NSG 6420 - Week 5 Quiz. Questions & Answers . Latest

Week 5 Mid-term Return to deck 1. A 22-year-old female comes to your office with complaints of right lower quadrant abdominal pain, which has been worsening over the last 24 hours. On examination of the abdomen, there is a palpable mass and rebound tenderness over the right lower quadrant. The clinician should recognize the importance of Digital rectal examination       Endoscopy       Pelvic examination       UrinalysisDefinition 2. Which of the following clinical reasoning tools is defined as evidence-based resource based on mathematical modeling to express the likelihood of a condition in select situations, settings, and/or patients? Clinical practice guideline       Clinical decision rule       Clinical algorithm       Clinical recommendation 3. A common auscultatory finding in advanced CHF is     S3 gallop rhythm 4. Mr. Keenan is a 42-year-old man with a mild history of GERD and a remote history of an appendectomy, presenting with an acute onset of significant right upper-quadrant abdominal pain and vomiting. His pain began after a large meal, was unrelieved by a proton-pump inhibitor, was unlike his previous episodes of heartburn, but upon questioning, reports milder, prodromal episodes of similar post-prandial pain. His pain seems to radiate to his back. Despite a family history of cardiac disease, he reports no classic anginal signs or chest pain. He furthermore denies respiratory or pleuritic signs and denies fever, night sweats, and unintended weight loss. Finally, there are no dermatologic signs, nor genitourinary symptoms. The chosen imaging study reveals: “GB normal in size without wall-thickening, but with 5-6 stones with shadowing. Common bile duct not dilated. Liver is homogenous and normal in size. Pancreas and kidneys are normal.” What is the most effective therapeutic/management option at this point? chole 5. A patient complains of fever, fatigue, and pharyngitis. On physical examination there is pronounced cervical lymphadenopathy. Which of the following diagnostic tests should be considered? Mono spot Strep test Throat culture All of the above 6. Which of the following is not a contributing factor to the development of esophagitis in older adults? 7. Essential parts of a health history include all of the following except: 8. What test is used to confirm the diagnosis of appendicitis? 9. The first assessment to complete related to the eyes is       Eye lids       Visual acuity       Extraocular movements       Peripheral vision 10. The best way to diagnose structural heart disease/dysfunction non-invasively is Chest X-ray               EKG         CORRECT  Echocardiogram               Heart catheterization 11. Which of the following is considered a “red flag” when diagnosing a patient with pneumonia Fever of 102     Infiltrates on chest X-ray     Pleural effusion on chest X-ray     Elevated white blood cell count 12. In a patient presenting with suspected recurrence of diverticulitis, abdominal pain usually presents where in the abdomen? Left upper quadrant       Right upper quadrant       Left lower quadrant       Right lower quadrant 13. Mr. A presents to your office complaining of chest pain, mid-sternal and radiating to his back. He was mowing his lawn. He reports the pain lasting for about 8 minutes and went away after sitting down. What is his most likely diagnosis based on his presenting symptoms Acute MI       GERD       Pneumonia       Angina 14. In autosomal recessive (AR) disorders, individuals need Only one mutated gene on the sex chromosomes to acquire the disease       Only one mutated gene to acquire the disease       Two mutated genes to acquire the disease       Two mutated genes to become carriers 15. Susan P., a 60-year-old woman with a 30 pack year history, presents to your primary care practice for evaluation of a persistent, daily cough with increased sputum production, worse in the morning, occurring over the past three months. She tells you, “I have the same thing, year after year.” Which of the following choices would you consider strongly in your critical thinking process? chronic bronichitis 16. The best evidence rating drugs to consider in a post myocardial infarction patient include: