NR509 / NR 509 B ates Test B ank – |! |! |! |! |! |! |! |!
Midter m Com plete com pr ehensive |! |! |!
exam w ith answ er s |! |!
A patient presents for evaluation of a sharp, aching chest pain which
|! |! |! |! |! |! |! |! |! |! |! |!
increases with breathing. Which anatomic area would you localize the
|! |! |! |! |! |! |! |! |! |!
symptom to? |!
A) Musculoskeletal
|!
B) Reproductive
|!
C) Urinary
|!
D) Endocrine - Correct answer ✔A) Musculoskeletal
|! |! |! |! |! |!
Chest pain may be due to a musculoskeletal condition, such as
|! |! |! |! |! |! |! |! |! |! |!
costochondritis or |!
intercostal muscle cramp. This would be worsened by motion of the chest
|! |! |! |! |! |! |! |! |! |! |! |!
wall. Pleuritic chest pain is also a sharp chest pain which increases with a
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
deep breath. This type of pain can
|! |! |! |! |! |!
occur with inflammation of the pleura from pneumonia or other conditions
|! |! |! |! |! |! |! |! |! |! |!
and pulmonary
|!
embolus.
,A patient comes to the emergency room for evaluation of shortness of breath.
|! |! |! |! |! |! |! |! |! |! |! |! |!
To which anatomic region would you assign the symptom?
|! |! |! |! |! |! |! |!
A) Reproductive
|!
B) Urinary
|!
C) Cardiac
|!
D) Hematologic - Correct answer ✔C) Cardiac
|! |! |! |! |! |!
Cardiac disorders such as congestive heart failure are the most likely on this
|! |! |! |! |! |! |! |! |! |! |! |! |!
list to result in shortness of breath. There are cases within the other
|! |! |! |! |! |! |! |! |! |! |! |! |!
categories which may also result |! |! |! |!
in shortness of breath, such as anemia in the hematologic category,
|! |! |! |! |! |! |! |! |! |! |!
pregnancy in the reproductive |! |! |!
category, or sepsis with UTI in the urinary category.
|! |! |! |! |! |! |! |!
A patient presents for evaluation of a cough. Which of the following
|! |! |! |! |! |! |! |! |! |! |! |!
anatomic regions can be responsible for a cough?
|! |! |! |! |! |! |!
A) Ophthalmologic
|!
B) Auditory
|!
C) Cardiac
|!
D) Endocrine - Correct answer ✔C) Cardiac
|! |! |! |! |! |! |!
,The cardiac system can cause a cough if the patient has congestive heart
|! |! |! |! |! |! |! |! |! |! |! |! |!
failure. This results in fluid buildup in the lungs, which in turn can cause a
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
cough that produces pink, |! |! |!
frothy sputum. A foreign body in the ear may also cause a cough by
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
stimulating Arnold's branch of the vagus nerve, but this is less likely to be
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
seen clinically than heart failure.
|! |! |! |!
A 22-year-old advertising copywriter presents for evaluation of joint pain. The
|! |! |! |! |! |! |! |! |! |!
pain is new,
|! |! |!
located in the wrists and fingers bilaterally, with some subjective fever. The
|! |! |! |! |! |! |! |! |! |! |! |!
patient denies a |! |!
rash; she also denies recent travel or camping activities. She has a family
|! |! |! |! |! |! |! |! |! |! |! |! |!
history significant for |! |!
rheumatoid arthritis. Based on this information, which of the following
|! |! |! |! |! |! |! |! |! |!
pathologic processes |!
would be the most correct? |! |! |! |!
A) Infectious
|!
B) Inflammatory
|!
C) Hematologic
|!
D) Traumatic - Correct answer ✔B) Inflammatory
|! |! |! |! |! |!
The description is most consistent with an inflammatory process, although all
|! |! |! |! |! |! |! |! |! |!
the other etiologies should be considered. Lyme disease is an infection which
|! |! |! |! |! |! |! |! |! |! |! |!
commonly causes
|! |!
