NU673 Final - The Point Exam Questions with 100% Correct Answers

A 68-year-old complains of a 3-month history of recurring pain after ambulating that radiates from her back in the upper lumbar region into both buttocks, bilateral thighs and mid-calf regions. Her pain is improved by sitting or leaning forward. The origin of her pain is secondary to what condition? Correct Answer Neurogenic claudication Mimics PAD (pain r/t walking) but differs with relief from sitting or leaning forward P. 517 A patient with a known history of CV disease including MI and positive ABI with PVD in his left leg now has issues with erectile dysfunction. If the symptoms are related to vascular disease, where would the lesion be located? Correct Answer Iliac pudenal (major blood supply for penis) P. 518 A 73-year-old presents to the ED complaining of chest pain that started about 2 hours ago. EKG, cardiac enzymes and CXR are normal but his BP is lower in his right arm compared to his left arm. What can explain his symptoms? Correct Answer Dissecting aortic aneurysm "Tearing" type pain P. 522 A 19-year-old sustained a laceration to the ulnar aspect o his mid-forearm while at work last week and is now noticing purulent discharge, pain, fever and chills. Where would the clinician expect to find the first signs of lymphadenopathy? Correct Answer Epitrochlear nodes First nodes in drainage region from ulnar surface of forearm and hand, little and ring fingers and adjacent surfaces of middle finger P. 523 When assessing for femoral pulse, where should the clinician begin deeply palpating? Correct Answer Below the inguinal ligament, midway between the anterior superior iliac spine and symphysis pubis Palpating above inguinal ligament will assess external iliac artery