NR 509 midterm Questions and Correct
Answers the Latest Update and
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Cause of saddle numbness and urinary retention
✓ Cauda equina syndrome
Presentation of retinal detachment
✓ If sudden visual loss is unilateral and painless,
Obtunded
✓ 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
✓ CN6: Abducens
Adult Illnesses
✓ 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
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✓ 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
✓ 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
✓ Itching, watery eyes, sneezing, ear congestion, postnasal drainage
Presentation of optic neuritis
✓ 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
✓ Multiple round to oval scaling violaceous plaques on abdomen and back
Acromion
✓ tip of shoulder
What to do for + finding on physical exam, but - workup
✓ continue using test, but less lab and diagnostics
Cause of falsely high BP
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