Mosby Comprehensive Exam 5 Questions/Answers. VERIFIED

Mosby Comprehensive Exam 5 Questions/Answers. VERIFIED Comprehensive Exam Your response has been submitted successfully. Points Awarded 34 Points Missed 116 Percentage 23% 1. Which of the following is not a core symptom of ADHD? A. Distractibility B. Impulsivity C. Shortened concentration D. Speech and language delays Core symptoms of ADHD include difficulty with attention, impulsivity, developmentally inappropriate levels of activity, and distractibility. Speech and language delays are not considered main symptoms seen in ADHD (AAP, 2000). *Assessment Category Points Earned: 0/1 Correct Answer: D Your Response: A 2. A 72-year-old man who works part time at a service station comes in with complaints of visual changes. Specifically he describes “the colors seem to be fading, everything is blurred and dark, and straight lines appear to be bending over.” The patient is accurately describing what condition? A. Diabetic retinopathy B. Senile cataracts C. Macular degeneration D. Glaucoma The man in this question has described common symptoms of macular degeneration, which predominantly affects central vision (Vander and Gault, 2002). *Assessment Category Points Earned: 0/1 Correct Answer: C Your Response: A 3. A pregnant woman remembers that her last normal menstrual period began on Valentine’s Day (February 14). This means that her expected date of delivery is: A. May 21 B. November 21 C. November 7 D. May 7 Naegele’s rule is used to calculate the expected date of delivery. The rule is: subtract 3 months from the date the last menstrual period began and add 7 days. This would make the patient’s due date November 21 (Loudermilk and Perry, 2004). *Assessment Category Points Earned: 0/1 Correct Answer: B Your Response: A 4. A young man comes in asking to see a male NP because of the nature of his problem. His chief complaint is prolonged ejaculation. What factor in the patient’s history is not implicated as a cause of this diagnosis? A. Obsession with sexually satisfying his partner B. Nerve injury in the sacrum C. Use of Prozac for depression D. A strict religious background, causing the person to view sex as sinful Perceiving sex as sinful, having neurologic problems, or use of Prozac can cause prolonged ejaculation. Other causes include anger toward or lack of attraction for the sexual partner, neurologic disease, and traumatic events related to sex. The inability to ejaculate is not associated with a desire to satisfy the sexual partner. Most men ejaculate within 2 to 4 minutes after onset of active thrusting in intercourse. Men with retarded ejaculation may be entirely unable to ejaculate in some circumstances (for example, during intercourse) or may be able to ejaculate only with great effort and after prolonged intercourse (for example, 30 to 45 minutes). The most common causes are psychological, but physiological factors may also cause the problem (ADAM *Assessment Category Points Earned: 1/1 Correct Answer: A Your Response: A 5. What characteristics are more descriptive of a malignant skin lesion than a benign skin lesion? A. Lesion that appears “stuck on” chest and is slightly irregular B. Lesion that is 1 cm and tender anywhere on body C. Lesion on thigh that began as dark brown but became lighter with age D. Lesion of varied color, itchy, 1 cm on back The lesion most descriptive of cancer of the skin is the lesion that is varied in color, itchy, and 1 cm on back; recall the ABCDE mnemonic (Seidel, 2003). *Assessment Category Points Earned: 0/1 Correct Answer: D Your Response: A 6. Which comorbidity is often seen with epididymitis? A. Testicular cancer B. Prostatitis C. Hydrocele D. Varicocele