NU 518 EXAM 1 - COMPLETE QUESTIONS
AND DETAILED SOLUTIONS LATEST UPDATE JUST
RELEASED
Question 1: Mrs. Stanton is a 79-year-old widow who presents to
your office for a routine BP visit. You note a new pulsatile mass in
the right neck at the carotid artery. Which of the following is the
most likely cause for this?
A) Anxiety
B) Carotid artery aneurysm
C) Kinking of the artery
D) Tortuous aorta
Answer:
C. Kinking of the artery
Question 2: Mr. Chin is an 82-year-old man who comes to your
office for a routine check. On examination, you notice a somewhat
high-pitched murmur in the second right intercostal space during
systole. It does not radiate and the rest of his examination is
normal for his age. Which is true of the most likely cause of this
murmur?
A) It often decreases carotid upstroke.
B) It carries with it increased risk for cardiovascular disease.
C) It is usually accompanied by an S3 gallop.
D) It is found in 10% of otherwise normal elderly patients.
Answer:
B. It carries with it increased risk for cardiovascular disease
Question 3: Mrs. Buckley is a 75-year-old widow who wants you to
look at her teeth because over the past 2 weeks she has had
,right-sided jaw pain when eating. It does not occur otherwise. She
also has had a headache. Which of the following should be
considered?
A) Palpation of her temples
B) Dental referral
C) Ultrasound of the gallbladder
Answer:
A. Palpation of her temples
Question 4: Which of the following is commonly seen in aging
men?
Answer:
Persistent sexual interest
Question 5: Which of the following accompanies decreased ovarian
function?
Answer:
Decrease in vaginal secretions
Question 6: Mrs. Glynn is 90 years old and lives alone. She is able
to bathe, dress, prepare her food, and transfer from bed to chair
independently. She has children in the area who help her with her
medications and transportation needs. Which of the following is
considered an instrumental activity of daily living?
A) Bathing
B) Dressing
C) Preparing food
D) Transferring from bed to chair
Answer:
C. Preparing Food
,Question 7: You are examining an elderly man and not the
following: decreased vibration sense in feet and ankles, diminished
gag reflex, right patellar Felix less than the left, and diminished
abdominal reflexes. Which of these is abnormal?
Answer:
Diminished right patellar reflex compared to the left
Question 8: Mr. Kelly comes to you today for a burning pain in his
lower abdomen. This has gone on for 2 months. He has received
radiation for prostatic cancer for the past quarter. What
assumptions could you draw from this?
A) This represents persistent pain.
B) His pain reporting is likely to be unreliable.
C) There are "red flags" present.
D) He is depressed.
Answer:
C. there are "red flags" present
Question 9: Mr. White's son brings him in today because he notes
that Mr. White has not been himself lately. He seems forgetful and
has not taken care of himself as he normally does. He has reported
falling twice at home to his son and has telephoned late at night
because of insomnia. His blood pressure and diabetes have been
difficult to control and his warfarin dosing has become more
difficult. Which of the following should you suspect?
A) Alzheimer's dementia
B) Alcohol use
C) Urinary tract infection
D) Stroke
Answer:
, B. Alcohol use
Question 10: Claire's daughter brings her in today after Claire fell at
her home. Which assessments are indicated at this time?
A) Orthostatic vital signs
B) Review of her medications
C) Assessment of gait and balance
D) All of the above
Answer:
D. All of the above
Question 11: Mrs. Geller is somewhat quiet today. She has several
bruises of different colors on the ulnar aspects of her forearms and
on her abdomen. She otherwise has no complaints and her
diabetes and hypertension are well managed. Her son from out of
state accompanies her today and has recently moved in to help her.
What should you suspect?
A) Overuse of aspirin
B) Frequent falls
C) Elder abuse
D) Depression
Answer:
C. Elder abuse
Question 12: A patient comes to you for the appearance of red
patches on his forearms that have been present for several months.
They remain for several weeks. He denies a history of trauma.
Which of the following is likely?
