NSG 6020 MIDTERM EXAM SOUTH UNIVERSITY NEWEST
2025/2026 NEWEST ACTUAL EXAM WITH COMPLETE
QUESTIONS AND VERIFIED ANSWERS |ALREADY GRADED
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A patient with hearing loss by whisper test is further examined
with a tuning fork, using the Weber and Rinne maneuvers. The
abnormal results are as follows: bone conduction is greater than
air on the left, and the patient hears the sound of the tuning fork
better on the left. Which of the following is most likely? -
ANSWER-otosclerosis of the left ear
A college student presents with a sore throat, fever, and fatigue
for several days. You notice exudates on her enlarged tonsils. You
do a careful lymphatic examination and notice some scattered
small, mobile lymph nodes just behind her sternocleidomastoid
muscles bilaterally. What group of nodes is this? - ANSWER-
posterior cervical
A 21-year-old college senior presents to your clinic, complaining
of shortness of breath and a nonproductive nocturnal cough. She
states she used to feel this way only with extreme exercise, but
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lately she has felt this way continuously. She denies any other
upper respiratory symptoms, chest pain, gastrointestinal
symptoms, or urinary tract symptoms. Her past medical history is
significant only for seasonal allergies, for which she takes a nasal
steroid spray but is otherwise on no other medications. She has
had no surgeries. Her mother has allergies and eczema and her
father has high blood pressure. She is an only child. She denies
smoking and illegal drug use but drinks three to four alcoholic
beverages per weekend. She is a junior in finance at a local
university and she has recently started a job as a bartender in
town. On examination she is in no acute distress and her
temperature is 98.6. Her blood pressure is - ANSWER-asthma
A 62-year-old construction worker presents to your clinic,
complaining of almost a year of chronic cough and occasional
shortness of breath. Although he has had worsening of symptoms
occasionally with a cold, his symptoms have stayed about the
same. The cough has occasional mucous drainage but never any
blood. He denies any chest pain. He has had no weight gain,
weight loss, fever, or night sweats. His past medical history is
significant for high blood pressure and arthritis. He has smoked
two packs a day for the past 45 years. He drinks occasionally but
denies any illegal drug use. He is married and has two children.
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He denies any foreign travel. His father died of a heart attack and
his mother died of Alzheimer's disease. On examination you see a
man looking slightly older than his stated age. His blood pressure
is 130/80 and his pulse is 88. He is breathing comfortably with
respirations of 12. His head, eyes, ears - ANSWER-chronic
obstructive pulmonary disease COPD
A 68-year-old retired postman presents to your clinic, complaining
of dull, intermittent left-sided chest pain over the last few weeks.
The pain occurs after he mows his lawn or chops wood. He says
that the pain radiates to the left side of his jaw but nowhere else.
He has felt light-headed and nauseated with the pain but has had
no other symptoms. He states when he sits down for several
minutes the pain goes away. Ibuprofen, Tylenol, and antacids
have not improved his symptoms. He reports no recent weight
gain, weight loss, fever, or night sweats. He has a past medical
history of high blood pressure and arthritis. He quit smoking 10
years ago after smoking one pack a day for 40 years. He denies
any recent alcohol use and reports no drug use. He is married
and has two healthy children. His mother died of breast cancer
and his father died of a stroke. His younger brother has had
bypass surgery. On examination you find - ANSWER-angina
pectoris