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Nurs 620 Maryville Exam 2 | Brand New Actual
Exam With Answers 2025
Diff diagnosis for syncope - Correct-Answer-•Cardiac
-Arrhythmias
-PE
•Neurally Mediated
•Vasovagal
•Situational
•Cerebrovascular
-CVA
-Seizures
-metabolic
HPI and PE for syncope - Correct-Answer-What were the presenting symptoms?
Was it with activity?
Was it with a change of location?
Do they recently take any medication?
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Were they hydrated?
Were they with exercise
What were they doing when this episode happened?
Physical exam, doing a full physical exam, ruling out is it cardiac? Is it
neurological? Is it ENT related? Is it even psychiatric related?
Testing for syncope - Correct-Answer--ECG
-Stress test/ECHO
-Holter/Loop monitor
-BMP
-Consider H pylori/UGI
-Orthostatic BP with pulse-lying, sitting and standing
PVD peripheral vascular disease - Correct-Answer-arteries become narrowed and
blood flow decreases- usually due to plaque or fat deposit build up
(atherosclerosis)
Risk factors for PVD - Correct-Answer-•Those over the age of 50
•Smokers
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•Diabetics
•Overweight individuals (especially with hyperinsulism or metabolic syndromes,
syndrome X)
•Male gender
•Sedentary individuals
•Those with HTN or high cholesterol levels
•Family history of heart or vascular disease
•Those with CAD
•AA individuals
HPI for PVD - Correct-Answer--Do they have any risk factors?
-Are they having any symptoms?
-Are they noticing any swelling in the legs?
-Are they noting any discoloration or wounds to the skin?
-What about pulses, are they noticed a diminished pulse, any blue coloration to
the feet?
-Are they having pain with walking?
-Are they having pain at rest?
Review of systems, we really want to focus on the cardiovascular, pulmonary, and
peripheral systems, and physical exam the same.
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Etiolgy of PVD - Correct-Answer-•Large arteries
-Atherosclerosis
-Thromboembolism
-Trauma
-Arteritis of various types including
•Buerger's disease
•Fibromuscular dysplasia
•Takayasu's
Medium and small vessel occlusions
-Diabetes
-Chronic recurrent trauma
-Multiple small emboli
-Collagen vascular diseases
-Dysproteinemias
-Polycythaemia vera
-Pseudoxanthoma elasticum
-Drug reaction
-Vasospasm
Nurs 620 Maryville Exam 2 | Brand New Actual
Exam With Answers 2025
Diff diagnosis for syncope - Correct-Answer-•Cardiac
-Arrhythmias
-PE
•Neurally Mediated
•Vasovagal
•Situational
•Cerebrovascular
-CVA
-Seizures
-metabolic
HPI and PE for syncope - Correct-Answer-What were the presenting symptoms?
Was it with activity?
Was it with a change of location?
Do they recently take any medication?
,2|Page
Were they hydrated?
Were they with exercise
What were they doing when this episode happened?
Physical exam, doing a full physical exam, ruling out is it cardiac? Is it
neurological? Is it ENT related? Is it even psychiatric related?
Testing for syncope - Correct-Answer--ECG
-Stress test/ECHO
-Holter/Loop monitor
-BMP
-Consider H pylori/UGI
-Orthostatic BP with pulse-lying, sitting and standing
PVD peripheral vascular disease - Correct-Answer-arteries become narrowed and
blood flow decreases- usually due to plaque or fat deposit build up
(atherosclerosis)
Risk factors for PVD - Correct-Answer-•Those over the age of 50
•Smokers
,3|Page
•Diabetics
•Overweight individuals (especially with hyperinsulism or metabolic syndromes,
syndrome X)
•Male gender
•Sedentary individuals
•Those with HTN or high cholesterol levels
•Family history of heart or vascular disease
•Those with CAD
•AA individuals
HPI for PVD - Correct-Answer--Do they have any risk factors?
-Are they having any symptoms?
-Are they noticing any swelling in the legs?
-Are they noting any discoloration or wounds to the skin?
-What about pulses, are they noticed a diminished pulse, any blue coloration to
the feet?
-Are they having pain with walking?
-Are they having pain at rest?
Review of systems, we really want to focus on the cardiovascular, pulmonary, and
peripheral systems, and physical exam the same.
, 4|Page
Etiolgy of PVD - Correct-Answer-•Large arteries
-Atherosclerosis
-Thromboembolism
-Trauma
-Arteritis of various types including
•Buerger's disease
•Fibromuscular dysplasia
•Takayasu's
Medium and small vessel occlusions
-Diabetes
-Chronic recurrent trauma
-Multiple small emboli
-Collagen vascular diseases
-Dysproteinemias
-Polycythaemia vera
-Pseudoxanthoma elasticum
-Drug reaction
-Vasospasm
