GCU NUR 634 MIDTERM EXAM REVIEW
SOLVED QUESTIONS VERIFIED DETAILED
ANSWERS AND FULL SOLUTION GRADED
A+
⩥ Blood in the eye. What are some questions you'd like to ask?
Answer: Recent trauma, double vision, OPQRST, nausea (Dx:
subconjunctival hemorrhage from retching)
⩥ What is a normal finding of visual changes as we age?
Answer: Presbyopia
⩥ What is the order of exam for a new patient?
Answer: a. Introduction
b. Chief complaint
c. HPI
d. Dx/plan
e. Summarize
⩥ If I had a person ask me as I was palpating their lymph nodes, why
their lymph nodes get large, what would your answer be?
,Answer: B Cell proliferation, which makes more cells, hence
enlargement
⩥ Which lymph nodes sit just behind the sternocleidomastoid?
Answer: Posterior cervical chain
⩥ A patient comes in with really vague overall muscle complaints,
fatigue with no accident or mechanism of injury, what is something that
is really important to screen for?
Answer: Depression
⩥ If a patient has double vision with one eye covered? Which cranial
nerve are you concerned about?
Answer: Cranial Nerve III
⩥ A patient that comes in with elbow pain that is worse on the right and
pain when she extends her wrist, what would you suspect?
Answer: a. Medial epicondylitis (Golfer's elbow)
b. Tennis elbow presents with pain and tenderness experienced on the
outside of the elbow, while golfer's elbow can be felt on the inside of
your elbow and down the arm.
, ⩥ Pt has a lump that requires an I&D and it has a very "cheesy"
substance that comes out. You will document that you just removed
what?
Answer: A sebaceous cyst.
⩥ If a patient has a cup to disc ratio of 1:2, then what is happening?
Answer: Flatter disc, so less likely to be a glaucoma suspect
⩥ What is your #1 DDx if I say I have chest pain that is sharp, right over
my sternum
Answer: Angina
⩥ What is the main cause of Angina?
Answer: Atherosclerosis
⩥ If you have a patient with sudden, non-painful loss of vision, what
would you suspect?
Answer: Retinal detachment
⩥ If you have a patient with painful loss of vision in one eye, what
would you suspect
Answer: optic Neuritis
SOLVED QUESTIONS VERIFIED DETAILED
ANSWERS AND FULL SOLUTION GRADED
A+
⩥ Blood in the eye. What are some questions you'd like to ask?
Answer: Recent trauma, double vision, OPQRST, nausea (Dx:
subconjunctival hemorrhage from retching)
⩥ What is a normal finding of visual changes as we age?
Answer: Presbyopia
⩥ What is the order of exam for a new patient?
Answer: a. Introduction
b. Chief complaint
c. HPI
d. Dx/plan
e. Summarize
⩥ If I had a person ask me as I was palpating their lymph nodes, why
their lymph nodes get large, what would your answer be?
,Answer: B Cell proliferation, which makes more cells, hence
enlargement
⩥ Which lymph nodes sit just behind the sternocleidomastoid?
Answer: Posterior cervical chain
⩥ A patient comes in with really vague overall muscle complaints,
fatigue with no accident or mechanism of injury, what is something that
is really important to screen for?
Answer: Depression
⩥ If a patient has double vision with one eye covered? Which cranial
nerve are you concerned about?
Answer: Cranial Nerve III
⩥ A patient that comes in with elbow pain that is worse on the right and
pain when she extends her wrist, what would you suspect?
Answer: a. Medial epicondylitis (Golfer's elbow)
b. Tennis elbow presents with pain and tenderness experienced on the
outside of the elbow, while golfer's elbow can be felt on the inside of
your elbow and down the arm.
, ⩥ Pt has a lump that requires an I&D and it has a very "cheesy"
substance that comes out. You will document that you just removed
what?
Answer: A sebaceous cyst.
⩥ If a patient has a cup to disc ratio of 1:2, then what is happening?
Answer: Flatter disc, so less likely to be a glaucoma suspect
⩥ What is your #1 DDx if I say I have chest pain that is sharp, right over
my sternum
Answer: Angina
⩥ What is the main cause of Angina?
Answer: Atherosclerosis
⩥ If you have a patient with sudden, non-painful loss of vision, what
would you suspect?
Answer: Retinal detachment
⩥ If you have a patient with painful loss of vision in one eye, what
would you suspect
Answer: optic Neuritis
