NR 509 MIDTERM EXAM ACTUAL UPDATED
2024/2025 QUESTIONS AND ANSWERS GRADED A+
CHAMBERLAIN
Cause of saddle numbness and urinary retention - ANSWER---Cauda
equina syndrome
Presentation of retinal detachment - ANSWER---If sudden visual loss is
unilateral and painless,
Obtunded - ANSWER---patient opens the eyes and looks at you but
responds slowly and is somewhat confused. Alertness and interest in the
environment are decreased.
Cranial nerve for lateral gaze - ANSWER---CN6: Abducens
Adult Illnesses - ANSWER---Medical: Illnesses such as diabetes,
hypertension, hepatitis, asthma, and human immunodeficiency virus
(HIV); hospitalizations; number and gender of sexual partners; and risk-
taking sexual practices
■ Surgical: Dates, indications, and types of operations
■ Obstetric/Gynecologic: Obstetric history, menstrual history, methods
of contraception, and sexual function
■ Psychiatric: Illness and time frame, diagnoses, hospitalizations, and
treatments
Present Illness - ANSWER---chronologic description of the problems
prompting the patient's visit, including the onset of the problem, the
setting in which it developed, its manifestations, and any treatments to
date.Each problem/symptom needs: (1) location; (2) quality; (3) quantity
or severity; (4) timing, including onset, duration, and frequency; (5) the
setting in which it occurs; (6) factors that have aggravated
-meds, allergies, tobacco use, ETOH and drug use
, NR 509 MIDTERM EXAM ACTUAL UPDATED
2024/2025 QUESTIONS AND ANSWERS GRADED A+
CHAMBERLAIN
Absence of red reflex - ANSWER---an opacity of the lens (cataract) or,
possibly, the vitreous (or even an artificial eye). Less commonly, a
detached retina or, in children, a retinoblastoma may obscure this reflex.
S/S of seasonal allergies - ANSWER---Itching, watery eyes, sneezing,
ear congestion, postnasal drainage
Presentation of optic neuritis - ANSWER---Enlarged blind spot, vision
loss in 1 eye, loss of color vision, hole in center of vision, trouble seeing
to the side, eye pain
pityriasis rosea - ANSWER---Multiple round to oval scaling violaceous
plaques on abdomen and back
Acromion - ANSWER---tip of shoulder
What to do for + finding on physical exam, but - workup - ANSWER---
continue using test, but less lab and diagnostics
Cause of falsely high BP - ANSWER----too small of a BP cuff
- if the brachial artery is below heart level
- loose cuff
- bladder that balloons outside the cuff
Check for nystagmus - ANSWER----involuntary jerking movement of
the eyes with quick and slow components.
- It is named for the direction of the quick component
- seen in cerebellar disease and vestibular disorders and in internuclear
ophthalmoplegia
Jaundice - ANSWER---yellow sclera
2024/2025 QUESTIONS AND ANSWERS GRADED A+
CHAMBERLAIN
Cause of saddle numbness and urinary retention - ANSWER---Cauda
equina syndrome
Presentation of retinal detachment - ANSWER---If sudden visual loss is
unilateral and painless,
Obtunded - ANSWER---patient opens the eyes and looks at you but
responds slowly and is somewhat confused. Alertness and interest in the
environment are decreased.
Cranial nerve for lateral gaze - ANSWER---CN6: Abducens
Adult Illnesses - ANSWER---Medical: Illnesses such as diabetes,
hypertension, hepatitis, asthma, and human immunodeficiency virus
(HIV); hospitalizations; number and gender of sexual partners; and risk-
taking sexual practices
■ Surgical: Dates, indications, and types of operations
■ Obstetric/Gynecologic: Obstetric history, menstrual history, methods
of contraception, and sexual function
■ Psychiatric: Illness and time frame, diagnoses, hospitalizations, and
treatments
Present Illness - ANSWER---chronologic description of the problems
prompting the patient's visit, including the onset of the problem, the
setting in which it developed, its manifestations, and any treatments to
date.Each problem/symptom needs: (1) location; (2) quality; (3) quantity
or severity; (4) timing, including onset, duration, and frequency; (5) the
setting in which it occurs; (6) factors that have aggravated
-meds, allergies, tobacco use, ETOH and drug use
, NR 509 MIDTERM EXAM ACTUAL UPDATED
2024/2025 QUESTIONS AND ANSWERS GRADED A+
CHAMBERLAIN
Absence of red reflex - ANSWER---an opacity of the lens (cataract) or,
possibly, the vitreous (or even an artificial eye). Less commonly, a
detached retina or, in children, a retinoblastoma may obscure this reflex.
S/S of seasonal allergies - ANSWER---Itching, watery eyes, sneezing,
ear congestion, postnasal drainage
Presentation of optic neuritis - ANSWER---Enlarged blind spot, vision
loss in 1 eye, loss of color vision, hole in center of vision, trouble seeing
to the side, eye pain
pityriasis rosea - ANSWER---Multiple round to oval scaling violaceous
plaques on abdomen and back
Acromion - ANSWER---tip of shoulder
What to do for + finding on physical exam, but - workup - ANSWER---
continue using test, but less lab and diagnostics
Cause of falsely high BP - ANSWER----too small of a BP cuff
- if the brachial artery is below heart level
- loose cuff
- bladder that balloons outside the cuff
Check for nystagmus - ANSWER----involuntary jerking movement of
the eyes with quick and slow components.
- It is named for the direction of the quick component
- seen in cerebellar disease and vestibular disorders and in internuclear
ophthalmoplegia
Jaundice - ANSWER---yellow sclera
