2025/2026 NR 509 midterm EXAM
WITH WELL LISTED QUESTIONS AND
VERIFIED ANSWERS GRADED A+
Cause of saddle numbness and urinary retention - CORRECT ANSWER --Cauda
equina syndrome
Presentation of retinal detachment - CORRECT ANSWER --If sudden visual loss is
unilateral and painless,
Obtunded - CORRECT ANSWER --patient opens the eyes and looks at you but
responds slowly and is somewhat confused. Alertness and interest in the
environment are decreased.
Cranial nerve for lateral gaze - CORRECT ANSWER --CN6: Abducens
Adult Illnesses - CORRECT ANSWER --Medical: Illnesses such as diabetes,
hypertension, hepatitis, asthma, and human immunodeficiency virus (HIV);
hospitalizations; number and gender of sexual partners; and risk-taking sexual
practices
■ Surgical: Dates, indications, and types of operations
■ Obstetric/Gynecologic: Obstetric history, menstrual history, methods of
contraception, and sexual function
■ Psychiatric: Illness and time frame, diagnoses, hospitalizations, and treatments
Present Illness - CORRECT ANSWER --chronologic description of the problems
prompting the patient's visit, including the onset of the problem, the setting in
which it developed, its manifestations, and any treatments to date.Each
problem/symptom needs: (1) location; (2) quality; (3) quantity or severity; (4)
timing, including onset, duration, and frequency; (5) the setting in which it
occurs; (6) factors that have aggravated
-meds, allergies, tobacco use, ETOH and drug use
, Absence of red reflex - CORRECT ANSWER --an opacity of the lens (cataract) or,
possibly, the vitreous (or even an artificial eye). Less commonly, a detached
retina or, in children, a retinoblastoma may obscure this reflex.
S/S of seasonal allergies - CORRECT ANSWER --Itching, watery eyes, sneezing, ear
congestion, postnasal drainage
Presentation of optic neuritis - CORRECT ANSWER --Enlarged blind spot, vision
loss in 1 eye, loss of color vision, hole in center of vision, trouble seeing to the
side, eye pain
pityriasis rosea - CORRECT ANSWER --Multiple round to oval scaling violaceous
plaques on abdomen and back
Acromion - CORRECT ANSWER --tip of shoulder
What to do for + finding on physical exam, but - workup - CORRECT ANSWER --
continue using test, but less lab and diagnostics
Cause of falsely high BP - CORRECT ANSWER ---too small of a BP cuff
- if the brachial artery is below heart level
- loose cuff
- bladder that balloons outside the cuff
Check for nystagmus - CORRECT ANSWER ---involuntary jerking movement of the
eyes with quick and slow components.
- It is named for the direction of the quick component
- seen in cerebellar disease and vestibular disorders and in internuclear
ophthalmoplegia
Jaundice - CORRECT ANSWER --yellow sclera
how do get a patient to open up when upset - CORRECT ANSWER --effective
reassurance is simply identifying and acknowledging the patient's feelings.
-Partnering
-Summarizing
-Transitions
- Empowering the pt
s/s of degenerative pain - CORRECT ANSWER ---Slowly progressive, with temporary
exacerbations after periods of overuse
-usually insidious
- flexion and deviation deformities
WITH WELL LISTED QUESTIONS AND
VERIFIED ANSWERS GRADED A+
Cause of saddle numbness and urinary retention - CORRECT ANSWER --Cauda
equina syndrome
Presentation of retinal detachment - CORRECT ANSWER --If sudden visual loss is
unilateral and painless,
Obtunded - CORRECT ANSWER --patient opens the eyes and looks at you but
responds slowly and is somewhat confused. Alertness and interest in the
environment are decreased.
Cranial nerve for lateral gaze - CORRECT ANSWER --CN6: Abducens
Adult Illnesses - CORRECT ANSWER --Medical: Illnesses such as diabetes,
hypertension, hepatitis, asthma, and human immunodeficiency virus (HIV);
hospitalizations; number and gender of sexual partners; and risk-taking sexual
practices
■ Surgical: Dates, indications, and types of operations
■ Obstetric/Gynecologic: Obstetric history, menstrual history, methods of
contraception, and sexual function
■ Psychiatric: Illness and time frame, diagnoses, hospitalizations, and treatments
Present Illness - CORRECT ANSWER --chronologic description of the problems
prompting the patient's visit, including the onset of the problem, the setting in
which it developed, its manifestations, and any treatments to date.Each
problem/symptom needs: (1) location; (2) quality; (3) quantity or severity; (4)
timing, including onset, duration, and frequency; (5) the setting in which it
occurs; (6) factors that have aggravated
-meds, allergies, tobacco use, ETOH and drug use
, Absence of red reflex - CORRECT ANSWER --an opacity of the lens (cataract) or,
possibly, the vitreous (or even an artificial eye). Less commonly, a detached
retina or, in children, a retinoblastoma may obscure this reflex.
S/S of seasonal allergies - CORRECT ANSWER --Itching, watery eyes, sneezing, ear
congestion, postnasal drainage
Presentation of optic neuritis - CORRECT ANSWER --Enlarged blind spot, vision
loss in 1 eye, loss of color vision, hole in center of vision, trouble seeing to the
side, eye pain
pityriasis rosea - CORRECT ANSWER --Multiple round to oval scaling violaceous
plaques on abdomen and back
Acromion - CORRECT ANSWER --tip of shoulder
What to do for + finding on physical exam, but - workup - CORRECT ANSWER --
continue using test, but less lab and diagnostics
Cause of falsely high BP - CORRECT ANSWER ---too small of a BP cuff
- if the brachial artery is below heart level
- loose cuff
- bladder that balloons outside the cuff
Check for nystagmus - CORRECT ANSWER ---involuntary jerking movement of the
eyes with quick and slow components.
- It is named for the direction of the quick component
- seen in cerebellar disease and vestibular disorders and in internuclear
ophthalmoplegia
Jaundice - CORRECT ANSWER --yellow sclera
how do get a patient to open up when upset - CORRECT ANSWER --effective
reassurance is simply identifying and acknowledging the patient's feelings.
-Partnering
-Summarizing
-Transitions
- Empowering the pt
s/s of degenerative pain - CORRECT ANSWER ---Slowly progressive, with temporary
exacerbations after periods of overuse
-usually insidious
- flexion and deviation deformities
