NR 509 Week 4 Midterm Exam
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01. Question: An 18-year-old patient comes to the office for evaluation of a rash. At first there
was only one large patch, but then more lesions erupted suddenly on the back and torso; the
lesions itch. On physical examination, you note that the pattern of eruption is like a Christmas
tree and that there are a variety of erythematous papules and macules on the cleavage lines of the
back. Based on this description, what is the most likely diagnosis?
02. Question: A 19-year-old construction worker presents for evaluation of a rash. He notes that
it started on his back with a multitude of spots and is also on his arms, chest, and neck. It itches a
lot. He does sweat more than before because being outdoors is part of his job. On physical
examination, you note dark tan patches with a reddish cast that has sharp borders and fine scales,
scattered more prominently around the upper back, chest, neck, and upper arms as well as under
the arms. Based on this description, what is your most likely diagnosis?
03. Question: You are examining a child with severe cerebral palsy. When you suddenly move
his foot dorsally, a sustained “beating” of the foot against your hand ensues. What does this
represent?
04. Question: A patient presents with a daily headache which has worsened over the past several
months. On funduscopic examination, you notice that the disk edge is indistinct and the veins do
not pulsate. Which is most likely?
05. Question: A patient complains of epistaxis. Which other cause should be considered?
06. Question: A patient complains of shortness of breath for the past few days. On examination,
you note late inspiratory crackles in the lower third of the chest that were not present a week ago.
What is the most likely explanation for these?
07. Question: You are excited about a positive test finding you have just noticed on physical
examination of your patient. You go on to do more examination, laboratory work, and diagnostic
tests, only to find that there is no sign of the disease you thought would correlate with the
finding. This same experience happens several times. What should you conclude?
08. Question: A 50-year-old woman presents with a new complaint of headache. The patient
states, “this is worst headache of my life”. Her concurrent conditions includes hypertension. Her
history includes habitual ER visits for various complaints and panic attacks. Her most recent ER
visit was last week. Today her BP is 200/110 with a HR of 95. Of the following diagnoses, which
etiology has the highest priority?
09. Question: A patient with alcoholism is brought in with confusion. You ask him to “stop
traffic” with his palms and notice that every few seconds his palms suddenly move toward the
floor. What does this indicate?
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, 10. Question: Question 10 A 29-year-old computer programmer comes to your office for
evaluation of a headache. The tightening sensation is located all over the head and is of moderate
intensity. It used to last minutes, but this time it has lasted for 5 days. He denies photophobia and
nausea. He spends several hours each day at a computer monitor/keyboard. He has tried over-
the-counter medication; it has dulled the pain but not taken it away. Based on this description,
what is your most likely diagnosis?
11. Question: A 62-year-old smoker complains of “coughing up small amounts of blood,” so you
consider hemoptysis. Which other diagnoses should also be considered as an etiology for the
complaint?
12. Question: You ask a patient to hold her arms up, with her palms up, and then to close her
eyes. The right arm begins to move downward after a few seconds and her thumb rotates upward.
This is most likely a problem with which part of the nervous system?
13. Question: When assessing for mitral stenosis, you should place the patient in what position?
14. Question: A patient presents with ear pain. She is an avid swimmer. The history includes
pain and drainage from the left ear. On examination, she has pain when the ear is manipulated,
including manipulation of the tragus. The canal is narrowed and erythematous, with some white
debris in the canal. The rest of the examination is normal. What diagnosis would you assign this
patient?
15. Question: When assessing for nystagmus the nurse practitioner instructs the patient to:
16. Question: A 58-year-old teacher presents to your clinic with a complaint of breathlessness
with activity. The patient has no chronic conditions and does not take any medications, herbs, or
supplements. Which of the following symptoms is appropriate to ask about in the cardiovascular
review of systems?
17. Question: Which is true of examination of the olfactory nerve?
18. Question: During the physical examination, which is the best position to place the patient
when auscultating for S1, S2, and murmurs?
19. Question: For which of the following patients would a comprehensive health history be
appropriate?
20. Question: Identify the abnormal assessment findings in this image.
21. Question: 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 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
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View Correct Answers Here
01. Question: An 18-year-old patient comes to the office for evaluation of a rash. At first there
was only one large patch, but then more lesions erupted suddenly on the back and torso; the
lesions itch. On physical examination, you note that the pattern of eruption is like a Christmas
tree and that there are a variety of erythematous papules and macules on the cleavage lines of the
back. Based on this description, what is the most likely diagnosis?
