NUR-634 Advanced Physical
Assessment Midterm Study Guide exam
100% graded A+
ABCDE-EFG - CORRECT VERIFIED ANSWERS -method used to screen moles for
melanomas
-if >2 present risk of melanoma increases and biopsy should be considered
-Assymetry, Border irregularity, Color Variations, Diameter >6mm, Evolving
-EFG added to help detect aggressive nodular melanomas (Elevated, Firm to palpation,
growing progressively)
Actinic Keratosis - CORRECT VERIFIED ANSWERS -a rough, scaly patch on your
skin that develops from years of exposure to the sun. It's most commonly found on your
face, lips, ears, back of your hands, forearms, scalp or neck.
-precancerous skin growth
Angry Challenging Patient Intervention - CORRECT VERIFIED ANSWERS -
acknowledge any involvement you may have in their anger and make amends
-avoid reinforcing criticism of other clinicians
-validate their feelings without agreeing with their reasons
-ensure a safe environment, alert staff/security
-stay calm and avoid being confrontational
-keep a relaxed and nonthreatening posture
Appendicitis - CORRECT VERIFIED ANSWERS -acute inflammation of the appendix
with distention or obstruction
-s/s: poorly localized periumbilical pain that migrates to the RLQ, cramping steady then
more severe, anorexia, nausea, vomiting, low fever
Assessment - CORRECT VERIFIED ANSWERS -the clinical reasoning process that
interprets the patient's history and physical examination, singles out identified problems,
and movement from each problems to its action plan
Asthma - CORRECT VERIFIED ANSWERS -A chronic allergic disorder characterized
by episodes of severe breathing difficulty, coughing, and wheezing.
-s/s: cough at times with thick mucoid sputum esp. near end of attack, episodic
wheezing and dyspnea, cough may occur alone, often with a hx of allergies, resonant to
diffusely hyper resonant percussion, decreased tactile fremitus, crackles/wheezes
Atopic Dermatosis - CORRECT VERIFIED ANSWERS -a condition that makes your
skin red and itchy. It's common in children but can occur at any age. Atopic dermatitis is
long lasting (chronic) and tends to flare periodically. It may be accompanied by asthma
or hay fever.
, Attributes of a Symptom - CORRECT VERIFIED ANSWERS -seven attributes
-OPQRST & Associated manifestations (anything else accompanying it)
-onset, provocative/palliative, quality, region/radiation, severity, timing
Basal Cell Carcinoma - CORRECT VERIFIED ANSWERS -Most common and least
severe type of skin cancer; often characterized by light or pearly nodules.
-superficial has a pink patch that does not heal and may have focal scaling
-nodular has a pink papule, pearly appearance overlying telangiectasis, focal
pigmentation, central depression
-ulcerated is non healing resulting in a rolled border
Bronchitis - CORRECT VERIFIED ANSWERS -inflammation of the bronchi
-acute s/s: cough that may be dry or productive, may have retrosternal discomfort
-chronic s/s: chronic cough, sputum mucoid to purulent, may be blood streaked or even
bloody, often with recurrent wheezing and dyspnea, and prolonged hx of tobacco
abuse, resonant percussion, normal tactile fremitus,possible scattered coarse crackles,
wheezing or rhonchi in early inspiration and expiration
Cholecystitis - CORRECT VERIFIED ANSWERS -Inflammation of the gallbladder
from obstruction of the cyst duct by gallstones
-s/s: RUQ/epigastrum pain that may radiate to the right shoulder or inter scapular area,
anorexia, nausea, vomiting, fever
chronic obstructive pulmonary disease (COPD) - CORRECT VERIFIED ANSWERS -
A slow process of dilation and disruption of the airways and alveoli caused by chronic
bronchial obstruction.
-s/s: slow progressive dyspnea, relatively mild cough later with scant mucoid sputum,
diffuse hyperresonant percussion, decreased tactile femitus, decreased or absent
breath sounds
CN I - CORRECT VERIFIED ANSWERS -Olfactory nerve: sensory, controls sense of
smell
CN II - CORRECT VERIFIED ANSWERS -Optic nerve: sensory, located in and
behind the eyes, controls central and peripheral vision
CN III - CORRECT VERIFIED ANSWERS -Oculomotor nerve: motor, in and behind
the eyes controls pupillary constriction
CN IV - CORRECT VERIFIED ANSWERS -Tochlear nerve: motor, moves eyes down
and toward tip of the nose
CN IX - CORRECT VERIFIED ANSWERS -Glossopharyngeal nerve: sensory/motor,
innervate tongue and throat (pharynx/larynx) check together with CN X
Assessment Midterm Study Guide exam
100% graded A+
ABCDE-EFG - CORRECT VERIFIED ANSWERS -method used to screen moles for
melanomas
-if >2 present risk of melanoma increases and biopsy should be considered
-Assymetry, Border irregularity, Color Variations, Diameter >6mm, Evolving
-EFG added to help detect aggressive nodular melanomas (Elevated, Firm to palpation,
growing progressively)
Actinic Keratosis - CORRECT VERIFIED ANSWERS -a rough, scaly patch on your
skin that develops from years of exposure to the sun. It's most commonly found on your
face, lips, ears, back of your hands, forearms, scalp or neck.
