NR 509 - FINAL EXAM
BATE'S INTERACTIVE
QUESTIONS AND
CORRECT ANSWERS
, NR 509 - FINAL EXAM BATE'S INTERACTIVE QUESTIONS
AND CORRECT ANSWERS
A 14-year-old student comes with her family to the urgent care center, having been hit in the
right eye with a plastic baseball during a family reunion. She complains of a painful, watery, red
right eye and sensitivity to light. She has normal visual acuity in both eyes, no diplopia, and can
open and close her eyes normally. The pupils are unequal in size, 3 mm in diameter on the left,
5 mm in diameter on the right. Which cranial nerve (CN) would be implicated as the cause of the
photosensitivity complaint and the pupillary asymmetry?
a. CN II
b. CN III
c. CN IV
d. CN V
e. CN VI - Answer-b. CN III
A 17-year-old G1P0 presents at a routine prenatal check. By last menstrual period (LMP), her
gestational age at this visit is 36 weeks, 2 days. A first-trimester ultrasound confirmed her
estimated delivery date. On exam, her fundus measures 31 centimeters. Ultrasound imaging
might reveal which of the following anatomical findings that would explain this size?
a. Normal size, organs, and amniotic fluid for the gestational age
b. Uterine leiomyomata that restrict fetal development
c. Extra amniotic fluid
d. Renal agenesis of the fetus resulting in intrauterine growth retardation
e. Twin pregnancy - Answer-d. Renal agenesis of the fetus resulting in intrauterine growth
retardation
A 20-year-old college student presents for his annual physical examination. He recently became
sexually active and is inquiring about the best means of preventing sexually transmitted
infections (STIs). Of the following, which would be the most effective means of prevention?
a. Early withdrawal
,b. Male condoms
c. Spermicides
d. Diaphragms
e. Cervical caps - Answer-b. Male condoms
A 21-year-old college student presents for her first annual exam. She has been sexually active
for 1 year and has had two partners. She is not aware of having had any sexually transmitted
diseases (STIs). She is using condoms for birth control and STI prevention but admits to not
always using them regularly. Her last menses was 2 weeks ago. On speculum exam, an
unusual appearance is noted, which is diagnosed as warts. What is the best description for
these lesions?
a. Several shallow ulcers with a red base
b. Translucent nodules
c. Raised friable or lobed lesions
d. Bright red, soft lesion arising from the cervical canal
e. Strawberry cervix (small red granular spots or petechiae) - Answer-c. Raised friable or lobed
lesions
A 21-year-old college student presents to the student health clinic for a full physical
examination. He is generally healthy; however, he reports that he has had sexual intercourse
with multiple partners in the past couple of months. He noticed a small lesion on the shaft of his
penis a few days ago. While performing the examination, he unwillingly achieves an erection.
How should the clinician proceed at this point?
a. Stop the examination immediately.
b. Have him return to see another provider.
c. Explain this is a normal response and finish the examination.
d. Tell him the examination cannot proceed until the erection subsides.
e. Assume that he is malingering.
Submit - Answer-c. Explain this is a normal response and finish the examination.
A 22-year-old G0P0 undergraduate student presents to clinic after finding a breast mass on
breast self-examination (BSE) at home. The mass is nontender without skin changes, erythema,
, or overlying swelling. She has heard that most breast cancers are found by patients themselves,
and she is very concerned that she may have breast cancer. Which of the following is true about
BSE and self-detection of breast cancer?
a. Most masses that women find at home and bring to a provider's attention turn out to be
malignant.
b. This patient is more likely to find a fibroadenoma than a cancer on self-examination.
c. The most likely breast mass this patient is likely to find in herself is an abscess complicating
underlying mastitis.
d. Because of this patient's age, breast masses should not be pursued with imaging and
diagnosis because the risk of cancer is so low.
e. BSE is universally recommended because of very high sensitivity - Answer-b. This patient is
more likely to find a fibroadenoma than a cancer on self-examination.
A 22-year-old G1P0 presents for a routine prenatal visit at 32 weeks' gestational age. Leopold
maneuvers indicate that the fetus is in a transverse lie, with the fetal skull palpable at the
woman's left side. Fetal heart tones are heard at the uterine fundus with a baseline rate of 140
and beat-to-beat variability noted. Which of the following steps is appropriate to take at this
time?
a. Schedule a return visit in ~2 weeks.
b. Admit the patient to labor and delivery for monitoring.
c. Perform an external version.
d. Plan for induction of labor at 36 weeks.
e. Order a stat cesarean section. - Answer-a. Schedule a return visit in ~2 weeks.
A 23-year-old female comes to the clinic to discuss her birth control options. Although she has
been sexually active since age 16 years, she has been with one partner for the last year. She
has decided to discontinue condoms and would like a different birth control option. She has not
had a pelvic exam for 2 years. She had a normal Pap smear that year and negative sexually
transmitted infection (STI) testing. Her last menstrual period was 2 days ago. She states that
she is still spotting. She also states that she last had sex with her boyfriend 1 week ago, so the
clinician elects to postpone her speculum exam. What is the best explanation for the decision to
postpone her exam?
a. She is on her menses.