02. Question: A 19-year-old construction worker presents for evaluation of a rash. He notes that
it started on his back with a multitude of spots and is also on his arms, chest, and neck. It itches a
lot. He does sweat more than before because being outdoors is part of his job. On physical
examination, you note dark tan patches with a reddish cast that has sharp borders and fine scales,
scattered more prominently around the upper back, chest, neck, and upper arms as well as under
the arms. Based on this description, what is your most likely diagnosis?
03. Question: You are examining a child with severe cerebral palsy. When you suddenly move
his foot dorsally, a sustained “beating” of the foot against your hand ensues. What does this
represent?
04. Question: A patient presents with a daily headache which has worsened over the past several
months. On funduscopic examination, you notice that the disk edge is indistinct and the veins do
not pulsate. Which is most likely?
05. Question: A patient complains of epistaxis. Which other cause should be considered?
06. Question: A patient complains of shortness of breath for the past few days. On examination,
you note late inspiratory crackles in the lower third of the chest that were not present a week ago.
What is the most likely explanation for these?
07. Question: You are excited about a positive test finding you have just noticed on physical
examination of your patient. You go on to do more examination, laboratory work, and diagnostic
tests, only to find that there is no sign of the disease you thought would correlate with the
finding. This same experience happens several times. What should you conclude?
08. Question: A 50-year-old woman presents with a new complaint of headache. The patient
states, “this is worst headache of my life”. Her concurrent conditions includes hypertension. Her
history includes habitual ER visits for various complaints and panic attacks. Her most recent ER
visit was last week. Today her BP is 200/110 with a HR of 95. Of the following diagnoses, which
etiology has the highest priority?
09. Question: A patient with alcoholism is brought in with confusion. You ask him to “stop
traffic” with his palms and notice that every few seconds his palms suddenly move toward the
floor. What does this indicate?
This study source was downloaded by 100000852681095 from CourseHero.com on 01-27-2023 14:04:42 GMT -06:00
https://www.coursehero.com/file/168478441/NR-509-Week-4-Midterm-Exam-Requires-Respondus-LockDown-Browserdocx/
, 10. Question: Question 10 A 29-year-old computer programmer comes to your office for
evaluation of a headache. The tightening sensation is located all over the head and is of moderate
intensity. It used to last minutes, but this time it has lasted for 5 days. He denies photophobia and
nausea. He spends several hours each day at a computer monitor/keyboard. He has tried over-
the-counter medication; it has dulled the pain but not taken it away. Based on this description,
what is your most likely diagnosis?
11. Question: A 62-year-old smoker complains of “coughing up small amounts of blood,” so you
consider hemoptysis. Which other diagnoses should also be considered as an etiology for the
complaint?
12. Question: You ask a patient to hold her arms up, with her palms up, and then to close her
eyes. The right arm begins to move downward after a few seconds and her thumb rotates upward.
This is most likely a problem with which part of the nervous system?
13. Question: When assessing for mitral stenosis, you should place the patient in what position?
14. Question: A patient presents with ear pain. She is an avid swimmer. The history includes
pain and drainage from the left ear. On examination, she has pain when the ear is manipulated,
including manipulation of the tragus. The canal is narrowed and erythematous, with some white
debris in the canal. The rest of the examination is normal. What diagnosis would you assign this
patient?
15. Question: When assessing for nystagmus the nurse practitioner instructs the patient to:
16. Question: A 58-year-old teacher presents to your clinic with a complaint of breathlessness
with activity. The patient has no chronic conditions and does not take any medications, herbs, or
supplements. Which of the following symptoms is appropriate to ask about in the cardiovascular
review of systems?
17. Question: Which is true of examination of the olfactory nerve?
18. Question: During the physical examination, which is the best position to place the patient
when auscultating for S1, S2, and murmurs?
19. Question: For which of the following patients would a comprehensive health history be
appropriate?
20. Question: Identify the abnormal assessment findings in this image.
21. Question: 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 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
This study source was downloaded by 100000852681095 from CourseHero.com on 01-27-2023 14:04:42 GMT -06:00
https://www.coursehero.com/file/168478441/NR-509-Week-4-Midterm-Exam-Requires-Respondus-LockDown-Browserdocx/
