NR 509 Final Exam – Questions With Fully
Explained Solutions
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Terms in this set (91)
Know that in a 47-year-old man ED is psychologic
usually ___________ rather than
testosterone
Erectile dysfunction may be from early morning erection is preserved.
psychogenic causes, especially if it may also reflect decreased testosterone,
decreased blood flow in the hypogastric arterial
system, impaired neural innervation, and diabetes
When performing a breast exam, may be fixed to skin or underlying tissues (may cause
know what abnormal masses should dimpling of skin or retraction when arms are lifted
do when the arm over head or hands are pressed against hips)
Fibroadenoma and cysts mobility very mobile/mobile
Know that a high proportion of breast BSE
masses are noted during ________
Breast stage 1 preadolescent- elevation of nipple only
Breast stage 2 breast bud stage- elevation of breast and nipple as a
small mound; enlargement of areolar diameter
breast stage 3 further enlargement of elevation of breast and
areola, with no separation of their contours
breast stage 4 projection of areola and nipple to form a secondary
mound above the level of breast
,breast stage 5 mature stage- projection of nipple only; areola has
receded to general contour of the breast (although
in some individuals the areola continues to form a
secondary mound)
Know where pain is located with epigastric, may radiation straight to the back of other
pancreatitis: acute areas of the abdomen; 20% with severe sequelae of
organ failure
Know where pain is located with epigastric, radiating to back
pancreatitis: chronic
Know how hepatitis A is transmitted Transmitted through fecal-oral route. Fecal shedding
followed by poor handwashing contaminates water
and foods leading to infection of household and
sexual contacts
Stress incontinence the urethral sphincter is weakened so that transient
increases in intra-abdominal pressure raise the
bladder pressure to levels that exceed urethral
resistance. Causes include childbirth and surgery,
postmenopausal atrophy of the mucosa, and urethral
infection. May follow prostate surgery in men.
urge incontinence detrusor contractions are stronger than normal and
overcome the normal urethral resistance. The
bladder is typically small. Mechanisms: Decreased
cortical inhibition of detrusor contractions from
stroke, brain tumor, dementia, and lesions of the
spinal cord above sacral level. Also hyperexcitability
of sensory pathways ie: bladder infections, tumors,
and fecal impaction. Deconditioning of voiding
reflexes ie: frequent voluntary voiding at low bladder
volumes.
, overflow incontinence detrusor contractions are insufficient to overcome
urethral resistance, causing urinary retention. The
bladder is typically flaccid and large, even after an
effort to void. Mechanisms: obstruction of the
bladder outlet ie: BPH or tumor. Weakness of the
detrusor muscle associated with peripheral nerve
disease at S2-4 level. Impaired bladder sensation that
interrupts the reflex arc ie: diabetic neuropathy.
functional incontinence the patient is functionally able to reach the toilet in
time because of impaired health or environmental
conditions. Mechanism: problems in mobility
resulting from weakness, arthritis, poor vision, or
other conditions. Also environmental factors such as
an unfamiliar setting, distant bathroom facilities, bed
rails, or physical restraints.
Incontinence secondary to drugs may contribute to any type of incontinence
medications listed. Ex: sedatives, tranquilizers, anticholinergics,
sympathetic blockers, and potent diuretics
Know where lymph nodes should be · Strep throat àstreptococcal pharyngitis, bacterial
with strep infection that may cause a sore, scratchy throat
· Common childhood infection has a classic
presentation of erythema of the posterior pharynx
and palatal petechiae
· Enlarged swollen cervical lymph nodes ->
superficial cervical lymph nodes
Superficial cervical -> superficial to the
sternocleidomastoid
What vaccines are safe during tdap, flu, Pneumococcal, meningococcal, Hepatitis B,
pregnancy rho gam
*NOT MMR, polio, or varicella
Explained Solutions
Save Groups
Terms in this set (91)
Know that in a 47-year-old man ED is psychologic
usually ___________ rather than
testosterone
Erectile dysfunction may be from early morning erection is preserved.
psychogenic causes, especially if it may also reflect decreased testosterone,
decreased blood flow in the hypogastric arterial
system, impaired neural innervation, and diabetes
When performing a breast exam, may be fixed to skin or underlying tissues (may cause
know what abnormal masses should dimpling of skin or retraction when arms are lifted
do when the arm over head or hands are pressed against hips)
Fibroadenoma and cysts mobility very mobile/mobile
Know that a high proportion of breast BSE
masses are noted during ________
Breast stage 1 preadolescent- elevation of nipple only
Breast stage 2 breast bud stage- elevation of breast and nipple as a
small mound; enlargement of areolar diameter
breast stage 3 further enlargement of elevation of breast and
areola, with no separation of their contours
breast stage 4 projection of areola and nipple to form a secondary
mound above the level of breast
,breast stage 5 mature stage- projection of nipple only; areola has
receded to general contour of the breast (although
in some individuals the areola continues to form a
secondary mound)
Know where pain is located with epigastric, may radiation straight to the back of other
pancreatitis: acute areas of the abdomen; 20% with severe sequelae of
organ failure
Know where pain is located with epigastric, radiating to back
pancreatitis: chronic
Know how hepatitis A is transmitted Transmitted through fecal-oral route. Fecal shedding
followed by poor handwashing contaminates water
and foods leading to infection of household and
sexual contacts
Stress incontinence the urethral sphincter is weakened so that transient
increases in intra-abdominal pressure raise the
bladder pressure to levels that exceed urethral
resistance. Causes include childbirth and surgery,
postmenopausal atrophy of the mucosa, and urethral
infection. May follow prostate surgery in men.
urge incontinence detrusor contractions are stronger than normal and
overcome the normal urethral resistance. The
bladder is typically small. Mechanisms: Decreased
cortical inhibition of detrusor contractions from
stroke, brain tumor, dementia, and lesions of the
spinal cord above sacral level. Also hyperexcitability
of sensory pathways ie: bladder infections, tumors,
and fecal impaction. Deconditioning of voiding
reflexes ie: frequent voluntary voiding at low bladder
volumes.
, overflow incontinence detrusor contractions are insufficient to overcome
urethral resistance, causing urinary retention. The
bladder is typically flaccid and large, even after an
effort to void. Mechanisms: obstruction of the
bladder outlet ie: BPH or tumor. Weakness of the
detrusor muscle associated with peripheral nerve
disease at S2-4 level. Impaired bladder sensation that
interrupts the reflex arc ie: diabetic neuropathy.
functional incontinence the patient is functionally able to reach the toilet in
time because of impaired health or environmental
conditions. Mechanism: problems in mobility
resulting from weakness, arthritis, poor vision, or
other conditions. Also environmental factors such as
an unfamiliar setting, distant bathroom facilities, bed
rails, or physical restraints.
Incontinence secondary to drugs may contribute to any type of incontinence
medications listed. Ex: sedatives, tranquilizers, anticholinergics,
sympathetic blockers, and potent diuretics
Know where lymph nodes should be · Strep throat àstreptococcal pharyngitis, bacterial
with strep infection that may cause a sore, scratchy throat
· Common childhood infection has a classic
presentation of erythema of the posterior pharynx
and palatal petechiae
· Enlarged swollen cervical lymph nodes ->
superficial cervical lymph nodes
Superficial cervical -> superficial to the
sternocleidomastoid
What vaccines are safe during tdap, flu, Pneumococcal, meningococcal, Hepatitis B,
pregnancy rho gam
*NOT MMR, polio, or varicella