A) Actinic keratoses
B) Pseudoscars
C) Actinic purpura
AND DETAILED SOLUTIONS LATEST UPDATE JUST
RELEASED
Question 1: Mrs. Stanton is a 79-year-old widow who presents to
your office for a routine BP visit. You note a new pulsatile mass in
the right neck at the carotid artery. Which of the following is the
most likely cause for this?
A) Anxiety
B) Carotid artery aneurysm
C) Kinking of the artery
D) Tortuous aorta
Answer:
C. Kinking of the artery
Question 2: Mr. Chin is an 82-year-old man who comes to your
office for a routine check. On examination, you notice a somewhat
high-pitched murmur in the second right intercostal space during
systole. It does not radiate and the rest of his examination is
normal for his age. Which is true of the most likely cause of this
murmur?
A) It often decreases carotid upstroke.
B) It carries with it increased risk for cardiovascular disease.
C) It is usually accompanied by an S3 gallop.
D) It is found in 10% of otherwise normal elderly patients.
Answer:
B. It carries with it increased risk for cardiovascular disease
Question 3: Mrs. Buckley is a 75-year-old widow who wants you to
look at her teeth because over the past 2 weeks she has had
,right-sided jaw pain when eating. It does not occur otherwise. She
also has had a headache. Which of the following should be
considered?
A) Palpation of her temples
B) Dental referral
C) Ultrasound of the gallbladder
Answer:
A. Palpation of her temples
Question 4: Which of the following is commonly seen in aging
men?
Answer:
Persistent sexual interest
Question 5: Which of the following accompanies decreased ovarian
function?
Answer:
Decrease in vaginal secretions
Question 6: Mrs. Glynn is 90 years old and lives alone. She is able
to bathe, dress, prepare her food, and transfer from bed to chair
independently. She has children in the area who help her with her
medications and transportation needs. Which of the following is
considered an instrumental activity of daily living?
A) Bathing
B) Dressing
C) Preparing food
D) Transferring from bed to chair
Answer:
C. Preparing Food
,Question 7: You are examining an elderly man and not the
following: decreased vibration sense in feet and ankles, diminished
gag reflex, right patellar Felix less than the left, and diminished
abdominal reflexes. Which of these is abnormal?
Answer:
Diminished right patellar reflex compared to the left
Question 8: Mr. Kelly comes to you today for a burning pain in his
lower abdomen. This has gone on for 2 months. He has received
radiation for prostatic cancer for the past quarter. What
assumptions could you draw from this?
A) This represents persistent pain.
B) His pain reporting is likely to be unreliable.
C) There are "red flags" present.
D) He is depressed.
Answer:
C. there are "red flags" present
Question 9: Mr. White's son brings him in today because he notes
that Mr. White has not been himself lately. He seems forgetful and
has not taken care of himself as he normally does. He has reported
falling twice at home to his son and has telephoned late at night
because of insomnia. His blood pressure and diabetes have been
difficult to control and his warfarin dosing has become more
difficult. Which of the following should you suspect?
A) Alzheimer's dementia
B) Alcohol use
C) Urinary tract infection
D) Stroke
Answer:
, B. Alcohol use
Question 10: Claire's daughter brings her in today after Claire fell at
her home. Which assessments are indicated at this time?
A) Orthostatic vital signs
B) Review of her medications
C) Assessment of gait and balance
D) All of the above
Answer:
D. All of the above
Question 11: Mrs. Geller is somewhat quiet today. She has several
bruises of different colors on the ulnar aspects of her forearms and
on her abdomen. She otherwise has no complaints and her
diabetes and hypertension are well managed. Her son from out of
state accompanies her today and has recently moved in to help her.
What should you suspect?
A) Overuse of aspirin
B) Frequent falls
C) Elder abuse
D) Depression
Answer:
C. Elder abuse
Question 12: A patient comes to you for the appearance of red
patches on his forearms that have been present for several months.
They remain for several weeks. He denies a history of trauma.
Which of the following is likely?
A) Actinic keratoses
B) Pseudoscars
C) Actinic purpura
