NU 650 MIDTERM Exam
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GERD (Gastroesophageal Reflux Disease) - Answer: Burning
pain in chest or epigastric area
Worse after eating, when lying down or bending over
May have sour taste in mouth or regurgitation
No relation to exertion
Often improved with antacids or PPIs
✅ Classic Clue: "My chest burns after big meals and when I lie
flat."
Herpes Zoster (Shingles) - Answer: Clues to Diagnosis:
Pain/tingling before rash appears
Unilateral, does not cross midline
Dermatomal distribution of rash
Vesicles on red base that crust over
Common in older adults or immunocompromised
✅ Classic Clue: "I had sharp burning pain for 2 days, then a
rash popped up on one side."
Muscle Strain (Chest Wall Pain) - Answer: Clues to Diagnosis:
, Localized chest pain worsens with movement or deep breathing
Reproducible on palpation
Often linked to recent physical activity or trauma
No EKG changes, lungs and heart normal ✅ Classic Clue: "It
hurts when I twist or press on it."
Lisinopril-Induced Cough - Answer: Clues to Diagnosis:
Persistent dry cough that starts days to weeks after starting ACE
inhibitor
No fever, no sputum
Normal lung sounds
Improves after stopping lisinopril
✅ Classic Clue: "I've had a dry cough since starting my new
blood pressure med."
7. Otitis Externa ("Swimmer's Ear") - Answer: Clues to
Diagnosis:
Pain when pulling ear or pressing tragus
Recent water exposure or use of Q-tips
Swollen, red ear canal with drainage
Hearing may be muffled
Comprehensive Study Guide +
Exam Questions & Solutions
Graded A+
Professional Academic Assistance Services
Services Offered
• Proctored Exam Assistance
• Online Class Management (Full Course Support)
• Exam Preparation & Study Materials
• Assignments and Coursework Support
• Essay and Research Paper Writing
• Discussion Posts & Responses
• Editing and Proofreading
• Confidential Academic Consultation
Contact Information
Email:
WhatsApp link: https://wa.me/254704846336
Fast Response | Confidential | Reliable Academic
, Support
Helping Students Achieve Academic Excellence
GERD (Gastroesophageal Reflux Disease) - Answer: Burning
pain in chest or epigastric area
Worse after eating, when lying down or bending over
May have sour taste in mouth or regurgitation
No relation to exertion
Often improved with antacids or PPIs
✅ Classic Clue: "My chest burns after big meals and when I lie
flat."
Herpes Zoster (Shingles) - Answer: Clues to Diagnosis:
Pain/tingling before rash appears
Unilateral, does not cross midline
Dermatomal distribution of rash
Vesicles on red base that crust over
Common in older adults or immunocompromised
✅ Classic Clue: "I had sharp burning pain for 2 days, then a
rash popped up on one side."
Muscle Strain (Chest Wall Pain) - Answer: Clues to Diagnosis:
, Localized chest pain worsens with movement or deep breathing
Reproducible on palpation
Often linked to recent physical activity or trauma
No EKG changes, lungs and heart normal ✅ Classic Clue: "It
hurts when I twist or press on it."
Lisinopril-Induced Cough - Answer: Clues to Diagnosis:
Persistent dry cough that starts days to weeks after starting ACE
inhibitor
No fever, no sputum
Normal lung sounds
Improves after stopping lisinopril
✅ Classic Clue: "I've had a dry cough since starting my new
blood pressure med."
7. Otitis Externa ("Swimmer's Ear") - Answer: Clues to
Diagnosis:
Pain when pulling ear or pressing tragus
Recent water exposure or use of Q-tips
Swollen, red ear canal with drainage
Hearing may be muffled
