MIDTERM: NURS 550 2025 Update Actual |/ |/ |/ |/ |/
Exam Set Questions And Verified Answers
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(100% Accurate!!)
|/ |/
Differential Diagnosis - CORRECT ANSWERS ✔✔• In deciding |/ |/ |/ |/ |/ |/ |/
which disease to include in the differential, consider: - What's the
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
most life-threatening disease the patient could have? - Could this
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
be a common disease presenting with unusual features? - What
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
diseases present with misleading symptoms? - What rare
|/ |/ |/ |/ |/ |/ |/ |/
diseases could be causing these signs and symptoms?
|/ |/ |/ |/ |/ |/ |/ |/
Develop a Complete, Framed Differential Diagnosis (Hypothesis) -
|/ |/ |/ |/ |/ |/ |/
CORRECT ANSWERS ✔✔• Not all diagnoses in a given differential
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
are: - equally likely - equally important
|/ |/ |/ |/ |/ |/ |/ |/
• You must select: - a leading (working) hypothesis - a must not
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
miss hypothesis - An active alternative hypothesis
|/ |/ |/ |/ |/ |/ |/
SOAP stands for: - CORRECT ANSWERS ✔✔• Subjective •
|/ |/ |/ |/ |/ |/ |/ |/
Objective • Assessment • Plan
|/ |/ |/ |/ |/
Subjective - CORRECT ANSWERS ✔✔The subjective section is |/ |/ |/ |/ |/ |/ |/
what the patient tells you about their current condition and past
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
conditions.
|/
Chief Complaint - CORRECT ANSWERS ✔✔• What brought the
|/ |/ |/ |/ |/ |/ |/ |/
patient to the office
|/ |/ |/ |/ |/
|/
,• Example: Sore throat for 2 days
|/ |/ |/ |/ |/ |/
History of Present Illness/Injury - CORRECT ANSWERS ✔✔- Onset -
|/ |/ |/ |/ |/ |/ |/ |/ |/
When did the symptoms and/or signs begin, what was the
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
mechanism of injury
|/ |/ |/ |/
- Chronology - episodic, variable, constant, etc
|/ |/ |/ |/ |/ |/ |/
- Quality - sharp, dull, ache, sudden, insidious
|/ |/ |/ |/ |/ |/ |/ |/
- Severity - pain rating, 0-10 pain scale, interferes with daily
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
activities
|/ |/
- Modifying factors - aggravating and alleviating factors
|/ |/ |/ |/ |/ |/ |/ |/
- Additional symptoms - unrelated or significant symptoms
|/ |/ |/ |/ |/ |/ |/ |/
- Treatment - medications, herbs, "home remedies", rest, activity,
|/ |/ |/ |/ |/ |/ |/ |/
splint, etc
|/ |/ |/
- Use "OLDCART" to assist you (Onset, Location, Duration,
|/ |/ |/ |/ |/ |/ |/ |/
Character , Aggravating factors, Relieving factors, Treatments"
|/ |/ |/ |/ |/ |/ |/
History - CORRECT ANSWERS ✔✔Allergies - list of allergies to
|/ |/ |/ |/ |/ |/ |/ |/ |/
food, medication, and products with type of reaction
|/ |/ |/ |/ |/ |/ |/ |/ |/
- Medical - past and present medical conditions (i.e. asthma,
|/ |/ |/ |/ |/ |/ |/ |/ |/
hypertension, malaria, etc.)
|/ |/ |/ |/
- Surgical - past surgeries (i.e. appendectomy, CABG, craniotomy,
|/ |/ |/ |/ |/ |/ |/ |/
etc.)
