4/4/25, 5:45 NR 509 midterm |
PM
NR 509 MIDTERM EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED LATEST UPDATE
Practice questions for this set
Learn 1/7 Study using Learn
patient opens the eyes and looks at you but responds slowly and is somewhat confused.
Alertness and interest in the environment are decreased.
Select the correct term
1Comatose 2Obtunded
3Stupor 4Lethargic
Don't know?
Terms in this set (74)
Cause of saddle numbness and urinary Cauda equina syndrome
retention
Presentation of retinal detachment If sudden visual loss is unilateral and painless,
patient opens the eyes and looks at you but responds slowly and is somewhat
Obtunded
confused. Alertness and interest in the environment are decreased.
Cranial nerve for lateral gaze CN6: Abducens
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
Adult Illnesses ■ 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
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)
Present Illness
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
an opacity of the lens (cataract) or, possibly, the vitreous (or even an artificial eye).
Absence of red reflex Less commonly, a detached retina or, in children, a retinoblastoma may obscure
this reflex.
S/S of seasonal allergies Itching, watery eyes, sneezing, ear congestion, postnasal drainage
1/
5
, 4/4/25, 5:45 NR 509 midterm |
PM
Enlarged blind spot, vision loss in 1 eye, loss of color vision, hole in center of
Presentation of optic neuritis
vision, trouble seeing to the side, eye pain
pityriasis rosea Multiple round to oval scaling violaceous plaques on abdomen and back
tip of shoulder
Acromion
What to do for + finding on physical exam, continue using test, but less lab and diagnostics
but - workup
-too small of a BP cuff
- if the brachial artery is below heart level
Cause of falsely high BP
- loose cuff
- bladder that balloons outside the cuff
-involuntary jerking movement of the eyes with quick and slow components.
- It is named for the direction of the quick component
Check for nystagmus
- seen in cerebellar disease and vestibular disorders and in
internuclear ophthalmoplegia
Jaundice yellow sclera
effective reassurance is simply identifying and acknowledging the patient's
feelings.
how do get a patient to open up when -Partnering
upset -Summarizing
-Transitions
- Empowering the pt
-Slowly progressive, with temporary exacerbations after periods of overuse
s/s of degenerative pain -usually insidious
- flexion and deviation deformities
- Weber: Sound lateralizes to impaired ear. Room noise not well heard,
so detection of vibrations improves
How otosclerosis presents with Weber
- Rinne: BC longer than or equal to AC. While air conduction through the external
and Rinne test
or middle ear is impaired, vibrations through bone bypass the problem to reach
the cochlea.
Cherry angiomas Benign
Vision of 20/200 means that at 20 feet the patient can read print that a person
with normal vision could read at 200 feet. The larger the second number, the
Interpreting visual acuity test
worse the vision. "20/40 corrected" means the patient could read the 20/40 line
with glasses (a correction).
Preparation. Then, Greeting the patient and establishing rapport. Establishing the
agenda for the interview. Inviting the patient's story. Exploring the patient's
perspective. Identifying and responding to emotional cues. Expand-ing and
Sequence of the interview
clarifying the patient's story. Generating and testing diagnostic hypotheses.
Sharing the treatment plan. Closing the interview and the visit. Taking time for self-
reflection.
Patient consent you need consent to carry out a visit with someone in the room with them.
● Identifying data and source of the history; reliability ● Chief complaint(s)
● Present illness ● Past history
Health History
● Family history
● Personal and social history ● Review of systems
Atrophy of the supraspinatus and infraspinatus with increased prominence of
Rotator cuff injury scapular spine can appear within 2 to 3 weeks of a rotator cuff tear; infraspinatus
atrophy has a positive likelihood ratio (LR) of 2 for rotator cuff disease.
2/
5
PM
NR 509 MIDTERM EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED LATEST UPDATE
Practice questions for this set
Learn 1/7 Study using Learn
patient opens the eyes and looks at you but responds slowly and is somewhat confused.
Alertness and interest in the environment are decreased.
Select the correct term
1Comatose 2Obtunded
3Stupor 4Lethargic
Don't know?
Terms in this set (74)
Cause of saddle numbness and urinary Cauda equina syndrome
retention
Presentation of retinal detachment If sudden visual loss is unilateral and painless,
patient opens the eyes and looks at you but responds slowly and is somewhat
Obtunded
confused. Alertness and interest in the environment are decreased.
Cranial nerve for lateral gaze CN6: Abducens
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
Adult Illnesses ■ 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
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)
Present Illness
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
an opacity of the lens (cataract) or, possibly, the vitreous (or even an artificial eye).
Absence of red reflex Less commonly, a detached retina or, in children, a retinoblastoma may obscure
this reflex.
S/S of seasonal allergies Itching, watery eyes, sneezing, ear congestion, postnasal drainage
1/
5
, 4/4/25, 5:45 NR 509 midterm |
PM
Enlarged blind spot, vision loss in 1 eye, loss of color vision, hole in center of
Presentation of optic neuritis
vision, trouble seeing to the side, eye pain
pityriasis rosea Multiple round to oval scaling violaceous plaques on abdomen and back
tip of shoulder
Acromion
What to do for + finding on physical exam, continue using test, but less lab and diagnostics
but - workup
-too small of a BP cuff
- if the brachial artery is below heart level
Cause of falsely high BP
- loose cuff
- bladder that balloons outside the cuff
-involuntary jerking movement of the eyes with quick and slow components.
- It is named for the direction of the quick component
Check for nystagmus
- seen in cerebellar disease and vestibular disorders and in
internuclear ophthalmoplegia
Jaundice yellow sclera
effective reassurance is simply identifying and acknowledging the patient's
feelings.
how do get a patient to open up when -Partnering
upset -Summarizing
-Transitions
- Empowering the pt
-Slowly progressive, with temporary exacerbations after periods of overuse
s/s of degenerative pain -usually insidious
- flexion and deviation deformities
- Weber: Sound lateralizes to impaired ear. Room noise not well heard,
so detection of vibrations improves
How otosclerosis presents with Weber
- Rinne: BC longer than or equal to AC. While air conduction through the external
and Rinne test
or middle ear is impaired, vibrations through bone bypass the problem to reach
the cochlea.
Cherry angiomas Benign
Vision of 20/200 means that at 20 feet the patient can read print that a person
with normal vision could read at 200 feet. The larger the second number, the
Interpreting visual acuity test
worse the vision. "20/40 corrected" means the patient could read the 20/40 line
with glasses (a correction).
Preparation. Then, Greeting the patient and establishing rapport. Establishing the
agenda for the interview. Inviting the patient's story. Exploring the patient's
perspective. Identifying and responding to emotional cues. Expand-ing and
Sequence of the interview
clarifying the patient's story. Generating and testing diagnostic hypotheses.
Sharing the treatment plan. Closing the interview and the visit. Taking time for self-
reflection.
Patient consent you need consent to carry out a visit with someone in the room with them.
● Identifying data and source of the history; reliability ● Chief complaint(s)
● Present illness ● Past history
Health History
● Family history
● Personal and social history ● Review of systems
Atrophy of the supraspinatus and infraspinatus with increased prominence of
Rotator cuff injury scapular spine can appear within 2 to 3 weeks of a rotator cuff tear; infraspinatus
atrophy has a positive likelihood ratio (LR) of 2 for rotator cuff disease.
2/
5
