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FINAL EXAM: NR569 / NR 569 DIFFERENTIAL
DIAGNOSIS IN ACUTE CARE PRACTICUM EXAM
(LATEST 2025 UPDATE STUDY BUNDLE WITH
COMPLETE SOLUTIONS) | 100% CORRECT | GRADE A
- CHAMBERLAIN
Bicipital Tendon Rupture .....ANSWER.....Long head of bicep
tendon tears from proximal shoulder insertion, usually from lifting
a heavy object. Sudden pain, swelling, bruising. (Popeye
deformity)
Lateral Epicondylitis .....ANSWER.....Sharp, radiating pain down
outside of elbow, Pain occurs with extension of wrist and
gripping. May have weakness in forearm or weak grip, injury of
the wrist extensor muscles
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Paxino's sign .....ANSWER.....Acromioclavicular sprain. Place hand
over the shoulder, with the fingers on the clavicle and the thumb
on the back of the shoulder, then pinch. Pain is a positive sign.
Acromioclavicular sprain .....ANSWER.....Pain in clavicular area
after direct trauma or excessive pushing/pulling of upper
extremity. Common in young males; typically associated with fall
with arm abduction. Pain increases with lying on arm,
adduction/abduction past 90, heavy lifting
Spinal Stenosis .....ANSWER.....refers to the local, segmental, or
generalized narrowing within the vertebral spinal column by
bony overgrowth and hypertrophic changes in the facet joints,
intraspinal canal, lateral recess, neural foramen as well as
through a thickening of the ligamentum flavum. typically slow
and may worsen over months or years. Back pain that worsens
with activity is common. Unilateral leg numbness or paresthesias
may occur.
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Medial Epicondylitis .....ANSWER.....Sharp, radiating pain down
inside of elbow, Pain occurs with supination of forearm and
gripping motions. May have weakness in hand or wrist, numbness
or tingling in ring/little fingers. overuse injury of the wrist flexor
muscles.
Most common bacteria with OM .....ANSWER.....Strep Pneumoniae
First line treatment for OM .....ANSWER.....Augmentin
OM with effusion .....ANSWER.....Presence of fluid in the middle
ear without s/s of acute infection. As fluid builds up in the middle
ear and eustachian tube it places pressure on the tympanic
membrane.
Cholesteatoma .....ANSWER.....Abnormal skin growth or skin cyst
trapped behind the eardrum or the bone behind the ear.
Cholesteatoma symptoms .....ANSWER.....Hearing loss, foul
smelling drainage, recurrent ear infections, ear fullness, dizziness,
facial weakness on the side of the infection, earache/pain.
FINAL EXAM: NR569 / NR 569 DIFFERENTIAL
DIAGNOSIS IN ACUTE CARE PRACTICUM EXAM
(LATEST 2025 UPDATE STUDY BUNDLE WITH
COMPLETE SOLUTIONS) | 100% CORRECT | GRADE A
- CHAMBERLAIN
Bicipital Tendon Rupture .....ANSWER.....Long head of bicep
tendon tears from proximal shoulder insertion, usually from lifting
a heavy object. Sudden pain, swelling, bruising. (Popeye
deformity)
Lateral Epicondylitis .....ANSWER.....Sharp, radiating pain down
outside of elbow, Pain occurs with extension of wrist and
gripping. May have weakness in forearm or weak grip, injury of
the wrist extensor muscles
,Page 2 of 26
Paxino's sign .....ANSWER.....Acromioclavicular sprain. Place hand
over the shoulder, with the fingers on the clavicle and the thumb
on the back of the shoulder, then pinch. Pain is a positive sign.
Acromioclavicular sprain .....ANSWER.....Pain in clavicular area
after direct trauma or excessive pushing/pulling of upper
extremity. Common in young males; typically associated with fall
with arm abduction. Pain increases with lying on arm,
adduction/abduction past 90, heavy lifting
Spinal Stenosis .....ANSWER.....refers to the local, segmental, or
generalized narrowing within the vertebral spinal column by
bony overgrowth and hypertrophic changes in the facet joints,
intraspinal canal, lateral recess, neural foramen as well as
through a thickening of the ligamentum flavum. typically slow
and may worsen over months or years. Back pain that worsens
with activity is common. Unilateral leg numbness or paresthesias
may occur.
, Page 3 of 26
Medial Epicondylitis .....ANSWER.....Sharp, radiating pain down
inside of elbow, Pain occurs with supination of forearm and
gripping motions. May have weakness in hand or wrist, numbness
or tingling in ring/little fingers. overuse injury of the wrist flexor
muscles.
Most common bacteria with OM .....ANSWER.....Strep Pneumoniae
First line treatment for OM .....ANSWER.....Augmentin
OM with effusion .....ANSWER.....Presence of fluid in the middle
ear without s/s of acute infection. As fluid builds up in the middle
ear and eustachian tube it places pressure on the tympanic
membrane.
Cholesteatoma .....ANSWER.....Abnormal skin growth or skin cyst
trapped behind the eardrum or the bone behind the ear.
Cholesteatoma symptoms .....ANSWER.....Hearing loss, foul
smelling drainage, recurrent ear infections, ear fullness, dizziness,
facial weakness on the side of the infection, earache/pain.
