NR 509 Midterm Exam Test Question and Answers
Cause of saddle numbness and urinary retention
Answer: Cauda equina syndrome
Presentation of retinal detachment
Answer: If sudden visual loss is unilateral and painless,
Obtunded
Answer: patient opens the eyes and looks at you but responds slowly and is somewhat confused.
Alertness and interest in the environment are decreased.
Cranial nerve for lateral gaze
Answer: CN6: Abducens
Adult Illnesses
Answer: Medical: Illnesses such as diabetes, hypertension, hepatitis, asthma, and human
immunodeficiency virus (HIV); hospitalizations; number and gender of sexual partners; and risk-taking
sexual practices
■ Surgical: Dates, indications, and types of operations
■ Obstetric/Gynecologic: Obstetric history, menstrual history, methods of contraception, and sexual
function
■ Psychiatric: Illness and time frame, diagnoses, hospitalizations, and treatments
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
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
Check for nystagmus
Answer: -involuntary jerking movement of the eyes with quick and slow components.
- It is named for the direction of the quick component
- seen in cerebellar disease and vestibular disorders and in internuclear ophthalmoplegia
Jaundice
Answer: yellow sclera
how do get a patient to open up when upset
Answer: effective reassurance is simply identifying and acknowledging the patient's feelings.
-Partnering
-Summarizing
-Transitions
- Empowering the pt
s/s of degenerative pain
Answer: -Slowly progressive, with temporary exacerbations after periods of overuse
-usually insidious
- flexion and deviation deformities
How otosclerosis presents with Weber and Rinne test
Answer: - Weber: Sound lateralizes to impaired ear. Room noise not well heard, so detection of
vibrations improves
- Rinne: BC longer than or equal to AC. While air conduction through the external or middle ear is
impaired, vibrations through bone bypass the problem to reach the cochlea.
Cherry angiomas
Answer: Benign
Interpreting visual acuity test
Answer: Vision of 20/200 means that at 20 feet the patient can read print that a person with normal
vision could read at 200 feet. The larger the second number, the worse the vision. "20/40 corrected"
means the patient could read the 20/40 line with glasses (a correction).
Sequence of the interview
Answer: Preparation. Then, Greeting the patient and establishing rapport. Establishing the agenda for
the interview. Inviting the patient's story. Exploring the patient's perspective. Identifying and responding
to emotional cues. Expand-ing and clarifying the patient's story. Generating and testing diagnostic
Cause of saddle numbness and urinary retention
Answer: Cauda equina syndrome
Presentation of retinal detachment
Answer: If sudden visual loss is unilateral and painless,
Obtunded
Answer: patient opens the eyes and looks at you but responds slowly and is somewhat confused.
Alertness and interest in the environment are decreased.
Cranial nerve for lateral gaze
Answer: CN6: Abducens
Adult Illnesses
Answer: Medical: Illnesses such as diabetes, hypertension, hepatitis, asthma, and human
immunodeficiency virus (HIV); hospitalizations; number and gender of sexual partners; and risk-taking
sexual practices
■ Surgical: Dates, indications, and types of operations
■ Obstetric/Gynecologic: Obstetric history, menstrual history, methods of contraception, and sexual
function
■ Psychiatric: Illness and time frame, diagnoses, hospitalizations, and treatments
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
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
Check for nystagmus
Answer: -involuntary jerking movement of the eyes with quick and slow components.
- It is named for the direction of the quick component
- seen in cerebellar disease and vestibular disorders and in internuclear ophthalmoplegia
Jaundice
Answer: yellow sclera
how do get a patient to open up when upset
Answer: effective reassurance is simply identifying and acknowledging the patient's feelings.
-Partnering
-Summarizing
-Transitions
- Empowering the pt
s/s of degenerative pain
Answer: -Slowly progressive, with temporary exacerbations after periods of overuse
-usually insidious
- flexion and deviation deformities
How otosclerosis presents with Weber and Rinne test
Answer: - Weber: Sound lateralizes to impaired ear. Room noise not well heard, so detection of
vibrations improves
- Rinne: BC longer than or equal to AC. While air conduction through the external or middle ear is
impaired, vibrations through bone bypass the problem to reach the cochlea.
Cherry angiomas
Answer: Benign
Interpreting visual acuity test
Answer: Vision of 20/200 means that at 20 feet the patient can read print that a person with normal
vision could read at 200 feet. The larger the second number, the worse the vision. "20/40 corrected"
means the patient could read the 20/40 line with glasses (a correction).
Sequence of the interview
Answer: Preparation. Then, Greeting the patient and establishing rapport. Establishing the agenda for
the interview. Inviting the patient's story. Exploring the patient's perspective. Identifying and responding
to emotional cues. Expand-ing and clarifying the patient's story. Generating and testing diagnostic
