NU 650 THROUGH MIDTERM EXAM|| ACTUAL EXA
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M ALL QUESTIONS AND CORRECT ANSWERS ALRE
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ADY GRADED A+|| LATEST AND COMPLETE UPDAT
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E (VERSION 1-
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3) WITH VERIFIED SOLUTIONS|| ASSURED PASS!!!
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A 40 year old male patient presents with sinus pain, pressure and yellow nasal dischar
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ge. Your exam would include palpation of:
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A. Ethmoid and frontal sinuses k k k
B. Maxillary and sphenoid sinuses k k k
C. Frontal and maxillary sinuses k k k
D. Sphenoid and ethmoid sinuses - ANSWER: C k k k k k kk
A 60 y.o presents with a 3-
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day history of left eye irritation. Which of the following findings should be recorded i
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n the ROS?
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A. Patient denies eye pain or change in vision
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B. Vision is 20/20 by Snellen Charyk k k k k
C. Yellow crust is visible at the inner canthus of the left eye
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D. all of the above - ANSWER: A
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During a physical exam of the throat, which of the following structures of the mouth/t
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hroat should rise when the patient says "aah"?
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A. Hard palate k
B. Soft palate k
C. Lingual frenulum k
D. Buccal mucosa - ANSWER: B k k k kk
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In conductive type hearing loss, you would expect:
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A. sound lateralizes to the good ear when the weber test is used
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B. sound lateralizes to the affected (bad) ear when the weber test is used
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C.
The weber test remains unaltered with conductive type hearing loss and sound
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will be heard equally in both ears
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D.
The weber test can cause discomfort in a patient with conductive type hearing l
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oss and should not be used in this situation - ANSWER: B
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On exam of the posterior pharynx, you are able to visualize the tonsils bilaterally exte
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nding just past the anterior and posterior pillars. According to the Friedman Scale, ho
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w would you document this finding in your note?
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A. tonsils noted to be normal k k k k
B. Tonsils visualized grade 3 k k k
C. Tonsils visualized grade 1 k k k
D. Tonsils visualized grade 2 - ANSWER: C
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The NP will assess visual acuity using which of the following tests?
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A. Snellen test k
B. Cover test k
C. Accommodation test k
D. Confrontation test - ANSWER: A k k k kk
The NP will recognize which of the following findings when assessing the lymph nod
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es in the head and neck as worrisome, warranting further workup?
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A.
Tender tonsillar and submandibular nodes in the presence of a streptococcal in
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fection
B.
Any lymph node that the NP is able to roll in two directions: up and down, side
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to side
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C. Enlarged supraclavicular nodes k k
k
D. Deep cervical chain nodes that are inaccessible to exam - ANSWER: C
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When conducting an ophthalmoscopic exam, the NP will differentiate arteries from v
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eins by noting:
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A. Larger size of arteries
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B. Bright light reflection of arteries
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C. Dark red color of arteries
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D. location of the vessel to the optic disc - ANSWER: B
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When examining a 3 y.o presenting to your office with right ear pain, which would be
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the appropriate order for the assessment?
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A. Right ear, left ear, mouth, nose, neck, lungs, heart
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B. Neck, lungs, heart, mouth, nose, left ear, right ear
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C. Left ear, right ear, neck, lungs, heart and nose
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D. Lungs, heart, mouth, nose, and right ear. - ANSWER: B
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Which of the following describes the proper technique for examination of the ear can
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al and drum for a 5 year old?
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A.
Use the smallest ear speculum, position the pt. head so that you see comfortabl
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e, straighten the ear canal by grasping the auricle firmly and pulling it upward and bac
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kward, slightly away from the head.
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B.
use the largest ear speculum that inserts easily in the canal, position the patient
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s head so that you see comfortable, straighten the ear canal by grasping the auricle fir
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mly and pulling it downward and backward, slightly away from the head -
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kANSWER: B kk
Which of the following findings on exam of the nasal mucosa and septum would mos
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t likely indicate allergic rhinitis?
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A. Reddened nasal mucosa with purulent drainage k k k k k
B. pale or bluish nasal mucosa with clear drainage
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C. fresh blood or crusting of the nasal mucosa
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D. Asymmetry in appearance between the right and left sides - ANSWER: B k k k k k k k k k k kk
Which of the following is/are normal in the examination of the oral cavity?
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A. a midline lingual frenulum extending from the tongue to the floor of the mouth
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B. papillae covering the dorsum of the tongue k k k k k k
C. Pink buccal mucosa lining the cheeks
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D. All of the above are normal - ANSWER: D
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Which of the following techniques identifies the correct way to use an ophthalmasco
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pe to inspect the optic disc and retina in the patients left eye? The NP will hold the op
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hthalmoscope:
A. in their left hand and examine the patients left eye with his or hear left eye
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B. in the right hand and examine the patients left eye with her or her right eye.
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