NR509 BATES TEST BANK QUESTIONS
AND VERIFIED ANSWERS
32. Which of the following is true of a grade 4-intensity murmur?
A) It is moderately loud.
B) It can be heard with the stethoscope off the chest.
C) It can be heard with the stethoscope partially off the chest.
D) It is associated with a "thrill." - correct answer-
D) It is associated with a "thrill."
The grade 4 murmur is differentiated from those below it by the
presence of a
palpable thrill. A murmur cannot be graded as a 4 unless this is
present.
A 12-year-old presents to the clinic with his father for evaluation
of a painful lump in the left
eye. It started this morning. He denies any trauma or injury.
There is no visual disturbance. Upon
physical examination, there is a red raised area at the margin of
the eyelid that is tender to
,palpation; no tearing occurs with palpation of the lesion. Based
on this description, what is the
most likely diagnosis?
A) Dacryocystitis
B) Chalazion
C) Hordeolum
D) Xanthelasma - correct answer- C) Hordeolum
A hordeolum, or sty, is a painful, tender, erythematous infection
in a gland at the margin of the eyelid.
A 15-year-old high school sophomore and her mother come to
your clinic because the
mother is concerned about her daughter's weight. You measure
her daughter's height and weight
and obtain a BMI of 19.5 kg/m2. Based on this information,
which of the following is appropriate?
A) Refer the patient to a nutritionist and a psychologist because
the patient is anorexic.
B) Reassure the mother that this is a normal body weight.
,C) Give the patient information about exercise because the
patient is obese.
D) Give the patient information concerning reduction of fat and
cholesterol in her diet because
she is obese. - correct answer- B) Reassure the
mother that this is a normal body weight.
The patient has a normal BMI; the range for a normal BMI is 18.5
to 24.9 kg/m2. You may be able to give the patient and her
mother the lower limit of normal in pounds for her
daughter's height, or instruct her in how to use a BMI table.
A 15-year-old high school sophomore comes to the clinic for
evaluation of a 3-week history
of sneezing; itchy, watery eyes; clear nasal discharge; ear pain;
and nonproductive cough. Which
is the most likely pathologic process?
A) Infection
B) Inflammation
C) Allergic
D) Vascular - correct answer- C) Allergic
, This description is most consistent with allergic rhinitis.
A 15-year-old high school sophomore presents to the emergency
room with his mother for evaluation of an area of blood in the
left eye. He denies trauma or injury but has been coughing
forcefully with a recent cold. He denies visual disturbances, eye
pain, or discharge from the eye.
On physical examination, the pupils are equal, round, and
reactive to light, with a visual acuity of 20/20 in each eye and
20/20 bilaterally. There is a homogeneous, sharply demarcated
area at the
lateral aspect of the base of the left eye. The cornea is clear.
Based on this description, what is
the most likely diagnosis?
A) Conjunctivitis
B) Acute iritis
C) Corneal abrasion
D) Subconjunctival hemorrhage - correct answer-
D) Subconjunctival hemorrhage
AND VERIFIED ANSWERS
32. Which of the following is true of a grade 4-intensity murmur?
A) It is moderately loud.
B) It can be heard with the stethoscope off the chest.
C) It can be heard with the stethoscope partially off the chest.
D) It is associated with a "thrill." - correct answer-
D) It is associated with a "thrill."
The grade 4 murmur is differentiated from those below it by the
presence of a
palpable thrill. A murmur cannot be graded as a 4 unless this is
present.
A 12-year-old presents to the clinic with his father for evaluation
of a painful lump in the left
eye. It started this morning. He denies any trauma or injury.
There is no visual disturbance. Upon
physical examination, there is a red raised area at the margin of
the eyelid that is tender to
,palpation; no tearing occurs with palpation of the lesion. Based
on this description, what is the
most likely diagnosis?
A) Dacryocystitis
B) Chalazion
C) Hordeolum
D) Xanthelasma - correct answer- C) Hordeolum
A hordeolum, or sty, is a painful, tender, erythematous infection
in a gland at the margin of the eyelid.
A 15-year-old high school sophomore and her mother come to
your clinic because the
mother is concerned about her daughter's weight. You measure
her daughter's height and weight
and obtain a BMI of 19.5 kg/m2. Based on this information,
which of the following is appropriate?
A) Refer the patient to a nutritionist and a psychologist because
the patient is anorexic.
B) Reassure the mother that this is a normal body weight.
,C) Give the patient information about exercise because the
patient is obese.
D) Give the patient information concerning reduction of fat and
cholesterol in her diet because
she is obese. - correct answer- B) Reassure the
mother that this is a normal body weight.
The patient has a normal BMI; the range for a normal BMI is 18.5
to 24.9 kg/m2. You may be able to give the patient and her
mother the lower limit of normal in pounds for her
daughter's height, or instruct her in how to use a BMI table.
A 15-year-old high school sophomore comes to the clinic for
evaluation of a 3-week history
of sneezing; itchy, watery eyes; clear nasal discharge; ear pain;
and nonproductive cough. Which
is the most likely pathologic process?
A) Infection
B) Inflammation
C) Allergic
D) Vascular - correct answer- C) Allergic
, This description is most consistent with allergic rhinitis.
A 15-year-old high school sophomore presents to the emergency
room with his mother for evaluation of an area of blood in the
left eye. He denies trauma or injury but has been coughing
forcefully with a recent cold. He denies visual disturbances, eye
pain, or discharge from the eye.
On physical examination, the pupils are equal, round, and
reactive to light, with a visual acuity of 20/20 in each eye and
20/20 bilaterally. There is a homogeneous, sharply demarcated
area at the
lateral aspect of the base of the left eye. The cornea is clear.
Based on this description, what is
the most likely diagnosis?
A) Conjunctivitis
B) Acute iritis
C) Corneal abrasion
D) Subconjunctival hemorrhage - correct answer-
D) Subconjunctival hemorrhage
