NUR631
Exam 3 -Neuro,Musculoskeletal,Mental
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,A 19-year-old college student, Todd, is brought to your clinic by his mother. She is concerned
that there is something seriously wrong with him. She states for the past 6 months his behavior
has become peculiar and he has flunked out of college. Todd denies any recent illness or
injuries. His past medical history is remarkable only for a broken foot. His parents are both
healthy. He has a paternal uncle who had similar symptoms in college. The patient admits to
smoking cigarettes and drinking alcohol. He also admits to marijuana use but none in the last
week. He denies using any other substances. He denies any feelings of depression or anxiety.
While speaking with Todd and his mother you do a complete physical examination, which is
essentially normal. When you question him on how he is feeling, he says that he is very worried
that Microsoft has stolen his software for creating a better browser. He tells you he has se -
CORRECT ANS D) Schizophrenia
A 24-year-old secretary comes to your clinic, complaining of difficulty sleeping, severe
nightmares, and irritability. She states it all began 6 months ago when she went to a fast food
restaurant at midnight. While she was waiting in her car a man entered through the passenger
door and put a gun to her head. He had her drive to a remote area, where he took her money
and threatened to kill her. When the gun jammed he panicked and ran off. Ever since this
occurred the patient has been having these symptoms. She states she jumps at every noise and
refuses to drive at night. She states her anxiety has had such a marked influence on her job
performance she is afraid she will be fired. She denies any recent illnesses or injuries. Her past
medical history is unremarkable. On examination you find a nervous woman appearing her
stated age. Her physical examination is unremarkable. You recommend medication and
counseling.
What - CORRECT ANS C) Post-traumatic stress disorder
A 75-year-old homemaker brings her 76-year-old husband to your clinic. She states that 4
months ago he had a stroke and ever since she has been frustrated with his problems with
communication. They were at a restaurant after church one Sunday when he suddenly became
quiet. When she realized something was wrong he was taken to the hospital by EMS. He spent 2
weeks in the hospital with right-sided weakness and difficulty speaking. After hospitalization he
was in a rehab center, where he regained the ability to walk and most of the use of his right
hand. He also began to speak more, but she says that much of the time "he doesn't make any
sense." She gives an example that when she reminded him the car needed to be serviced he
told her "I will change the Kool-Aid out of the sink myself with the ludrip." She says that these
, sayings are becoming frustrating. She wants you to tell her what is wrong and what you can do
about - CORRECT ANS A) Wernicke's aphasia
A 32-year-old white female comes to your clinic, complaining of overwhelming sadness. She
says for the past 2 months she has had crying episodes, difficulty sleeping, and problems with
overeating. She says she used to go out with her friends from work but now she just wants to go
home and be by herself. She also thinks that her work productivity has been dropping because
she just is too tired to care or concentrate. She denies any feelings of guilt or any suicidal
ideation. She states that she has never felt this way in the past. She denies any recent illness or
injuries. Her past medical history consists of an appendectomy when she was a teenager;
otherwise, she has been healthy. She is single and works as a clerk in a medical office. She
denies tobacco, alcohol, or illegal drug use. Her mother has high blood pressure and her father
has had a history of mental illness. On examination you see a woman appearing her st -
CORRECT ANS C) Major depressive episode
A 27-year-old woman is brought to your office by her mother. The mother tells you that her
daughter has been schizophrenic for the last 8 years and is starting to decompensate despite
medication. The patient states that she has been taking her antipsychotic and she is doing just
fine. Her mother retorts that her daughter has become quite paranoid. When asked why, the
mother gives an example about the mailman. She says that her daughter goes and gets the mail
every day and then microwaves the letters. The patient agrees that she does this but only
because she sees the mailman flipping through the envelopes and she knows he's putting
anthrax on the letters. Her mother turns to her and says, "He's only sorting the mail!"
Which best describes the patient's abnormality of perception?
A) Illusion
B) Hallucination
C) Fugue state - CORRECT ANS A) Illusion
A 22-year-old man is brought to your office by his father to discuss his son's mental health
disorder. The patient was diagnosed with schizophrenia 6 months ago and has been taking
medication since. The father states that his son's dose isn't high enough and you need to raise
it. He states that his son has been hearing things that don't exist. You ask the young man what is
going on and he tells you that his father is just jealous because his sister talks only to him. His
Exam 3 -Neuro,Musculoskeletal,Mental
Health,With Complete Solutions And
Passing Tips,100% Instant Download.
