NR 509 midterm
Cause of saddle numbness and urinary retention - ANSWER: Cauda equina syndrome
Presentation of retinal detachment - ANSWER: If sudden visual loss is unilateral and painless,
Obtunded - ANSWER: patient opens the eyes and looks at you but responds slowly and is somewhat confused.
Alertness and interest in the environment are decreased.
Cranial nerve for lateral gaze - ANSWER: CN6: Abducens
Adult Illnesses - ANSWER: Medical: Illnesses such as diabetes, hypertension, hepatitis, asthma, and human
immunodeficiency virus (HIV); hospitalizations; number and gender of sexual partners; and risk-taking sexual
practices
■ Surgical: Dates, indications, and types of operations
■ Obstetric/Gynecologic: Obstetric history, menstrual history, methods of contraception, and sexual function
■ Psychiatric: Illness and time frame, diagnoses, hospitalizations, and treatments
Present Illness - ANSWER: chronologic description of the problems prompting the patient's visit, including the
onset of the problem, the setting in which it developed, its manifestations, and any treatments to date.Each
problem/symptom needs: (1) location; (2) quality; (3) quantity or severity; (4) timing, including onset,
duration, and frequency; (5) the setting in which it occurs; (6) factors that have aggravated
-meds, allergies, tobacco use, ETOH and drug use
Absence of red reflex - ANSWER: an opacity of the lens (cataract) or, possibly, the vitreous (or even an artificial
eye). Less commonly, a detached retina or, in children, a retinoblastoma may obscure this reflex.
S/S of seasonal allergies - ANSWER: Itching, watery eyes, sneezing, ear congestion, postnasal drainage
Presentation of optic neuritis - ANSWER: Enlarged blind spot, vision loss in 1 eye, loss of color vision, hole in
center of vision, trouble seeing to the side, eye pain
, pityriasis rosea - ANSWER: Multiple round to oval scaling violaceous plaques on abdomen and back
Acromion - ANSWER: tip of shoulder
What to do for + finding on physical exam, but - workup - ANSWER: continue using test, but less lab and
diagnostics
Cause of falsely high BP - ANSWER: -too small of a BP cuff
- if the brachial artery is below heart level
- loose cuff
- bladder that balloons outside the cuff
Check for nystagmus - ANSWER: -involuntary jerking movement of the eyes with quick and slow components.
- It is named for the direction of the quick component
- seen in cerebellar disease and vestibular disorders and in internuclear ophthalmoplegia
Jaundice - ANSWER: yellow sclera
how do get a patient to open up when upset - ANSWER: effective reassurance is simply identifying and
acknowledging the patient's feelings.
-Partnering
-Summarizing
-Transitions
- Empowering the pt
s/s of degenerative pain - ANSWER: -Slowly progressive, with temporary exacerbations after periods of
overuse
-usually insidious
- flexion and deviation deformities
Cause of saddle numbness and urinary retention - ANSWER: Cauda equina syndrome
Presentation of retinal detachment - ANSWER: If sudden visual loss is unilateral and painless,
Obtunded - ANSWER: patient opens the eyes and looks at you but responds slowly and is somewhat confused.
Alertness and interest in the environment are decreased.
Cranial nerve for lateral gaze - ANSWER: CN6: Abducens
Adult Illnesses - ANSWER: Medical: Illnesses such as diabetes, hypertension, hepatitis, asthma, and human
immunodeficiency virus (HIV); hospitalizations; number and gender of sexual partners; and risk-taking sexual
practices
■ Surgical: Dates, indications, and types of operations
■ Obstetric/Gynecologic: Obstetric history, menstrual history, methods of contraception, and sexual function
■ Psychiatric: Illness and time frame, diagnoses, hospitalizations, and treatments
Present Illness - ANSWER: chronologic description of the problems prompting the patient's visit, including the
onset of the problem, the setting in which it developed, its manifestations, and any treatments to date.Each
problem/symptom needs: (1) location; (2) quality; (3) quantity or severity; (4) timing, including onset,
duration, and frequency; (5) the setting in which it occurs; (6) factors that have aggravated
-meds, allergies, tobacco use, ETOH and drug use
Absence of red reflex - ANSWER: an opacity of the lens (cataract) or, possibly, the vitreous (or even an artificial
eye). Less commonly, a detached retina or, in children, a retinoblastoma may obscure this reflex.
S/S of seasonal allergies - ANSWER: Itching, watery eyes, sneezing, ear congestion, postnasal drainage
Presentation of optic neuritis - ANSWER: Enlarged blind spot, vision loss in 1 eye, loss of color vision, hole in
center of vision, trouble seeing to the side, eye pain
, pityriasis rosea - ANSWER: Multiple round to oval scaling violaceous plaques on abdomen and back
Acromion - ANSWER: tip of shoulder
What to do for + finding on physical exam, but - workup - ANSWER: continue using test, but less lab and
diagnostics
Cause of falsely high BP - ANSWER: -too small of a BP cuff
- if the brachial artery is below heart level
- loose cuff
- bladder that balloons outside the cuff
Check for nystagmus - ANSWER: -involuntary jerking movement of the eyes with quick and slow components.
- It is named for the direction of the quick component
- seen in cerebellar disease and vestibular disorders and in internuclear ophthalmoplegia
Jaundice - ANSWER: yellow sclera
how do get a patient to open up when upset - ANSWER: effective reassurance is simply identifying and
acknowledging the patient's feelings.
-Partnering
-Summarizing
-Transitions
- Empowering the pt
s/s of degenerative pain - ANSWER: -Slowly progressive, with temporary exacerbations after periods of
overuse
-usually insidious
- flexion and deviation deformities
