NR509 Bates Test Bank - Midterm
Study online at https://quizlet.com/_9mm6pv
1. A patient presents for evaluation of a sharp, aching A) Musculoskeletal
chest pain which increases with breathing. Which
anatomic area would you localize the symptom to? Chest pain may be due to
a musculoskeletal condi-
A) Musculoskeletal tion, such as costochon-
B) Reproductive dritis or
C) Urinary intercostal muscle cramp.
D) Endocrine This would be worsened
by motion of the chest
wall. Pleuritic chest pain
is also a sharp chest pain
which increases with a
deep breath. This type of
pain can
occur with inflammation
of the pleura from pneu-
monia or other conditions
and pulmonary
embolus.
2. A patient comes to the emergency room for evalua- C) Cardiac
tion of shortness of breath. To which anatomic region
would you assign the symptom? Cardiac disorders such as
congestive heart failure
A) Reproductive are the most likely on this
B) Urinary list to result in shortness
C) Cardiac of breath. There are cas-
D) Hematologic es within the other cate-
gories which may also re-
sult
in shortness of breath,
such as anemia in
, NR509 Bates Test Bank - Midterm
Study online at https://quizlet.com/_9mm6pv
the hematologic category,
pregnancy in the repro-
ductive
category, or sepsis with
UTI in the urinary catego-
ry.
3. A patient presents for evaluation of a cough. Which of C) Cardiac
the following anatomic regions can be responsible for
a cough? The cardiac system can
cause a cough if the pa-
A) Ophthalmologic tient has congestive heart
B) Auditory failure. This results in flu-
C) Cardiac id buildup in the lungs,
D) Endocrine which in turn can cause
a cough that produces
pink,
frothy sputum. A foreign
body in the ear may also
cause a cough by stimu-
lating Arnold's branch of
the vagus nerve, but this is
less likely to be seen clini-
cally than heart failure.
4. A 22-year-old advertising copywriter presents for eval- B) Inflammatory
uation of joint pain. The pain is new,
located in the wrists and fingers bilaterally, with some The description is most
subjective fever. The patient denies a consistent with an in-
rash; she also denies recent travel or camping activi- flammatory process, al-
ties. She has a family history significant for though all the other eti-
rheumatoid arthritis. Based on this information, ologies should be consid-
, NR509 Bates Test Bank - Midterm
Study online at https://quizlet.com/_9mm6pv
which of the following pathologic processes ered. Lyme disease is an
would be the most correct? infection which commonly
causes
A) Infectious arthritis, hemophilia is
B) Inflammatory a hematologic condition
C) Hematologic which can cause bleeding
D) Traumatic in the joints, and trauma
can obviously cause joint
pain.
5. A 47-year-old contractor presents for evaluation of C) Degenerative
neck pain, which has been intermittent for several
years. He normally takes over-the-counter medica- The description is most
tions to ease the pain, but this time they haven't consistent with degener-
worked as well and he still has discomfort. He recent- ative arthritis in the neck.
ly wallpapered the entire second floor in his house, The
which caused him great discomfort. The pain resolved patient has had intermit-
with rest. He denies fever, chills, rash, upper respira- tent symptoms and the
tory symptoms, trauma, or injury to the neck. Based questions asked to elicit
on this description, what is the most likely pathologic pertinent negative and
process? positive findings are neg-
ative for infectious, trau-
A) Infectious matic, or neoplastic dis-
B) Neoplastic ease.
C) Degenerative
D) Traumatic
6. A 15-year-old high school sophomore comes to the C) Allergic
clinic for evaluation of a 3-week history
of sneezing; itchy, watery eyes; clear nasal discharge; This description is most
ear pain; and nonproductive cough. Which consistent with allergic
is the most likely pathologic process? rhinitis.
, NR509 Bates Test Bank - Midterm
Study online at https://quizlet.com/_9mm6pv
A) Infection
B) Inflammation
C) Allergic
D) Vascular
7. A 19-year old-college student presents to the emer- C) Head is normocephalic
gency room with fever, headache, and and atraumatic, fundi with
neck pain/stiffness. She is concerned about the possi- blurred disc margins, neck
bility of meningococcal meningitis. tender to
Several of her dorm mates have been vaccinated, but palpation, unable to per-
she hasn't been. Which of the following form range of motion
physical examination descriptions is most consistent
with meningitis? Blurred disc margins are
consistent with papillede-
A) Head is normocephalic and atraumatic, fundi with ma, and neck tenderness
sharp discs, neck supple with full range and lack of range of mo-
of motion tion are consistent with
B) Head is normocephalic and atraumatic, fundi with neck stiffness, which in
sharp discs, neck with paraspinous this scenario is likely to be
muscle spasm and limited range of motion to the caused
right by meningeal inflam-
C) Head is normocephalic and atraumatic, fundi with mation. Kernig's and
blurred disc margins, neck tender to Brudzinski's signs are also
palpation, unable to perform range of motion helpful in testing for
D) Head is normocephalic and atraumatic, fundi with meningeal irritation on
blurred disc margins, neck supple with exam.
full range of motion
8. A 37-year-old nurse comes for evaluation of colicky C) Abdomen is soft and
right upper quadrant abdominal pain. The pain is as- tender to palpation in the
sociated with nausea and vomiting and occurs 1 to right upper quadrant with
Study online at https://quizlet.com/_9mm6pv
1. A patient presents for evaluation of a sharp, aching A) Musculoskeletal
chest pain which increases with breathing. Which
anatomic area would you localize the symptom to? Chest pain may be due to
a musculoskeletal condi-
A) Musculoskeletal tion, such as costochon-
B) Reproductive dritis or
C) Urinary intercostal muscle cramp.