|/ |/
- Family - mother, father, siblings, etc. - Social - occupation,
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
alcohol, drug, tobacco use, risky behavior
|/ |/ |/ |/ |/ |/ |/
- Immunizations - current and past received with dates
|/ |/ |/ |/ |/ |/ |/ |/ |/
- Screenings/Health Promotion - mammography, testicular exams,
|/ |/ |/ |/ |/ |/
dental, vision
|/ |/ |/
,- Review of Systems - systemic symptoms related to the current
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
problem(s) including pertinent positives and negatives
|/ |/ |/ |/ |/ |/
Review of Systems - CORRECT ANSWERS ✔✔General - fever
|/ |/ |/ |/ |/ |/ |/ |/
(subjective) with chills and sweats, denies fatigue, weakness,
|/ |/ |/ |/ |/ |/ |/ |/
weight loss, or malaise
|/ |/ |/ |/ |/
- Skin - denies rashes, lesions, discolorations
|/ |/ |/ |/ |/ |/ |/
- HEENT - positive for generalized headache, sore throat, pain
|/ |/ |/ |/ |/ |/ |/ |/ |/
with swallowing and rhinorrhea. Denies difficulty swallowing
|/ |/ |/ |/ |/ |/ |/
saliva, earache, sinus congestion, sinus pain, visual or auditory
|/ |/ |/ |/ |/ |/ |/ |/ |/
aura
|/ |/
- Neck - denies lump, pain, stiffness, or decreased range of
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
motion
|/ |/
- Cardiac - denies chest pain, pressure, tightness, palpitations
|/ |/ |/ |/ |/ |/ |/ |/ |/
- Pulmonary - denies cough, wheeze, hemoptysis
|/ |/ |/ |/ |/ |/ |/
- GI - denies nausea, vomiting, abdominal pain
|/ |/ |/ |/ |/ |/ |/ |/
- GU - denies missed menses, urinary frequency, urgency or
|/ |/ |/ |/ |/ |/ |/ |/ |/
hematuria
|/ |/
- MS - denies cramping, pain,
|/ |/ |/ |/ |/ |/
- Neuro - denies unilateral weakness, numbness, tingling
|/ |/ |/ |/ |/ |/ |/
Review of Systems - CORRECT ANSWERS ✔✔• Should elaborate
|/ |/ |/ |/ |/ |/ |/ |/
on the chief complaint and HPI • Don't ask questions that the
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
patient may not know
|/ |/ |/ |/ |/
Review of Systems |/ |/ |/
Do you have a problem with your prostate? Do have anemia,
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
heart failure, cancer? Do you frequently urinate during the night?
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
Have you noticed a change in the stream of your urine? Do you
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
, |/ avoid drinking fluids during work? Do you feel tired often? Are
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
|/ you short of breath? Have you had any weight loss recently?
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
Objective - CORRECT ANSWERS ✔✔In this section you document
|/ |/ |/ |/ |/ |/ |/ |/
what you observe during the examination and visit.
|/ |/ |/ |/ |/ |/ |/ |/
Physical Examination - CORRECT ANSWERS ✔✔- Vital signs -
|/ |/ |/ |/ |/ |/ |/ |/
Physical examination findings - the use of "normal", "within
|/ |/ |/ |/ |/ |/ |/ |/ |/
normal limits", "unremarkable" and other phrases are NOT
|/ |/ |/ |/ |/ |/ |/ |/
acceptable. - Diagnostic results - Measurements including height,
|/ |/ |/ |/ |/ |/ |/ |/
weight, screening tools, etc. - Mental Status
|/ |/ |/ |/ |/ |/ |/ |/
-Weight 50 Kg previously documented height 5'3" -Vital signs - BP
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
118/76, HR 104, RR 16, T 38.2C, pulse Ox 99% RA -Diagnostic
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
results •Rapid strep test positive
|/ |/ |/ |/ |/
-Physical examination findings - CORRECT ANSWERS ✔✔•
|/ |/ |/ |/ |/ |/
General -Well nourished and hydrated 28 yo female. Awake, alert
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
and orient; appropriately dressed for season. Pleasant and
|/ |/ |/ |/ |/ |/ |/ |/
cooperative.
|/ |/
|/ *Skin - hot, dry and pink. No rashes or lesions including
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
|/ petechiae noted |/ |/
• HEENT - normocephalic, symmetric face features. No
|/ |/ |/ |/ |/ |/ |/
tenderness in scalp, face, ethmoid/maxillary/frontal sinuses.
|/ |/ |/ |/ |/ |/
Negative transillumination. External ears without deviations, ear
|/ |/ |/ |/ |/ |/ |/
canal clear bilaterally, tympanic membranes pearly grey with
|/ |/ |/ |/ |/ |/ |/ |/
cone of light, bony landmarks visualized bilaterally. Nasal
|/ |/ |/ |/ |/ |/ |/ |/
mucosa pink and moist turbinates with no edema or erythema.
