NR509 / NR 509 Final Exam Study Guide
Advanced Physical Assessment
1. Know that in a 47-year-old man ED is usually rather than
testosterone
: psychologic
2. Erectile dysfunction may be from psychogenic causes, especially if
: early morning erection is preserved.
it may also reflect decreased testosterone, decreased blood flow in the hypogastric
arterial system, impaired neural innervation, and diabetes
3. When performing a breast exam, know what abnormal masses should do when the
arm
: may be fixed to skin or underlying tissues (may cause dimpling of skin or retraction
when arms are lifted over head or hands are pressed against hips)
,4. Fibroadenoma and cysts mobility
: very mobile/mobile
5. Kn
ow that a high proportion of breast masses are noted during
:-
BSE
6. Breast stage 1
: preadolescent- elevation of nipple only
7. Breast stage 2
: breast bud stage- elevation of breast and nipple as a small mound; enlargement of
areolar diameter
8. breast stage 3
: further enlargement of elevation of breast and areola, with no separation of their
contours
9. breast stage 4
, : projection of areola and nipple to form a secondary mound above the level of breast
10.breast stage 5
: mature stage- projection of nipple only; areola has receded to general contour of the
breast (although in some individuals the areola continues to form a secondary mound)
11.Know where pain is located with pancreatitis: acute
: epigastric, may radia- tion straight to the back of other areas of the abdomen; 20% with
severe sequelae of organ failure
12.Know where pain is located with pancreatitis: chronic
: epigastric, radiating to back
13.Know how hepatitis A is transmitted
: Transmitted through fecal-oral route. Fe- cal shedding followed by poor handwashing
contaminates water and foods leading to infection of household and sexual contacts
14.Stress incontinence
Advanced Physical Assessment
1. Know that in a 47-year-old man ED is usually rather than
testosterone
: psychologic
2. Erectile dysfunction may be from psychogenic causes, especially if
: early morning erection is preserved.
it may also reflect decreased testosterone, decreased blood flow in the hypogastric
arterial system, impaired neural innervation, and diabetes
3. When performing a breast exam, know what abnormal masses should do when the
arm
: may be fixed to skin or underlying tissues (may cause dimpling of skin or retraction
when arms are lifted over head or hands are pressed against hips)
,4. Fibroadenoma and cysts mobility
: very mobile/mobile
5. Kn
ow that a high proportion of breast masses are noted during
:-
BSE
6. Breast stage 1
: preadolescent- elevation of nipple only
7. Breast stage 2
: breast bud stage- elevation of breast and nipple as a small mound; enlargement of
areolar diameter
8. breast stage 3
: further enlargement of elevation of breast and areola, with no separation of their
contours
9. breast stage 4
, : projection of areola and nipple to form a secondary mound above the level of breast
10.breast stage 5
: mature stage- projection of nipple only; areola has receded to general contour of the
breast (although in some individuals the areola continues to form a secondary mound)
11.Know where pain is located with pancreatitis: acute
: epigastric, may radia- tion straight to the back of other areas of the abdomen; 20% with
severe sequelae of organ failure
12.Know where pain is located with pancreatitis: chronic
: epigastric, radiating to back
13.Know how hepatitis A is transmitted
: Transmitted through fecal-oral route. Fe- cal shedding followed by poor handwashing
contaminates water and foods leading to infection of household and sexual contacts
14.Stress incontinence
