NUR 550 DREXEL HEALTH ASSESSMENT
MIDTERM EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS ALREADY
GRADED A
A 17-year-old high school senior presents to your clinic in
acute respiratory distress. Between shallow breaths he
states he was at home finishing his homework when he
suddenly began having right-sided chest pain and severe
shortness of breath. He denies any recent traumas or
illnesses. His past medical history is unremarkable. He
doesn't smoke but drinks several beers on the weekend.
He has tried marijuana several times but denies any
other illegal drugs. He is an honors student and is on the
basketball team. His parents are both in good health. He
denies any recent weight gain, weight loss, fever, or night
sweats. On examination you see a tall, thin young man in
obvious distress. He is diaphoretic and is breathing at a
rate of 35 breaths per minute. On auscultation you hear
no breath sounds on the right side of his superior chest
wall. On percussion he is hyperresonant over the right
upper lobe. With palpation he h - correct answer - B.
Spontaneous pneumothorax
A 22-year-old advertising copywriter presents for
evaluation of joint pain. The pain is new, located in the
wrists and fingers bilaterally, with some subjective fever.
,The patient denies a rash; she also denies recent travel or
camping activities. She has a family history significant for
rheumatoid arthritis. Based on this information, which of
the following pathologic processes would be the most
correct?
A. Traumatic
B. Hematologic
C. Inflammatory
D. Infectious - correct answer - C. Inflammatory
A 24-year-old graduate student comes to your clinic,
complaining of burning during urination and increased
urinary frequency. He has had a low-grade fever (100.5
degrees) and does not feel very well. He is very worried
about sexually transmitted diseases because he had a
drunken encounter 2 weeks ago and did not use a
condom. He has had no recent weight loss, weight gain,
or night sweats. His past medical history includes knee
surgery in high school and genital warts in college. He
does not smoke but drinks six beers every Friday and
Saturday night. He denies using any IV drugs but has
tried marijuana in the past. His father has high
cholesterol but his mother is healthy. On examination he
appears tired. His temperature is 99.5 degrees and his
blood pressure is 110/70. His abdominal examination is
normal. Visualization of the anus shows no masses,
,inflammation, or fissures. Digital rectal examination
reveals a warm, - correct answer - B. Prostatitis
A 25-year-old accountant presents to your clinic,
complaining of intermittent lower right-sided chest pain
for several days. He describes it as knifelike and states it
only lasts for 3 to 5 seconds, taking his breath away. He
states he feels like he has to breathe shallowly to keep it
from recurring. The only thing that makes it better is lying
quietly on his right side. It is much worse when he takes a
deep breath. He has taken some Tylenol and put a
heating pad on his side but neither has helped. He
remembers that 2 weeks ago he had an upper respiratory
infection with a severe hacking cough. He denies any
recent trauma. His past medical history is unremarkable.
His parents and siblings are in good health. He has
recently married, and his wife has a baby due in 2
months. He denies any smoking or illegal drug use. He
drinks two to three beers once a month. He states that he
eats a healthy diet and runs regularly, but - correct
answer - A. Pleural pain
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?
, A. Aortic
B. Pulmonic
C. Tricuspid
D. Mitral - correct answer - D. Mitral
A 25-year-old radio announcer comes to the clinic for an
annual examination. His BMI is 26.0 kg/m2. He is
concerned about his weight. Based on this information,
what is appropriate counsel for the patient during the
visit?
A. Give the patient information about reduction of fat and
cholesterol because he is obese.
B. Give the patient information about reduction of fat,
cholesterol, and calories because he is overweight.
C. Reassure the patient that he has a normal body
weight.
D. Refer the patient to a nutritionist because he is
anorexic. - correct answer - B. Give the patient
information about reduction of fat, cholesterol, and
calories because he is overweight.
A 47-year-old receptionist comes to your office,
complaining of fever, shortness of breath, and a
productive cough with golden sputum. She says she had
MIDTERM EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS ALREADY
GRADED A
A 17-year-old high school senior presents to your clinic in
acute respiratory distress. Between shallow breaths he
states he was at home finishing his homework when he
suddenly began having right-sided chest pain and severe
shortness of breath. He denies any recent traumas or
illnesses. His past medical history is unremarkable. He
doesn't smoke but drinks several beers on the weekend.
He has tried marijuana several times but denies any
other illegal drugs. He is an honors student and is on the
basketball team. His parents are both in good health. He
denies any recent weight gain, weight loss, fever, or night
sweats. On examination you see a tall, thin young man in
obvious distress. He is diaphoretic and is breathing at a
rate of 35 breaths per minute. On auscultation you hear
no breath sounds on the right side of his superior chest
wall. On percussion he is hyperresonant over the right
upper lobe. With palpation he h - correct answer - B.
Spontaneous pneumothorax
A 22-year-old advertising copywriter presents for
evaluation of joint pain. The pain is new, located in the
wrists and fingers bilaterally, with some subjective fever.
,The patient denies a rash; she also denies recent travel or
camping activities. She has a family history significant for
rheumatoid arthritis. Based on this information, which of
the following pathologic processes would be the most
correct?
A. Traumatic
B. Hematologic
C. Inflammatory
D. Infectious - correct answer - C. Inflammatory
A 24-year-old graduate student comes to your clinic,
complaining of burning during urination and increased
urinary frequency. He has had a low-grade fever (100.5
degrees) and does not feel very well. He is very worried
about sexually transmitted diseases because he had a
drunken encounter 2 weeks ago and did not use a
condom. He has had no recent weight loss, weight gain,
or night sweats. His past medical history includes knee
surgery in high school and genital warts in college. He
does not smoke but drinks six beers every Friday and
Saturday night. He denies using any IV drugs but has
tried marijuana in the past. His father has high
cholesterol but his mother is healthy. On examination he
appears tired. His temperature is 99.5 degrees and his
blood pressure is 110/70. His abdominal examination is
normal. Visualization of the anus shows no masses,
,inflammation, or fissures. Digital rectal examination
reveals a warm, - correct answer - B. Prostatitis
A 25-year-old accountant presents to your clinic,
complaining of intermittent lower right-sided chest pain
for several days. He describes it as knifelike and states it
only lasts for 3 to 5 seconds, taking his breath away. He
states he feels like he has to breathe shallowly to keep it
from recurring. The only thing that makes it better is lying
quietly on his right side. It is much worse when he takes a
deep breath. He has taken some Tylenol and put a
heating pad on his side but neither has helped. He
remembers that 2 weeks ago he had an upper respiratory
infection with a severe hacking cough. He denies any
recent trauma. His past medical history is unremarkable.
His parents and siblings are in good health. He has
recently married, and his wife has a baby due in 2
months. He denies any smoking or illegal drug use. He
drinks two to three beers once a month. He states that he
eats a healthy diet and runs regularly, but - correct
answer - A. Pleural pain
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?
, A. Aortic
B. Pulmonic
C. Tricuspid
D. Mitral - correct answer - D. Mitral
A 25-year-old radio announcer comes to the clinic for an
annual examination. His BMI is 26.0 kg/m2. He is
concerned about his weight. Based on this information,
what is appropriate counsel for the patient during the
visit?
A. Give the patient information about reduction of fat and
cholesterol because he is obese.
B. Give the patient information about reduction of fat,
cholesterol, and calories because he is overweight.
C. Reassure the patient that he has a normal body
weight.
D. Refer the patient to a nutritionist because he is
anorexic. - correct answer - B. Give the patient
information about reduction of fat, cholesterol, and
calories because he is overweight.
A 47-year-old receptionist comes to your office,
complaining of fever, shortness of breath, and a
productive cough with golden sputum. She says she had