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
Oral mucosa pink and moist, dentition without obvious caries; no
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
lesions oral cavity. Pharynx with moderate erythema tonsillar
|/ |/ |/ |/ |/ |/ |/ |/
Exam Set Questions And Verified Answers
|/ |/ |/ |/ |/ |/
(100% Accurate!!)
|/ |/
Differential Diagnosis - CORRECT ANSWERS ✔✔• In deciding |/ |/ |/ |/ |/ |/ |/
which disease to include in the differential, consider: - What's the
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
most life-threatening disease the patient could have? - Could this
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
be a common disease presenting with unusual features? - What
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
diseases present with misleading symptoms? - What rare
|/ |/ |/ |/ |/ |/ |/ |/
diseases could be causing these signs and symptoms?
|/ |/ |/ |/ |/ |/ |/ |/
Develop a Complete, Framed Differential Diagnosis (Hypothesis) -
|/ |/ |/ |/ |/ |/ |/
CORRECT ANSWERS ✔✔• Not all diagnoses in a given differential
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
are: - equally likely - equally important
|/ |/ |/ |/ |/ |/ |/ |/
• You must select: - a leading (working) hypothesis - a must not
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
miss hypothesis - An active alternative hypothesis
|/ |/ |/ |/ |/ |/ |/
SOAP stands for: - CORRECT ANSWERS ✔✔• Subjective •
|/ |/ |/ |/ |/ |/ |/ |/
Objective • Assessment • Plan
|/ |/ |/ |/ |/
Subjective - CORRECT ANSWERS ✔✔The subjective section is |/ |/ |/ |/ |/ |/ |/
what the patient tells you about their current condition and past
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
conditions.
|/
Chief Complaint - CORRECT ANSWERS ✔✔• What brought the
|/ |/ |/ |/ |/ |/ |/ |/
patient to the office
|/ |/ |/ |/ |/
|/
,• Example: Sore throat for 2 days
|/ |/ |/ |/ |/ |/
History of Present Illness/Injury - CORRECT ANSWERS ✔✔- Onset -
|/ |/ |/ |/ |/ |/ |/ |/ |/
When did the symptoms and/or signs begin, what was the
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
mechanism of injury
|/ |/ |/ |/
- Chronology - episodic, variable, constant, etc
|/ |/ |/ |/ |/ |/ |/
- Quality - sharp, dull, ache, sudden, insidious
|/ |/ |/ |/ |/ |/ |/ |/
- Severity - pain rating, 0-10 pain scale, interferes with daily
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
activities
|/ |/
- Modifying factors - aggravating and alleviating factors
|/ |/ |/ |/ |/ |/ |/ |/
- Additional symptoms - unrelated or significant symptoms
|/ |/ |/ |/ |/ |/ |/ |/
- Treatment - medications, herbs, "home remedies", rest, activity,
|/ |/ |/ |/ |/ |/ |/ |/
splint, etc
|/ |/ |/
- Use "OLDCART" to assist you (Onset, Location, Duration,
|/ |/ |/ |/ |/ |/ |/ |/
Character , Aggravating factors, Relieving factors, Treatments"
|/ |/ |/ |/ |/ |/ |/
History - CORRECT ANSWERS ✔✔Allergies - list of allergies to
|/ |/ |/ |/ |/ |/ |/ |/ |/
food, medication, and products with type of reaction
|/ |/ |/ |/ |/ |/ |/ |/ |/
- Medical - past and present medical conditions (i.e. asthma,
|/ |/ |/ |/ |/ |/ |/ |/ |/
hypertension, malaria, etc.)
|/ |/ |/ |/
- Surgical - past surgeries (i.e. appendectomy, CABG, craniotomy,
|/ |/ |/ |/ |/ |/ |/ |/
etc.)
