NUR final exam with correct answers
Testicular |Torsion |- |ANSWERS✔✔ |A |twisting |of |the |male |organ |that |makes
hormones |and |sperm |(testicle).
Indicators |of |pain |- |ANSWERS✔✔ |high |blood |pressure
Heroin |effects |on |the |body |- |ANSWERS✔✔ |constricted |pupils, |unconscious
A |29-year-old |married |computer |programmer |is |c/o |"something |strange" |going
|on |in |his |scrotum. |Last |month |he |felt |a |lump |in |his |left |testis, |and |it |is |still
|there. |He |has |had |some |aching |in |the |left |testis |but |denies |pain |with
|urination |or |intercourse. |Palpation |of |his |scrotum |is |unremarkable |on |the
|right |but |indicates |a |large |mass |on |the |left. |You |attempt |to |place |your |finger
|through |the |left |inguinal |ring |but |cannot |get |above |the |mass. |What |disorder
|of |the |tests |is |most |likely |the |diagnosis? |- |ANSWERS✔✔ |scrotal |hernia
Your |30 |year |old |female |patient |is |c/o |bad-smelling |vaginal |discharge |with
|mild |itching |for |about |3 |weeks. |Douching |did |not |help. |Denies |painful
|urination |or |intercourse. |She |noticed |the |smell |increased |after |intercourse
|and |during |her |period |last |week. |There |are |no |lesions |on |the |perineum. |No
|lymphadenopathy. |On |speculum |examination, |there |is |a |thin |gray-white
|discharge. |The |pH |of |the |discharge |is |over |4.5 |and |there |is |a |fishy |odor |when
|potassium |hydroxide |(KOH) |is |applied |to |the |vaginal |secretions |on |the |slide.
|Wet |prep |shows |epithelial |cells |with |stippled |border |(clue |cells). |What |type |of
|vaginitis |best |describes |the |findings? |- |ANSWERS✔✔ |bacterial |vaginitis.
, Warehouse |worker. |Lower |back |pain. |Sudden |onset |of |lifting |heavy |boxes.
|Numbness |and |tingling |in |left |leg. |What |test |to |perform |for |herniated |disk? |-
|ANSWERS✔✔ |straight |leg |test.
32 |male. |Aching |on |R |testicle |for |months. |Pain |does |not |increase |with
|urination/sex. |Scrotum |feels |like |a |bag |of |worms |on |palpation |-
|ANSWERS✔✔ |varicosities |in |the |scrotum.
38 |year |old. |Pain |in |multiple |small |joints. |Polyarticular. |Swelling, |stiffness. |-
|ANSWERS✔✔ |rheumatoid |arthritis.
48 |yo. |Heavy |discharge |causes |severe |itching. |Not |sexually |active. |No |burning
|urination. |Just |finished |course |of |antibiotics |for |sinus |infection. |Thick |white
|curdy |discharge |- |ANSWERS✔✔ |yeast |infection
7 |yo |boy. |Low |grades. |Stares |off |into |space |- |ANSWERS✔✔ |absence |seizure
72 |yo |woman. |Menopausal. |Bloody |discharge |from |left |breast |for |3 |months.
|Denies |trauma |to |breast. |Breasts |are |symmetric. |Her |left |axilla |has |a |hard
|fixed |1 |cm |node |- |ANSWERS✔✔ |breast |cancer.
Mom |brings |15 |month |old |daughter |o |ER. |Fever |and |rash. |Has |at |least |100
|lesions |on |her |body |(papules, |vesicles, |scabs |in |different |sages |of
|development |etc.) |she |hasn't |had |shots |since |her |10th |month |visit |-
|ANSWERS✔✔ |didn't |receive |varicella |vaccine.
Tremor |when |she |intentionally |reaches |for |things. |The |closer |she |gets |to |her
|target, |the |worse |the |tremor |gets. |- |ANSWERS✔✔ |intention |tremor.
Positive |tinnel |sign |- |ANSWERS✔✔ |carpal |tunnel.
