NSG6020 midterm
A 12-year-antique gives to the sanatorium together with his father for evaluation of a painful
lump inside the left eye. It started this morning. He denies any trauma or harm. There isn't
any visual disturbance. Upon physical exam, there is a red raised area on the margin of the
eyelid that is tender to palpation; no tearing takes place with palpation of the lesion. Based
on this description, what's the most in all likelihood prognosis? - ANS-hordeolum
a fifteen 12 months vintage high faculty sophomore comes to the medical institution for
evaluation of a three week records of sneezing; itch, watery eyes; clear nasal discharge; ear
ache; and nonproductive cough. Which is most probably pathological system - ANS-allergic
A 15-year-antique high faculty sophomore and her mom come in your health facility because
the mom is worried about her daughter's weight. You degree her daughter's height and
weight and achieve a BMI of nineteen.5 kg/m2. Based on this facts, which of the subsequent
is suitable? - ANS-Reassure the mother that that is a normal body weight.
A 15-yr-vintage excessive college sophomore affords to the emergency room together with
his mother for evaluation of a place of blood inside the left eye. He denies trauma or injury
however has been coughing forcefully with a current bloodless. He denies visual
disturbances, eye pain, or discharge from the eye. On physical examination, the pupils are
same, round, and reactive to light, with a visual acuity of 20/20 in each eye and 20/20
bilaterally. There is a homogeneous, sharply demarcated region on the lateral element of the
bottom of the left eye. The cornea is obvious. Based on this description, what is the
maximum probably prognosis? - ANS-subconjunctival hemorrhage
A 21-yr-old university senior affords in your hospital, complaining of shortness of breath and
a nonproductive nocturnal cough. She states she used to feel this manner most effective
with excessive workout, however lately she has felt this manner constantly. She denies any
other higher respiration signs, chest ache, gastrointestinal signs, or urinary tract signs. Her
beyond medical records is great handiest for seasonal allergic reactions, for which she takes
a nasal steroid spray however is in any other case on no other medicines. She has had no
surgeries. Her mother has hypersensitive reactions and eczema and her father has
excessive blood strain. She is an handiest infant. She denies smoking and unlawful drug use
but liquids 3 to 4 alcoholic drinks consistent with weekend. She is a junior in finance at a
local college and he or she has recently started a task as a bartender in town. On exam she
is in no acute distress and her temperature is 98.6. Her blood stress is - ANS-asthma
a 22 12 months antique advertising copywriter affords for evaluation of joint pain. The ache
is new, positioned within the wrists and arms bilaterally, with some subjective fever. The
affected person denies a rash; she also denies latest journey or camping activities. She has
a own family records giant for rheumatoid arthritis. Based in this records, which of the
following pathological procedures might be most correct - ANS-Inflammatory
, A 23-yr-antique graduate student comes in your health facility for assessment of a urethral
discharge. As the company, you want to get a sexual history. Which one of the following
questions is inappropriate for eliciting the data? - ANS-Are you sexually energetic?
A 25-year-antique optical technician comes for your health facility for evaluation of fatigue.
As a part of your bodily exam, you concentrate to her heart and hear a murmur simplest on
the cardiac apex. Which valve is most possibly to be worried, based at the vicinity of the
murmur? - ANS-mitral
A 25-year-vintage radio announcer involves the sanatorium for an annual exam. His BMI is
26.0 kg/m2. He is concerned approximately his weight. Based in this data, what's suitable
counsel for the patient at some stage in the go to? - ANS-Give the affected person data
approximately reduction of fat, cholesterol, and calories because he's obese
A 27-year-vintage policewoman comes in your health center, complaining of intense
left-sided back ache radiating down into her groin. It started within the midnight and woke
her up suddenly. It hurts in her bladder to urinate however she has no burning at the outdoor.
She has had no frequency or urgency with urination but she has visible blood in her urine.
She has had nausea with the ache however no vomiting or fever. She denies every other
latest illness or accidents. Her past scientific records is unremarkable. She denies tobacco
or drug use and drinks alcohol hardly ever. Her mother has excessive blood strain and her
father is healthful. On exam she seems her stated age and is in obvious ache. She is
mendacity on her left side trying to continue to be very still. Her cardiac, pulmonary, and
stomach examinations are unremarkable. She has tenderness just not so good as the left
costovertebral angle. Her urine pregnancy check is bad and her urine anal - ANS-ureteral
ache from a kidney stone
A 29-12 months-vintage physical therapist provides for evaluation of an eyelid hassle. On
statement, the right eyeball appears to be protruding ahead. Based on this description, what
is the most probably prognosis? - ANS-exophthalmos
A 36-12 months-vintage teacher offers for your medical institution, complaining of sharp,
knifelike ache on the left side of her chest for the closing 2 days. Breathing and lying down
make the pain worse, whilst sitting ahead facilitates her pain. Tylenol and ibuprofen have
now not helped. Her pain does no longer radiate to some other place. She denies any upper
breathing or gastrointestinal signs and symptoms. Her beyond clinical records includes
systemic lupus. She is divorced and has one child. She denies any tobacco, alcohol, or drug
use. Her mom has hypothyroidism and her father has excessive blood strain. On
examination you find her to be distressed, leaning over and maintaining her left arm and
hand to her left chest. Her blood strain is 130/70, her respirations are 12, and her pulse is
90. On auscultation her lung fields have regular breath sounds and not using a rhonchi,
wheezes, or crackles. Percussion and palpation are unremarkable. Auscultation of the
coronary heart has an - ANS-pericarditis
A 55-12 months-antique smoker complains of chest pain and gestures with a closed fist over
her sternum to explain it. Which of the subsequent diagnoses have to you recollect because
of her gesture? - ANS-angina pectoris
A 12-year-antique gives to the sanatorium together with his father for evaluation of a painful
lump inside the left eye. It started this morning. He denies any trauma or harm. There isn't
any visual disturbance. Upon physical exam, there is a red raised area on the margin of the
eyelid that is tender to palpation; no tearing takes place with palpation of the lesion. Based
on this description, what's the most in all likelihood prognosis? - ANS-hordeolum
a fifteen 12 months vintage high faculty sophomore comes to the medical institution for
evaluation of a three week records of sneezing; itch, watery eyes; clear nasal discharge; ear
ache; and nonproductive cough. Which is most probably pathological system - ANS-allergic
A 15-year-antique high faculty sophomore and her mom come in your health facility because
the mom is worried about her daughter's weight. You degree her daughter's height and
weight and achieve a BMI of nineteen.5 kg/m2. Based on this facts, which of the subsequent
is suitable? - ANS-Reassure the mother that that is a normal body weight.
