N554 Exam 1 With Complete Answers.A+ Graded

N554 Exam 1 With Complete
Answers.A+ Graded




•30 yo female presents with a 2 week H/O: Tracheobronchitis, Pharyngitis, Malaise, Fever, Persistent Cough
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and Headache. Denies shortness of breath, high fever, and a productive cough.
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•A nontoxic general appearance
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•Mild pharyngeal injection with minimal or no cervical adenopathy
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•Lung findings + rhonchi, + rales, no wheezes.
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•Cardiac - Slightly tachycardic. - CORRECT ANSWER✔✔mycoplasma pneumonia
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•Can someone who has had their tonsil removed get strep throat? - CORRECT ANSWER✔✔yes
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▫Classic interstitial cystitis - CORRECT ANSWER✔✔involves inflammatory bladder wall changes visible on
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cystoscopy
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3 main prostate problems - CORRECT ANSWER✔✔•Prostatitis (inflammation or infection) - tenderness
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•Benign Prostatic Hyperplasia (BPH) j j j j

,•Prostate Cancer - hard, nodular, or grossly asymmetrical j j j j j j j j




**if unsure, refer to urology
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3 phases of pertussis - CORRECT ANSWER✔✔Upper respiratory infection with rhinorrhea, mild grade fever
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and congestion lasting 1-2 weeks. Lasts for 2-4 weeks characterized by severe paroxysms of nonproductive
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coughing, with 10-30 coughs in a row.
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A hallmark symptom that assists the provider in diagnosing prostatitis is marked prostate tenderness? -
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CORRECT ANSWER✔✔true
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use caution when palpating d/t pain and fragility of prostate. rough palpation may --> SEPSIS
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AAA dissection - CORRECT ANSWER✔✔The force of blood pumping can split the layers of the artery wall,
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allowing blood to leak in between them
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AAA dx - CORRECT ANSWER✔✔often incidental finding on CT
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Often asymptomatic or vague complaints until rupture
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often misses on exam j j j




US q 2 years!!!
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AAA in elderly - CORRECT ANSWER✔✔may look like renal colic
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if renal colic sxs, exclude AAA
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,AAA prognosis - CORRECT ANSWER✔✔lethal
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elective repair has mortality rate of 1-5%
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MI is leading COD post op in elective cases
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60% survive 5+ years
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AAA risk factors - CORRECT ANSWER✔✔SMOKING
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HTN

HLD

Athlerosclerosis/CAD

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pregnancy

renal impairment j j




emphysema/COPD

carotid disease j




AAA rupture - CORRECT ANSWER✔✔The aneurysm can burst completely, causing bleeding inside the body
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AAA rupture sxs - CORRECT ANSWER✔✔HoTN
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widening pulse pressure j j j




ill appearing, acute distress
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excruciating mid abd pain that radiates to the lower back
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pain may be intermittent or constant
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, pain exacerbated by slight touch
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AAA screening - CORRECT ANSWER✔✔screening abd US for men 65+ who have smoked - NOT WOMEN
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abd pain assoc w amenorrhea or late menses - CORRECT ANSWER✔✔PREGNANCY
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abd pain assoc w change in bowel habits - CORRECT ANSWER✔✔colonic lesion
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abd pain assoc w diarrhea or constipation - CORRECT ANSWER✔✔infection vs obstruction
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abd pain assoc w foreign travel - CORRECT ANSWER✔✔hepatitis, malaria, ebola, food poisoning
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abd pain assoc w n/v - CORRECT ANSWER✔✔bowel obstruction
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abd pain assoc w sexual activity - CORRECT ANSWER✔✔vaginal discharge? STI?
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abd pain assoc w weight loss - CORRECT ANSWER✔✔malignancy
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abd pain diff dx - CORRECT ANSWER✔✔diff dx are HUGE with abd pain
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h&p to narrow down the list
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r/o life threatening pathology
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often will send the patient home with dx of nonspecific abd pain - reassess symptoms at 2-3 weeks, will likely
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be asymptomatic
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abd pain PE - CORRECT ANSWER✔✔VS w/ orthos
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