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Exam (elaborations)

Nr509 Bates Test Bank - Midterm Update Verified Questions & Detailed Explanations Graded A+

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NR509 Bates Test Bank - Midterm UPDATE VERIFIED QUESTIONS & DETAILED EXPLANATIONS GRADED A+

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NR509 Bates Test Bank - Midterm
UPDATE VERIFIED QUESTIONS &
DETAILED EXPLANATIONS GRADED
A+
Professional Academic Assistance Services

A patient presents for evaluation of a sharp, aching chest pain
which increases with breathing. Which anatomic area would you
localize the symptom to?


A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine - Answer: A) Musculoskeletal


Chest pain may be due to a musculoskeletal condition, such as
costochondritis or
intercostal muscle cramp. This would be worsened by motion of
the chest wall. Pleuritic chest pain is also a sharp chest pain
which increases with a deep breath. This type of pain can
occur with inflammation of the pleura from pneumonia or other
conditions and pulmonary
embolus.

,A patient comes to the emergency room for evaluation of
shortness of breath. To which anatomic region would you assign
the symptom?


A) Reproductive
B) Urinary
C) Cardiac
D) Hematologic - Answer: C) Cardiac


Cardiac disorders such as congestive heart failure are the most
likely on this list to result in shortness of breath. There are cases
within the other categories which may also result
in shortness of breath, such as anemia in the hematologic
category, pregnancy in the reproductive
category, or sepsis with UTI in the urinary category.


A patient presents for evaluation of a cough. Which of the
following anatomic regions can be responsible for a cough?


A) Ophthalmologic
B) Auditory
C) Cardiac

,D) Endocrine - Answer: C) Cardiac


The cardiac system can cause a cough if the patient has
congestive heart failure. This results in fluid buildup in the lungs,
which in turn can cause a cough that produces pink,
frothy sputum. A foreign body in the ear may also cause a cough
by stimulating Arnold's branch of the vagus nerve, but this is less
likely to be seen clinically than heart failure.


A 22-year-old advertising copywriter presents for evaluation of
joint pain. The pain is new,
located in the wrists and fingers bilaterally, with some subjective
fever. The patient denies a
rash; she also denies recent travel or camping activities. She has
a family history significant for
rheumatoid arthritis. Based on this information, which of the
following pathologic processes
would be the most correct?


A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic - Answer: B) Inflammatory

, The description is most consistent with an inflammatory
process, although all the other etiologies should be considered.
Lyme disease is an infection which commonly causes
arthritis, hemophilia is a hematologic condition which can cause
bleeding in the joints, and trauma can obviously cause joint
pain.


A 47-year-old contractor presents for evaluation of neck pain,
which has been intermittent for several years. He normally takes
over-the-counter medications to ease the pain, but this time
they haven't worked as well and he still has discomfort. He
recently wallpapered the entire second floor in his house, which
caused him great discomfort. The pain resolved with rest. He
denies fever, chills, rash, upper respiratory symptoms, trauma,
or injury to the neck. Based on this description, what is the most
likely pathologic process?


A) Infectious
B) Neoplastic
C) Degenerative
D) Traumatic - Answer: C) Degenerative


The description is most consistent with degenerative arthritis in
the neck. The
patient has had intermittent symptoms and the questions asked
to elicit pertinent negative and

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