NUR 611 MIDTERM EXAM QUESTIOS
WITH COMPLETE SOLUTIONS
atypical pigmentation; red/white/grey/blue/black/brown; geriatric population - ANSWER-
malignant melanoma
prolonged horizontal growth or vertical, can spread to other organs - ANSWER- lentigo
maligna melanoma
most common skin malignancy, malignant neoplasm of the basal cells of the epidermis,
lesions almost always occur on face; pearly, rolled, well-defined margins, ulceration in
center - ANSWER- basal cell carcinoma
malignant neoplasm of keratocytes in the epidermis; scaling, crusting, plaque
appearance, can ulcerate and bleed - ANSWER- squamous cell carcinoma
frequently encountered in patients with HIV infection; mouth and nose; vesicular at first
then dries/crusts up - ANSWER- herpes simplex
before rash erupts patient will describe burning, tingling sensation on skin then eruption
of vesicular rash along dermatome; can come out along a spinal nerve or cranial nerve
(body or face) - ANSWER- herpes zoster
less than 1 cm; filled with serous fluid; blister, herpes simplex - ANSWER- vesicle
greater than 1 cm; filled with serous fluid; blister, vulgaris - ANSWER- bullae
smaller than 1 cm; nevus, wart - ANSWER- papule
would cause enlargement of submaxillary or submental - ANSWER- dental abscess
1 or more enlargement of lymph node; post auricular and post cervical nodes would be
enlarged; viral or bacterial etiology - ANSWER- lymphadenopathy
exudate, fever, tonsils 3+ is what type of pharyngitis? - ANSWER- bacterial
tonsils 2-3+ (may be 4+), absence of fever is what type of pharyngitis? (most common
cause) - ANSWER- viral
measurement of fluid overload, heart, strain, flow is what assessment? - ANSWER-
jugular venous pressure
pockets in the tonsils are normal unless ? - ANSWER- covered with exudate
, what type of conjunctivitis? both eyes affected, generally no pain, URI, fever -
ANSWER- viral conjunctivitis
what type of conjunctivitis? usually 1 eye, generally no pain, discharge - ANSWER-
bacterial conjuctivitis
difference between conjunctivitis and retinal issue is ? - ANSWER- pain
what type of eye condition- both eyes are itchy, tearing, shiners, allergy symptoms -
ANSWER- allergic reaction
thyroid gland enlargement (graves disease) - ANSWER- hyperthyroidism
weight loss, anxiety, fast metabolism can be related to ? - ANSWER- Hyperthyroidism
weight gain, fatigue, dry skin, brittle nails can be related to ? - ANSWER- hypothyroid
main symptom and time frame - ANSWER- chief complaint
further explain chief complaint - ANSWER- history of present illness
summarizes in terms of body systems all the symptoms that may have been overlooked
in the HPI, yes or no questions - ANSWER- review of symptoms (subjective)
preparation of equipment; inspection, palpation, auscultation, percussion; conduct by
body regions from head to toe - ANSWER- physical exam (objective)
painless; floaters, flushing, curtain or shadow across the peripheral vision; can cause
retinal detachment - ANSWER- retinal tear
a tumor on the ocular fundus in children, white pupil= - ANSWER- retinoblastoma
(most common malignant tumor of the sensory retina) - ANSWER- retinoblastoma
the most common cause of blindness, "mistiness or looking through dirty window"; as
the lenticular opacity increases with time, there is a diminution of visual acuity in
association with glare of bright light; results from pupillary constriction limiting light rays
passing through central portion of lens - ANSWER- cataracts
sense of smell - ANSWER- olfactory cranial nerve 1
visual acuity- Snellen or Rosenbaum, ophthalmoscopic exam- pupil examination -
ANSWER- optic cranial nerve 2
EOM, convergence- follow finger to bridge of nose, pupillary reflex for accommodation,
direct and consensual light reactions - ANSWER- oculomotor cranial nerve 3
