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Chamberlain NR 511 Midterm Questions With Complete Solutions
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Chamberlain NR 511 Midterm Questions With Complete Solutions
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Chamberlain NR 511 Midterm Questions With CompleteSolutions
__________ ___________ is a common condition found in the
outpatient setting that presents with inflammation of the auditory
canal, benign and self-limiting but painful. Correct Answer
Otitis externa
____________ hearing loss is gradual and progressive, high
frequency loss, and deterioration of the cochlea. Correct
Answer Sensorineural
*This deals with the inner ear and its components
____________ is the sensation of wound without an exogenous
sound source. What causes this sensation? Correct Answer 1.
Tinnitis
2. Poorly understood, might be from chronic noise exposure that
may damage the cilia and auditory hair cells or spontaneous
activity in individual auditory nerve fibers.
____________ sign can help with the diagnosis of cholecystitis
and is performed by applying pressure at the subcostal region of
the right upper quadrant on inspiration. Correct Answer
Murphy's
_____________ is age related hearing loss and is a form of
sensorineural hearing loss. Correct Answer presbycusis
_______________ is scarring after the tympanic membrane has
ruptured and healed. What might this scarring be caused from?
,Correct Answer Otosclerosis. AOM or tympanovstomy tubes
that are expelled.
?Travel, dining locations, ABX history.. Correct Answer What
are important parts of a patient's history when AGE is
suspected?
90% Correct Answer How effective is antibiotic prophylaxis
for patients traveling to high-risk areas?
Acute Gastroenteritis (AGE) Correct Answer most common
cause of nausea and vomiting
Acute infection of the middle ear may cause a relative ischemia
in drum concurrent with increased pressure in the middle ear
space. What does this lead to? Correct Answer Tear or rupture
of the tympanic membrane.
Acute pancreatitis may be a result from what two physical
circumstances? Correct Answer 1. Injury to the acinar cells
2. Impaired secretion of proenzymes
Although diverticula con occur anywhere in the intestines,
where is the most common place for them to arise? Correct
Answer Descending and sigmoid colon
As the autodigestion and bleeding occur in the pancreas, what is
the end result? Correct Answer Liquification of pancreatic
tissues known as: liquefactive hemorrhagic necrosis.
,At what age should a colonoscopy begin to be a routine part of a
physical exam? Correct Answer 50 years old
At what point are systemic antibiotics needed for acute otitis
externa treatment? What do these antibiotics need to cover?
Correct Answer 1. With refractory cases or auricle cellulitis
2. Pseudomonas and s. aureus.
At what point should a patient be referred to the hospital for
dehydration? Correct Answer Signs of hypovolemia such as
hypotension, tachycardia, pallor, and poor skin turgor.
At what severity are pharmacological measures taken in patients
with IBS? Mild, moderate, or severe? Correct Answer
Moderate to severe
Bacteria eventually make their way through the gall bladder wall
and into the _____________ causing _____________. This
results in ____________ tenderness. Correct Answer 1.
peritoneum
2. peritonitis
3. rebound
bowel disorders under the Inflammatory Bowel Disease (IBD)
umbrella Correct Answer Ulcerative Colitis (UC) and Crohn's
Disease
Common causes of constipation? Correct Answer 1. Idiopathic
2. Narcotics
3. Tricyclics antidepressants
4. Iron supplements
, 5. Anticholinergics
6. Antidiarrheals
7. Antipsychotics
8. Calcium supplements
9. Can be a symptom of colorectal cancer
common symptoms of IBS Correct Answer Changes in bowel
habits such as diarrhea (IBS-D), constipation (IBS-C),
abdominal pain, bloating, rectal urgency with diarrhea.
Crohn's Disease represents an abnormality in intestinal immune
response. What is the result of this abnormality with regard to
the bowel tissue and subsequent complications? Correct Answer
1. Causes fibrosis which thickens the bowel wall
2. Narrows the lumen of the bowel leading to obstructions,
fistulas, and ulcerations.
Describe acute pancreatitis in one sentence... Correct Answer
Acute pancreatitis is the sudden inflammation and hemorrhaging
of the pancreas due to destruction by its own digestive enzymes,
also called auto digestion.
Describe IBS as it pertains to its effect on the bowels... Correct
Answer Disordered sensation or abnormal function of the small
or large intestine.
Differential diagnosis for conductive hearing loss... Correct
Answer 1. Cerumen accumulation or impaction (ceruminosis)
2. Foreign body in the external canal
3. Otitis externa
4. Chroic otitis media
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