NSG 6420 Week 5 Midterm Exam
Question 1 (2 points)
The first step in the genomic assessment of a patient is obtaining information regarding:
Question 1 options:
a)
Family history
b)
Environmental exposures
c)
Lifestyle and behaviors
d)
Current medications
Question 2 (2 points)
Rheumatic heart disease is a complication that can arise from which type of infection?
Question 2 options:
,a)
Epstein-Barr virus
b)
Diphtheria
c)
Group A beta hemolytic streptococcus
d)
Streptococcus pneumoniae
Question 3 (2 points)
A 64-year-old male presents with erythema of the sclera, tearing, and bilateral pruritus of the
eyes. The symptoms occur intermittently throughout the year and he has associated clear nasal
discharge. Which of the following is most likely because of the inflammation?
Question 3 options:
a)
Bacterium
b)
,Allergen
c)
Virus
d)
Fungi
Question 4 (2 points)
Dan G., a 65-year-old man, presents to your primary care office for the evaluation of chest pain
and left-sided shoulder pain. Pain begins after strenuous activity, including walking. Pain is
characterized as dull, aching; 8/10 during activity, otherwise 0/10. Began a few months ago,
intermittent, aggravated by exercise, and relieved by rest. Has occasional nausea. Pain is
retrosternal, radiating to left shoulder, definitely affects quality of life by limiting activity. Pain is
worse today; did not go away after he stopped walking. BP 120/80. Pulse 72 and regular. Normal
heart sounds, S1 and S2, no murmurs. Which of the following differential diagnoses would be
most likely?
Question 4 options:
a)
Musculoskeletal chest wall syndrome with radiation
b)
Esophageal motor disorder with radiation
c)
, Acute cholecystitis with cholelithiasis
d)
Coronary artery disease with angina pectoris
Question 5 (2 points)
Which disease process typically causes episodic right upper quadrant pain, epigastric pain or
chest pain that can last 4-6 hours or less, often radiates to the back (classically under the right
shoulder blade) and is often accompanied by nausea or vomiting and often follows a heavy, fatty
meal.
Question 5 options:
a)
Acute pancreatitis
b)
Duodenal ulcer
c)
Biliary colic
d)
Cholecystitis
Question 1 (2 points)
The first step in the genomic assessment of a patient is obtaining information regarding:
Question 1 options:
a)
Family history
b)
Environmental exposures
c)
Lifestyle and behaviors
d)
Current medications
Question 2 (2 points)
Rheumatic heart disease is a complication that can arise from which type of infection?
Question 2 options:
,a)
Epstein-Barr virus
b)
Diphtheria
c)
Group A beta hemolytic streptococcus
d)
Streptococcus pneumoniae
Question 3 (2 points)
A 64-year-old male presents with erythema of the sclera, tearing, and bilateral pruritus of the
eyes. The symptoms occur intermittently throughout the year and he has associated clear nasal
discharge. Which of the following is most likely because of the inflammation?
Question 3 options:
a)
Bacterium
b)
,Allergen
c)
Virus
d)
Fungi
Question 4 (2 points)
Dan G., a 65-year-old man, presents to your primary care office for the evaluation of chest pain
and left-sided shoulder pain. Pain begins after strenuous activity, including walking. Pain is
characterized as dull, aching; 8/10 during activity, otherwise 0/10. Began a few months ago,
intermittent, aggravated by exercise, and relieved by rest. Has occasional nausea. Pain is
retrosternal, radiating to left shoulder, definitely affects quality of life by limiting activity. Pain is
worse today; did not go away after he stopped walking. BP 120/80. Pulse 72 and regular. Normal
heart sounds, S1 and S2, no murmurs. Which of the following differential diagnoses would be
most likely?
Question 4 options:
a)
Musculoskeletal chest wall syndrome with radiation
b)
Esophageal motor disorder with radiation
c)
, Acute cholecystitis with cholelithiasis
d)
Coronary artery disease with angina pectoris
Question 5 (2 points)
Which disease process typically causes episodic right upper quadrant pain, epigastric pain or
chest pain that can last 4-6 hours or less, often radiates to the back (classically under the right
shoulder blade) and is often accompanied by nausea or vomiting and often follows a heavy, fatty
meal.
Question 5 options:
a)
Acute pancreatitis
b)
Duodenal ulcer
c)
Biliary colic
d)
Cholecystitis
