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NR509 MIDTERM ACTUAL EXAM NEWEST VERSION ACTUAL 120 QUESTION AND CORRECT DETAILED VERIFIED ANSWERS FROM VERIFIED SOURCES BY EXPERT RATED A GRADE.$19.99
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NR509 MIDTERM ACTUAL EXAM NEWEST VERSION 2024 -
2025 ACTUAL 120 QUESTION AND CORRECT DETAILED VERIFIED ANSWERS FROM VERIFIED SOURCES BY EXPERT RATED A GRADE. An 87 -year -old woman who is generally healthy and cognitively sharp complains to the clinician of slow loss of vision, with similar problems in both eyes, particularly when she looks straight ahead. She is having difficulty reading of late. What is a reaso nable response to her? a. "This is a common occurrence with aging and unlikely to have a diagnosis." b. "This is an unusual occurrence, even among elderly, and may be due to a problem within the brain (since it is bilateral)." c. "Are you experiencing depression or stress?" d. "This may be the onset of macular degeneration, which an ophthalmologist should confirm ." e. "This is a classic 'floater' and no cause for concern." - ANSWER -d. "This may be the onset of macular degeneration, which an ophthalmologist should confirm." A 70 -year -old man complains of double vision. Which of the following associated symptoms or signs would be worrying about an underlying neurological problem (as opposed to pathology in the eye)? a. Abnormality in extraocular movements on examination b. Diplopia persisting in the right eye when the left eye is closed c. An associated conjunctivitis d. Worsening vision bilaterally on examination e. Symptoms of flashing lights - ANSWER -a. Abnormality in extraocular movements on examination An 82 -year -old gentleman seems to be speaking loudly during an examination, suggesting that he may not be hearing well. What is a good question to ask him to help identify whether or not he has hearing loss? a. Has he been listening to loud music? b. How well does he understand people in a noisy environment such as a restaurant? c. Does he have vertigo ? d. Has he been having an earache? e. Does he have discharge from his ear? - ANSWER -b. How well does he understand people in a noisy environment such as a restaurant? A 25 -year -old construction worker is complaining of a swishing noise in both ears that never goes away and has occurred for about 6 months. He is otherwise healthy, is able to work on his job (operating large, vibrating machinery) without problems, and is not taking any medications. A complete examination reveals an abnormality. Which of the following abnormality is most often associated with tinnitus? a. Bilateral earache b. Wax in both ears c. Headache d. Vertigo e. Mild tremor - ANSWER -d. Vertigo A patient with cystic fibrosis (CF) has been complaining of fullness in his left nasal cavity. Examination of his nose using an otoscope and a speculum reveals a normal nasal septum, but a pale, saclike growth of inflamed tissue that is obstructing a large part of the nasal cavity. What is the most likely diagnosis? a. Ulcer b. Viral rhinitis c. Allergic rhinitis d. Deviated nasal septum e. Nasal polyp - ANSWER -e. Nasal polyp 1. A 65 -year -old overweight male presents at the clinic with hoarseness which has lasted for around 2 months. He thinks it began along with a cold. He is not feeling badly other than frequent heartburn, and he has continued to work as a bartender (for the past 30 years), but he is having difficulty being heard and understood because of his hoarse voice. A diagnosis that is on the differential list includes which of the following? a. Voice strain from bartending and talking amidst loud ambient noise b. Viral infection c. Acid reflux d. Inhalation of fumes e. Environmental allergies - ANSWER -c. Acid reflux A 39 -year -old architect comes to the clinic for a 2 -day history of fever, chills, cough productive of green sputum, and dyspnea. He has no history of serious illness. His temperature is 101.2oF. His other vital signs are within normal limits. Late inspirat ory crackles are heard on auscultation over the left lower lung posteriorly. When the clinician listens over that area and instructs the patient to say "ee," it sounds like "A." Which of the following would most likely be found on percussion of his lungs? a. Flatness b. Hyperresonance c. Stridor d. Tympany e. Dullness - ANSWER -e. Dullness A student is practicing the performance of a lung examination on a classmate. Which of the following is the correct order for performing the components of the lung examination? a. Auscultation, inspection, palpation, and percussion b. Auscultation, percussion, palpation, and inspection c. Ins pection, palpation, percussion, and auscultation
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