NR509 Final Questions & Answers
A young man feels something in his scrotum and comes to you for clarification. On your examination, you note what feels like a "bag of worms" in the left scrotum, superior to the testicles. Which of the following is most likely?
A) Hydrocele of the spermatic cord...
NR509 Final Questions & Answers
A young man feels something in his scrotum and comes to you for clarification. On
your examination, you note what feels like a "bag of worms" in the left scrotum,
superior to the testicles. Which of the following is most likely?
A) Hydrocele of the spermatic cord
B) Varicocele
C) Testicular carcinoma
D) A normal vas deferens - Varicocle
Varicoceles are common in normal men. They are often found in the left scrotum or
bilaterally and should normally resolve in the supine position. This is because they
represent varicosities within the scrotum. These require further investigation if they
occur only on the right side or do not resolve in the supine position. They can
contribute to infertility because the testicles are unable to achieve a cool enough
temperature for sperm production, due to increased blood flow from the varicocele.
A hydrocele would be a painless mass on the spermatic cord and the vas deferens is
palpated as part of the spermatic cord. You should lightly pinch the scrotum
medially and move laterally until you feel the spermatic cord pass between your
fingers.
Which of the following changes are expected in vision as part of the normal aging
process?
A) Cataracts
B) Glaucoma
C) Macular degeneration
D) Blurring of near vision - Ans: D
The lens loses its elasticity over time as part of the normal aging process, and the
eye is less able to accommodate and focus on near objects; therefore, the patient
will be expected to have blurring of near vision.
A 68-year-old mechanic presents to the emergency room for shortness of breath.
You are concerned about a cardiac cause and measure his jugular venous pressure
(JVP). It is elevated. Which one of the following conditions is a potential cause of
elevated JVP?
A) Left-sided heart failure
B) Mitral stenosis
C) Constrictive pericarditis
D) Aortic aneurysm - Constrictive pericarditis
Which of the following lymph node groups is most commonly involved in breast
cancer?
A) Lateral
B) Subscapular
C) Pectoral
D) Central - D.) Central
, You are beginning the examination of the skin on a 25-year-old teacher. You have
previously elicited that she came to the office for evaluation of fatigue, weight gain,
and hair loss. You strongly suspect that she has hypothyroidism. What is the
expected moisture and texture of the skin of a patient with hypothyroidism?
A) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough - D) Dry and rough
Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus
erythematosus). She has noticed a raised, dark red rash on her legs. When you
press on the rash, it doesn't blanch. What would you tell her regarding her rash?
A) It is likely to be related to her lupus.
B) It is likely to be related to an exposure to a chemical.
C) It is likely to be related to an allergic reaction.
D) It should not cause any problems. - A. It is likely to be related to her lupus
You are palpating the abdomen and feel a small mass. Which of the following would
you do next?
A) Ultrasound
B) Examination with the abdominal muscles tensed
C) Surgery referral
D) Determine size by percussion - b) examination with the abdominal muscles
tensed.
You are evaluating a 40-year-old banker for coronary heart disease risk factors. He
has a history of hypertension, which is well-controlled on his current medications.
He does not smoke; he does 45 minutes of aerobic exercise five times weekly. You
are calculating his 10-year coronary heart disease risk. Which of the following
conditions is considered to be a coronary heart disease risk equivalent?
A) Hypertension
B) Peripheral arterial disease
C) Systemic lupus erythematosus
D) Chronic obstructive pulmonary disease (COPD) - B) Peripheral Artery Disease
In obtaining a history, you note that a client uses the word "largely" repeatedly, to
the point of being a distraction to your task. Which word best describes this speech
pattern? - Perserveration
A 40-year-old mother of two presents to your office for consultation. She is
interested in knowing what her relative risks are for developing breast cancer. She
is concerned because her sister had unilateral breast cancer 6 years ago at age 38.
The patient reports on her history that she began having periods at age 11 and has
been fairly regular ever since, except during her two pregnancies. Her first child
arrived when she was 26 and her second at age 28. Otherwise she has had no
health problems. Her father has high blood pressure. Her mother had unilateral
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller dennys. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.74. You're not tied to anything after your purchase.
