NR509 BATES TEST BANK – MIDTERM
VERIFIED QUESTIONS AND
CORRECT ANSWERS
GUARANTEED PASS.
VERIFIED USING APPROVED TEXTBOOKS .
MULTIPLE CHOISE FOMAT SET.
,Jim is an HIV-positive patient who complains about back pain in addition
to several other
problems. On percussion, there is slight tenderness over the T7
vertebrae, and when you flex
his thigh to 90 degrees and extend his lower legs, you meet strong
resistance at about 45 degrees
of extension. What are likely causes of this constellation of symptoms?
A) Fractured vertebrae
B) Malingering
C) Infection
D) Medication side effect - CORRECT ANSWER- C) Infection
This represents Kernig's sign. When present bilaterally it often indicates
meningeal irritation.
A patient with alcoholism is brought in with confusion. You ask him to
"stop traffic" with his palms and notice that every few seconds his palms
suddenly move toward the floor.
What does this indicate?
A) Stroke
B) Metabolic problems
C) Carpal tunnel syndrome
D) Severe fatigue and weakness - CORRECT ANSWER- B)
Metabolic problems
This is asterixis and represents the inability to maintain a sustained
contraction of the muscles. It is usually due to various metabolic
diseases. Most would consider checking an ammonia level in this
patient.
You examine a "sleepy" patient. You note that she will open her eyes
and look at you but
responds slowly and is confused. She does not appear interested in her
surroundings. How would you describe her level of consciousness?
,A) Lethargic
B) Obtunded
C) Stuporous
D) Comatose - CORRECT ANSWER- B) Obtunded
A woman experiences syncope after hearing that her son was severely
injured. She becomes pale and collapses to the ground without injuring
herself. On waking, she states that she feels very warm. She denies any
other symptoms. There are no findings on examination.
What caused her loss of consciousness?
A) Micturition syncope
B) Postural hypotension
C) Cardiac arrhythmia
D) Vasovagal syncope - CORRECT ANSWER- D) Vasovagal
syncope
This is a classic description of vasodepressor or vasovagal syncope with
the feeling
of warmth, while bystanders note paleness. The lack of injury is also
helpful because she has
maintained her protective reflexes. Injuring oneself can indicate that a
cardiac origin for
syncope may be present. Micturition syncope occurs with urination, and
there are no postural
changes mentioned, making postural hypotension unlikely.
A 7-year-old boy is performing poorly in school. His teacher is frustrated
because he is
frequently seen "staring off into space" and not paying attention. If this is
a seizure, it most likely represents which type?
A) Pseudoseizure
B) Tonic-clonic seizure
C) Absence
D) Myoclonus - CORRECT ANSWER- C) Absence
, A patient comes to you because she is experiencing a tremor only when
she reaches for things. This becomes worse as she nears the "target."
When you ask her to hold out her hands, no tremor is apparent. What
type of tremor does this most likely represent?
A) Intention tremor
B) Postural tremor
C) Resting tremor
D) Nervous tremor - CORRECT ANSWER- A) Intention tremor
A young woman comes in with brief, rapid, jerky, irregular movements.
They can occur
at rest or during other intentional movements and involve mostly her
face, head, lower arms, and
hands. How would you describe these movements?
A) Tics
B) Dystonia
C) Athetosis
D) Chorea - CORRECT ANSWER- D) Chorea
These represent chorea because they are brief, rapid, unpredictable,
and irregular. Tics are irregular but tend to be stereotyped and can be
vocal (throat-clearing), facial
expressions, or shoulder shrugging. Athetosis is a slow, squirming
motion usually affecting the
face and distal extremities. Dystonia is similar to athetosis but the
movements are more coarse
and can involve twisted postural changes.
Which of the following changes are expected in vision as part of the
normal aging process?
