NSG6020 MIDTERM ACTUAL EXAM WITH Q&
A TESTED AND APPROVED NEWLY
MODIFIED EXAM!!!
A mother brings her 11 month old to you because her mother-in-law and others
have told her that her baby is jaundiced. She is eating and growing well and
performing the developmental milestones she should for her age. On
examination you indeed notice a yellow tone to her skin from head to toe. Her
sclerae are white. To which area should your next questions be related? --
ANSWER--diet
You are examining an unconscious patient from another region and notice
Beau's lines, a transverse groove across all of her nails, about 1 cm from the
proximal nail fold. What would you do next? -- ANSWER--look for
information from family and records regarding any problems which occurred 3
months ago
Which of the following is a symptom involving the eye? -- ANSWER-scotomas
A 29-year-old physical therapist presents for evaluation of an eyelid problem.
On observation, the right eyeball appears to be protruding forward. Based on
this description, what is the most likely diagnosis? -- ANSWER--exophthalmos
Page 1 of 30
,A 12-year-old presents to the clinic with his father for evaluation of a painful
lump in the left eye. It started this morning. He denies any trauma or injury.
There is no visual disturbance. Upon physical examination, there is a red raised
area at the margin of the eyelid that is tender to palpation; no tearing occurs
with palpation of the lesion. Based on this description, what is the most likely
diagnosis? -- ANSWER--hordeolum
A 15-year-old high school sophomore presents to the emergency room with his
mother for evaluation of an area of blood in the left eye. He denies trauma or
injury but has been coughing forcefully with a recent cold. He denies visual
disturbances, eye pain, or discharge from the eye. On physical examination, the
pupils are equal, round, and reactive to light, with a visual acuity of 20/20 in
each eye and 20/20 bilaterally. There is a homogeneous, sharply demarcated
area at the lateral aspect of the base of the left eye. The cornea is clear. Based on
this description, what is the most likely diagnosis? -- ANSWER-subconjunctival
hemorrhage
A sudden, painless unilateral vision loss may be caused by which of the
following? -- ANSWER--retinal detachment
Sudden, painful unilateral loss of vision may be caused by which of the
following conditions? -- ANSWER--optic neuritis
You are performing a young woman's first pelvic examination. You make sure
to tell her verbally what is coming next and what to expect. Then you carry out
each maneuver of the examination. You let her know at the outset that if she
Page 2 of 30
, needs a break or wants to stop, this is possible. You ask several times during the
examination, "How are you doing, Brittney?" What are you accomplishing with
these techniques? -- ANSWER--All of the above
A 15-year-old high school sophomore and her mother come to your clinic
because the mother is concerned about her daughter's weight. You measure her
daughter's height and weight and obtain a BMI of 19.5 kg/m2. Based on this
information, which of the following is appropriate? -- ANSWER--Reassure the
mother that this is a normal body weight.
A 25-year-old radio announcer comes to the clinic for an annual examination.
His BMI is 26.0 kg/m2. He is concerned about his weight. Based on this
information, what is appropriate counsel for the patient during the visit? --
ANSWER--Give the patient information about reduction of fat, cholesterol, and
calories because he is overweight
Common or concerning symptoms to inquire about in the General Survey and
vital signs include all of the following except: -- ANSWER--cough
You are beginning the examination of a patient. All of the following areas are
important to observe as part of the General Survey except: -- ANSWER--blood
pressure
Page 3 of 30
A TESTED AND APPROVED NEWLY
MODIFIED EXAM!!!
A mother brings her 11 month old to you because her mother-in-law and others
have told her that her baby is jaundiced. She is eating and growing well and
performing the developmental milestones she should for her age. On
examination you indeed notice a yellow tone to her skin from head to toe. Her
sclerae are white. To which area should your next questions be related? --
ANSWER--diet
You are examining an unconscious patient from another region and notice
Beau's lines, a transverse groove across all of her nails, about 1 cm from the
proximal nail fold. What would you do next? -- ANSWER--look for
information from family and records regarding any problems which occurred 3
months ago
Which of the following is a symptom involving the eye? -- ANSWER-scotomas
A 29-year-old physical therapist presents for evaluation of an eyelid problem.
On observation, the right eyeball appears to be protruding forward. Based on
this description, what is the most likely diagnosis? -- ANSWER--exophthalmos
Page 1 of 30
,A 12-year-old presents to the clinic with his father for evaluation of a painful
lump in the left eye. It started this morning. He denies any trauma or injury.
There is no visual disturbance. Upon physical examination, there is a red raised
area at the margin of the eyelid that is tender to palpation; no tearing occurs
with palpation of the lesion. Based on this description, what is the most likely
diagnosis? -- ANSWER--hordeolum
A 15-year-old high school sophomore presents to the emergency room with his
mother for evaluation of an area of blood in the left eye. He denies trauma or
injury but has been coughing forcefully with a recent cold. He denies visual
disturbances, eye pain, or discharge from the eye. On physical examination, the
pupils are equal, round, and reactive to light, with a visual acuity of 20/20 in
each eye and 20/20 bilaterally. There is a homogeneous, sharply demarcated
area at the lateral aspect of the base of the left eye. The cornea is clear. Based on
this description, what is the most likely diagnosis? -- ANSWER-subconjunctival
hemorrhage
A sudden, painless unilateral vision loss may be caused by which of the
following? -- ANSWER--retinal detachment
Sudden, painful unilateral loss of vision may be caused by which of the
following conditions? -- ANSWER--optic neuritis
You are performing a young woman's first pelvic examination. You make sure
to tell her verbally what is coming next and what to expect. Then you carry out
each maneuver of the examination. You let her know at the outset that if she
Page 2 of 30
, needs a break or wants to stop, this is possible. You ask several times during the
examination, "How are you doing, Brittney?" What are you accomplishing with
these techniques? -- ANSWER--All of the above
A 15-year-old high school sophomore and her mother come to your clinic
because the mother is concerned about her daughter's weight. You measure her
daughter's height and weight and obtain a BMI of 19.5 kg/m2. Based on this
information, which of the following is appropriate? -- ANSWER--Reassure the
mother that this is a normal body weight.
A 25-year-old radio announcer comes to the clinic for an annual examination.
His BMI is 26.0 kg/m2. He is concerned about his weight. Based on this
information, what is appropriate counsel for the patient during the visit? --
ANSWER--Give the patient information about reduction of fat, cholesterol, and
calories because he is overweight
Common or concerning symptoms to inquire about in the General Survey and
vital signs include all of the following except: -- ANSWER--cough
You are beginning the examination of a patient. All of the following areas are
important to observe as part of the General Survey except: -- ANSWER--blood
pressure
Page 3 of 30
