NR 509 midterm exam with correct
answers 2025
Cause of saddle numbness and urinary retention<correct answers>Cauda equina
syndrome
Presentation of retinal detachment<correct answers>If sudden visual loss is unilateral
and painless,5
Obtunded<correct answers>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<correct answers>CN6: Abducens
Adult Illnesses<correct answers>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<correct answers>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<correct answers>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<correct answers>Itching, watery eyes, sneezing, ear
congestion, postnasal drainage
Presentation of optic neuritis<correct answers>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<correct answers>Multiple round to oval scaling violaceous plaques on
abdomen and back
Acromion<correct answers>tip of shoulder
, What to do for + finding on physical exam, but - workup<correct answers>continue
using test, but less lab and diagnostics
Cause of falsely high BP<correct answers>-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<correct answers>-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<correct answers>yellow sclera
how do get a patient to open up when upset<correct answers>effective reassurance is
simply identifying and acknowledging the patient's feelings.
-Partnering
-Summarizing
-Transitions
- Empowering the pt
s/s of degenerative pain<correct answers>-Slowly progressive, with temporary
exacerbations after periods of overuse
-usually insidious
- flexion and deviation deformities
How otosclerosis presents with Weber and Rinne test<correct answers>- Weber: Sound
lateralizes to impaired ear. Room noise not well heard, so detection of vibrations
improves
- Rinne: BC longer than or equal to AC. While air conduction through the external or
middle ear is impaired, vibrations through bone bypass the problem to reach the
cochlea.
Cherry angiomas<correct answers>Benign
Interpreting visual acuity test<correct answers>Vision of 20/200 means that at 20 feet
the patient can read print that a person with normal vision could read at 200 feet. The
larger the second number, the worse the vision. "20/40 corrected" means the patient
could read the 20/40 line with glasses (a correction).
Sequence of the interview<correct answers>Preparation. Then, Greeting the patient
and establishing rapport. Establishing the agenda for the interview. Inviting the patient's
story. Exploring the patient's perspective. Identifying and responding to emotional cues.
Expand-ing and clarifying the patient's story. Generating and testing diagnostic
answers 2025
Cause of saddle numbness and urinary retention<correct answers>Cauda equina
syndrome
Presentation of retinal detachment<correct answers>If sudden visual loss is unilateral
and painless,5
Obtunded<correct answers>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<correct answers>CN6: Abducens
Adult Illnesses<correct answers>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<correct answers>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<correct answers>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<correct answers>Itching, watery eyes, sneezing, ear
congestion, postnasal drainage
Presentation of optic neuritis<correct answers>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<correct answers>Multiple round to oval scaling violaceous plaques on
abdomen and back
Acromion<correct answers>tip of shoulder
, What to do for + finding on physical exam, but - workup<correct answers>continue
using test, but less lab and diagnostics
Cause of falsely high BP<correct answers>-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<correct answers>-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<correct answers>yellow sclera
how do get a patient to open up when upset<correct answers>effective reassurance is
simply identifying and acknowledging the patient's feelings.
-Partnering
-Summarizing
-Transitions
- Empowering the pt
s/s of degenerative pain<correct answers>-Slowly progressive, with temporary
exacerbations after periods of overuse
-usually insidious
- flexion and deviation deformities
How otosclerosis presents with Weber and Rinne test<correct answers>- Weber: Sound
lateralizes to impaired ear. Room noise not well heard, so detection of vibrations
improves
- Rinne: BC longer than or equal to AC. While air conduction through the external or
middle ear is impaired, vibrations through bone bypass the problem to reach the
cochlea.
Cherry angiomas<correct answers>Benign
Interpreting visual acuity test<correct answers>Vision of 20/200 means that at 20 feet
the patient can read print that a person with normal vision could read at 200 feet. The
larger the second number, the worse the vision. "20/40 corrected" means the patient
could read the 20/40 line with glasses (a correction).
Sequence of the interview<correct answers>Preparation. Then, Greeting the patient
and establishing rapport. Establishing the agenda for the interview. Inviting the patient's
story. Exploring the patient's perspective. Identifying and responding to emotional cues.
Expand-ing and clarifying the patient's story. Generating and testing diagnostic
