NUR 634 Advanced Health Assessment Midterm
Latest Update 2024-2025 Actual Exam325
Questions and 100% Verified Correct Answers
Verified by Professor
ABCDE - CORRECT ANSWER: asymmetry, border, color, diameter, evolution; risk
assessment for melanoma
Actinic keratosis - CORRECT ANSWER: a precancerous skin growth; precursor to SCC
Alopecia areata - CORRECT ANSWER: Clearly demarcated, round patch of hair loss
without scaling/inflammation
Aortic stenosis - CORRECT ANSWER: Causes a high pitched non radiating murmur at
the 2nd right intercostal space, during systole
Arterial emboli - CORRECT ANSWER: Diminished radial pulses may be seen
articular joint - CORRECT ANSWER: Full PROM of a joint without pain, swelling,
tenderness or redness indicates a normal exam of the
Asthma - CORRECT ANSWER: Decreased air movement and a high pitched whistling
on expiration in all fields is associated with
atrial septal defect - CORRECT ANSWER: Second heart sound that is split and fixed on
both inspiration and expiration
Cardiac tamponade - CORRECT ANSWER: Pulsus alternans (alternating strong and
weak pulse) is exhibited with
,Chalazion - CORRECT ANSWER: a nodule or cyst, usually on the upper eyelid, caused
by obstruction in meibomian gland
Cholecystitis - CORRECT ANSWER: Associated with R shoulder pain, + Murphy sign
Chronic arterial insufficiency - CORRECT ANSWER: Pallor of the foot when raised to 90
degrees for up to 2 mins
Coffee and carbonated drinks - CORRECT ANSWER: Symptoms of GERD may be
worsened by
Consensual reaction - CORRECT ANSWER: contraction of the pupil of one eye when
the other retina is stimulated. It is a normal reflex and a test to evaluate the second and
third cranial nerves.
Depression - CORRECT ANSWER: Vague somatic c/o headaches, muscle aches and
fatigue may be associated with
DIAPERS mnemonic - CORRECT ANSWER: For urinary incontinence; Delerium,
Infection, Atrophy, Pharmaceuticals, Excess urine output, Restricted mobility, Stool
impaction
Dorsalis pedis - CORRECT ANSWER: A pulse felt in the dorsum of the foot, lateral to
the extensor tendon at the big toe
erector spinae - CORRECT ANSWER: Muscle group responsible for extension of the
spine
Esophageal varices - CORRECT ANSWER: Spider angiomas, epigastric abdominal
tenderness, positive OB, enlarged liver are physical signs of
FIFE model - CORRECT ANSWER: Feelings, Ideas, Function, Expectation
,Giant Cell Arteritis (Temporal Arteritis) - CORRECT ANSWER:
Hepatitis A - CORRECT ANSWER: fecal-oral
Hordeolum - CORRECT ANSWER: stye; red, raised area at the margin of an eye lid,
tender to palpation
Slow growing infected lump that forms d/t blockage and swelling of an oil gland in the
eyelid
Lateral epicondylitis - CORRECT ANSWER: Tennis elbow, caused by repetitive wrist
extension
Levine's sign - CORRECT ANSWER: The gesture a patient makes when they have
angina pectoris- able to point specifically where CP is
Lupus - CORRECT ANSWER: butterfly rash; discoid rash that is raised, dark-red, scaly
on lower extremities
macular degeneration - CORRECT ANSWER: Slow progressive vision loss in the
elderly that is focused on the center of vision
McBurney's sign - CORRECT ANSWER: appendicitis (McBurney's Point is 2/3 of the
way from the umbilicus to anterior superior iliac spine)
Medial epicondylitis - CORRECT ANSWER: golfer's elbow; will elicit pain with resisted
flexion of the wrist
Murphy's sign - CORRECT ANSWER: pain with palpation of the RUQ during inspiration,
indicative of cholecystitis
, Optic neuritis - CORRECT ANSWER: Sudden, painful, unilateral, early sign of MS,
associated with autoimmune disease
otitis media - CORRECT ANSWER: Swimmers ear
P wave - CORRECT ANSWER: In diastolic HF the portion of the EKG to be abnormal is
pectus excavatum - CORRECT ANSWER: Depression of the sternum
Pericarditis - CORRECT ANSWER: Left side sharp/knife like CP worse with inspiration
and a scratching noise on systole at the LL sternal border
Pityriasis rosea - CORRECT ANSWER: Rash in a "christmas tree" pattern, single patch
followed by a diffused rash on the back/torso
PMI location - CORRECT ANSWER: 5th ICS left midclavicular line; 7-9cm from mid-
sternal line
pneumonia - CORRECT ANSWER: A differential to consider with symptoms of fever,
SOB, productive cough and hemoptysis
presbyopia - CORRECT ANSWER: impairment of vision as a result of old age
Psoriasis - CORRECT ANSWER: Itchy rash at the knees and elbows, silvery scale,
pitting nails
Pterygium - CORRECT ANSWER: triangular thickening of the bulbar conjunctiva across
the outer surface of the cornea
Retinal detachment - CORRECT ANSWER: Sudden loss of vision without pain,
unilateral, flashes of light, can be traumatic