, arthritis, hemophilia is a hematologic condition which can cause bleeding in
|! |! |! |! |! |! |! |! |! |! |!
the joints, and trauma can obviously cause joint pain.
|! |! |! |! |! |! |! |!
A 47-year-old contractor presents for evaluation of neck pain, which has been
|! |! |! |! |! |! |! |! |! |! |!
intermittent for several years. He normally takes over-the-counter
|! |! |! |! |! |! |! |! |!
medications to ease the pain, but this time they haven't worked as well and
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
he still has discomfort. He recently wallpapered the entire second floor in his
|! |! |! |! |! |! |! |! |! |! |! |! |!
house, which caused him great discomfort. The pain resolved with rest. He
|! |! |! |! |! |! |! |! |! |! |! |!
denies fever, chills, rash, upper respiratory symptoms, trauma, or injury to the
|! |! |! |! |! |! |! |! |! |! |!
neck. Based on this description, what is the most likely pathologic process?
|! |! |! |! |! |! |! |! |! |! |! |!
A) Infectious
|!
B) Neoplastic
|!
C) Degenerative
|!
D) Traumatic - Correct answer ✔C) Degenerative
|! |! |! |! |! |!
The description is most consistent with degenerative arthritis in the neck.
|! |! |! |! |! |! |! |! |! |! |!
The
patient has had intermittent symptoms and the questions asked to elicit
|! |! |! |! |! |! |! |! |! |! |!
pertinent negative and |! |!
positive findings are negative for infectious, traumatic, or neoplastic disease.
|! |! |! |! |! |! |! |! |!
A 15-year-old high school sophomore comes to the clinic for evaluation of a
|! |! |! |! |! |! |! |! |! |! |! |! |!
3-week history |!
of sneezing; itchy, watery eyes; clear nasal discharge; ear pain; and
|! |! |! |! |! |! |! |! |! |! |!
nonproductive cough. Which |! |!
Midter m Com plete com pr ehensive |! |! |!
exam w ith answ er s |! |!
A patient presents for evaluation of a sharp, aching chest pain which
|! |! |! |! |! |! |! |! |! |! |! |!
increases with breathing. Which anatomic area would you localize the
|! |! |! |! |! |! |! |! |! |!
symptom to? |!
A) Musculoskeletal
|!
B) Reproductive
|!
C) Urinary
|!
D) Endocrine - Correct answer ✔A) Musculoskeletal
|! |! |! |! |! |!
Chest pain may be due to a musculoskeletal condition, such as
|! |! |! |! |! |! |! |! |! |! |!
costochondritis or |!
intercostal muscle cramp. This would be worsened by motion of the chest
|! |! |! |! |! |! |! |! |! |! |! |!
wall. Pleuritic chest pain is also a sharp chest pain which increases with a
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
deep breath. This type of pain can
|! |! |! |! |! |!
occur with inflammation of the pleura from pneumonia or other conditions
|! |! |! |! |! |! |! |! |! |! |!
and pulmonary
|!
embolus.
,A patient comes to the emergency room for evaluation of shortness of breath.
|! |! |! |! |! |! |! |! |! |! |! |! |!
To which anatomic region would you assign the symptom?
|! |! |! |! |! |! |! |!
A) Reproductive
|!
B) Urinary
|!
C) Cardiac
|!
D) Hematologic - Correct answer ✔C) Cardiac
|! |! |! |! |! |!
Cardiac disorders such as congestive heart failure are the most likely on this
|! |! |! |! |! |! |! |! |! |! |! |! |!
list to result in shortness of breath. There are cases within the other
|! |! |! |! |! |! |! |! |! |! |! |! |!
categories which may also result |! |! |! |!
in shortness of breath, such as anemia in the hematologic category,
|! |! |! |! |! |! |! |! |! |! |!
pregnancy in the reproductive |! |! |!
category, or sepsis with UTI in the urinary category.
|! |! |! |! |! |! |! |!
