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NR509 Final Exam NR509 FINAL EXAM SAMPLE QUES... >65 ears age or exte
88 terms 89 terms 13 terms
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Varicocle
A young man feels something in
Varicoceles are common in normal men. They are often found
his scrotum and comes to you
for clarification. On your in the left scrotum or bilaterally and should normally resolve in
examination, you note what the supine position. This is because they represent varicosities
feels like a "bag of worms" in the within the scrotum. These require further investigation if they
left scrotum, superior to the occur only on the right side or do not resolve in the supine
testicles. Which of the following position. They can contribute to infertility because the testicles
is most likely? are unable to achieve a cool enough temperature for sperm
A) Hydrocele of the spermatic production, due to increased blood flow from the varicocele. A
cord hydrocele would be a painless mass on the spermatic cord and
B) Varicocele the vas deferens is palpated as part of the spermatic cord. You
C) Testicular carcinoma should lightly pinch the scrotum medially and move laterally
D) A normal vas deferens until you feel the spermatic cord pass between your fingers.
Which of the following changes Ans: D
are expected in vision as part of The lens loses its elasticity over time as part of the normal aging
the normal aging process? process, and the eye is less able to accommodate and focus on
A) Cataracts near objects; therefore, the patient will be expected to have
B) Glaucoma blurring of near vision.
C) Macular degeneration
D) Blurring of near vision
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,A 68-year-old mechanic Constrictive pericarditis
presents to the emergency
room for shortness of breath.
You are concerned about a
cardiac cause and measure his
jugular venous pressure (JVP). It
is elevated. Which one of the
following conditions is a
potential cause of elevated JVP?
A) Left-sided heart failure
B) Mitral stenosis
C) Constrictive pericarditis
D) Aortic aneurysm
Which of the following lymph D.) Central
node groups is most commonly
involved in breast cancer?
A) Lateral
B) Subscapular
C) Pectoral
D) Central
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You are beginning the D) Dry and rough
examination of the skin on a 25-
year-old teacher. You have
previously elicited that she came
to the office for evaluation of
fatigue, weight gain, and hair
loss. You strongly suspect that
she has hypothyroidism. What is
the expected moisture and
texture of the skin of a patient
with hypothyroidism?
A) Moist and smooth
B) Moist and rough
C) Dry and smooth
D) Dry and rough
, Mrs. Hill is a 28-year-old A. It is likely to be related to her lupus
African-American with a history
of SLE (systemic lupus
erythematosus). She has noticed
a raised, dark red rash on her
legs. When you press on the
rash, it doesn't blanch. What
would you tell her regarding her
rash?
A) It is likely to be related to her
lupus.
B) It is likely to be related to an
exposure to a chemical.
C) It is likely to be related to an
allergic reaction.
D) It should not cause any
problems.
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You are palpating the abdomen b) examination with the abdominal muscles tensed.
and feel a small mass. Which of
the following would you do
next?
A) Ultrasound
B) Examination with the
abdominal muscles tensed
C) Surgery referral
D) Determine size by percussion
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You are evaluating a 40-year- B) Peripheral Artery Disease
old banker for coronary heart
disease risk factors. He has a
history of hypertension, which is
well-controlled on his current
medications. He does not
smoke; he does 45 minutes of
aerobic exercise five times
weekly. You are calculating his
10-year coronary heart disease
risk. Which of the following
conditions is considered to be a
coronary heart disease risk
equivalent?
A) Hypertension
B) Peripheral arterial disease
C) Systemic lupus
erythematosus
D) Chronic obstructive
pulmonary disease (COPD)
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