6090 Midterm Exam with Questions and Answers – 100% Solved
68-year-old woman is in the eye clinic for a checkup. She tells the nurse that she has been
having trouble with reading the paper, sewing, and even seeing the faces of her grandchildren.
On examination, the nurse notes that she has some loss of central vision but her peripheral
vision is normal. These findings suggest that: - ✔✔✔-She may have macular degeneration
A 6-month-old infant has been brought to the well-child clinic for a check-up. She is currently
sleeping. What should the examiner do first? - ✔✔✔-Auscultate the lungs and heart while the
infant is still sleeping
A 19-year-old college sophomore comes to the clinic for evaluation of joint pains. The student
has been back from spring break for 2 weeks; during her holiday, she went camping. She notes
that she had a red spot, shaped like a target, but then it started spreading, and then the joint
pains started. She used insect repellant but was in an area known to have ticks. She has never
been sick and takes no medications routinely; she has never been sexually active. What is the
most likely cause of her joint pain? - ✔✔✔-Lyme disease
A 25-year-old optical technician comes to your clinic for evaluation of fatigue. As part of your
physical examination, you listen to her heart and hear a murmur only at the cardiac apex. Which
valve is most likely to be involved, based on the location of the murmur? - ✔✔✔-Mitral
A 28-year-old graduate student comes to your clinic for evaluation of pain "all over." With
further questioning, she is able to relate that the pain is worse in the neck, shoulders, hands,
low back, and knees. She denies swelling in her joints; she states that the pain is worse in the
morning; there is no limitation in her range of motion. On physical examination, she has several
points on the muscles of the neck, shoulders, and back that are tender to palpation; muscle
strength and range of motion are normal. Which of the following is likely the cause of her pain?
- ✔✔✔-Fibromyalgia
A 58-year-old teacher presents to your clinic with a complaint of breathlessness with activity.
The patient has no chronic conditions and does not take any medications, herbs, or
supplements. Which of the following symptoms is appropriate to ask about in the
cardiovascular review of systems? - ✔✔✔-Orthopnea
, 6090 Midterm Exam with Questions and Answers – 100% Solved
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? - ✔✔✔-Constrictive
pericarditis
A 68-year-old woman with hypertension and diabetes is seen by the nurse practitioner for a dry
cough that worsens at night when she lies in bed. She has shortness of breath, which worsens
when she exerts herself. The patient's pulse rate is 90/min and regular. The patient has gained 6
lbs over the past two months. She is on a nitroglycerine patch and furosemide daily. The
explanation for her symptoms is: - ✔✔✔-Congestive heart failure
A 78-year-old retired seamstress comes to the office for a routine check-up. She was obtained
an ECG (electrocardiogram) because of her history of hypertension. She was diagnosed of a
myocardial infarction, You ask her if she had any symptoms related to this. Which of the
following symptoms would be more common in this patient's age group for an myocardial
infarction? - ✔✔✔-Syncope
A 78-year-old retired seamstress comes to the office for a routine check-up. You obtain an ECG
(electrocardiogram) because of her history of hypertension. You diagnose a previous myocardial
infarction and ask her if she had any symptoms related to this. Which of the following symptoms
would be more common in this patient's age group for an acute myocardial infarction? - ✔✔✔-
Syncope
A high school soccer player "blew out his knee" when the opposing goalie's head and shoulder
struck his flexed knee while the goalie was diving for the ball. All of the following structures
were involved in some way in his injury, but which of the following is actually an extra-articular
structure? - ✔✔✔-Tendons
A patient comes into the clinic complaining of pain in her right eye. On examination, the nurse
sees a pustule at the lid margin that is painful to touch, red, and swollen. The nurse recognizes
that this is - ✔✔✔-a hordeolum (stye).
68-year-old woman is in the eye clinic for a checkup. She tells the nurse that she has been
having trouble with reading the paper, sewing, and even seeing the faces of her grandchildren.
On examination, the nurse notes that she has some loss of central vision but her peripheral
vision is normal. These findings suggest that: - ✔✔✔-She may have macular degeneration
A 6-month-old infant has been brought to the well-child clinic for a check-up. She is currently
sleeping. What should the examiner do first? - ✔✔✔-Auscultate the lungs and heart while the
infant is still sleeping
A 19-year-old college sophomore comes to the clinic for evaluation of joint pains. The student
has been back from spring break for 2 weeks; during her holiday, she went camping. She notes
that she had a red spot, shaped like a target, but then it started spreading, and then the joint
pains started. She used insect repellant but was in an area known to have ticks. She has never
been sick and takes no medications routinely; she has never been sexually active. What is the
most likely cause of her joint pain? - ✔✔✔-Lyme disease
A 25-year-old optical technician comes to your clinic for evaluation of fatigue. As part of your
physical examination, you listen to her heart and hear a murmur only at the cardiac apex. Which
valve is most likely to be involved, based on the location of the murmur? - ✔✔✔-Mitral
A 28-year-old graduate student comes to your clinic for evaluation of pain "all over." With
further questioning, she is able to relate that the pain is worse in the neck, shoulders, hands,
low back, and knees. She denies swelling in her joints; she states that the pain is worse in the
morning; there is no limitation in her range of motion. On physical examination, she has several
points on the muscles of the neck, shoulders, and back that are tender to palpation; muscle
strength and range of motion are normal. Which of the following is likely the cause of her pain?
- ✔✔✔-Fibromyalgia
A 58-year-old teacher presents to your clinic with a complaint of breathlessness with activity.
The patient has no chronic conditions and does not take any medications, herbs, or
supplements. Which of the following symptoms is appropriate to ask about in the
cardiovascular review of systems? - ✔✔✔-Orthopnea
, 6090 Midterm Exam with Questions and Answers – 100% Solved
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? - ✔✔✔-Constrictive
pericarditis
A 68-year-old woman with hypertension and diabetes is seen by the nurse practitioner for a dry
cough that worsens at night when she lies in bed. She has shortness of breath, which worsens
when she exerts herself. The patient's pulse rate is 90/min and regular. The patient has gained 6
lbs over the past two months. She is on a nitroglycerine patch and furosemide daily. The
explanation for her symptoms is: - ✔✔✔-Congestive heart failure
A 78-year-old retired seamstress comes to the office for a routine check-up. She was obtained
an ECG (electrocardiogram) because of her history of hypertension. She was diagnosed of a
myocardial infarction, You ask her if she had any symptoms related to this. Which of the
following symptoms would be more common in this patient's age group for an myocardial
infarction? - ✔✔✔-Syncope
A 78-year-old retired seamstress comes to the office for a routine check-up. You obtain an ECG
(electrocardiogram) because of her history of hypertension. You diagnose a previous myocardial
infarction and ask her if she had any symptoms related to this. Which of the following symptoms
would be more common in this patient's age group for an acute myocardial infarction? - ✔✔✔-
Syncope
A high school soccer player "blew out his knee" when the opposing goalie's head and shoulder
struck his flexed knee while the goalie was diving for the ball. All of the following structures
were involved in some way in his injury, but which of the following is actually an extra-articular
structure? - ✔✔✔-Tendons
A patient comes into the clinic complaining of pain in her right eye. On examination, the nurse
sees a pustule at the lid margin that is painful to touch, red, and swollen. The nurse recognizes
that this is - ✔✔✔-a hordeolum (stye).
