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Final Exam: NR577 / NR 577 (Latest 2025/2026) Primary Care Management of Adolescents and Adults Final Exam Review - Chamberlain

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NR577 / NR 577 Primary Care Management of Adolescents and Adults Final Exam Review

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NR 577 Final Exam
Q: What are the clinical presentations of Osgood-Schlatter Disease?

Answer: Pain worsened by activity, palpable lump below the knee, localized erythema, swelling,
and tenderness, may be unilateral or bilateral.



Q: What is the initial diagnostic test for Osgood-Schlatter Disease?

Answer: Plain radiographs, MRI, Ultrasound



Q: What is the management for Osgood-Schlatter Disease?

Answer: Anti-inflammatory medication (ibuprofen), stretching, physical therapy, RICE, and
possibly surgery for persistent pain.



Q: What clinical assessments are included in the examination for scoliosis?

Answer: Gait assessment, Adams forward bend test, leg length discrepancy assessment,
strength of all four extremities, and neurologic assessments.



Q: What is the diagnostic test for scoliosis?

Answer: Plain radiographs measuring for Cobb angle.



Q: What is the management for scoliosis with a Cobb angle < 10 degrees?

Answer: Regular exercise for core strength, no further monitoring required.



Q: What is the management for scoliosis with a Cobb angle 11 to 20 degrees?

Answer: Follow-up radiographs every 4 to 12 months and exercise for core strength.




Q: What is the management for scoliosis with a Cobb angle 21 to 45 degrees?

,Answer: Bracing for 18 hours per day plus exercise for core strength.



Q: What is the management for scoliosis with a Cobb angle > 45 degrees?

Answer: Surgical correction.



Q: What are the characteristics of tension headaches?

Answer: Musculoskeletal origin, bilateral or unilateral, bandlike pressure, episodic (<180
days/year) or chronic (>180 days/year).



Q: What are the risk factors for migraines?

Answer: Family history, caffeine, barometric changes, female gender, obesity, stress, sleep
disorders.



Q: What are the symptoms of a sinus headache?

Answer: Associated with sinusitis, pressure in cheeks/forehead, stuffy nose, fatigue, pain worse
when bending forward.



Q: What are the characteristics of cluster headaches?

Answer: Unilateral around the eye, deep explosive pain, associated with ptosis, miosis,
lacrimation, swollen eyelid, and nasal discharge.



Q: What is a secondary headache?

Answer: A headache resulting from an underlying disease such as hemorrhage or giant cell
arteritis.




Q: What are some pharmacological management options for headaches/migraines?

, Answer: Headache diary, sleep hygiene, hydration, NSAIDs, triptans, tricyclic antidepressants,
stress management.



Q: What are the red flag symptoms for headaches?

Answer: SNOOP: Systemic signs (fever, malignancy), Neurologic symptoms (loss of
consciousness, seizure), new Onset in patients > 50, thunderclap Onset, Papilledema.



Q: How can traumatic brain injuries be classified?

Answer: As blunt, penetrating, or blast injuries based on the causative factor.



Q: What are the leading causes of Traumatic Brain Injury (TBI) in the United States?

Answer: Motor vehicle accidents (MVA), sports injuries, falls, and assaults.



Q: What is the Glasgow Coma Scale (GCS) range for a mild injury?

Answer: GCS 13-15.



Q: What GCS range indicates a moderate injury?

Answer: GCS 9-12.



Q: What GCS range indicates a severe injury?

Answer: GCS 3-9.



Q: Glasgow coma scale

Answer: Eye Opening (4-0)

Verbal Response (5-0)

Motor Response (6-0)

Max: 15 pts

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