Testicular |Torsion |- |ANSWERS✔✔ |A |twisting |of |the |male |organ |that |makes
hormones |and |sperm |(testicle).
Indicators |of |pain |- |ANSWERS✔✔ |high |blood |pressure
Heroin |effects |on |the |body |- |ANSWERS✔✔ |constricted |pupils, |unconscious
A |29-year-old |married |computer |programmer |is |c/o |"something |strange" |going
|on |in |his |scrotum. |Last |month |he |felt |a |lump |in |his |left |testis, |and |it |is |still
|there. |He |has |had |some |aching |in |the |left |testis |but |denies |pain |with
|urination |or |intercourse. |Palpation |of |his |scrotum |is |unremarkable |on |the
|right |but |indicates |a |large |mass |on |the |left. |You |attempt |to |place |your |finger
|through |the |left |inguinal |ring |but |cannot |get |above |the |mass. |What |disorder
|of |the |tests |is |most |likely |the |diagnosis? |- |ANSWERS✔✔ |scrotal |hernia
Your |30 |year |old |female |patient |is |c/o |bad-smelling |vaginal |discharge |with
|mild |itching |for |about |3 |weeks. |Douching |did |not |help. |Denies |painful
|urination |or |intercourse. |She |noticed |the |smell |increased |after |intercourse
|and |during |her |period |last |week. |There |are |no |lesions |on |the |perineum. |No
|lymphadenopathy. |On |speculum |examination, |there |is |a |thin |gray-white
|discharge. |The |pH |of |the |discharge |is |over |4.5 |and |there |is |a |fishy |odor |when
|potassium |hydroxide |(KOH) |is |applied |to |the |vaginal |secretions |on |the |slide.
|Wet |prep |shows |epithelial |cells |with |stippled |border |(clue |cells). |What |type |of
|vaginitis |best |describes |the |findings? |- |ANSWERS✔✔ |bacterial |vaginitis.
, Warehouse |worker. |Lower |back |pain. |Sudden |onset |of |lifting |heavy |boxes.
|Numbness |and |tingling |in |left |leg. |What |test |to |perform |for |herniated |disk? |-
|ANSWERS✔✔ |straight |leg |test.
32 |male. |Aching |on |R |testicle |for |months. |Pain |does |not |increase |with
|urination/sex. |Scrotum |feels |like |a |bag |of |worms |on |palpation |-
|ANSWERS✔✔ |varicosities |in |the |scrotum.
38 |year |old. |Pain |in |multiple |small |joints. |Polyarticular. |Swelling, |stiffness. |-
|ANSWERS✔✔ |rheumatoid |arthritis.
48 |yo. |Heavy |discharge |causes |severe |itching. |Not |sexually |active. |No |burning
|urination. |Just |finished |course |of |antibiotics |for |sinus |infection. |Thick |white
|curdy |discharge |- |ANSWERS✔✔ |yeast |infection
7 |yo |boy. |Low |grades. |Stares |off |into |space |- |ANSWERS✔✔ |absence |seizure
72 |yo |woman. |Menopausal. |Bloody |discharge |from |left |breast |for |3 |months.
|Denies |trauma |to |breast. |Breasts |are |symmetric. |Her |left |axilla |has |a |hard
|fixed |1 |cm |node |- |ANSWERS✔✔ |breast |cancer.
Mom |brings |15 |month |old |daughter |o |ER. |Fever |and |rash. |Has |at |least |100
|lesions |on |her |body |(papules, |vesicles, |scabs |in |different |sages |of
|development |etc.) |she |hasn't |had |shots |since |her |10th |month |visit |-
|ANSWERS✔✔ |didn't |receive |varicella |vaccine.
Tremor |when |she |intentionally |reaches |for |things. |The |closer |she |gets |to |her
|target, |the |worse |the |tremor |gets. |- |ANSWERS✔✔ |intention |tremor.
Positive |tinnel |sign |- |ANSWERS✔✔ |carpal |tunnel.