|/ |/
- Family - mother, father, siblings, etc. - Social - occupation,
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
alcohol, drug, tobacco use, risky behavior
|/ |/ |/ |/ |/ |/ |/
- Immunizations - current and past received with dates
|/ |/ |/ |/ |/ |/ |/ |/ |/
- Screenings/Health Promotion - mammography, testicular exams,
|/ |/ |/ |/ |/ |/
dental, vision
|/ |/ |/
,- Review of Systems - systemic symptoms related to the current
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
problem(s) including pertinent positives and negatives
|/ |/ |/ |/ |/ |/
Review of Systems - CORRECT ANSWERS ✔✔General - fever
|/ |/ |/ |/ |/ |/ |/ |/
(subjective) with chills and sweats, denies fatigue, weakness,
|/ |/ |/ |/ |/ |/ |/ |/
weight loss, or malaise
|/ |/ |/ |/ |/
- Skin - denies rashes, lesions, discolorations
|/ |/ |/ |/ |/ |/ |/
- HEENT - positive for generalized headache, sore throat, pain
|/ |/ |/ |/ |/ |/ |/ |/ |/
with swallowing and rhinorrhea. Denies difficulty swallowing
|/ |/ |/ |/ |/ |/ |/
saliva, earache, sinus congestion, sinus pain, visual or auditory
|/ |/ |/ |/ |/ |/ |/ |/ |/
aura
|/ |/
- Neck - denies lump, pain, stiffness, or decreased range of
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
motion
|/ |/
- Cardiac - denies chest pain, pressure, tightness, palpitations
|/ |/ |/ |/ |/ |/ |/ |/ |/
- Pulmonary - denies cough, wheeze, hemoptysis
|/ |/ |/ |/ |/ |/ |/
- GI - denies nausea, vomiting, abdominal pain
|/ |/ |/ |/ |/ |/ |/ |/
- GU - denies missed menses, urinary frequency, urgency or
|/ |/ |/ |/ |/ |/ |/ |/ |/
hematuria
|/ |/
- MS - denies cramping, pain,
|/ |/ |/ |/ |/ |/
- Neuro - denies unilateral weakness, numbness, tingling
|/ |/ |/ |/ |/ |/ |/
Review of Systems - CORRECT ANSWERS ✔✔• Should elaborate
|/ |/ |/ |/ |/ |/ |/ |/
on the chief complaint and HPI • Don't ask questions that the
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
patient may not know
|/ |/ |/ |/ |/
Review of Systems |/ |/ |/
Do you have a problem with your prostate? Do have anemia,
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
heart failure, cancer? Do you frequently urinate during the night?
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
Have you noticed a change in the stream of your urine? Do you
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
, |/ avoid drinking fluids during work? Do you feel tired often? Are
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
|/ you short of breath? Have you had any weight loss recently?
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
Objective - CORRECT ANSWERS ✔✔In this section you document
|/ |/ |/ |/ |/ |/ |/ |/
what you observe during the examination and visit.
|/ |/ |/ |/ |/ |/ |/ |/
Physical Examination - CORRECT ANSWERS ✔✔- Vital signs -
|/ |/ |/ |/ |/ |/ |/ |/
Physical examination findings - the use of "normal", "within
|/ |/ |/ |/ |/ |/ |/ |/ |/
normal limits", "unremarkable" and other phrases are NOT
|/ |/ |/ |/ |/ |/ |/ |/
acceptable. - Diagnostic results - Measurements including height,
|/ |/ |/ |/ |/ |/ |/ |/
weight, screening tools, etc. - Mental Status
|/ |/ |/ |/ |/ |/ |/ |/
-Weight 50 Kg previously documented height 5'3" -Vital signs - BP
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
118/76, HR 104, RR 16, T 38.2C, pulse Ox 99% RA -Diagnostic
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
results •Rapid strep test positive
|/ |/ |/ |/ |/
-Physical examination findings - CORRECT ANSWERS ✔✔•
|/ |/ |/ |/ |/ |/
General -Well nourished and hydrated 28 yo female. Awake, alert
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
and orient; appropriately dressed for season. Pleasant and
|/ |/ |/ |/ |/ |/ |/ |/
cooperative.
|/ |/
|/ *Skin - hot, dry and pink. No rashes or lesions including
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
|/ petechiae noted |/ |/
• HEENT - normocephalic, symmetric face features. No
|/ |/ |/ |/ |/ |/ |/
tenderness in scalp, face, ethmoid/maxillary/frontal sinuses.
|/ |/ |/ |/ |/ |/
Negative transillumination. External ears without deviations, ear
|/ |/ |/ |/ |/ |/ |/
canal clear bilaterally, tympanic membranes pearly grey with
|/ |/ |/ |/ |/ |/ |/ |/
cone of light, bony landmarks visualized bilaterally. Nasal
|/ |/ |/ |/ |/ |/ |/ |/
mucosa pink and moist turbinates with no edema or erythema.
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
Oral mucosa pink and moist, dentition without obvious caries; no
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
lesions oral cavity. Pharynx with moderate erythema tonsillar
|/ |/ |/ |/ |/ |/ |/ |/
