NR 667 VISE Assignment Questions With
Complete Solutions
-Assessment findings: Eczema Correct Answers -
Pruritus, erythema, dry skin, erythema of
infraorbital folds, antecubital fossa, posterior
patella, scalp
-Flexural surfaces i.e. doors of hands, feet
-Often reappears in adulthood after absence since
childhood
-Lichenification and scaling typical
-Diagnostic studies: Depressive disorder Correct
Answers -Structured interviews/questionnaire
-DSM-5
-PROMIS (ages 6-17)
-PHQ-9
-Zung- self-rating depression scale
-Laboratory studies to rule out other conditions:
TSH, urine drug screen, ECG, Vit D, genetic testing
to help with medication selection
-Diagnostic studies: Eczema Correct Answers -
Usually none needed
-80% of patients have eosinophilia during
exacerbations
-Serum allergy testing
-Differential diagnosis: Depressive disorder Correct
Answers -Bipolar disorder
,-ADD
-Chronic physical illness
-Physical/sexual abuse
-PTSD
-Substance abuse
-Grief reaction
-Hypothyroidism/B12 deficiency
-Dementia
-Expected course: Eczema Correct Answers -
Exacerbations and remission
-Expect flare-ups
-Risk factors: Tinea unguium Correct Answers -
Excessive exposure to water, soap, detergent
-Distortion of nails from chronic inflammation
-Commonly associated with tinea pedis
-Risk factors: Transient Synovitis of the Hip Correct
Answers -History of URI 7-14 days before symptom
onset in 70% of affected children
-History of trauma
Assessment findings: ACL Injury Correct Answers -
Timing
-Mechanism
-Popping sound at the time of injury
-Acute pain
-Inability to weight bear after injury
-Acute swelling/hemarthrosis with rapid onset
,-Joint instability, "giving out"
-Positive lachman test
-Positive pivot shift "clunk"
-Positiv anterior drawer test
-Medial/lateral laxity
Assessment findings: Allergic rhinitis Correct
Answers -DX is based on h+p findings consistent
with allergy-related cause; presence of one or
more of these symptoms: nasal congestion,
rhinorrhea, itchy nose, sneezing
-Conjunctival injection, watery eyes
-Pale, boggy nasal mucosa with congestion and
clear rhinorrhea
-Transverse crease on tip of nose due to allergic
salute-repeated wiping of nose in an upward
direction
-Mouth breathing, dry lips
-Sore throat, dry mouth upon waking
-Palpable lymph nodes
-Enlarged tonsils and adenoids
-Presence of associated conditions: sleep-
disordered breathing, otitis media, rhinosinusitis,
conjunctivitis, asthma, atopic dermatitis
Assessment findings: Anxiety Correct Answers -
Children: separation anxiety after age 3-4 years
(can be present in adulthood); unrealistic worry
about harm to self or family; persistent worry
about past behavior, competence, or future events
, -Adults: apprehension, restlessness, edginess,
distractibility, insomnia
-Somatic complaints: fatigue, headaches,
paresthesia, near syncope, derealization, dizziness,
diaphoresis, palpitations, tachycardia, chest
pain/tightness, dyspnea, hyperventilation, N/V/D,
excessive rumination
Assessment findings: Asthma Correct Answers -
Free of symptoms between attacks
-Airway constriction causing expiratory wheezing
-SOB
-Tachypnea, tachycardia
-Nonproductive cough
-Chest tightness
-Hyper-resonance
-Prolonged expiration
-Accessory muscle use in severe attack
-Sudden nocturnal dyspnea
-Decreased exercise tolerance
Assessment findings: Back pain Correct Answers -
Cauda equina is a surgical emergency that
presents with back pain + 1. perineal anesthesia,
2. loss of bladder/bowel control, 3. loss of rectal
sphincter tones with digital exam, 4. bilateral
radicular pain, numbness and weakness
-Back, but, and thighs may be aggravated by
movement, rising from seated position, standing,
