Exam (elaborations)
2024 NR 509 MIDTERM EXAM WITH CORRECT ANSWERS
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2024 NR 509 MIDTERM EXAM WITH CORRECT ANSWERS
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2024 NR 509 MIDTERM EXAMWITH CORRECT ANSWERS
Cause of saddle numbness and urinary retention - CORRECT-ANSWERSCauda
equina syndrome
signs of respiratory distress - CORRECT-ANSWERSTachypnea, cyanosis or
pallor, audible whistling during inspiration over neck or lungs, stridor, use of
accessory muscles,
objective information - CORRECT-ANSWERSVitals, info you detect during
examination, physical exam findings
Signs of otitis externa - CORRECT-ANSWERS-After swimming
- inflammation of the ear canal
-pain, itching, redness, swelling, hearing loss
Presentation of retinal detachment - CORRECT-ANSWERSIf sudden visual loss
is unilateral and painless,
Symptoms of pneumonia - CORRECT-ANSWERS- fever
-may have normal VS
- dim lung sounds or crackles
- dull percussion
-tachypnea
-nasal flaring
signs of meningitis - CORRECT-ANSWERSneck stiffness with resistance to
flexion
signs of asthma - CORRECT-ANSWERSwheezes
absent breath sounds & abnormal retraction (severe asthma)
hyperresonance
Acanthosis nigricans - CORRECT-ANSWERSdeeply pigmented, velvety axillary
skin in the axilla
-associated with diabetes, obesity, PCOS, and rarely malignant
paraneoplastic disorders
Labs for vitiligo - CORRECT-ANSWERSthyroid (hyperthyroidism)
, interpreter in the room - CORRECT-ANSWERSyou have eye contact with
patient. Speak to pt. have interpreter sit close to the patient, or even behind
you, so you don't have to turn your head back and forth
constitutional ROS - CORRECT-ANSWERSfatigue, weakness, fever, chills,
night sweats, weight changes, pain
Dim response of olfactory nerve in elderly - CORRECT-ANSWERSNormal
finding
C-section should be listed under surgeries - CORRECT-ANSWERS
psoriasis presentation - CORRECT-ANSWERS-Scattered erythematous round
drop-like, flat-topped well-circumscribed scaling papules and plaques on
trunk (guttate psoriasis)
-Scattered erythematous to bright pink well-circumscribed flat-topped
plaques on extensor knees and elbows, with overlying silvery scale; plaque
psoriasis
vasovagal syncope - CORRECT-ANSWERS-neurocardiogenic (also called
neutrally mediated vasodepressor syncope or vasovagal syncope) and of
cardiac origin from arrhythmias in only ∼20% of cases
Angina pectoris - CORRECT-ANSWERSConsider this as a differential diagnosis
for chest pain
subconjunctival hemorrhage - CORRECT-ANSWERS-no pain
-vision not affected
- no eye discharge
-pupil not affected
-clear cornea
- benign, spontaneous, doesn't need treatment.
Sternocleidomastoid lymph nodes - CORRECT-ANSWERSConsidered posterior
cervical
Tension Pneumo - CORRECT-ANSWERSUse 2nd intercostal space for needle
insertion
listening to the heart - CORRECT-ANSWERSPatient must lay down to listen for
S1, S2, and murmurs
Heroin overdose - CORRECT-ANSWERSpinpoint pupils
Lymph nodes - CORRECT-ANSWERSSmall, discrete, mobile mass
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