MIDTERM NURS 634 DR TYLER
REVIEW QUESTIONS &
ANSWERS(RATED A+)
Patient is erratic, telling you all kinds of personal information, what should you do
during her appointment? - ANSWERSummarize what the patient is there for to clarify
her needs
patient c/o SOB and coughing at night. Upon examine you hear wheezing upon
expiration, what is your DDX? - ANSWERAsthma
Patient c/o recent trauma to right hand. Upon assessment patient has pain in the
triangular depression on the dorsum of the hand at the base of the thumb, and x-ray
indicates a fracture, what is this area called? - ANSWERSnuff Box, Scaphoid FX
Locate the PMI? - ANSWERleft 5th intercoastal space located 7 to 9 cm lateral to the
sternum
Patient c/o pain while chewing gum, what do you suspect? - ANSWERTMJD
Which part of your patients assessment would you document occupation and
education? - ANSWERSocial history
Patient presents with blood around his eye, he denies pain, trauma, started this
morning, nothing makes it better or worse, hasn't taken anything for it. He states that
he coughed all night long, what would your DDX be? - ANSWERSubconjunctival
hemorrhage
Your patient has just been diagnosed with GERD, what education would you
provide? - ANSWERAvoid Spicy, fatty, caffeine, sweets, and Acidic foods
Elevate HOB, including entire chest
Avoid recumbence until 2 hours after meals
Reduce meal size
Smoking cessation
reduce alcohol consumption
weight loss if indicate
avoid bending, stooping, bending after meals
avoid tight clothing after meals
Dull long sounds on percussion can indicate what? - ANSWERconsolidated
pneumonia
can be unilateral or bilateral depending on location of pneumonia
what is normal physiological change in the vision of the elderly? -
ANSWERpresbyopia, near sited
, Your patient c/o being sick, upon your physical exam you find nodules just behind
the sternocleidomastoid, which lymph nodes do you suspect are inflamed? -
ANSWERposterior cervical lymph nodes
Female patient age 34 c/o tired, fatigued, and her body has been hurting for the last
two months, what DDX would you suspect? - ANSWERDepression
Patient c/o double vision out of one eye, which CN is affected? - ANSWERCN3
Patient c/o elbow pain that runs along the medial epicondylitis and the pain
increases as he extends his wrist, what would you consider as a DDX/ -
ANSWERGolfer's elbow
pain at the lateral epicondyle, refers to what DDX? - ANSWERTennis Elbow
You do an I&D on a lump found on the back of your patient. Cheesy substances
leaks out as you cut an incision, what type of derma logical issue would you consider
as a DDX? - ANSWERSebaceous Cyst
What is a normal cup to disc ratio? - ANSWER1:3
If your patient has a cup to disc ratio of 1:2, what DDX would you consider? -
ANSWERGlaucoma
Patient c/o chest pain, sharp, intermittent, pain increases with breathing, Tylenol
does not relieve the pain, tightness that does not radiate. Patient is a smoker, what is
your DDX? - ANSWERAngina
Patient c/o painless loss of vision in one eye, what is your DDX? - ANSWERRetinal
detachment
Patient c/o painful loss of vision in one eye, what is your DDX? - ANSWERopen
angled glaucoma
optic neuritis
Your patient c/o an overwhelming sadness with a lost of interest for the past several
months, what would your DDX be? - ANSWERMajor Depression
Your patient is unable to move there neck, presents with fever, HA, light sensitivity
and nuchal rigidity. Upon examination of the eyes you see blurred margins around
the fundi while looking at the optic disc, what would your DDX be? -
ANSWERMeningitis
patient c/o constipation for the past several months, what would you ask your patient
during your assessment? -
ANSWERmedications/Opoids/antidepressants/anticholinergics/antihypertensive/
antihistamines/calcium or iron supplements/diuretics/anticonvulsants/antacids
containing aluminum
REVIEW QUESTIONS &
ANSWERS(RATED A+)
Patient is erratic, telling you all kinds of personal information, what should you do
during her appointment? - ANSWERSummarize what the patient is there for to clarify
her needs
patient c/o SOB and coughing at night. Upon examine you hear wheezing upon
expiration, what is your DDX? - ANSWERAsthma
Patient c/o recent trauma to right hand. Upon assessment patient has pain in the
triangular depression on the dorsum of the hand at the base of the thumb, and x-ray
indicates a fracture, what is this area called? - ANSWERSnuff Box, Scaphoid FX
Locate the PMI? - ANSWERleft 5th intercoastal space located 7 to 9 cm lateral to the
sternum
Patient c/o pain while chewing gum, what do you suspect? - ANSWERTMJD
Which part of your patients assessment would you document occupation and
education? - ANSWERSocial history
Patient presents with blood around his eye, he denies pain, trauma, started this
morning, nothing makes it better or worse, hasn't taken anything for it. He states that
he coughed all night long, what would your DDX be? - ANSWERSubconjunctival
hemorrhage
Your patient has just been diagnosed with GERD, what education would you
provide? - ANSWERAvoid Spicy, fatty, caffeine, sweets, and Acidic foods
Elevate HOB, including entire chest
Avoid recumbence until 2 hours after meals
Reduce meal size
Smoking cessation
reduce alcohol consumption
weight loss if indicate
avoid bending, stooping, bending after meals
avoid tight clothing after meals
Dull long sounds on percussion can indicate what? - ANSWERconsolidated
pneumonia
can be unilateral or bilateral depending on location of pneumonia
what is normal physiological change in the vision of the elderly? -
ANSWERpresbyopia, near sited
, Your patient c/o being sick, upon your physical exam you find nodules just behind
the sternocleidomastoid, which lymph nodes do you suspect are inflamed? -
ANSWERposterior cervical lymph nodes
Female patient age 34 c/o tired, fatigued, and her body has been hurting for the last
two months, what DDX would you suspect? - ANSWERDepression
Patient c/o double vision out of one eye, which CN is affected? - ANSWERCN3
Patient c/o elbow pain that runs along the medial epicondylitis and the pain
increases as he extends his wrist, what would you consider as a DDX/ -
ANSWERGolfer's elbow
pain at the lateral epicondyle, refers to what DDX? - ANSWERTennis Elbow
You do an I&D on a lump found on the back of your patient. Cheesy substances
leaks out as you cut an incision, what type of derma logical issue would you consider
as a DDX? - ANSWERSebaceous Cyst
What is a normal cup to disc ratio? - ANSWER1:3
If your patient has a cup to disc ratio of 1:2, what DDX would you consider? -
ANSWERGlaucoma
Patient c/o chest pain, sharp, intermittent, pain increases with breathing, Tylenol
does not relieve the pain, tightness that does not radiate. Patient is a smoker, what is
your DDX? - ANSWERAngina
Patient c/o painless loss of vision in one eye, what is your DDX? - ANSWERRetinal
detachment
Patient c/o painful loss of vision in one eye, what is your DDX? - ANSWERopen
angled glaucoma
optic neuritis
Your patient c/o an overwhelming sadness with a lost of interest for the past several
months, what would your DDX be? - ANSWERMajor Depression
Your patient is unable to move there neck, presents with fever, HA, light sensitivity
and nuchal rigidity. Upon examination of the eyes you see blurred margins around
the fundi while looking at the optic disc, what would your DDX be? -
ANSWERMeningitis
patient c/o constipation for the past several months, what would you ask your patient
during your assessment? -
ANSWERmedications/Opoids/antidepressants/anticholinergics/antihypertensive/
antihistamines/calcium or iron supplements/diuretics/anticonvulsants/antacids
containing aluminum