BATE'S INTERACTIVE
QUESTIONS AND
CORRECT ANSWERS
, NR 509 - FINAL EXAM BATE'S INTERACTIVE QUESTIONS
AND CORRECT ANSWERS
A 14-year-old student comes with her family to the urgent care center, having been hit in the
right eye with a plastic baseball during a family reunion. She complains of a painful, watery, red
right eye and sensitivity to light. She has normal visual acuity in both eyes, no diplopia, and can
open and close her eyes normally. The pupils are unequal in size, 3 mm in diameter on the left,
5 mm in diameter on the right. Which cranial nerve (CN) would be implicated as the cause of the
photosensitivity complaint and the pupillary asymmetry?
a. CN II
b. CN III
c. CN IV
d. CN V
e. CN VI - Answer-b. CN III
A 17-year-old G1P0 presents at a routine prenatal check. By last menstrual period (LMP), her
gestational age at this visit is 36 weeks, 2 days. A first-trimester ultrasound confirmed her
estimated delivery date. On exam, her fundus measures 31 centimeters. Ultrasound imaging
might reveal which of the following anatomical findings that would explain this size?
a. Normal size, organs, and amniotic fluid for the gestational age
b. Uterine leiomyomata that restrict fetal development
c. Extra amniotic fluid
d. Renal agenesis of the fetus resulting in intrauterine growth retardation
e. Twin pregnancy - Answer-d. Renal agenesis of the fetus resulting in intrauterine growth
retardation
A 20-year-old college student presents for his annual physical examination. He recently became
sexually active and is inquiring about the best means of preventing sexually transmitted
infections (STIs). Of the following, which would be the most effective means of prevention?
a. Early withdrawal
,b. Male condoms
c. Spermicides
d. Diaphragms
e. Cervical caps - Answer-b. Male condoms
A 21-year-old college student presents for her first annual exam. She has been sexually active
for 1 year and has had two partners. She is not aware of having had any sexually transmitted
diseases (STIs). She is using condoms for birth control and STI prevention but admits to not
always using them regularly. Her last menses was 2 weeks ago. On speculum exam, an
unusual appearance is noted, which is diagnosed as warts. What is the best description for
these lesions?
a. Several shallow ulcers with a red base
b. Translucent nodules
c. Raised friable or lobed lesions
d. Bright red, soft lesion arising from the cervical canal
e. Strawberry cervix (small red granular spots or petechiae) - Answer-c. Raised friable or lobed
lesions
A 21-year-old college student presents to the student health clinic for a full physical
examination. He is generally healthy; however, he reports that he has had sexual intercourse
with multiple partners in the past couple of months. He noticed a small lesion on the shaft of his
penis a few days ago. While performing the examination, he unwillingly achieves an erection.
How should the clinician proceed at this point?
a. Stop the examination immediately.
b. Have him return to see another provider.
c. Explain this is a normal response and finish the examination.
d. Tell him the examination cannot proceed until the erection subsides.
e. Assume that he is malingering.
Submit - Answer-c. Explain this is a normal response and finish the examination.
A 22-year-old G0P0 undergraduate student presents to clinic after finding a breast mass on
breast self-examination (BSE) at home. The mass is nontender without skin changes, erythema,
, or overlying swelling. She has heard that most breast cancers are found by patients themselves,
and she is very concerned that she may have breast cancer. Which of the following is true about
BSE and self-detection of breast cancer?
a. Most masses that women find at home and bring to a provider's attention turn out to be
malignant.
b. This patient is more likely to find a fibroadenoma than a cancer on self-examination.
c. The most likely breast mass this patient is likely to find in herself is an abscess complicating
underlying mastitis.
d. Because of this patient's age, breast masses should not be pursued with imaging and
diagnosis because the risk of cancer is so low.
e. BSE is universally recommended because of very high sensitivity - Answer-b. This patient is
more likely to find a fibroadenoma than a cancer on self-examination.
A 22-year-old G1P0 presents for a routine prenatal visit at 32 weeks' gestational age. Leopold
maneuvers indicate that the fetus is in a transverse lie, with the fetal skull palpable at the
woman's left side. Fetal heart tones are heard at the uterine fundus with a baseline rate of 140
and beat-to-beat variability noted. Which of the following steps is appropriate to take at this
time?
a. Schedule a return visit in ~2 weeks.
b. Admit the patient to labor and delivery for monitoring.
c. Perform an external version.
d. Plan for induction of labor at 36 weeks.
e. Order a stat cesarean section. - Answer-a. Schedule a return visit in ~2 weeks.
A 23-year-old female comes to the clinic to discuss her birth control options. Although she has
been sexually active since age 16 years, she has been with one partner for the last year. She
has decided to discontinue condoms and would like a different birth control option. She has not
had a pelvic exam for 2 years. She had a normal Pap smear that year and negative sexually
transmitted infection (STI) testing. Her last menstrual period was 2 days ago. She states that
she is still spotting. She also states that she last had sex with her boyfriend 1 week ago, so the
clinician elects to postpone her speculum exam. What is the best explanation for the decision to
postpone her exam?
a. She is on her menses.
