltered || with || conductive || type || hearing || loss || and || sound || will || be || heard || equally || in || both || ears D. || The || weber || test || can || cause || discomfort || in || a || patient || with || conductive || type || hearing || loss || and || should || not || be || used || in || this || situation || - || Correct || answer || ✔B
When || conducting || an || ophthalmoscopic || exam, || the || NP || will || differentiate || arteries || from || veins || by || noting: A. || Larger || size || of || arteries B. || Bright || light || reflection || of || arteries C. || Dark || red || color || of || arteries D. || location || of || the || vessel || to || the || optic || disc || - || Correct || answer || ✔B When || examining || a || 3 || y.o || presenting || to || your || office || with || right || ear || pain, || which || would || be || the || appropriate || order || for || the || assessment? A. || Right || ear, || left || ear, || mouth, || nose, || neck, || lungs, || heart B. || Neck, || lungs, || heart, || mouth, || nose, || left || ear, || right || ear C. || Left || ear, || right || ear, || neck, || lungs, || heart || and || nose D. || Lungs, || heart, || mouth, || nose, || and || right || ear. || - || Correct || answer || ✔B Which || of || the || following || describes || the || proper || technique || for || examination || of || the || ear || canal || and || drum || for || a || 5 || year || old? A. || Use || the || smallest || ear || speculum, || position || the || pt. || head || so || that || you || see || comfortable, || straighten || the || ear || canal || by || grasping || the || auricle || firmly || and || pulling || it || upward || and || backward, || slightly || away || from || the || head. B. || use || the || largest || ear || speculum || that || inserts || easily || in || the || canal, || position || the || patients || head || so || that || you || see || comfortable, || straighten || the || ear || canal || by || grasping || the || auricle || firmly || and || pulling || it || downward || and || backward, || slightly || away || from || the || head || - || Correct || answer || ✔B
Which || of || the || following || findings || on || exam || of || the || nasal || mucosa || and || septum || would || most || likely || indicate || allergic || rhinitis? A. || Reddened || nasal || mucosa || with || purulent || drainage B. || pale || or || bluish || nasal || mucosa || with || clear || drainage C. || fresh || blood || or || crusting || of || the || nasal || mucosa D. || Asymmetry || in || appearance || between || the || right || and || left || sides || - || Correct || answer || ✔B Which || of || the || following || is/are || normal || in || the || examination || of || the || oral || cavity? A. || a || midline || lingual || frenulum || extending || from || the || tongue || to || the || floor || of || the || mouth B. || papillae || covering || the || dorsum || of || the || tongue C. || Pink || buccal || mucosa || lining || the || cheeks D. || All || of || the || above || are || normal || - || Correct || answer || ✔D Which || of || the || following || techniques || identifies || the || correct || way || to || use || an || ophthalmascope || to || inspect || the || optic || disc || and || retina || in || the || patients || left || eye? || The || NP || will || hold || the || ophthalmoscope: A. || in || their || left || hand || and || examine || the || patients || left || eye || with || his || or || hear || left || eye B. || in || the || right || hand || and || examine || the || patients || left || eye || with || her || or || her || right || eye. C. || In || their || dominant || hand || and || examine || both || of || the || patients || eyes || with || his/her || dominant || eye D. || According || to || personal || preference || and || experience || - || Correct || answer || ✔A
An || 85 || y.o. || woman || is || brought || to || the || urgent || care || center || for || possible || aspiration || pneumonia. || The || NP || understands || that, || based || on || normal || anatomy || adventitious || lung || sounds || will || most || likely || be || heard || in || which || of || the || following || areas? A. || left || upper || lobe B. || left || middle || & || lower || lobes C. || right || upper || lobe D. || Right || middle || and || lower || lobes || - || Correct || answer || ✔D Barrel || chest || is || an || abnormal || chest || configuration || that || may || occur || in || which || of || the || following || disorders? A. || COPD B. || Pneumonia C. || Pneumothorax D. || TBA || - || Correct || answer || ✔A Bronchovesticular || sounds || are || heard || normally || at || which || location? A. || second || intercostal || space || anteriorly || bilaterally B. || base || of || lungs || bilaterally, || posteriorly C. || laterally || at || the || midaxillary || line, || bilaterally D. || Bilaterally || at || the || mid-clabicular || line, || 5th || intercostal || space || - || Correct || answer || ✔A Normally || when || the || lung || fields || are || percussed || the || resulting || sound || is || described || as || _______:
A. || hyperresonant B. || resonant C. || tympanic D. || Dull || - || Correct || answer || ✔B The || clinic || has || extended || hours || to || provide || flu || vaccines || and || preventative || teaching || for || the || community. || Based || on || current || CDC || influenza || vaccine || recommendations, || the || NP || understands || which || of || the || following || patients || has || a || contraindication || and || cannot || receive || the || vaccine? A. || healthy || 2 || month || baby || girl B. || primagravida || at || 32 || weeks C. || 60 || y.o || male || with || hx || CHF D. || 45 || y.o || female || with || BMI || of || 42 || - || Correct || answer || ✔A The || NP || will || nose || a || history || of || chronic || cough || based || on || the || patients || report || of || symptoms || lasting || for: A. || 1 || week B. || 4 || weeks C. || 6 || weeks D. || 10 || weeks || - || Correct || answer || ✔D When || compared || to || wheezes || and || rhonchi, || the || NP || notes || that || on || auscultation, || crackles || are: A. || musical || in || quality B. || prolonged || sounds, || typically || persisting || throughout || the || respiratory || cycle
Cultural || Humility: || - || Correct || answer || ✔A || process || that || requires || humility || as || individuals || continually || engage || in || self-reflection || and || self-critique || as || lifelong || learners || and || reflective || practitioners. 3 || Dimensions || of || cultural || humility || - || Correct || answer || ✔1) || Self-awareness: || learn || about || your || own || biases; || we || all || have || them.
- || Respectful || communication: || work || to || eliminate || assumptions || about || what || is || "normal". || Learn || directly || from || your || patients; || they || are || the || experts || on || their || culture || and || illness.
- || Collaborative || partnerships: || build || your || patient || relationships || on || respect || and || mutually || acceptable || plans. True || or || False: || The || beginning || NP || should || focus || on || interpreting || the || findings || of || the || physical || examination. || - || Correct || answer || ✔False Which || of || the || following || statements || represents || a || general || goal || for || the || comprehensive || or || focused || physical || examination? a. || Avoid || unnecessary || changes || in || position b. || Maximize || patient || comfort c. || Enhance || clinical || efficiency d. || all || of || the || above || - || Correct || answer || ✔D Chronic || pain || definition || - || Correct || answer || ✔Pain || that || persists || one || month || beyond || the || course || of || an || acute || injury
Crackles || auscultated || sound || description: || - || Correct || answer || ✔Discontinuous Non-musical Like || dots || in || time Wheezes || auscultated || sound || description: || - || Correct || answer || ✔High || pitched || with || hissing || or || shrill || quality Continuous Rhonchi || auscultated || sound || description: || - || Correct || answer || ✔Continuous Low || pitched || with || snoring || quality Vesicular || breath || sound || characteristics: || - || Correct || answer || ✔Inspiration || longer || than || expiration Heard || over || most || lung || tissue Tracheal || breath || sound || characteristics: || - || Correct || answer || ✔Inspiration || & || expiration || almost || equal Relatively || high || pitched Intensity || of || expiration || very || loud Bronchovesicular || breath || sound || characteristics: || - || Correct || answer || ✔Inspiration || and || expiration || almost || equal, || and || heard || in || the || first || and || second || interspaces || anteriorly || and || between || the || scapulae
