NUR631 Exam 3 - neuro,musculoskeletal,mental health Exam
Complete Questions and Guide Answers
100% Verified Graded A+
1. A 19-year-old college student, Todd, is brought to your clinic by his mother. She is
concerned that there is something seriously wrong with him. She states for the past 6
months his behavior has become peculiar and he has flunked out of college. Todd
denies any recent illness or injuries. His past medical history is remarkable only for a
broken foot. His parents are both healthy. He has a paternal uncle who had similar
symptoms in college. The patient admits to smoking cigarettes and drinking alcohol.
He also admits to marijuana use but none in the last week. He denies using any other
substances. He denies any feelings of depression or anxiety. While speaking with
Todd and his mother you do a complete physical examination, which is essentially
normal. When you question him on how he is feeling, he says that he is very worried
that Microsoft has stolen his software for creating a better browser. He tells you he
has seen a black van in his neighborhood at night and he is sure that it is full of
computer tech workers stealing his work through special gamma waves. You ask him
why he believes they are trying to steal his programs. He replies that the technicians
,have been telepathing their intents directly into his head. He says he hears these
conversations at night so he knows this is happening. Todd's mother then tells you, "See,
I told you . . . he's crazy. What do I do about it?"
While arranging for a psychiatry consult, what psychotic disorder do you think
Todd has?
A) Schizoaffective disorder
B) Psychotic disorder due to a medical illness
C) Substance-induced psychotic disorder
D) Schizophrenia
Answer: D) Schizophrenia
2. A 24-year-old secretary comes to your clinic, complaining of difficulty sleep- ing,
severe nightmares, and irritability. She states it all began 6 months ago when she
went to a fast food restaurant at midnight. While she was waiting in her car a man
entered through the passenger door and put a gun to her head. He had her drive to a
remote area, where he took her money and threatened to kill her. When the gun jammed
he panicked and ran off. Ever since this occurred the patient has been having these
symptoms. She states she jumps at every
,noise and refuses to drive at night. She states her anxiety has had such a marked
influence on her job performance she is afraid she will be fired. She denies any recent
illnesses or injuries. Her past medical history is unremark- able. On examination you
find a nervous woman appearing her stated age. Her physical examination is
unremarkable. You recommend medication and counseling.
What anxiety disorder to you think this young woman has?
A) Specific phobia
B) Acute stress disorder
C) Post-traumatic stress disorder
D) Generalized anxiety disorder
Answer: C) Post-traumatic stress disorder
3. A 75-year-old homemaker brings her 76-year-old husband to your clinic. She states
that 4 months ago he had a stroke and ever since she has been frustrated with his
problems with communication. They were at a restaurant after church one Sunday
when he suddenly became quiet. When she realized something was wrong he was
taken to the hospital by EMS. He spent 2 weeks in the hospital with right-sided
weakness and difficulty speaking. After hospitalization he was in a rehab center, where
, he regained the ability to walk and most of the use of his right hand. He also began to
speak more, but she says that much of the time "he doesn't make any sense." She
gives an example that when she reminded him the car needed to be serviced he told
her "I will change the Kool-Aid out of the sink myself with the ludrip." She says that
these sayings are becoming frustrating. She wants you to tell her what is wrong and
what you can do about it. While you write up a consult to neurology, you describe the
syndrome to her.
What type of aphasia does he have?
A) Wernicke's aphasia
B) Broca's aphasia
C) Dysarthria
Answer: A) Wernicke's aphasia
4. A 32-year-old white female comes to your clinic, complaining of overwhelm- ing
sadness. She says for the past 2 months she has had crying episodes, difficulty
sleeping, and problems with overeating. She says she used to go out
Complete Questions and Guide Answers
100% Verified Graded A+
1. A 19-year-old college student, Todd, is brought to your clinic by his mother. She is
concerned that there is something seriously wrong with him. She states for the past 6
months his behavior has become peculiar and he has flunked out of college. Todd
denies any recent illness or injuries. His past medical history is remarkable only for a
broken foot. His parents are both healthy. He has a paternal uncle who had similar
symptoms in college. The patient admits to smoking cigarettes and drinking alcohol.
He also admits to marijuana use but none in the last week. He denies using any other
substances. He denies any feelings of depression or anxiety. While speaking with
Todd and his mother you do a complete physical examination, which is essentially
normal. When you question him on how he is feeling, he says that he is very worried
that Microsoft has stolen his software for creating a better browser. He tells you he
has seen a black van in his neighborhood at night and he is sure that it is full of
computer tech workers stealing his work through special gamma waves. You ask him
why he believes they are trying to steal his programs. He replies that the technicians
,have been telepathing their intents directly into his head. He says he hears these
conversations at night so he knows this is happening. Todd's mother then tells you, "See,
I told you . . . he's crazy. What do I do about it?"
While arranging for a psychiatry consult, what psychotic disorder do you think
Todd has?
A) Schizoaffective disorder
B) Psychotic disorder due to a medical illness
C) Substance-induced psychotic disorder
D) Schizophrenia
Answer: D) Schizophrenia
2. A 24-year-old secretary comes to your clinic, complaining of difficulty sleep- ing,
severe nightmares, and irritability. She states it all began 6 months ago when she
went to a fast food restaurant at midnight. While she was waiting in her car a man
entered through the passenger door and put a gun to her head. He had her drive to a
remote area, where he took her money and threatened to kill her. When the gun jammed
he panicked and ran off. Ever since this occurred the patient has been having these
symptoms. She states she jumps at every
,noise and refuses to drive at night. She states her anxiety has had such a marked
influence on her job performance she is afraid she will be fired. She denies any recent
illnesses or injuries. Her past medical history is unremark- able. On examination you
find a nervous woman appearing her stated age. Her physical examination is
unremarkable. You recommend medication and counseling.
What anxiety disorder to you think this young woman has?
A) Specific phobia
B) Acute stress disorder
C) Post-traumatic stress disorder
D) Generalized anxiety disorder
Answer: C) Post-traumatic stress disorder
3. A 75-year-old homemaker brings her 76-year-old husband to your clinic. She states
that 4 months ago he had a stroke and ever since she has been frustrated with his
problems with communication. They were at a restaurant after church one Sunday
when he suddenly became quiet. When she realized something was wrong he was
taken to the hospital by EMS. He spent 2 weeks in the hospital with right-sided
weakness and difficulty speaking. After hospitalization he was in a rehab center, where
, he regained the ability to walk and most of the use of his right hand. He also began to
speak more, but she says that much of the time "he doesn't make any sense." She
gives an example that when she reminded him the car needed to be serviced he told
her "I will change the Kool-Aid out of the sink myself with the ludrip." She says that
these sayings are becoming frustrating. She wants you to tell her what is wrong and
what you can do about it. While you write up a consult to neurology, you describe the
syndrome to her.
What type of aphasia does he have?
A) Wernicke's aphasia
B) Broca's aphasia
C) Dysarthria
Answer: A) Wernicke's aphasia
4. A 32-year-old white female comes to your clinic, complaining of overwhelm- ing
sadness. She says for the past 2 months she has had crying episodes, difficulty
sleeping, and problems with overeating. She says she used to go out
