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NUR 612 EXAM 4
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A patients inability to follow simple instructions could indicate with of the following findings?
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A. Dysphonia
B. Amnesia
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C. Aphasia
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D. Depression
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A patient scores a 3 on a mini-cog assessment instrument for dementia, What does this score
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indicate?
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A. Advanced dementia
B. Early dementia
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C. Need for further evaluation
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D. Negative screen for dementia
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The examiner asks the patient to complete this statement: "A bird is to air as a fish is to
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_________." This is an example of what type of testing?
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A Calculation
B Analogies
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C Judgment
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D Mood and feelings
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Assume that the patients response to the examiner in question 3 is scales. What does this
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response likely reflect?
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A. Left cerebral hemisphere lesion
B. Depression
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C. eating disorder
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D. Aphasia
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Which type of assessment should be used to evaluate the mental status of a patient with head
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trauma?
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A. PHQ
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B. Perceptual distortion assessment
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C. Glasgow Coma Scale la
D. Functional Assessment
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Which of the following indicates possible cognitive impairment?
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A. ability to complete personal care without assistance
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B. Suspiciousness or inappropriate affect
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C. Articulate communication
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D. Prudent behavior and calm demeanor
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A 65-year old woman is brought to the clinic by family. They report thieve have noticed a
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change in her mental abilities over the past 2 weeks. Normally they say she is independent,
intelligent and very socially oriented. Medical history is unremarkable except for congestive
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heart failure, for which she takes digoxin. She has had no major changes in her health. What
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questions would be most important for the examiner to ask the woman's family?
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A. Is there a family hx of Alzheimers?
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B. How much alcohol does she drink in an average week?
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C. When was her digoxin level last checked?
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D. Did you know that the mental function begins to decline after the age of 60?
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A patient who has difficulty writing or drawing is most likely to have what condition?
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A. Temporal lobe damage
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B. Peripheral neuropathy
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C. Organic brain syndrome
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D. Psyciatric hallucinations sh
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A mother brings her 18 month old to the clinic. The child rarely talks or smiles or makes eye
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contact. She has also notice he does not like to be held. She says his motor development seems
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to be normal. What are these symptoms consistent with?
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A. Dementia
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B. Autistic disorder
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C. ADHD
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D. Delirium
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A patient with Alzheimers disease classically displays which of the following?
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A. alternating periods of mania and stupor
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B. Hallucinations and decorticate posturing
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C. Disintegration of personality
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D. Rapid onset of symptoms
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While examining a newborn male infant, the examiner palpates a testicle in the inguinal canal
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that cannot be pushed into the scrotum. this finding is consistent with what?
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A. A retractile testi
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B. Ambiguous genitalia
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C. Inguinal hernia
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D. undescended testicle
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Genital self examination should be taught to patients who are at risk for?
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A. testicular cancer
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B. Peyronie disease
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C. STD
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D. prostate enlargement
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On exam of a patients scrotum you note the it is unusually thickened and it pits. What is one
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type of problem suggested by these findings?
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A. STD
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B. Squamous cell skin cancer
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C. Liver disease
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D. Autoimmune disease
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While examining the genitalia of a 2 yr old boy the examiner should be aware.
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A. scrotum has edema until age 4
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B. Foreskin of uncircumcised penis is not fully retractable until age 3-4yrs
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C. testicles typically do not descend into the scrotum until age 5
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D. Cremasteric reflex does not become evident until age 6-7.
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Which item in the patient history is considered a risk factor for cancer of the penis?
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A. circumcised at birth
B. history of condyloma acuminatum infections
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C. Had congenital hydrocele
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