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NU 650 EXAM 3 QUESTIONS WITH CORRECT
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A 28-year-old housewife presents to your office for a 6-week postpartum
check-up. She complains of fatigue greater than expected and palpitations.
Her hair is falling out as well. She denies sadness or depression symptoms.
Before this, she had not had any medical problems. She is breastfeeding her
child and is not on any birth control. She had her first period since giving
birth last week. A pregnancy test done in the office is negative. What is your
most likely diagnosis?(A) Thyroiditis(B) Iron-deficiency anemia(C)
Addison's disease(D) Sheehan's syndrome - ANS ✓A
Which of the following percussion notes would you obtain over the gastric
bubble? A) ResonanceB) TympanyC) HyperresonanceD) Flatness - ANS ✓B
A 38-year-old accountant comes to your clinic for evaluation of a headache.
The throbbing sensation is located in the right temporal region and is an 8
on a scale of 1 to 10. It started a few hours ago, and she has noted nausea
with sensitivity to light; she has had headaches like this in the past, < 1/wk,
but not as severe. She does not know of any inciting factors. There has been
no change in the frequency of her headaches. She usually takes an over-the
counter analgesic and this results in resolution of the headache. Based on
this description, what is the most likely diagnosis of the type of headache?
A) TensionB) MigraineC) ClusterD) Analgesic rebound - ANS ✓B
A 29-year-old computer programmer comes to your office for evaluation of
a headache. The tightening sensation is located all over the head and is of
moderate intensity. It used to last minutes, but this time it has lasted for 5
days. He denies photophobia and nausea. He spends several hours each day
at a computer monitor/keyboard. He has tried over-the-counter
medication; it has dulled the pain but not taken it away. Based on this
description, what is your most likely diagnosis?A) TensionB) MigraineC)
ClusterD) Analgesic rebound - ANS ✓A
A 49-year-old administrative assistant comes to your office for eval of
dizziness. You elicit the information that the dizziness is a spinning
NU 650 EXAM
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sensation of sudden onset, worse with head position changes. The episodes
last a few seconds and then go away, and they are accompanied by intense
nausea. Vomiting x1. She denies tinnitus. You perform a physical exam of
the head and neck and note that the patient's hearing is intact to Weber and
Rinne and that there is nystagmus. Her gait is normal. Based on this
description, what is the most likely diagnosis?A) Benign positional
vertigoB) Vestibular neuronitisC) Ménière's diseaseD) Acoustic neuroma -
ANS ✓A
A 55-year-old bank teller comes to your office for persistent episodes of
dizziness. The first episode started suddenly and lasted 3 to 4 hours. He
experienced a lot of nausea with vomiting; the episode resolved
spontaneously. He has had five episodes in the past 1½ weeks. He does note
some tinnitus that comes and goes. Upon physical examination, you note
that he has a normal gait. The Weber localizes to the right side and the air
conduction is equal to the bone conduction in the right ear. Nystagmus is
present. Based on this description, what is the most likely diagnosis?A)
Benign positional vertigoB) Vestibular neuronitisC) Ménière's diseaseD)
Acoustic neuroma - ANS ✓C
Which of the following is a "red flag" regarding patients presenting with
headache?A) Unilateral headacheB) Pain over the sinusesC) Age over 50D)
Phonophobia and photophobia - ANS ✓C
Diplopia, which is present with one eye covered, can be caused by which of
the following problems?A) Weakness of CN IIIB) Weakness of CN IVC) A
lesion of the brainstemD) An irregularity in the cornea or lens - ANS ✓D
On visual confrontation testing, a stroke patient is unable to see your
fingers on his entire right side with either eye covered. Which of the
following terms would describe this finding?A) Bitemporal hemianopsiaB)
Right temporal hemianopsiaC) Right homonymous hemianopsiaD) Binasal
hemianopsia - ANS ✓C
A young woman undergoes cranial nerve testing. On touching the soft
palate, her uvula deviates to the left. Which of the following is likely?A) CN
IX lesion on the leftB) CN IX lesion on the rightC) CN X lesion on the leftD)
CN X lesion on the right - ANS ✓D
Restrictions of internal and external hip rotation are sensitive indicators of
a disease such as - ANS ✓Arthritis
NU 650 EXAM