A) Cataracts
B) Glaucoma
C) Macular degeneration
D) Blurring of near vision - CORRECT ANSWER- D) Blurring of near
vision
VERIFIED QUESTIONS AND
CORRECT ANSWERS
GUARANTEED PASS.
VERIFIED USING APPROVED TEXTBOOKS .
MULTIPLE CHOISE FOMAT SET.
,Jim is an HIV-positive patient who complains about back pain in addition
to several other
problems. On percussion, there is slight tenderness over the T7
vertebrae, and when you flex
his thigh to 90 degrees and extend his lower legs, you meet strong
resistance at about 45 degrees
of extension. What are likely causes of this constellation of symptoms?
A) Fractured vertebrae
B) Malingering
C) Infection
D) Medication side effect - CORRECT ANSWER- C) Infection
This represents Kernig's sign. When present bilaterally it often indicates
meningeal irritation.
A patient with alcoholism is brought in with confusion. You ask him to
"stop traffic" with his palms and notice that every few seconds his palms
suddenly move toward the floor.
What does this indicate?
A) Stroke
B) Metabolic problems
C) Carpal tunnel syndrome
D) Severe fatigue and weakness - CORRECT ANSWER- B)
Metabolic problems
This is asterixis and represents the inability to maintain a sustained
contraction of the muscles. It is usually due to various metabolic
diseases. Most would consider checking an ammonia level in this
patient.
You examine a "sleepy" patient. You note that she will open her eyes
and look at you but
responds slowly and is confused. She does not appear interested in her
surroundings. How would you describe her level of consciousness?
,A) Lethargic
B) Obtunded
C) Stuporous
D) Comatose - CORRECT ANSWER- B) Obtunded
A woman experiences syncope after hearing that her son was severely
injured. She becomes pale and collapses to the ground without injuring
herself. On waking, she states that she feels very warm. She denies any
other symptoms. There are no findings on examination.
What caused her loss of consciousness?
A) Micturition syncope
B) Postural hypotension
C) Cardiac arrhythmia
D) Vasovagal syncope - CORRECT ANSWER- D) Vasovagal
syncope
This is a classic description of vasodepressor or vasovagal syncope with
the feeling
of warmth, while bystanders note paleness. The lack of injury is also
helpful because she has
maintained her protective reflexes. Injuring oneself can indicate that a
cardiac origin for
syncope may be present. Micturition syncope occurs with urination, and
there are no postural
changes mentioned, making postural hypotension unlikely.
A 7-year-old boy is performing poorly in school. His teacher is frustrated
because he is
frequently seen "staring off into space" and not paying attention. If this is
a seizure, it most likely represents which type?
A) Pseudoseizure
B) Tonic-clonic seizure
C) Absence
D) Myoclonus - CORRECT ANSWER- C) Absence
, A patient comes to you because she is experiencing a tremor only when
she reaches for things. This becomes worse as she nears the "target."
When you ask her to hold out her hands, no tremor is apparent. What
type of tremor does this most likely represent?
A) Intention tremor
B) Postural tremor
C) Resting tremor
D) Nervous tremor - CORRECT ANSWER- A) Intention tremor
A young woman comes in with brief, rapid, jerky, irregular movements.
They can occur
at rest or during other intentional movements and involve mostly her
face, head, lower arms, and
hands. How would you describe these movements?
A) Tics
B) Dystonia
C) Athetosis
D) Chorea - CORRECT ANSWER- D) Chorea
These represent chorea because they are brief, rapid, unpredictable,
and irregular. Tics are irregular but tend to be stereotyped and can be
vocal (throat-clearing), facial
expressions, or shoulder shrugging. Athetosis is a slow, squirming
motion usually affecting the
face and distal extremities. Dystonia is similar to athetosis but the
movements are more coarse
and can involve twisted postural changes.
Which of the following changes are expected in vision as part of the
normal aging process?
A) Cataracts
B) Glaucoma
C) Macular degeneration
D) Blurring of near vision - CORRECT ANSWER- D) Blurring of near
vision
