NR 509 Advanced Health Assessment Midterm |
Complete Exam Guide with Verified Questions, Answers
& Clinical Rationales | A+ Study Resource
Cause of saddle numbness and urinary retention
Answer:
Cauda equina syndrome
Presentation of retinal detachment
Answer:
If sudden visual loss is unilateral and painless,
Obtunded
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
Answer:
CN6: Abducens
Adult Illnesses
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
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
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
Answer:
Itching, watery eyes, sneezing, ear congestion, postnasal drainage
Presentation of optic neuritis
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
Answer:
Multiple round to oval scaling violaceous plaques on abdomen and back
, Acromion
Answer:
tip of shoulder
What to do for + finding on physical exam, but - workup
Answer:
continue using test, but less lab and diagnostics
Cause of falsely high BP
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
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
Complete Exam Guide with Verified Questions, Answers
& Clinical Rationales | A+ Study Resource
Cause of saddle numbness and urinary retention
Answer:
Cauda equina syndrome
Presentation of retinal detachment
Answer:
If sudden visual loss is unilateral and painless,
Obtunded
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
Answer:
CN6: Abducens
Adult Illnesses
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
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
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
Answer:
Itching, watery eyes, sneezing, ear congestion, postnasal drainage
Presentation of optic neuritis
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
Answer:
Multiple round to oval scaling violaceous plaques on abdomen and back
, Acromion
Answer:
tip of shoulder
What to do for + finding on physical exam, but - workup
Answer:
continue using test, but less lab and diagnostics
Cause of falsely high BP
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
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
