NR 509 MIDTERM EXAM WITH
CORRECT QUESTIONS AND ANSWERS
2025
a) Cause of saddle numbness and urinary retention - CORRECT-ANSWERSCauda equina
syndrome
b) Presentation of retinal detachment - CORRECT-ANSWERSIf sudden visual loss is
unilateral and painless,
c) Obtunded - CORRECT-ANSWERSpatient opens the eyes and looks at you but responds
slowly and is somewhat confused. Alertness and interest in the environment are
decreased.
d) Cranial nerve for lateral gaze - CORRECT-ANSWERSCN6: Abducens
e) Adult Illnesses - CORRECT-ANSWERSMedical: Illnesses such as diabetes,
hypertension, hepatitis, asthma, and human immunodeficiency virus (HIV);
hospitalizations; number and gender of sexual partners; and risk-taking sexual practices
f) ■ Surgical: Dates, indications, and types of operations
g) ■ Obstetric/Gynecologic: Obstetric history, menstrual history, methods of contraception,
and sexual function
h) ■ Psychiatric: Illness and time frame, diagnoses, hospitalizations, and treatments
i) Present Illness - CORRECT-ANSWERSchronologic 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
j) -meds, allergies, tobacco use, ETOH and drug use
k) Absence of red reflex - CORRECT-ANSWERSan 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.
l) S/S of seasonal allergies - CORRECT-ANSWERSItching, watery eyes, sneezing, ear
congestion, postnasal drainage
m) Presentation of optic neuritis - CORRECT-ANSWERSEnlarged blind spot, vision loss in
1 eye, loss of color vision, hole in center of vision, trouble seeing to the side, eye pain
n) pityriasis rosea - CORRECT-ANSWERSMultiple round to oval scaling violaceous
plaques on abdomen and back
o) Acromion - CORRECT-ANSWERStip of shoulder
p) What to do for + finding on physical exam, but - workup - CORRECT-
ANSWERScontinue using test, but less lab and diagnostics
q) Cause of falsely high BP - CORRECT-ANSWERS-too small of a BP cuff
- if the brachial artery is below heart level
- loose cuff
- bladder that balloons outside the cuff
r) Check for nystagmus - CORRECT-ANSWERS-involuntary jerking movement of the
eyes with quick and slow components.
- It is named for the direction of the quick component
CORRECT QUESTIONS AND ANSWERS
2025
a) Cause of saddle numbness and urinary retention - CORRECT-ANSWERSCauda equina
syndrome
b) Presentation of retinal detachment - CORRECT-ANSWERSIf sudden visual loss is
unilateral and painless,
c) Obtunded - CORRECT-ANSWERSpatient opens the eyes and looks at you but responds
slowly and is somewhat confused. Alertness and interest in the environment are
decreased.
d) Cranial nerve for lateral gaze - CORRECT-ANSWERSCN6: Abducens
e) Adult Illnesses - CORRECT-ANSWERSMedical: Illnesses such as diabetes,
hypertension, hepatitis, asthma, and human immunodeficiency virus (HIV);
hospitalizations; number and gender of sexual partners; and risk-taking sexual practices
f) ■ Surgical: Dates, indications, and types of operations
g) ■ Obstetric/Gynecologic: Obstetric history, menstrual history, methods of contraception,
and sexual function
h) ■ Psychiatric: Illness and time frame, diagnoses, hospitalizations, and treatments
i) Present Illness - CORRECT-ANSWERSchronologic 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
j) -meds, allergies, tobacco use, ETOH and drug use
k) Absence of red reflex - CORRECT-ANSWERSan 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.
l) S/S of seasonal allergies - CORRECT-ANSWERSItching, watery eyes, sneezing, ear
congestion, postnasal drainage
m) Presentation of optic neuritis - CORRECT-ANSWERSEnlarged blind spot, vision loss in
1 eye, loss of color vision, hole in center of vision, trouble seeing to the side, eye pain
n) pityriasis rosea - CORRECT-ANSWERSMultiple round to oval scaling violaceous
plaques on abdomen and back
o) Acromion - CORRECT-ANSWERStip of shoulder
p) What to do for + finding on physical exam, but - workup - CORRECT-
ANSWERScontinue using test, but less lab and diagnostics
q) Cause of falsely high BP - CORRECT-ANSWERS-too small of a BP cuff
- if the brachial artery is below heart level
- loose cuff
- bladder that balloons outside the cuff
r) Check for nystagmus - CORRECT-ANSWERS-involuntary jerking movement of the
eyes with quick and slow components.
- It is named for the direction of the quick component
