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NUR 431- Diagnostic Reasoning Exam Questions with Latest Update
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NUR 431- Diagnostic Reasoning Exam Questions with Latest Update
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NUR 431- Diagnostic Reasoning ExamQuestions with Latest Update
Inductive Process - Answer-moves from specific finding or complaint: taking tiny clues
to build up to your "big diagnosis."
Differential Diagnosis - Answer-distinguishing a particular disease or condition from
others that present with similar symptoms: what it could be!
Different diagnosis of a cough - Answer-viral syndrome, bronchitis, pneumonia, Asthma,
COPD, HF, GERD
Differential diagnosis of rhinitis - Answer-sinusitis, allergic rhinitis, abuse of nasal
decongestants, URI
Purpose of history taking - Answer-gather information to help you make the diagnosis,
begins a therapeutic relationship with the patient, determines patients goals for
treatment.
Chief Complaint (CC) - Answer-brief statement, patient's own words, of what brings
them in
HPI (History of Present Illness) - Answer-detailed history of what brings the patient in
(OLDCART)
OLDCART - Answer-Onset
Location
Duration
Character
Aggravating factors
Relieving factors
Treatment
Physical Exam - Answer-VS, height, weight, BMI
General
Skin
HEENT
Lungs
CV & PV
Abdomen
GU
MSK
Extremities
Neuro
, Review of Systems (ROS) - Answer-reveals subjective symptoms that patient hasn't yet
mentioned
Head to toe:
Skin
HEENT
Respiratory
Cardiovascular
GI
GU
Neuromuscular
Mental Health
Assessment - Answer-tentative diagnosis made by viewing that list in light of HP
findings
Plan - Answer-recommendation for refining the diagnosis, treating the problem:
medications, testing education, referrals
How do you document symptom analysis? - Answer-As a narrative
Tentative diagnosis - Answer-Coherence
Adequacy
Parsimony
Can competing diagnoses be eliminated?
Coherence - Answer-do physiology, predisposing factors & complications make sense?
Adequacy - Answer-Does your diagnosis explain all of the symptoms?
Parsimony - Answer-Is this the simplest explanation for the symptoms?
What part of your documentation do you put in your own words? - Answer-HPI and CC
Separating Zebras from Horses - Answer-1) Common diseases occur commonly; rare
diseases, rarely
2) The mind is an imperfect likelihood estimator
3) The unusual presentation of a common disease is more likely than the usual
presentation of an uncommon disease
4) Not everything we are taught is correct
"worst HA of my life" - Answer-subarachnoid hemorrhage
Tension headache - Answer-viselike, occipital, frontal or band-like pain
Associated with stress/ anxiety
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