NURS502 MIDTERM LATEST
EXAM
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
A 24-year-old male returns to clinic for his sixth visit regarding headache, joint,
and abdominal pain. His physical examination remains completely normal. You
have been unable to identify a medical (organic) reason despite extensive
evaluation. The patient recently found a new job as a janitor. You determine that
he most likely has a somatization disorder. Which of the following is the best
definition of a somatic symptom disorder?
1. Chronic preoccupation with the idea of having a serious illness and that is poorly
amenable to reassurance.
2. Clinical syndrome characterized predominantly by pain in which psychological
factors are judged to be of etiologic importance.
3. A chronic multisystem disorder characterized by complaints of pain that begins
early in life especially in those with limited psychosocial and vocational
achievement.
4. Syndrome of symptoms or deficits that mimic neurologic or medical illness in -
ANSWERS-3. A chronic multisystem disorder characterized by complaints of pain
that begins early in life especially in those with limited psychosocial and
vocational achievement.
END OF
PAGE
1
, NURS502 MIDTERM LATEST
EXAM
QUESTION 2
The fourth-year medical student working in your office complains that the patient
he is seeing is disruptive, demanding, and manipulative. He noticed that the patient
carries the diagnosis of borderline personality disorder. Which of the following is
correct regarding this disorder?
1. The diagnosis is easy to make so is seldom missed.
2. 90% of patients with this disorder are male.
3. Comorbidities are very rare in those with borderline personality disorder.
4. Only about 1% of patients seen in primary care settings have this disorder.
5. Individuals with this disorder have a high prevalence of suicidal threats. -
ANSWERS-5. Individuals with this disorder have a high prevalence of suicidal
threats.
QUESTION 3
A 74-year-old man comes to the physician for evaluation of a speech disorder. He
tells the physician that he writes with a "den" and later when talking about his pet
cat says he has a "pat cat" at home. These findings are most consistent with a
disorder of which of the following aspects of language?
END OF
PAGE
2
, NURS502 MIDTERM LATEST
EXAM
Rate
Volume
Quantity
Fluency
Articulation - ANSWERS-Fluency
QUESTION 4
A 26-year-old homeless male presents for a new-patient evaluation at a community
health center. He has a history of intravenous drug use, from which he contracted
hepatitis C. He also suffers from uncontrolled asthma that he has had since
childhood, with treatment including frequent doses of oral steroids when he cannot
keep inhalers in his possession. Two years ago, he was diagnosed with bipolar
disorder. On today's visit, his main concern is a small abscess in his right
antecubital fossa at a heroin injection site. Which of the following is the best
approach to the health history for this patient at his first visit?
A clinician-centered health history
A health history with only yes-no options
A comprehensive health history
A problem-focused health history
A review of systems (ROS) only - ANSWERS-A comprehensive health history
END OF
PAGE
3
, NURS502 MIDTERM LATEST
EXAM
QUESTION 6
A 54-year-old diplomat working at the United Nations reports occasional chest
pain and a sense of tightness in his chest when particularly stressed over work
deadlines. The patient is 6 feet 4 inches tall. He has a temperature of 98.6ºF and
blood pressure of 140/78. He has a cut over one eye that he says is "from shaving."
Which of the following represents subjective information about this patient?
Employment at the United Nations
Height of 6 feet 4 inches
Blood pressure of 140/78
Cut over eye from shaving
Temperature of 98.6ºF - ANSWERS-Cut over eye from shaving
QUESTION 7
A 29-year-old electrician complains of persistent cough and wheezing, particularly
when he exercises. He says he smokes "occasionally" but rarely so much that he
END OF
PAGE
4
EXAM
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
A 24-year-old male returns to clinic for his sixth visit regarding headache, joint,
and abdominal pain. His physical examination remains completely normal. You
have been unable to identify a medical (organic) reason despite extensive
evaluation. The patient recently found a new job as a janitor. You determine that
he most likely has a somatization disorder. Which of the following is the best
definition of a somatic symptom disorder?
1. Chronic preoccupation with the idea of having a serious illness and that is poorly
amenable to reassurance.
2. Clinical syndrome characterized predominantly by pain in which psychological
factors are judged to be of etiologic importance.
3. A chronic multisystem disorder characterized by complaints of pain that begins
early in life especially in those with limited psychosocial and vocational
achievement.
4. Syndrome of symptoms or deficits that mimic neurologic or medical illness in -
ANSWERS-3. A chronic multisystem disorder characterized by complaints of pain
that begins early in life especially in those with limited psychosocial and
vocational achievement.
END OF
PAGE
1
, NURS502 MIDTERM LATEST
EXAM
QUESTION 2
The fourth-year medical student working in your office complains that the patient
he is seeing is disruptive, demanding, and manipulative. He noticed that the patient
carries the diagnosis of borderline personality disorder. Which of the following is
correct regarding this disorder?
1. The diagnosis is easy to make so is seldom missed.
2. 90% of patients with this disorder are male.
3. Comorbidities are very rare in those with borderline personality disorder.
4. Only about 1% of patients seen in primary care settings have this disorder.
5. Individuals with this disorder have a high prevalence of suicidal threats. -
ANSWERS-5. Individuals with this disorder have a high prevalence of suicidal
threats.
QUESTION 3
A 74-year-old man comes to the physician for evaluation of a speech disorder. He
tells the physician that he writes with a "den" and later when talking about his pet
cat says he has a "pat cat" at home. These findings are most consistent with a
disorder of which of the following aspects of language?
END OF
PAGE
2
, NURS502 MIDTERM LATEST
EXAM
Rate
Volume
Quantity
Fluency
Articulation - ANSWERS-Fluency
QUESTION 4
A 26-year-old homeless male presents for a new-patient evaluation at a community
health center. He has a history of intravenous drug use, from which he contracted
hepatitis C. He also suffers from uncontrolled asthma that he has had since
childhood, with treatment including frequent doses of oral steroids when he cannot
keep inhalers in his possession. Two years ago, he was diagnosed with bipolar
disorder. On today's visit, his main concern is a small abscess in his right
antecubital fossa at a heroin injection site. Which of the following is the best
approach to the health history for this patient at his first visit?
A clinician-centered health history
A health history with only yes-no options
A comprehensive health history
A problem-focused health history
A review of systems (ROS) only - ANSWERS-A comprehensive health history
END OF
PAGE
3
, NURS502 MIDTERM LATEST
EXAM
QUESTION 6
A 54-year-old diplomat working at the United Nations reports occasional chest
pain and a sense of tightness in his chest when particularly stressed over work
deadlines. The patient is 6 feet 4 inches tall. He has a temperature of 98.6ºF and
blood pressure of 140/78. He has a cut over one eye that he says is "from shaving."
Which of the following represents subjective information about this patient?
Employment at the United Nations
Height of 6 feet 4 inches
Blood pressure of 140/78
Cut over eye from shaving
Temperature of 98.6ºF - ANSWERS-Cut over eye from shaving
QUESTION 7
A 29-year-old electrician complains of persistent cough and wheezing, particularly
when he exercises. He says he smokes "occasionally" but rarely so much that he
END OF
PAGE
4
