NR509 MIDTERM EXAM WITH
CORRECT ANSWERS ATTACHED
2025-2026
What to do for + finding on physical exam, but - workup
continue using test, but less lab and diagnostics
Cause of falsely high BP
-too small of a BP cuff
- if the brachial artery is below heart level
- loose cuff
- bladder that balloons outside the cuff
Check for nystagmus
-involuntary jerking movement of the eyes with quick and slow components.
- It is named for the direction of the quick component
- seen in cerebellar disease and vestibular disorders and in internuclear
ophthalmoplegia
Jaundice
yellow sclera
,how do get a patient to open up when upset
effective reassurance is simply identifying and acknowledging the patient's
feelings.
-Partnering
-Summarizing
-Transitions
- Empowering the pt
s/s of degenerative pain
-Slowly progressive, with temporary exacerbations after periods of overuse
-usually insidious
- flexion and deviation deformities
How otosclerosis presents with Weber and Rinne test
- Weber: Sound lateralizes to impaired ear. Room noise not well heard, so
detection of vibrations improves
- Rinne: BC longer than or equal to AC. While air conduction through the
external or middle ear is impaired, vibrations through bone bypass the
problem to reach the cochlea.
Cherry angiomas
Benign
, Interpreting visual acuity test
Vision of 20/200 means that at 20 feet the patient can read print that a
person with normal vision could read at 200 feet. The larger the second
number, the worse the vision. "20/40 corrected" means the patient could
read the 20/40 line with glasses (a correction).
Sequence of the interview
Preparation. Then, Greeting the patient and establishing rapport. Establishing
the agenda for the interview. Inviting the patient's story. Exploring the
patient's perspective. Identifying and responding to emotional cues. Expand-
ing and clarifying the patient's story. Generating and testing diagnostic
hypotheses. Sharing the treatment plan. Closing the interview and the visit.
Taking time for self-reflection.
Patient consent
you need consent to carry out a visit with someone in the room with them.
Health History
● Identifying data and source of the history; reliability ● Chief complaint(s)
● Present illness ● Past history
● Family history
● Personal and social history ● Review of systems
Rotator cuff injury
CORRECT ANSWERS ATTACHED
2025-2026
What to do for + finding on physical exam, but - workup
continue using test, but less lab and diagnostics
Cause of falsely high BP
-too small of a BP cuff
- if the brachial artery is below heart level
- loose cuff
- bladder that balloons outside the cuff
Check for nystagmus
-involuntary jerking movement of the eyes with quick and slow components.
- It is named for the direction of the quick component
- seen in cerebellar disease and vestibular disorders and in internuclear
ophthalmoplegia
Jaundice
yellow sclera
,how do get a patient to open up when upset
effective reassurance is simply identifying and acknowledging the patient's
feelings.
-Partnering
-Summarizing
-Transitions
- Empowering the pt
s/s of degenerative pain
-Slowly progressive, with temporary exacerbations after periods of overuse
-usually insidious
- flexion and deviation deformities
How otosclerosis presents with Weber and Rinne test
- Weber: Sound lateralizes to impaired ear. Room noise not well heard, so
detection of vibrations improves
- Rinne: BC longer than or equal to AC. While air conduction through the
external or middle ear is impaired, vibrations through bone bypass the
problem to reach the cochlea.
Cherry angiomas
Benign
, Interpreting visual acuity test
Vision of 20/200 means that at 20 feet the patient can read print that a
person with normal vision could read at 200 feet. The larger the second
number, the worse the vision. "20/40 corrected" means the patient could
read the 20/40 line with glasses (a correction).
Sequence of the interview
Preparation. Then, Greeting the patient and establishing rapport. Establishing
the agenda for the interview. Inviting the patient's story. Exploring the
patient's perspective. Identifying and responding to emotional cues. Expand-
ing and clarifying the patient's story. Generating and testing diagnostic
hypotheses. Sharing the treatment plan. Closing the interview and the visit.
Taking time for self-reflection.
Patient consent
you need consent to carry out a visit with someone in the room with them.
Health History
● Identifying data and source of the history; reliability ● Chief complaint(s)
● Present illness ● Past history
● Family history
● Personal and social history ● Review of systems
Rotator cuff injury
