NR509 BATES TEST BANK – MIDTERM
QUESTIONS AND VERIFIRD CORRECT
ANSWERS
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
The lens loses its elasticity over time as part of the normal aging
process, and the eye is less able to accommodate and focus on near
objects; therefore, the patient will be expected to have blurring of near
vision.
A 72-year-old retired truck driver comes to the clinic with his wife for
evaluation of hearing loss. He has noticed some decreased ability to
hear what his wife and grandchildren are saying to him. He admits to lip-
reading more. He has a history of noise exposure in his young adult
years: He worked as a sound engineer at a local arena and had to
attend a lot of concerts. Based on this
information, what is the most likely finding regarding his hearing acuity?
A) Loss of acuity for middle-range sounds
B) Increase of acuity for low-range sounds
C) Loss of acuity for high-range sounds
D) Increase of acuity for high-range sounds - CORRECT ANSWER-
A) Loss of acuity for middle-range sounds
A 79-year-old retired banker comes to your office for evaluation of
difficulty with urination; he gets up five to six times per night to urinate
and has to go at least that often in the daytime. He does not feel as if his
bladder empties completely; the strength of the urinary stream is
diminished. He denies dysuria or hematuria. This problem has been
present for several years but
has worsened over the last 8 months. You palpate his prostate. What is
your expected physical
examination finding, based on this description?
A) Normal size, smooth
B) Normal size, boggy
C) Enlarged size, smooth
, D) Enlarged size, boggy - CORRECT ANSWER- C) Enlarged size,
smooth
A patient presents for evaluation of a sharp, aching chest pain which
increases with breathing. Which anatomic area would you localize the
symptom to?
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine - CORRECT ANSWER- A) Musculoskeletal
Chest pain may be due to a musculoskeletal condition, such as
costochondritis or
intercostal muscle cramp. This would be worsened by motion of the
chest wall. Pleuritic chest pain is also a sharp chest pain which
increases with a deep breath. This type of pain can
occur with inflammation of the pleura from pneumonia or other
conditions and pulmonary
embolus.
A patient comes to the emergency room for evaluation of shortness of
breath. To which anatomic region would you assign the symptom?
A) Reproductive
B) Urinary
C) Cardiac
D) Hematologic - CORRECT ANSWER- C) Cardiac
Cardiac disorders such as congestive heart failure are the most likely on
this list to result in shortness of breath. There are cases within the other
categories which may also result
in shortness of breath, such as anemia in the hematologic category,
pregnancy in the reproductive
category, or sepsis with UTI in the urinary category.
A patient presents for evaluation of a cough. Which of the following
anatomic regions can be responsible for a cough?
QUESTIONS AND VERIFIRD CORRECT
ANSWERS
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
The lens loses its elasticity over time as part of the normal aging
process, and the eye is less able to accommodate and focus on near
objects; therefore, the patient will be expected to have blurring of near
vision.
A 72-year-old retired truck driver comes to the clinic with his wife for
evaluation of hearing loss. He has noticed some decreased ability to
hear what his wife and grandchildren are saying to him. He admits to lip-
reading more. He has a history of noise exposure in his young adult
years: He worked as a sound engineer at a local arena and had to
attend a lot of concerts. Based on this
information, what is the most likely finding regarding his hearing acuity?
A) Loss of acuity for middle-range sounds
B) Increase of acuity for low-range sounds
C) Loss of acuity for high-range sounds
D) Increase of acuity for high-range sounds - CORRECT ANSWER-
A) Loss of acuity for middle-range sounds
A 79-year-old retired banker comes to your office for evaluation of
difficulty with urination; he gets up five to six times per night to urinate
and has to go at least that often in the daytime. He does not feel as if his
bladder empties completely; the strength of the urinary stream is
diminished. He denies dysuria or hematuria. This problem has been
present for several years but
has worsened over the last 8 months. You palpate his prostate. What is
your expected physical
examination finding, based on this description?
A) Normal size, smooth
B) Normal size, boggy
C) Enlarged size, smooth
, D) Enlarged size, boggy - CORRECT ANSWER- C) Enlarged size,
smooth
A patient presents for evaluation of a sharp, aching chest pain which
increases with breathing. Which anatomic area would you localize the
symptom to?
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine - CORRECT ANSWER- A) Musculoskeletal
Chest pain may be due to a musculoskeletal condition, such as
costochondritis or
intercostal muscle cramp. This would be worsened by motion of the
chest wall. Pleuritic chest pain is also a sharp chest pain which
increases with a deep breath. This type of pain can
occur with inflammation of the pleura from pneumonia or other
conditions and pulmonary
embolus.
A patient comes to the emergency room for evaluation of shortness of
breath. To which anatomic region would you assign the symptom?
A) Reproductive
B) Urinary
C) Cardiac
D) Hematologic - CORRECT ANSWER- C) Cardiac
Cardiac disorders such as congestive heart failure are the most likely on
this list to result in shortness of breath. There are cases within the other
categories which may also result
in shortness of breath, such as anemia in the hematologic category,
pregnancy in the reproductive
category, or sepsis with UTI in the urinary category.
A patient presents for evaluation of a cough. Which of the following
anatomic regions can be responsible for a cough?