This document includes:
•All questions
•Correct answers
•100%
•Instant download
•Score A+
,A 19-year-old college student, Todd, is brought to your clinic by his mother. She is concerned
that there is something seriously wrong with him. She states for the past 6 months his behavior
has become peculiar and he has flunked out of college. Todd denies any recent illness or
injuries. His past medical history is remarkable only for a broken foot. His parents are both
healthy. He has a paternal uncle who had similar symptoms in college. The patient admits to
smoking cigarettes and drinking alcohol. He also admits to marijuana use but none in the last
week. He denies using any other substances. He denies any feelings of depression or anxiety.
While speaking with Todd and his mother you do a complete physical examination, which is
essentially normal. When you question him on how he is feeling, he says that he is very worried
that Microsoft has stolen his software for creating a better browser. He tells you he has se -
CORRECT ANS D) Schizophrenia
A 24-year-old secretary comes to your clinic, complaining of difficulty sleeping, severe
nightmares, and irritability. She states it all began 6 months ago when she went to a fast food
restaurant at midnight. While she was waiting in her car a man entered through the passenger
door and put a gun to her head. He had her drive to a remote area, where he took her money
and threatened to kill her. When the gun jammed he panicked and ran off. Ever since this
occurred the patient has been having these symptoms. She states she jumps at every noise and
refuses to drive at night. She states her anxiety has had such a marked influence on her job
performance she is afraid she will be fired. She denies any recent illnesses or injuries. Her past
medical history is unremarkable. On examination you find a nervous woman appearing her
stated age. Her physical examination is unremarkable. You recommend medication and
counseling.
What - CORRECT ANS C) Post-traumatic stress disorder
A 75-year-old homemaker brings her 76-year-old husband to your clinic. She states that 4
months ago he had a stroke and ever since she has been frustrated with his problems with
communication. They were at a restaurant after church one Sunday when he suddenly became
quiet. When she realized something was wrong he was taken to the hospital by EMS. He spent 2
weeks in the hospital with right-sided weakness and difficulty speaking. After hospitalization he
was in a rehab center, where he regained the ability to walk and most of the use of his right
hand. He also began to speak more, but she says that much of the time "he doesn't make any
sense." She gives an example that when she reminded him the car needed to be serviced he
told her "I will change the Kool-Aid out of the sink myself with the ludrip." She says that these
, sayings are becoming frustrating. She wants you to tell her what is wrong and what you can do
about - CORRECT ANS A) Wernicke's aphasia
A 32-year-old white female comes to your clinic, complaining of overwhelming sadness. She
says for the past 2 months she has had crying episodes, difficulty sleeping, and problems with
overeating. She says she used to go out with her friends from work but now she just wants to go
home and be by herself. She also thinks that her work productivity has been dropping because
she just is too tired to care or concentrate. She denies any feelings of guilt or any suicidal
ideation. She states that she has never felt this way in the past. She denies any recent illness or
injuries. Her past medical history consists of an appendectomy when she was a teenager;
otherwise, she has been healthy. She is single and works as a clerk in a medical office. She
denies tobacco, alcohol, or illegal drug use. Her mother has high blood pressure and her father
has had a history of mental illness. On examination you see a woman appearing her st -
CORRECT ANS C) Major depressive episode
A 27-year-old woman is brought to your office by her mother. The mother tells you that her
daughter has been schizophrenic for the last 8 years and is starting to decompensate despite
medication. The patient states that she has been taking her antipsychotic and she is doing just
fine. Her mother retorts that her daughter has become quite paranoid. When asked why, the
mother gives an example about the mailman. She says that her daughter goes and gets the mail
every day and then microwaves the letters. The patient agrees that she does this but only
because she sees the mailman flipping through the envelopes and she knows he's putting
anthrax on the letters. Her mother turns to her and says, "He's only sorting the mail!"
Which best describes the patient's abnormality of perception?
A) Illusion
B) Hallucination
C) Fugue state - CORRECT ANS A) Illusion
A 22-year-old man is brought to your office by his father to discuss his son's mental health
disorder. The patient was diagnosed with schizophrenia 6 months ago and has been taking
medication since. The father states that his son's dose isn't high enough and you need to raise
it. He states that his son has been hearing things that don't exist. You ask the young man what is
going on and he tells you that his father is just jealous because his sister talks only to him. His
