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NR 509 Final Questions and Correct
Answers the Latest Update and
Recommended Version
Know that in a 47-year-old man ED is usually ___________ rather than testosterone
✓ psychologic
Erectile dysfunction may be from psychogenic causes, especially if
✓ early morning erection is preserved.
✓ it may also reflect decreased testosterone, decreased blood flow in the hypogastric
arterial system, impaired neural innervation, and diabetes
When performing a breast exam, know what abnormal masses should do when the arm
✓ may be fixed to skin or underlying tissues (may cause dimpling of skin or retraction when
arms are lifted over head or hands are pressed against hips)
Fibroadenoma and cysts mobility
✓ very mobile/mobile
Know that a high proportion of breast masses are noted during ________
✓ BSE
Breast stage 1
✓ preadolescent- elevation of nipple only
Breast stage 2
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✓ breast bud stage- elevation of breast and nipple as a small mound; enlargement of
areolar diameter
breast stage 3
✓ further enlargement of elevation of breast and areola, with no separation of their
contours
breast stage 4
✓ projection of areola and nipple to form a secondary mound above the level of breast
breast stage 5
✓ mature stage- projection of nipple only; areola has receded to general contour of the
breast (although in some individuals the areola continues to form a secondary mound)
Know where pain is located with pancreatitis: acute
✓ epigastric, may radiation straight to the back of other areas of the abdomen; 20% with
severe sequelae of organ failure
Know where pain is located with pancreatitis: chronic
✓ epigastric, radiating to back
Know how hepatitis A is transmitted
✓ Transmitted through fecal-oral route. Fecal shedding followed by poor handwashing
contaminates water and foods leading to infection of household and sexual contacts
Stress incontinence
|
✓ Thank You for Choosing Us! ✓ Resources & Updates: [Testtrackers - Stuvia US]
✓ © 2024 TestTrackers ✓ Your Success is Our Mission!
✓ Customer Support: [+254707240657]
, TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence Today!
✓ the urethral sphincter is weakened so that transient increases in intra-abdominal pressure
raise the bladder pressure to levels that exceed urethral resistance. Causes include
childbirth and surgery, postmenopausal atrophy of the mucosa, and urethral infection.
May follow prostate surgery in men.
urge incontinence
✓ detrusor contractions are stronger than normal and overcome the normal urethral
resistance. The bladder is typically small. Mechanisms: Decreased cortical inhibition of
detrusor contractions from stroke, brain tumor, dementia, and lesions of the spinal cord
above sacral level. Also hyperexcitability of sensory pathways ie: bladder infections,
tumors, and fecal impaction. Deconditioning of voiding reflexes ie: frequent voluntary
voiding at low bladder volumes.
overflow incontinence
✓ detrusor contractions are insufficient to overcome urethral resistance, causing urinary
retention. The bladder is typically flaccid and large, even after an effort to void.
Mechanisms: obstruction of the bladder outlet ie: BPH or tumor. Weakness of the detrusor
muscle associated with peripheral nerve disease at S2-4 level. Impaired bladder sensation
that interrupts the reflex arc ie: diabetic neuropathy.
functional incontinence
✓ the patient is functionally able to reach the toilet in time because of impaired health or
environmental conditions. Mechanism: problems in mobility resulting from weakness,
arthritis, poor vision, or other conditions. Also environmental factors such as an unfamiliar
setting, distant bathroom facilities, bed rails, or physical restraints.
Incontinence secondary to medications
✓ drugs may contribute to any type of incontinence listed. Ex: sedatives, tranquilizers,
anticholinergics, sympathetic blockers, and potent diuretics
Know where lymph nodes should be with strep
|
✓ Thank You for Choosing Us! ✓ Resources & Updates: [Testtrackers - Stuvia US]
✓ © 2024 TestTrackers ✓ Your Success is Our Mission!
✓ Customer Support: [+254707240657]
NR 509 Final Questions and Correct
Answers the Latest Update and
Recommended Version
Know that in a 47-year-old man ED is usually ___________ rather than testosterone
✓ psychologic
Erectile dysfunction may be from psychogenic causes, especially if
✓ early morning erection is preserved.