-precancerous skin growth
Angry Challenging Patient Intervention - CORRECT VERIFIED ANSWERS -
acknowledge any involvement you may have in their anger and make amends
-avoid reinforcing criticism of other clinicians
-validate their feelings without agreeing with their reasons
-ensure a safe environment, alert staff/security
-stay calm and avoid being confrontational
-keep a relaxed and nonthreatening posture
Appendicitis - CORRECT VERIFIED ANSWERS -acute inflammation of the appendix
with distention or obstruction
-s/s: poorly localized periumbilical pain that migrates to the RLQ, cramping steady then
more severe, anorexia, nausea, vomiting, low fever
Assessment - CORRECT VERIFIED ANSWERS -the clinical reasoning process that
interprets the patient's history and physical examination, singles out identified problems,
and movement from each problems to its action plan
Asthma - CORRECT VERIFIED ANSWERS -A chronic allergic disorder characterized
by episodes of severe breathing difficulty, coughing, and wheezing.
-s/s: cough at times with thick mucoid sputum esp. near end of attack, episodic
wheezing and dyspnea, cough may occur alone, often with a hx of allergies, resonant to
diffusely hyper resonant percussion, decreased tactile fremitus, crackles/wheezes
Atopic Dermatosis - CORRECT VERIFIED ANSWERS -a condition that makes your
skin red and itchy. It's common in children but can occur at any age. Atopic dermatitis is
long lasting (chronic) and tends to flare periodically. It may be accompanied by asthma
or hay fever.
, Attributes of a Symptom - CORRECT VERIFIED ANSWERS -seven attributes
-OPQRST & Associated manifestations (anything else accompanying it)
-onset, provocative/palliative, quality, region/radiation, severity, timing
Basal Cell Carcinoma - CORRECT VERIFIED ANSWERS -Most common and least
severe type of skin cancer; often characterized by light or pearly nodules.
-superficial has a pink patch that does not heal and may have focal scaling
-nodular has a pink papule, pearly appearance overlying telangiectasis, focal
pigmentation, central depression
-ulcerated is non healing resulting in a rolled border
Bronchitis - CORRECT VERIFIED ANSWERS -inflammation of the bronchi
-acute s/s: cough that may be dry or productive, may have retrosternal discomfort
-chronic s/s: chronic cough, sputum mucoid to purulent, may be blood streaked or even
bloody, often with recurrent wheezing and dyspnea, and prolonged hx of tobacco
abuse, resonant percussion, normal tactile fremitus,possible scattered coarse crackles,
wheezing or rhonchi in early inspiration and expiration
Cholecystitis - CORRECT VERIFIED ANSWERS -Inflammation of the gallbladder
from obstruction of the cyst duct by gallstones
-s/s: RUQ/epigastrum pain that may radiate to the right shoulder or inter scapular area,
anorexia, nausea, vomiting, fever
chronic obstructive pulmonary disease (COPD) - CORRECT VERIFIED ANSWERS -
A slow process of dilation and disruption of the airways and alveoli caused by chronic
bronchial obstruction.
-s/s: slow progressive dyspnea, relatively mild cough later with scant mucoid sputum,
diffuse hyperresonant percussion, decreased tactile femitus, decreased or absent
breath sounds
CN I - CORRECT VERIFIED ANSWERS -Olfactory nerve: sensory, controls sense of
smell
CN II - CORRECT VERIFIED ANSWERS -Optic nerve: sensory, located in and
behind the eyes, controls central and peripheral vision
CN III - CORRECT VERIFIED ANSWERS -Oculomotor nerve: motor, in and behind
the eyes controls pupillary constriction
CN IV - CORRECT VERIFIED ANSWERS -Tochlear nerve: motor, moves eyes down
and toward tip of the nose
CN IX - CORRECT VERIFIED ANSWERS -Glossopharyngeal nerve: sensory/motor,
innervate tongue and throat (pharynx/larynx) check together with CN X
