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Exam (elaborations)

NU673 Final Exam – Questions With Correct Solutions

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NU673 Final Exam – Questions With Correct Solutions

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NU673 Final Exam – Questions With Correct Solutions

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Terms in this set (90)



A 68-year-old complains of a 3-month Neurogenic claudication
history of recurring pain after ambulating
that radiates from her back in the upper Mimics PAD (pain r/t walking) but differs with relief from sitting
lumbar region into both buttocks, bilateral or leaning forward
thighs and mid-calf regions. Her pain is
improved by sitting or leaning forward. The P. 517
origin of her pain is secondary to what
condition?


A patient with a known history of CV disease Iliac pudenal (major blood supply for penis)
including MI and positive ABI with PVD in his
left leg now has issues with erectile P. 518
dysfunction. If the symptoms are related to
vascular disease, where would the lesion be
located?


A 73-year-old presents to the ED Dissecting aortic aneurysm
complaining of chest pain that started about
2 hours ago. EKG, cardiac enzymes and CXR "Tearing" type pain
are normal but his BP is lower in his right
arm compared to his left arm. What can P. 522
explain his symptoms?


A 19-year-old sustained a laceration to the Epitrochlear nodes
ulnar aspect o his mid-forearm while at work
last week and is now noticing purulent First nodes in drainage region from ulnar surface of forearm
discharge, pain, fever and chills. Where and hand, little and ring fingers and adjacent surfaces of
would the clinician expect to find the first middle finger
signs of lymphadenopathy?
P. 523


When assessing for femoral pulse, where Below the inguinal ligament, midway between the anterior
should the clinician begin deeply palpating? superior iliac spine and symphysis pubis


Palpating above inguinal ligament will assess external iliac
artery


P. 526

, Which pulse is located on the dorsum of the Dorsalis pedis
foot, just lateral to the extensor tendon of
the big toe? P. 528


A 61-year-old was recently diagnosed with Pulmonary embolism (PE)
ovarian cancer. She presents to the clinic
with a cough and mild shortness of breath. Cancer patients have a high risk of DVT/PE
She has pain and swelling in her right groin
and leg with 2+ edema of the right leg up to P. 534-535
the thigh. What is the chief concern?


A 32-year-old notes a small wound on the Draining lymphatic channels (acute lymphangitis)
lateral aspect of his mid-shin. Upon exam,
some mild erythema surround the wound P. 534-535
and flat, non-palpable red streaks
progressing up his leg are noted. What do
these streaks represent?


A clinician, evaluating a patient for valvular Trendelenburg (retrograde filling test)
competency in the communicating veins of
the saphenous system, starts with the P. 532
patient supine then elevates one leg to
about 90 degrees to empty it of venous
blood. Next, the great saphenous vein is
occluded with manual compression and the
patient stands. The clinician keeps the vein
occluded while watching for venous filling
in the leg. Which test is being performed?


A 44-year-old noticed an increasing dilation Small saphenous veins
of the veins in her legs. It is noted that she
has significant varicosities on the posterior P. 514, 516
aspects of both legs which begin in the
lateral side of the foot and pass upward
along the posterior calf. Which veins are
currently affected?


A 42-year old fair-skinned woman presents E. Minimal but discernible increase in size over past 6 months
with an abnormal skin growth first noted 7
years ago. Which of the following historical P. 178-180
elements most increases the suspicion that
the lesion is malignant?


A. Mild intermittent pruritis over the last 2
years
B. Proximal location over the bicep vs distal
arm
C. Similar pinkish tan lesion on sun-exposed
areas of face and hands
D. Uniformly darkly pigmented color
E. Minimal but discernible increase in size
over last 6 months

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