NR 509 midterm exam latest update
2023\2024 graded A+
Bronchial - ANSWER>>or louder, harsher and higher in pitch, with a short
silence be-tween inspiratory and expiratory sounds. Expiratory sounds
last longer than inspiratory sounds.
tracheal sounds - ANSWER>>Loud, harsh sounds heard over the trachea
in the neck
Present Illness - ANSWER>>chronologic description of the problems
prompting the patient's visit, including the onset of the problem, the
setting in which it developed, its manifestations, and any treatments to
date.Each problem/symptom needs: (1) location; (2) quality; (3) quantity or
severity; (4) timing, including onset, duration, and frequency; (5) the
setting in which it occurs; (6) factors that have aggravated
-meds, allergies, tobacco use, ETOH and drug use
Symptoms of a SAH - ANSWER>>Headache with severe and sudden onset
-thunderclap headache reaching maximal intensity over several minutes
Cause of saddle numbness and urinary retention - ANSWER>>Cauda
equina syndrome
, Presentation of retinal detachment - ANSWER>>If sudden visual loss is
unilateral and painless,
Absence of red reflex - ANSWER>>an opacity of the lens (cataract) or,
possibly, the vitreous (or even an artificial eye). Less commonly, a
detached retina or, in children, a retinoblastoma may obscure this reflex.
S/S of seasonal allergies - ANSWER>>Itching, watery eyes, sneezing, ear
congestion, postnasal drainage
Presentation of optic neuritis - ANSWER>>Enlarged blind spot, vision loss
in 1 eye, loss of color vision, hole in center of vision, trouble seeing to the
side, eye pain
pityriasis rosea - ANSWER>>Multiple round to oval scaling violaceous
plaques on abdomen and back
Acromion - ANSWER>>tip of shoulder
What to do for + finding on physical exam, but - workup -
ANSWER>>continue using test, but less lab and diagnostics
Cause of falsely high BP - ANSWER>>-too small of a BP cuff
- if the brachial artery is below heart level
- loose cuff
- bladder that balloons outside the cuff
2023\2024 graded A+
Bronchial - ANSWER>>or louder, harsher and higher in pitch, with a short
silence be-tween inspiratory and expiratory sounds. Expiratory sounds
last longer than inspiratory sounds.
tracheal sounds - ANSWER>>Loud, harsh sounds heard over the trachea
in the neck
Present Illness - ANSWER>>chronologic description of the problems
prompting the patient's visit, including the onset of the problem, the
setting in which it developed, its manifestations, and any treatments to
date.Each problem/symptom needs: (1) location; (2) quality; (3) quantity or
severity; (4) timing, including onset, duration, and frequency; (5) the
setting in which it occurs; (6) factors that have aggravated
-meds, allergies, tobacco use, ETOH and drug use
Symptoms of a SAH - ANSWER>>Headache with severe and sudden onset
-thunderclap headache reaching maximal intensity over several minutes
Cause of saddle numbness and urinary retention - ANSWER>>Cauda
equina syndrome
, Presentation of retinal detachment - ANSWER>>If sudden visual loss is
unilateral and painless,
Absence of red reflex - ANSWER>>an opacity of the lens (cataract) or,
possibly, the vitreous (or even an artificial eye). Less commonly, a
detached retina or, in children, a retinoblastoma may obscure this reflex.
S/S of seasonal allergies - ANSWER>>Itching, watery eyes, sneezing, ear
congestion, postnasal drainage
Presentation of optic neuritis - ANSWER>>Enlarged blind spot, vision loss
in 1 eye, loss of color vision, hole in center of vision, trouble seeing to the
side, eye pain
pityriasis rosea - ANSWER>>Multiple round to oval scaling violaceous
plaques on abdomen and back
Acromion - ANSWER>>tip of shoulder
What to do for + finding on physical exam, but - workup -
ANSWER>>continue using test, but less lab and diagnostics
Cause of falsely high BP - ANSWER>>-too small of a BP cuff
- if the brachial artery is below heart level
- loose cuff
- bladder that balloons outside the cuff