✓ it may also reflect decreased testosterone, decreased blood flow in the hypogastric
arterial system, impaired neural innervation, and diabetes
When performing a breast exam, know what abnormal masses should do when the arm
✓ may be fixed to skin or underlying tissues (may cause dimpling of skin or retraction when
arms are lifted over head or hands are pressed against hips)
Fibroadenoma and cysts mobility
✓ very mobile/mobile
Know that a high proportion of breast masses are noted during ________
✓ BSE
Breast stage 1
✓ preadolescent- elevation of nipple only
Breast stage 2
|
✓ Thank You for Choosing Us! ✓ Resources & Updates: [Testtrackers - Stuvia US]
✓ © 2024 TestTrackers ✓ Your Success is Our Mission!
✓ Customer Support: [+254707240657]
, TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence Today!
✓ breast bud stage- elevation of breast and nipple as a small mound; enlargement of
areolar diameter
breast stage 3
✓ further enlargement of elevation of breast and areola, with no separation of their
contours
breast stage 4
✓ projection of areola and nipple to form a secondary mound above the level of breast
breast stage 5
✓ mature stage- projection of nipple only; areola has receded to general contour of the
breast (although in some individuals the areola continues to form a secondary mound)
Know where pain is located with pancreatitis: acute
✓ epigastric, may radiation straight to the back of other areas of the abdomen; 20% with
severe sequelae of organ failure
Know where pain is located with pancreatitis: chronic
✓ epigastric, radiating to back
Know how hepatitis A is transmitted
✓ Transmitted through fecal-oral route. Fecal shedding followed by poor handwashing
contaminates water and foods leading to infection of household and sexual contacts
Stress incontinence
|
✓ Thank You for Choosing Us! ✓ Resources & Updates: [Testtrackers - Stuvia US]
✓ © 2024 TestTrackers ✓ Your Success is Our Mission!
✓ Customer Support: [+254707240657]
, TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence Today!
✓ the urethral sphincter is weakened so that transient increases in intra-abdominal pressure
raise the bladder pressure to levels that exceed urethral resistance. Causes include
childbirth and surgery, postmenopausal atrophy of the mucosa, and urethral infection.
May follow prostate surgery in men.
urge incontinence
✓ detrusor contractions are stronger than normal and overcome the normal urethral
resistance. The bladder is typically small. Mechanisms: Decreased cortical inhibition of
detrusor contractions from stroke, brain tumor, dementia, and lesions of the spinal cord
above sacral level. Also hyperexcitability of sensory pathways ie: bladder infections,
tumors, and fecal impaction. Deconditioning of voiding reflexes ie: frequent voluntary
voiding at low bladder volumes.
overflow incontinence
✓ detrusor contractions are insufficient to overcome urethral resistance, causing urinary
retention. The bladder is typically flaccid and large, even after an effort to void.
Mechanisms: obstruction of the bladder outlet ie: BPH or tumor. Weakness of the detrusor
muscle associated with peripheral nerve disease at S2-4 level. Impaired bladder sensation
that interrupts the reflex arc ie: diabetic neuropathy.
functional incontinence
✓ the patient is functionally able to reach the toilet in time because of impaired health or
environmental conditions. Mechanism: problems in mobility resulting from weakness,
arthritis, poor vision, or other conditions. Also environmental factors such as an unfamiliar
setting, distant bathroom facilities, bed rails, or physical restraints.
Incontinence secondary to medications
✓ drugs may contribute to any type of incontinence listed. Ex: sedatives, tranquilizers,
anticholinergics, sympathetic blockers, and potent diuretics
Know where lymph nodes should be with strep
|
✓ Thank You for Choosing Us! ✓ Resources & Updates: [Testtrackers - Stuvia US]
✓ © 2024 TestTrackers ✓ Your Success is Our Mission!
✓ Customer Support: [+254707240657]
