NUR 612 UPDATED CORE EXAM MANUAL QUESTIONS AND
SOLUTIONS GUARANTEE A+
✔✔What are abnormal TM findings for otitis media - ✔✔Building, erthmatous loss of
light reflex, decreased mobility
✔✔What are normal lymph node findings - ✔✔non palpable or small, soft, nontender,
mobile
✔✔What is a good opening line for exam? - ✔✔Hi, I am xxx, a nurse practitioner
student. I'll be taking care of you today. Can you tell me what brings you in?
✔✔What are the key HPI questions for abdominal pain? - ✔✔Onset, Location, Duration,
Character (sharp, dull, crampy), aggravating/relieving factors, timing, severity, radiation
of pain, and associated symptoms (N/V, bowel changes, fever)
✔✔What are the most important associated symptoms to ask about with abdominal
pain? - ✔✔N/V, diarrhea, constipation, bloating, appetite change, weight loss, fever,
urinary symptoms
✔✔What past medical history questions are relevant? - ✔✔GI disorders (GERD, Ulcers,
IBS, gallstones), previous abdominal surgeries, menstrual history (for females),
medications use (NSAID, antibiotics)
✔✔What social history questions are important for abdominal complaints? - ✔✔diet,
alcohol, tobacco, drug use, stress, recent travel, sick contacts
✔✔what ROS questions should you include for abdominal pain? - ✔✔GI: N/V, diarrhea,
constipation, heartburn, blood in stool, appetite, changes
GU: dysuria, frequency, urgency, hematuria
Constitutional: fever, chills, fatigue, weight changes
✔✔What are the four steps of the abdominal exam? - ✔✔Inspection, Auscultation,
Percussion, palpation
✔✔What do you inspect for? - ✔✔contour, distention, scars, rases, visible pulsations,
hernias
✔✔What do you auscultate for? - ✔✔Bowel sounds (normal, hyperactive, hypoactive)
and bruits (aorta, renal iliac)
✔✔What do you palpate for? - ✔✔Tenderness, guarding, rebound tenderness,
organomegaly, masses
, ✔✔What do you percuss for? - ✔✔tympana (normal), dullness (fluid, mass, organ), liver
span
✔✔What special tests can you perform? - ✔✔Murphy's Sign - Cholecystitis
McBurney's point tenderness/rebound - appendicitis
Rovsings sign - appendicitis
CVA tenderness - kidney involvement
Psoas/obturator tests - appendicitis
✔✔RUQ - ✔✔cholecystitis, hepatitis, duodenal ulcer
✔✔RLQ - ✔✔appendicitis, ovarian cyst/torsion, ectopic pregnancy
✔✔LUQ - ✔✔gastric, pancreatitis, splenic enlargement
✔✔LLQ - ✔✔diverticulitis, constipation, ovarian cyst
✔✔Epigastric - ✔✔GERD, gastritis, pancreatitis, MI
✔✔Suprapubic - ✔✔UTI, cystitis, PID
✔✔Key interview prompts for abdominal pain - ✔✔Can you point to where the pain is
worst?
Has it moved or changed since it started?
Any N/V, or change in bowel habits
Any recent heavy metals, travel, or antibiotic use?
When was your last menstrual period?
✔✔Preauricular - ✔✔in front of ear
✔✔Postauricular - ✔✔Behind ear
✔✔Occipital - ✔✔Base of skull
✔✔Submandibular - ✔✔Under jawline
✔✔Submental - ✔✔under the chin (midline) behind the tip of the mandible
✔✔Tonsillar - ✔✔blow ear, angle of mandible
✔✔Anterior cervical - ✔✔Along SCM muscle
✔✔Posterior cervical - ✔✔Posterior SCM
SOLUTIONS GUARANTEE A+
✔✔What are abnormal TM findings for otitis media - ✔✔Building, erthmatous loss of
light reflex, decreased mobility
✔✔What are normal lymph node findings - ✔✔non palpable or small, soft, nontender,
mobile
✔✔What is a good opening line for exam? - ✔✔Hi, I am xxx, a nurse practitioner
student. I'll be taking care of you today. Can you tell me what brings you in?
✔✔What are the key HPI questions for abdominal pain? - ✔✔Onset, Location, Duration,
Character (sharp, dull, crampy), aggravating/relieving factors, timing, severity, radiation
of pain, and associated symptoms (N/V, bowel changes, fever)
✔✔What are the most important associated symptoms to ask about with abdominal
pain? - ✔✔N/V, diarrhea, constipation, bloating, appetite change, weight loss, fever,
urinary symptoms
✔✔What past medical history questions are relevant? - ✔✔GI disorders (GERD, Ulcers,
IBS, gallstones), previous abdominal surgeries, menstrual history (for females),
medications use (NSAID, antibiotics)
✔✔What social history questions are important for abdominal complaints? - ✔✔diet,
alcohol, tobacco, drug use, stress, recent travel, sick contacts
✔✔what ROS questions should you include for abdominal pain? - ✔✔GI: N/V, diarrhea,
constipation, heartburn, blood in stool, appetite, changes
GU: dysuria, frequency, urgency, hematuria
Constitutional: fever, chills, fatigue, weight changes
✔✔What are the four steps of the abdominal exam? - ✔✔Inspection, Auscultation,
Percussion, palpation
✔✔What do you inspect for? - ✔✔contour, distention, scars, rases, visible pulsations,
hernias
✔✔What do you auscultate for? - ✔✔Bowel sounds (normal, hyperactive, hypoactive)
and bruits (aorta, renal iliac)
✔✔What do you palpate for? - ✔✔Tenderness, guarding, rebound tenderness,
organomegaly, masses
, ✔✔What do you percuss for? - ✔✔tympana (normal), dullness (fluid, mass, organ), liver
span
✔✔What special tests can you perform? - ✔✔Murphy's Sign - Cholecystitis
McBurney's point tenderness/rebound - appendicitis
Rovsings sign - appendicitis
CVA tenderness - kidney involvement
Psoas/obturator tests - appendicitis
✔✔RUQ - ✔✔cholecystitis, hepatitis, duodenal ulcer
✔✔RLQ - ✔✔appendicitis, ovarian cyst/torsion, ectopic pregnancy
✔✔LUQ - ✔✔gastric, pancreatitis, splenic enlargement
✔✔LLQ - ✔✔diverticulitis, constipation, ovarian cyst
✔✔Epigastric - ✔✔GERD, gastritis, pancreatitis, MI
✔✔Suprapubic - ✔✔UTI, cystitis, PID
✔✔Key interview prompts for abdominal pain - ✔✔Can you point to where the pain is
worst?
Has it moved or changed since it started?
Any N/V, or change in bowel habits
Any recent heavy metals, travel, or antibiotic use?
When was your last menstrual period?
✔✔Preauricular - ✔✔in front of ear
✔✔Postauricular - ✔✔Behind ear
✔✔Occipital - ✔✔Base of skull
✔✔Submandibular - ✔✔Under jawline
✔✔Submental - ✔✔under the chin (midline) behind the tip of the mandible
✔✔Tonsillar - ✔✔blow ear, angle of mandible
✔✔Anterior cervical - ✔✔Along SCM muscle
✔✔Posterior cervical - ✔✔Posterior SCM
