NSG 6420 Week 5 Midterm Exam
1.A 22-year-old female comes to your office with complaints of right lower
quadrant abdominal pain, which has been worsening over the last 24 hours. On
examination of the abdomen, there is a palpable mass and rebound tenderness over
the right lower quadrant. The clinician should recognize the importance of
Digital rectal examination
Endoscopy
Pelvic examination
UrinalysisDefinition
2.
Which of the following clinical reasoning tools is defined as evidence-based
resource based on mathematical modeling to express the likelihood of a condition
in select situations, settings, and/or patients?
Clinical practice guideline
Clinical decision rule
Clinical algorithm
Clinical recommendation
3.
A common auscultatory finding in advanced CHF is
S3 gallop rhythm
4.
Mr. Keenan is a 42-year-old man with a mild history of GERD and a remote
history of an appendectomy, presenting with an acute onset of significant right
upper-quadrant abdominal pain and vomiting. His pain began after a large meal,
was unrelieved by a proton-pump inhibitor, was unlike his previous episodes of
heartburn, but upon questioning, reports milder, prodromal episodes of similar
post-prandial pain. His pain seems to radiate to his back. Despite a family history
of cardiac disease, he reports no classic anginal signs or chest pain. He furthermore
denies respiratory or pleuritic signs and denies fever, night sweats, and unintended
weight loss. Finally, there are no dermatologic signs, nor genitourinary symptoms.
The chosen imaging study reveals: “GB normal in size without wall-thickening,
but with 5-6 stones with shadowing. Common bile duct not dilated. Liver is
homogenous and normal in size. Pancreas and kidneys are normal.” What is the
most effective therapeutic/management option at this point?
, chole
5.
A patient complains of fever, fatigue, and pharyngitis. On physical examination
there is pronounced cervical lymphadenopathy. Which of the following diagnostic
tests should be considered?
Mono spot
Strep test
Throat culture
All of the above
6.
Which of the following is not a contributing factor to the development of
esophagitis in older adults?
7.
Essential parts of a health history include all of the following except:
8.
What test is used to confirm the diagnosis of appendicitis?
9.
The first assessment to complete related to the eyes is
Eye lids
Visual acuity
Extraocular movements
Peripheral vision
10.
The best way to diagnose structural heart disease/dysfunction non-invasively is
Chest X-ray
EKG
CORRECT Echocardiogram
Heart catheterization
11.
Which of the following is considered a “red flag” when diagnosing a patient with
pneumonia
Fever of 102
Infiltrates on chest X-ray
Pleural effusion on chest X-ray
Elevated white blood cell count
1.A 22-year-old female comes to your office with complaints of right lower
quadrant abdominal pain, which has been worsening over the last 24 hours. On
examination of the abdomen, there is a palpable mass and rebound tenderness over
the right lower quadrant. The clinician should recognize the importance of
Digital rectal examination
Endoscopy
Pelvic examination
UrinalysisDefinition
2.
Which of the following clinical reasoning tools is defined as evidence-based
resource based on mathematical modeling to express the likelihood of a condition
in select situations, settings, and/or patients?
Clinical practice guideline
Clinical decision rule
Clinical algorithm
Clinical recommendation
3.
A common auscultatory finding in advanced CHF is
S3 gallop rhythm
4.
Mr. Keenan is a 42-year-old man with a mild history of GERD and a remote
history of an appendectomy, presenting with an acute onset of significant right
upper-quadrant abdominal pain and vomiting. His pain began after a large meal,
was unrelieved by a proton-pump inhibitor, was unlike his previous episodes of
heartburn, but upon questioning, reports milder, prodromal episodes of similar
post-prandial pain. His pain seems to radiate to his back. Despite a family history
of cardiac disease, he reports no classic anginal signs or chest pain. He furthermore
denies respiratory or pleuritic signs and denies fever, night sweats, and unintended
weight loss. Finally, there are no dermatologic signs, nor genitourinary symptoms.
The chosen imaging study reveals: “GB normal in size without wall-thickening,
but with 5-6 stones with shadowing. Common bile duct not dilated. Liver is
homogenous and normal in size. Pancreas and kidneys are normal.” What is the
most effective therapeutic/management option at this point?
, chole
5.
A patient complains of fever, fatigue, and pharyngitis. On physical examination
there is pronounced cervical lymphadenopathy. Which of the following diagnostic
tests should be considered?
Mono spot
Strep test
Throat culture
All of the above
6.
Which of the following is not a contributing factor to the development of
esophagitis in older adults?
7.
Essential parts of a health history include all of the following except:
8.
What test is used to confirm the diagnosis of appendicitis?
9.
The first assessment to complete related to the eyes is
Eye lids
Visual acuity
Extraocular movements
Peripheral vision
10.
The best way to diagnose structural heart disease/dysfunction non-invasively is
Chest X-ray
EKG
CORRECT Echocardiogram
Heart catheterization
11.
Which of the following is considered a “red flag” when diagnosing a patient with
pneumonia
Fever of 102
Infiltrates on chest X-ray
Pleural effusion on chest X-ray
Elevated white blood cell count