Complete Solutions
-Assessment findings: Eczema Correct Answers -
Pruritus, erythema, dry skin, erythema of
infraorbital folds, antecubital fossa, posterior
patella, scalp
-Flexural surfaces i.e. doors of hands, feet
-Often reappears in adulthood after absence since
childhood
-Lichenification and scaling typical
-Diagnostic studies: Depressive disorder Correct
Answers -Structured interviews/questionnaire
-DSM-5
-PROMIS (ages 6-17)
-PHQ-9
-Zung- self-rating depression scale
-Laboratory studies to rule out other conditions:
TSH, urine drug screen, ECG, Vit D, genetic testing
to help with medication selection
-Diagnostic studies: Eczema Correct Answers -
Usually none needed
-80% of patients have eosinophilia during
exacerbations
-Serum allergy testing
-Differential diagnosis: Depressive disorder Correct
Answers -Bipolar disorder
,-ADD
-Chronic physical illness
-Physical/sexual abuse
-PTSD
-Substance abuse
-Grief reaction
-Hypothyroidism/B12 deficiency
-Dementia
-Expected course: Eczema Correct Answers -
Exacerbations and remission
-Expect flare-ups
-Risk factors: Tinea unguium Correct Answers -
Excessive exposure to water, soap, detergent
-Distortion of nails from chronic inflammation
-Commonly associated with tinea pedis
-Risk factors: Transient Synovitis of the Hip Correct
Answers -History of URI 7-14 days before symptom
onset in 70% of affected children
-History of trauma
Assessment findings: ACL Injury Correct Answers -
Timing
-Mechanism
-Popping sound at the time of injury
-Acute pain
-Inability to weight bear after injury
-Acute swelling/hemarthrosis with rapid onset
,-Joint instability, "giving out"
-Positive lachman test
-Positive pivot shift "clunk"
-Positiv anterior drawer test
-Medial/lateral laxity
Assessment findings: Allergic rhinitis Correct
Answers -DX is based on h+p findings consistent
with allergy-related cause; presence of one or
more of these symptoms: nasal congestion,
rhinorrhea, itchy nose, sneezing
-Conjunctival injection, watery eyes
-Pale, boggy nasal mucosa with congestion and
clear rhinorrhea
-Transverse crease on tip of nose due to allergic
salute-repeated wiping of nose in an upward
direction
-Mouth breathing, dry lips
-Sore throat, dry mouth upon waking
-Palpable lymph nodes
-Enlarged tonsils and adenoids
-Presence of associated conditions: sleep-
disordered breathing, otitis media, rhinosinusitis,
conjunctivitis, asthma, atopic dermatitis
Assessment findings: Anxiety Correct Answers -
Children: separation anxiety after age 3-4 years
(can be present in adulthood); unrealistic worry
about harm to self or family; persistent worry
about past behavior, competence, or future events
, -Adults: apprehension, restlessness, edginess,
distractibility, insomnia
-Somatic complaints: fatigue, headaches,
paresthesia, near syncope, derealization, dizziness,
diaphoresis, palpitations, tachycardia, chest
pain/tightness, dyspnea, hyperventilation, N/V/D,
excessive rumination
Assessment findings: Asthma Correct Answers -
Free of symptoms between attacks
-Airway constriction causing expiratory wheezing
-SOB
-Tachypnea, tachycardia
-Nonproductive cough
-Chest tightness
-Hyper-resonance
-Prolonged expiration
-Accessory muscle use in severe attack
-Sudden nocturnal dyspnea
-Decreased exercise tolerance
Assessment findings: Back pain Correct Answers -
Cauda equina is a surgical emergency that
presents with back pain + 1. perineal anesthesia,
2. loss of bladder/bowel control, 3. loss of rectal
sphincter tones with digital exam, 4. bilateral
radicular pain, numbness and weakness
-Back, but, and thighs may be aggravated by
movement, rising from seated position, standing,
