NURS 547 Differential Diagnosis
2024Final Exam Review Questions and
Answers 100% Pass | Graded A+
David Mungai
[COMPANY NAME] [Company address]
, NURS 547 Differential Diagnosis
2024Final Exam Review Questions and
Answers 100% Pass | Graded A+
What is the acronym SAD PUCKER? - Answer>>
Retroperitoneal structures
S: suprarenal (adrenal glad)
A: Aorta/IVC
D: duodenum (second and third part)
P: pancreas (except tail)
U: ureters
C: colon (ascending and descending)
K: kidneys
E: esophagus
R: rectum
What are the risk factors for kidney and urinary tract system? -
Answer>> - age over 60
- personal or family hx of diabetes or hypertension, kidney
disease, heart attack, or stroke.
- African, Hispanic, pacific island, or native American descent
-exposure to chemicals (ex paint, glue, degreasing solvents,
cleaning solvents), drugs, or environmental conditions
Cardiac Signs for Angina - Answer>>
What to look for in the medical history when screening the UE? -
Answer>> 1) HTN, DM II, hyperlipidemia. Stress to vasculature,
especially small vessels -> occlusive disease = atherosclerosis.
Other risk factors for heart disease -> smoking, overweight/obese,
poor diet, physical inactivity, excessive alcohol use.
2) Angina, MI refer to: jaw, L/R arm, retrosternal, midback, L neck.
,What are modifiable risk factors for heart disease? - Answer>>
Exercise, weight management, alcohol consumption, smoking.
What are non-modifiable risk factors for heart disease? -
Answer>> Age, family hx, gender (men up to age 40 and
women because of estrogen).
21 yo female, R UE pain after weight lifting. After workouts, RUE
appeared slightly larger vs. left. Last week the size difference
between had become much more obvious, felt like there was a
"bump" in her arm pit that was constantly present during past 3
days. What systems to review? - Answer>> Review:
Cardiovascular, musculoskeletal, neuromuscular
21 yo female, R UE pain after weight lifting. More details:
distended varicose-type veins subclavian/axillary regions, entire
RUE swelling, syanotic discoloration of the hand, decrease in
brachial & radial pulses RUE vs. LUE, RUE paresthesia &
decreased sensation in a non-dermatomal pattern,
C-spine/shoulder ROM WNL, did not reproduce sx, palpation:
bump in axilla was well defined, tender, reproduced paresthesia.
1) What system do these cluster around?
2) Do you agree with the Dx of tendonitis?
3) What do the findings possibly indicate?
4) What is your next step?
5) What level of urgency is the referral? - Answer>> 1)
Neuromuscular
2) No: tendons can be swollen, but more localized
3) Thoracic Outlet Syndrome, UE DVT
4) DVT? CALL ER!
5) Urgent.
She actually had PSS (Paget-Schroetter Syndrome), a rare
classification of UE DVT sometimes associated with TOS and
caused by effort-related DVTs of the subclavian and axillary
, regions. Birth control can cause blood clots, and if she is a
smoker that causes MORE probs.
What are varicose veins across the chest and into the arm an
indicator of? - Answer>> UE DVT
What could cyanosis, swelling, and redness in unilateral UE
mean? - Answer>> UE DVT
DVT of UE signs and symptoms? - Answer>> numbness or
heaviness of UE; itching, burning, coldness; swelling,
discoloration, warmth or redness; pitting edema; limited ROM of
c-spine, shoulder; low-grade fever, chills, malaise; for individuals
with a PICC line (in addition with any of the sx above): pain or
tenderness at or above the insertion site - BIG DEAL.
What are the risk factors for developing pulmonary TB? -
Answer>> Health care workers; homeless population; prison
inmates; immunocompromised individuals; older adult > 65;
immigrants from areas where TB is endemic; injection drug users;
malnourished
What is the referral pattern for diaphragmatic irritation? -
Answer>> Shoulder has common innervation with diaphragm
(C3-C5) so any messages to the spinal cord from the diaphragm
can result in referred shoulder pain!
Irritation of the peritoneal or pleural surface of the central
diaphragm refers sharp pain to the ipsilateral upper trap, neck
and/or supraclavicular fossa.
Referred shoulder pain patterns - Answer>>
Associated signs and symptoms with shoulder pain patterns? -
Answer>> Pleuritic component; exacerbation by recumbency;