D) Endocrine This would be worsened
by motion of the chest
wall. Pleuritic chest pain
is also a sharp chest pain
which increases with a
deep breath. This type of
pain can
occur with inflammation
of the pleura from pneu-
monia or other conditions
and pulmonary
embolus.
2. A patient comes to the emergency room for evalua- C) Cardiac
tion of shortness of breath. To which anatomic region
would you assign the symptom? Cardiac disorders such as
congestive heart failure
A) Reproductive are the most likely on this
B) Urinary list to result in shortness
C) Cardiac of breath. There are cas-
D) Hematologic es within the other cate-
gories which may also re-
sult
in shortness of breath,
such as anemia in
, NR509 Bates Test Bank - Midterm
Study online at https://quizlet.com/_9mm6pv
the hematologic category,
pregnancy in the repro-
ductive
category, or sepsis with
UTI in the urinary catego-
ry.
3. A patient presents for evaluation of a cough. Which of C) Cardiac
the following anatomic regions can be responsible for
a cough? The cardiac system can
cause a cough if the pa-
A) Ophthalmologic tient has congestive heart
B) Auditory failure. This results in flu-
C) Cardiac id buildup in the lungs,
D) Endocrine which in turn can cause
a cough that produces
pink,
frothy sputum. A foreign
body in the ear may also
cause a cough by stimu-
lating Arnold's branch of
the vagus nerve, but this is
less likely to be seen clini-
cally than heart failure.
4. A 22-year-old advertising copywriter presents for eval- B) Inflammatory
uation of joint pain. The pain is new,
located in the wrists and fingers bilaterally, with some The description is most
subjective fever. The patient denies a consistent with an in-
rash; she also denies recent travel or camping activi- flammatory process, al-
ties. She has a family history significant for though all the other eti-
rheumatoid arthritis. Based on this information, ologies should be consid-
, NR509 Bates Test Bank - Midterm
Study online at https://quizlet.com/_9mm6pv
which of the following pathologic processes ered. Lyme disease is an
would be the most correct? infection which commonly
causes
A) Infectious arthritis, hemophilia is
B) Inflammatory a hematologic condition
C) Hematologic which can cause bleeding
D) Traumatic in the joints, and trauma
can obviously cause joint
pain.
5. A 47-year-old contractor presents for evaluation of C) Degenerative
neck pain, which has been intermittent for several
years. He normally takes over-the-counter medica- The description is most
tions to ease the pain, but this time they haven't consistent with degener-
worked as well and he still has discomfort. He recent- ative arthritis in the neck.
ly wallpapered the entire second floor in his house, The
which caused him great discomfort. The pain resolved patient has had intermit-
with rest. He denies fever, chills, rash, upper respira- tent symptoms and the
tory symptoms, trauma, or injury to the neck. Based questions asked to elicit
on this description, what is the most likely pathologic pertinent negative and
process? positive findings are neg-
ative for infectious, trau-
A) Infectious matic, or neoplastic dis-
B) Neoplastic ease.
C) Degenerative
D) Traumatic
6. A 15-year-old high school sophomore comes to the C) Allergic
clinic for evaluation of a 3-week history
of sneezing; itchy, watery eyes; clear nasal discharge; This description is most
ear pain; and nonproductive cough. Which consistent with allergic
is the most likely pathologic process? rhinitis.
, NR509 Bates Test Bank - Midterm
Study online at https://quizlet.com/_9mm6pv
A) Infection
B) Inflammation
C) Allergic
D) Vascular
7. A 19-year old-college student presents to the emer- C) Head is normocephalic
gency room with fever, headache, and and atraumatic, fundi with
neck pain/stiffness. She is concerned about the possi- blurred disc margins, neck
bility of meningococcal meningitis. tender to
Several of her dorm mates have been vaccinated, but palpation, unable to per-
she hasn't been. Which of the following form range of motion
physical examination descriptions is most consistent
with meningitis? Blurred disc margins are
consistent with papillede-
A) Head is normocephalic and atraumatic, fundi with ma, and neck tenderness
sharp discs, neck supple with full range and lack of range of mo-
of motion tion are consistent with
B) Head is normocephalic and atraumatic, fundi with neck stiffness, which in
sharp discs, neck with paraspinous this scenario is likely to be
muscle spasm and limited range of motion to the caused
right by meningeal inflam-
C) Head is normocephalic and atraumatic, fundi with mation. Kernig's and
blurred disc margins, neck tender to Brudzinski's signs are also
palpation, unable to perform range of motion helpful in testing for
D) Head is normocephalic and atraumatic, fundi with meningeal irritation on
blurred disc margins, neck supple with exam.
full range of motion
8. A 37-year-old nurse comes for evaluation of colicky C) Abdomen is soft and
right upper quadrant abdominal pain. The pain is as- tender to palpation in the
sociated with nausea and vomiting and occurs 1 to right upper quadrant with
