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NR 509 Final Exam Questions with Answers and Rationale 2022/2023,100% CORRECT

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NR 509 Final Exam Questions with Answers and Rationale 2022/2023 A young man feels something in his scrotum and comes to you for clarification. On your examination, you note what feels like a "bag of worms" in the left scrotum, superior to the testicles. Which of the following is most likely? A...

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  • 7 april 2023
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NR 509 Final Exam Questions with Answers and Rationale
2022/2023

A young man feels something in his scrotum and comes to you for
clarification. On your examination, you note what feels like a "bag of
worms" in the left scrotum, superior to the testicles. Which of the
following is most likely?
A) Hydrocele of the spermatic cord
B) Varicocele
C) Testicular carcinoma
D) A normal vas


deferens Varicocle

Varicoceles are common in normal men. They are often found in the left
scrotum or bilaterally and should normally resolve in the supine position.
This is because they represent varicosities within the scrotum. These
require further investigation if they occur only on the right side or do not
resolve in the supine position. They can contribute to infertility because
the testicles are unable to achieve a cool enough temperature for sperm
production, due to increased blood flow from the varicocele. A hydrocele
would be a painless mass on the spermatic cord and the vas deferens is
palpated as part of the spermatic cord. You should lightly pinch the
scrotum medially and move laterally until you feel the spermatic cord
pass between your fingers.

Which of the following changes are expected in vision as part of the
normal aging process?
A) Cataracts
B) Glaucoma
C) Macular degeneration
D) Blurring of near vision


Ans: D
The lens loses its elasticity over time as part of the normal aging
process, and the eye is less able to accommodate and focus on near
objects; therefore, the patient will be expected to have blurring of near

,vision.

A 68-year-old mechanic presents to the emergency room for shortness
of breath. You are concerned about a cardiac cause and measure his
jugular venous pressure (JVP). It is elevated. Which one of the following
conditions is a potential cause of

, elevated JVP?
A) Left-sided heart failure
B) Mitral stenosis
C) Constrictive pericarditis
D) Aortic aneurysm


Constrictive

pericarditis

Which of the following lymph node groups is most commonly involved in
breast cancer?
A) Lateral
B) Subscapular
C) Pectoral
D) Centra


l D.)

Central

You are beginning the examination of the skin on a 25-year-old teacher.
You have previously elicited that she came to the office for evaluation of
fatigue, weight gain, and hair loss. You strongly suspect that she has
hypothyroidism. What is the expected moisture and texture of the skin of
a patient with hypothyroidism?
A) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough


D) Dry and rough

Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic
lupus erythematosus). She has noticed a raised, dark red rash on her
legs. When you press on the rash, it doesn't blanch. What would you tell
her regarding her rash?
A) It is likely to be related to her lupus.

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