Exam (elaborations)
NR 509 MIDTERM- CHAPTERS #1-4 EXAM QUESTIONS WITH COMPLETE SOLUTIONS
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NR 509 MIDTERM- CHAPTERS #1-4 EXAM QUESTIONS WITH COMPLETE SOLUTIONS
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NR 509 MIDTERM- CHAPTERS #1-4EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
7 attributes of a symptom - Answer-1. Location- where is it, does it radiate?
2. Quality- what does it feel like?
3. Quantity or Severity- how bad is it? (for pain, how bad is it on a scale of 1 to 10?)
4. Timing: Onset, duration, & frequency- when did it start, how long does it last, how
often does it occur?
5. Setting in which it occurs- include environmental factors, personal activities (walking),
emotional reactions, and any other contributing factors
6. Factors that aggravate or relief the symptom- what makes it better? what makes it
worse?
7. Associated manifestations
OLDCART
Onset, Location, Duration, Character, Aggravating/Alleviating Factors, Radiating, Timing
Childhood illness to be assessed on PMH - Answer-MMR, whooping cough,
chickenpox, rheumatic fever, scarlet fever, polio, & any chronic childhood illness
4 categories of adult PMH - Answer-Medical, surgical, OBGYN, psych,.
Health Maintenance - Answer-UTD on immunizations & screenings? TB test, paps,
mammograms, stool tests, colonoscopy, cholesterol.
What should be considered for a female born before 1971? - Answer-exposure to
diethylstilbestrol (DES) for maternal use during pregnancy-- linked to cervical
carcinoma.
5 steps to generating clinical hypothesis - Answer-1. select most specific and critical
findings to support hypothesis.
2. Match findings against all conditions that can produce them
3. eliminate diagnostic possibilities that fail to explain things
4. weight the competing possibilities and select most likely diagnosis
5. give special attention to potentially life-threatening complications
What type of BP monitoring is the likely to indicate CV disease and End stage organ
damange? - Answer-ambulatory & home blood pressure monitoring
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