A patient presents for evaluation of a cough. Which of the following
|! |! |! |! |! |! |! |! |! |! |! |!
anatomic regions can be responsible for a cough?
|! |! |! |! |! |! |!
A) Ophthalmologic
|!
B) Auditory
|!
C) Cardiac
|!
D) Endocrine - Correct answer ✔C) Cardiac
|! |! |! |! |! |! |!
,The cardiac system can cause a cough if the patient has congestive heart
|! |! |! |! |! |! |! |! |! |! |! |! |!
failure. This results in fluid buildup in the lungs, which in turn can cause a
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
cough that produces pink, |! |! |!
frothy sputum. A foreign body in the ear may also cause a cough by
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
stimulating Arnold's branch of the vagus nerve, but this is less likely to be
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
seen clinically than heart failure.
|! |! |! |!
A 22-year-old advertising copywriter presents for evaluation of joint pain. The
|! |! |! |! |! |! |! |! |! |!
pain is new,
|! |! |!
located in the wrists and fingers bilaterally, with some subjective fever. The
|! |! |! |! |! |! |! |! |! |! |! |!
patient denies a |! |!
rash; she also denies recent travel or camping activities. She has a family
|! |! |! |! |! |! |! |! |! |! |! |! |!
history significant for |! |!
rheumatoid arthritis. Based on this information, which of the following
|! |! |! |! |! |! |! |! |! |!
pathologic processes |!
would be the most correct? |! |! |! |!
A) Infectious
|!
B) Inflammatory
|!
C) Hematologic
|!
D) Traumatic - Correct answer ✔B) Inflammatory
|! |! |! |! |! |!
The description is most consistent with an inflammatory process, although all
|! |! |! |! |! |! |! |! |! |!
the other etiologies should be considered. Lyme disease is an infection which
|! |! |! |! |! |! |! |! |! |! |! |!
commonly causes
|! |!
, arthritis, hemophilia is a hematologic condition which can cause bleeding in
|! |! |! |! |! |! |! |! |! |! |!
the joints, and trauma can obviously cause joint pain.
|! |! |! |! |! |! |! |!
A 47-year-old contractor presents for evaluation of neck pain, which has been
|! |! |! |! |! |! |! |! |! |! |!
intermittent for several years. He normally takes over-the-counter
|! |! |! |! |! |! |! |! |!
medications to ease the pain, but this time they haven't worked as well and
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
he still has discomfort. He recently wallpapered the entire second floor in his
|! |! |! |! |! |! |! |! |! |! |! |! |!
house, which caused him great discomfort. The pain resolved with rest. He
|! |! |! |! |! |! |! |! |! |! |! |!
denies fever, chills, rash, upper respiratory symptoms, trauma, or injury to the
|! |! |! |! |! |! |! |! |! |! |!
neck. Based on this description, what is the most likely pathologic process?
|! |! |! |! |! |! |! |! |! |! |! |!
A) Infectious
|!
B) Neoplastic
|!
C) Degenerative
|!
D) Traumatic - Correct answer ✔C) Degenerative
|! |! |! |! |! |!
The description is most consistent with degenerative arthritis in the neck.
|! |! |! |! |! |! |! |! |! |! |!
The
patient has had intermittent symptoms and the questions asked to elicit
|! |! |! |! |! |! |! |! |! |! |!
pertinent negative and |! |!
positive findings are negative for infectious, traumatic, or neoplastic disease.
|! |! |! |! |! |! |! |! |!
A 15-year-old high school sophomore comes to the clinic for evaluation of a
|! |! |! |! |! |! |! |! |! |! |! |! |!
3-week history |!
of sneezing; itchy, watery eyes; clear nasal discharge; ear pain; and
|! |! |! |! |! |! |! |! |! |! |!
nonproductive cough. Which |! |!
