NURS 550 Midterm 2025/2026 Exam
Questions and Verified Answers |
Already Graded A+
Differential Diagnosis - 🧠 ANSWER ✔✔• In deciding which disease to
include in the differential, consider: - What's the most life-threatening
disease the patient could have? - Could this be a common disease
presenting with unusual features? - What diseases present with misleading
symptoms? - What rare diseases could be causing these signs and
symptoms?
Develop a Complete, Framed Differential Diagnosis (Hypothesis) - 🧠
ANSWER ✔✔• Not all diagnoses in a given differential are: - equally likely -
equally important
• You must select: - a leading (working) hypothesis - a must not miss
hypothesis - An active alternative hypothesis
SOAP stands for: - 🧠 ANSWER ✔✔• Subjective • Objective • Assessment •
Plan
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,Subjective - 🧠 ANSWER ✔✔The subjective section is what the patient tells
you about their current condition and past conditions.
Chief Complaint - 🧠 ANSWER ✔✔• What brought the patient to the office
• Example: Sore throat for 2 days
History of Present Illness/Injury - 🧠 ANSWER ✔✔- Onset - When did the
symptoms and/or signs begin, what was the mechanism of injury
- Chronology - episodic, variable, constant, etc
- Quality - sharp, dull, ache, sudden, insidious
- Severity - pain rating, 0-10 pain scale, interferes with daily activities
- Modifying factors - aggravating and alleviating factors
- Additional symptoms - unrelated or significant symptoms
- Treatment - medications, herbs, "home remedies", rest, activity, splint, etc
- Use "OLDCART" to assist you (Onset, Location, Duration, Character ,
Aggravating factors, Relieving factors, Treatments"
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,History - 🧠 ANSWER ✔✔Allergies - list of allergies to food, medication, and
products with type of reaction
- Medical - past and present medical conditions (i.e. asthma, hypertension,
malaria, etc.)
- Surgical - past surgeries (i.e. appendectomy, CABG, craniotomy, etc.)
- Family - mother, father, siblings, etc. - Social - occupation, alcohol, drug,
tobacco use, risky behavior
- Immunizations - current and past received with dates
- Screenings/Health Promotion - mammography, testicular exams, dental,
vision
- Review of Systems - systemic symptoms related to the current problem(s)
including pertinent positives and negatives
Review of Systems - 🧠 ANSWER ✔✔General - fever (subjective) with chills
and sweats, denies fatigue, weakness, weight loss, or malaise
- Skin - denies rashes, lesions, discolorations
- HEENT - positive for generalized headache, sore throat, pain with
swallowing and rhinorrhea. Denies difficulty swallowing saliva, earache,
sinus congestion, sinus pain, visual or auditory aura
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, - Neck - denies lump, pain, stiffness, or decreased range of motion
- Cardiac - denies chest pain, pressure, tightness, palpitations
- Pulmonary - denies cough, wheeze, hemoptysis
- GI - denies nausea, vomiting, abdominal pain
- GU - denies missed menses, urinary frequency, urgency or hematuria
- MS - denies cramping, pain,
- Neuro - denies unilateral weakness, numbness, tingling
Review of Systems - 🧠 ANSWER ✔✔• Should elaborate on the chief
complaint and HPI • Don't ask questions that the patient may not know
Review of Systems
Do you have a problem with your prostate? Do have anemia, heart failure,
cancer? Do you frequently urinate during the night? Have you noticed a
change in the stream of your urine? Do you avoid drinking fluids during
work? Do you feel tired often? Are you short of breath? Have you had any
weight loss recently?
Objective - 🧠 ANSWER ✔✔In this section you document what you observe
during the examination and visit.
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Questions and Verified Answers |
Already Graded A+
Differential Diagnosis - 🧠 ANSWER ✔✔• In deciding which disease to
include in the differential, consider: - What's the most life-threatening
disease the patient could have? - Could this be a common disease
presenting with unusual features? - What diseases present with misleading
symptoms? - What rare diseases could be causing these signs and
symptoms?
Develop a Complete, Framed Differential Diagnosis (Hypothesis) - 🧠
ANSWER ✔✔• Not all diagnoses in a given differential are: - equally likely -
equally important
• You must select: - a leading (working) hypothesis - a must not miss
hypothesis - An active alternative hypothesis
SOAP stands for: - 🧠 ANSWER ✔✔• Subjective • Objective • Assessment •
Plan
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER:
619652435. TERMS OF USE. PRIVACY STATEMENT. ALL RIGHTS RESERVED 1
,Subjective - 🧠 ANSWER ✔✔The subjective section is what the patient tells
you about their current condition and past conditions.
Chief Complaint - 🧠 ANSWER ✔✔• What brought the patient to the office
• Example: Sore throat for 2 days
History of Present Illness/Injury - 🧠 ANSWER ✔✔- Onset - When did the
symptoms and/or signs begin, what was the mechanism of injury
- Chronology - episodic, variable, constant, etc
- Quality - sharp, dull, ache, sudden, insidious
- Severity - pain rating, 0-10 pain scale, interferes with daily activities
- Modifying factors - aggravating and alleviating factors
- Additional symptoms - unrelated or significant symptoms
- Treatment - medications, herbs, "home remedies", rest, activity, splint, etc
- Use "OLDCART" to assist you (Onset, Location, Duration, Character ,
Aggravating factors, Relieving factors, Treatments"
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER:
619652435. TERMS OF USE. PRIVACY STATEMENT. ALL RIGHTS RESERVED 2
,History - 🧠 ANSWER ✔✔Allergies - list of allergies to food, medication, and
products with type of reaction
- Medical - past and present medical conditions (i.e. asthma, hypertension,
malaria, etc.)
- Surgical - past surgeries (i.e. appendectomy, CABG, craniotomy, etc.)
- Family - mother, father, siblings, etc. - Social - occupation, alcohol, drug,
tobacco use, risky behavior
- Immunizations - current and past received with dates
- Screenings/Health Promotion - mammography, testicular exams, dental,
vision
- Review of Systems - systemic symptoms related to the current problem(s)
including pertinent positives and negatives
Review of Systems - 🧠 ANSWER ✔✔General - fever (subjective) with chills
and sweats, denies fatigue, weakness, weight loss, or malaise
- Skin - denies rashes, lesions, discolorations
- HEENT - positive for generalized headache, sore throat, pain with
swallowing and rhinorrhea. Denies difficulty swallowing saliva, earache,
sinus congestion, sinus pain, visual or auditory aura
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER:
619652435. TERMS OF USE. PRIVACY STATEMENT. ALL RIGHTS RESERVED 3
, - Neck - denies lump, pain, stiffness, or decreased range of motion
- Cardiac - denies chest pain, pressure, tightness, palpitations
- Pulmonary - denies cough, wheeze, hemoptysis
- GI - denies nausea, vomiting, abdominal pain
- GU - denies missed menses, urinary frequency, urgency or hematuria
- MS - denies cramping, pain,
- Neuro - denies unilateral weakness, numbness, tingling
Review of Systems - 🧠 ANSWER ✔✔• Should elaborate on the chief
complaint and HPI • Don't ask questions that the patient may not know
Review of Systems
Do you have a problem with your prostate? Do have anemia, heart failure,
cancer? Do you frequently urinate during the night? Have you noticed a
change in the stream of your urine? Do you avoid drinking fluids during
work? Do you feel tired often? Are you short of breath? Have you had any
weight loss recently?
Objective - 🧠 ANSWER ✔✔In this section you document what you observe
during the examination and visit.
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER:
619652435. TERMS OF USE. PRIVACY STATEMENT. ALL RIGHTS RESERVED 4
