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
FIFE model - CORRECT-ANSWERSFeelings, ideas, functional effects,
expectations
Challenging patients - CORRECT-ANSWERSSilent, talkative, confusing
narrative, emotional liability, angry/aggressive, flirtatious, discriminatory,
hearing loss, nonadherence
Pleuritic pain - CORRECT-ANSWERSWill worsen with a deep breath, is
persistent and severe
Asthma - CORRECT-ANSWERSHyper resonance on percussion.
aortic regurgitation - CORRECT-ANSWERSUse diaphragm to listen. Soft
diastolic decrescendo murmur
Mitral valve - CORRECT-ANSWERS5th interspace mid clavicle. Pt needs to roll
on L side.
closing of M and T valve makes S1
Angina pectoris - CORRECT-ANSWERSUndefined area where it hurts.
Clenched fist over chest.
Blocking - CORRECT-ANSWERSSudden interruption mid sentence (schizo)
Circumstantiality - CORRECT-ANSWERSDelay in reaching point. Unneeded
details (obsessive, schizo, dementia, delirium)
Confabulation - CORRECT-ANSWERSFabricating facts or events (amnesia,
dementia, delirium)
Derailment - CORRECT-ANSWERSShifts topics (schizo, all psych disorders)
Echolialia - CORRECT-ANSWERSRepeating others (manic, schizo)
Flight of ideas - CORRECT-ANSWERSChange of topics with fast speech
(manic)
, Incoherence - CORRECT-ANSWERSIllogical, incomprehensible (schizo)
Clanging - CORRECT-ANSWERSWord association based on sounds (schizo,
manic)
Neologism - CORRECT-ANSWERSInvented words (aphasia, schizo,manic)
perservation - CORRECT-ANSWERSReligion of words or idea (dementia,
delirium, schizo)
Broca - CORRECT-ANSWERSExpressing meaning pt can comprehend but
unable to speak
Wernicke - CORRECT-ANSWERSReceptive. Speaks normally but not
comprehending.
Skin cancer - CORRECT-ANSWERSBasal cell carcinoma (most common)
squamous cell (2nd most common)
melanoma
Herpes zoster - CORRECT-ANSWERSVesicles, unilateral, follows one nerve
pathway, usually on the trunk.
Goiter - CORRECT-ANSWERSListen for bruit. + bruit: hyperthyroid.
- bruit: hypothyroid
CN II - CORRECT-ANSWERSOptic nerve. Vision acuity with snells chart.
Myopia (nearsighted), hyopia (farsighted), presbyopia (age related
farsighted)
EOM checks what CNs? - CORRECT-ANSWERSCN III, IV, VI (OTA)
Macular degeneration - CORRECT-ANSWERSAge related, dry atrophic, wet
exudates
Vertigo - CORRECT-ANSWERSCN VIII. Room spinning, presyncope,
disequilibrium
Tinnitus and veritigo indicates what dz? - CORRECT-ANSWERSMenieres dz
Hearing loss - CORRECT-ANSWERSCheck CN VIIII
CN XII - CORRECT-ANSWERSStick out tongue, move side to side. Check for
any ridges on the side of the tongue
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