A 15-yr-vintage excessive college sophomore affords to the emergency room together with
his mother for evaluation of a place of blood inside the left eye. He denies trauma or injury
however has been coughing forcefully with a current bloodless. He denies visual
disturbances, eye pain, or discharge from the eye. On physical examination, the pupils are
same, round, and reactive to light, with a visual acuity of 20/20 in each eye and 20/20
bilaterally. There is a homogeneous, sharply demarcated region on the lateral element of the
bottom of the left eye. The cornea is obvious. Based on this description, what is the
maximum probably prognosis? - ANS-subconjunctival hemorrhage
A 21-yr-old university senior affords in your hospital, complaining of shortness of breath and
a nonproductive nocturnal cough. She states she used to feel this manner most effective
with excessive workout, however lately she has felt this manner constantly. She denies any
other higher respiration signs, chest ache, gastrointestinal signs, or urinary tract signs. Her
beyond medical records is great handiest for seasonal allergic reactions, for which she takes
a nasal steroid spray however is in any other case on no other medicines. She has had no
surgeries. Her mother has hypersensitive reactions and eczema and her father has
excessive blood strain. She is an handiest infant. She denies smoking and unlawful drug use
but liquids 3 to 4 alcoholic drinks consistent with weekend. She is a junior in finance at a
local college and he or she has recently started a task as a bartender in town. On exam she
is in no acute distress and her temperature is 98.6. Her blood stress is - ANS-asthma
a 22 12 months antique advertising copywriter affords for evaluation of joint pain. The ache
is new, positioned within the wrists and arms bilaterally, with some subjective fever. The
affected person denies a rash; she also denies latest journey or camping activities. She has
a own family records giant for rheumatoid arthritis. Based in this records, which of the
following pathological procedures might be most correct - ANS-Inflammatory
, A 23-yr-antique graduate student comes in your health facility for assessment of a urethral
discharge. As the company, you want to get a sexual history. Which one of the following
questions is inappropriate for eliciting the data? - ANS-Are you sexually energetic?
A 25-year-antique optical technician comes for your health facility for evaluation of fatigue.
As a part of your bodily exam, you concentrate to her heart and hear a murmur simplest on
the cardiac apex. Which valve is most possibly to be worried, based at the vicinity of the
murmur? - ANS-mitral
A 25-year-vintage radio announcer involves the sanatorium for an annual exam. His BMI is
26.0 kg/m2. He is concerned approximately his weight. Based in this data, what's suitable
counsel for the patient at some stage in the go to? - ANS-Give the affected person data
approximately reduction of fat, cholesterol, and calories because he's obese
A 27-year-vintage policewoman comes in your health center, complaining of intense
left-sided back ache radiating down into her groin. It started within the midnight and woke
her up suddenly. It hurts in her bladder to urinate however she has no burning at the outdoor.
She has had no frequency or urgency with urination but she has visible blood in her urine.
She has had nausea with the ache however no vomiting or fever. She denies every other
latest illness or accidents. Her past scientific records is unremarkable. She denies tobacco
or drug use and drinks alcohol hardly ever. Her mother has excessive blood strain and her
father is healthful. On exam she seems her stated age and is in obvious ache. She is
mendacity on her left side trying to continue to be very still. Her cardiac, pulmonary, and
stomach examinations are unremarkable. She has tenderness just not so good as the left
costovertebral angle. Her urine pregnancy check is bad and her urine anal - ANS-ureteral
ache from a kidney stone
A 29-12 months-vintage physical therapist provides for evaluation of an eyelid hassle. On
statement, the right eyeball appears to be protruding ahead. Based on this description, what
is the most probably prognosis? - ANS-exophthalmos
A 36-12 months-vintage teacher offers for your medical institution, complaining of sharp,
knifelike ache on the left side of her chest for the closing 2 days. Breathing and lying down
make the pain worse, whilst sitting ahead facilitates her pain. Tylenol and ibuprofen have
now not helped. Her pain does no longer radiate to some other place. She denies any upper
breathing or gastrointestinal signs and symptoms. Her beyond clinical records includes
systemic lupus. She is divorced and has one child. She denies any tobacco, alcohol, or drug
use. Her mom has hypothyroidism and her father has excessive blood strain. On
examination you find her to be distressed, leaning over and maintaining her left arm and
hand to her left chest. Her blood strain is 130/70, her respirations are 12, and her pulse is
90. On auscultation her lung fields have regular breath sounds and not using a rhonchi,
wheezes, or crackles. Percussion and palpation are unremarkable. Auscultation of the
coronary heart has an - ANS-pericarditis
A 55-12 months-antique smoker complains of chest pain and gestures with a closed fist over
her sternum to explain it. Which of the subsequent diagnoses have to you recollect because
of her gesture? - ANS-angina pectoris
