NR 509 final exam 2022 / nrNR509 Final Questions & Answers. / NR509 Final TD, With Rationale
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NR 509
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NR 509
NR 509 final exam 2022 / nrNR509 Final Questions & Answers. / NR509 Final TD, With Rationale
A young man feels something in his scrotum and comes to you for clarification. On your examination, you note what feels like a "bag of worms" in the left scrotum, superior to the testicles. Which of the ...
nr 509 final exam 2022 nrnr509 final questions amp answers nr509 final td
with rationale a young man feels something in his scrotum and comes to you for clarification on your examination
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NR 509 final exam 2022 / nrNR509 Final Questions &
Answers. / NR509 Final TD, With Rationale
A young man feels something in his scrotum and comes to you for clarification.
On your examination, you note what feels like a "bag of worms" in the left
scrotum, superior to the testicles. Which of the following is most likely?
A) Hydrocele of the spermatic cord
B) Varicocele
C) Testicular carcinoma
D) A normal vas deferens
Varicocle
Varicoceles are common in normal men. They are often found in the left scrotum
or bilaterally and should normally resolve in the supine position. This is because
they represent varicosities within the scrotum. These require further investigation
if they occur only on the right side or do not resolve in the supine position. They
can contribute to infertility because the testicles are unable to achieve a cool
enough temperature for sperm production, due to increased blood flow from the
varicocele. A hydrocele would be a painless mass on the spermatic cord and the
vas deferens is palpated as part of the spermatic cord. You should lightly pinch
the scrotum medially and move laterally until you feel the spermatic cord pass
between your fingers.
Which of the following changes are expected in vision as part of the normal aging
process?
A) Cataracts
B) Glaucoma
C) Macular degeneration
D) Blurring of near vision
Ans: D
The lens loses its elasticity over time as part of the normal aging process, and the eye is
less able to accommodate and focus on near objects; therefore, the patient will be
expected to have blurring of near vision.
A 68-year-old mechanic presents to the emergency room for shortness of breath.
You are concerned about a cardiac cause and measure his jugular venous
pressure (JVP). It is elevated. Which one of the following conditions is a potential
cause of elevated JVP?
A) Left-sided heart failure
B) Mitral stenosis
C) Constrictive pericarditis
D) Aortic aneurysm
Constrictive pericarditis
Which of the following lymph node groups is most commonly involved in breast
cancer?
A) Lateral
, B) Subscapular
C) Pectoral
D) Central
D.) Central
You are beginning the examination of the skin on a 25-year-old teacher. You have
previously elicited that she came to the office for evaluation of fatigue, weight
gain, and hair loss. You strongly suspect that she has hypothyroidism. What is
the expected moisture and texture of the skin of a patient with hypothyroidism?
A) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough
D) Dry and rough
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus
erythematosus). She has noticed a raised, dark red rash on her legs. When you
press on the rash, it doesn't blanch. What would you tell her regarding her rash?
A) It is likely to be related to her lupus.
B) It is likely to be related to an exposure to a chemical.
C) It is likely to be related to an allergic reaction.
D) It should not cause any problems.
A. It is likely to be related to her lupus
You are palpating the abdomen and feel a small mass. Which of the following
would you do next?
A) Ultrasound
B) Examination with the abdominal muscles tensed
C) Surgery referral
D) Determine size by percussion
b) examination with the abdominal muscles tensed.
You are evaluating a 40-year-old banker for coronary heart disease risk factors.
He has a history of hypertension, which is well-controlled on his current
medications. He does not smoke; he does 45 minutes of aerobic exercise five
times weekly. You are calculating his 10-year coronary heart disease risk. Which
of the following conditions is considered to be a coronary heart disease risk
equivalent?
A) Hypertension
B) Peripheral arterial disease
C) Systemic lupus erythematosus
D) Chronic obstructive pulmonary disease (COPD)
B) Peripheral Artery Disease
In obtaining a history, you note that a client uses the word "largely" repeatedly, to
the point of being a distraction to your task. Which word best describes this
speech pattern?
Perserveration
A 40-year-old mother of two presents to your office for consultation. She is
interested in knowing what her relative risks are for developing breast cancer.
She is concerned because her sister had unilateral breast cancer 6 years ago at
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