NURS 623 COMPREHENSIVE EXAM UPDATED QUESTIONS
AND ANSWERS RATED A+
✔✔the headache from a subdural hematoma is of venous origin, typically resulting from
ahead injury that is usually mild and easily forgotten by the patient. - ✔✔Temporal
arteritis
✔✔s/s of temporal (giant cell) arteritis - ✔✔* unilateral HA (temporal artery, orbital)
* jaw claudication (pain with chewing)
* temporary blindness
(Medical Urgency) Polymyalgia rheumatica (pain/stiff muscles shoulders and hips)
✔✔What age group is at higher risk for temporal arteritis - ✔✔>50
✔✔Clinical manifestations of Articular disorders? - ✔✔*characterized by deep or diffuse
pain, pain or limited ROM on active and passive movement
*swelling
*crepitus
✔✔Clinical manifestations of Non-Articular disorders? - ✔✔*Tend to be painful on active
but not passive (assisted) ROM.
*Seldom demonstrate swelling, crepitus, instability, or deformity by itself.
✔✔What diagnostic assessment is most useful in a patient who presents with lumbar
radiculopathy? - ✔✔The straight leg raise (assesses L5-S1). pain would indicate most
common disc herniation
✔✔What cranial nerve is affected in Bell's Palsy? - ✔✔CN VII
✔✔S/S of Bell's Palsy - ✔✔* Acute onset one-sided Facial paralysis with normal ocular
movement and sensation
* Affects CN VII (facial)-VII(vestibulocochlear)
* Loss of taste (dysgeusia)
* Postauricular pain
* Sound sensitivity (hyperacusis)
* Heavy feeling in face
✔✔How is Bell's Palsy diagnosed? - ✔✔Clinical history and exam
✔✔What is a serious risk in patients with Bell's Palsey? - ✔✔Loss of the ability to blink
and close the eyelid subjects the cornea to drying and ulceration
✔✔Patient teaching for Bell's Palsey - ✔✔*reassure it is self-limiting with 3-6 month
recovery
, *prevent corneal ulceration/ use artificial tears
✔✔*unilateral and tends to have a throbbing or pulsatile (head)
*precipitated by aura
*nausea
*vomiting
*photophobia
*phonophobia - ✔✔S/S of Migraine H/A
✔✔A patient reports seeing flashes 20 minutes before having a severe H/A what type of
H/A is it? - ✔✔Classic migraine
✔✔*unilateral orbital, supraorbital, and/or temporal (headache)
*causes lacrimation, rhinorrhea, and nasal congestion) - ✔✔S/S of cluster H/A
✔✔bilateral, non-pulsating, tightening (head) pain that is not aggravated by routine
physical activity. It is usually not accompanied by nausea and vomiting or photophobia.
- ✔✔S/S of tension headache
✔✔If a patient c/o sudden 'thunder clap' H/A worst in their life what is a diff dx that
should be considered? - ✔✔Aneurism (subarachnoid hemorrhage)
✔✔potential complications of steroid use in a patient with impaired integrity of bone
structure? - ✔✔Increased risk of fracture
✔✔what maneuver should be used to assess CERVICAL nerve-root compression. -
✔✔Spurling
✔✔Symptoms are related to compression of the median nerve, which results in pain,
paresthesia's, numbness and tingling, and associated weakness in the hand and wrist
that radiate to the thumb, index finger, middle finger, and radial half of the ring finger -
✔✔Carpal Tunnel Syndrome
✔✔Form of arthritis characterized by painful flare-ups in joints of distal extremities? -
✔✔Gout
✔✔Pain on the inside of elbow, Elbow stiffness, Hand and wrist weakness, Tingling
sensation or numbness in the fingers, especially the ring and little fingers, Difficulty
moving the elbow - ✔✔Medial Epicondylitis (Golfer's Elbow)
✔✔Can cause neck pain, radiating arm pain, shoulder pain, and numbness or tingling in
the arm or hand. The quality and type of pain can vary from dull, aching, and difficult to
AND ANSWERS RATED A+
✔✔the headache from a subdural hematoma is of venous origin, typically resulting from
ahead injury that is usually mild and easily forgotten by the patient. - ✔✔Temporal
arteritis
✔✔s/s of temporal (giant cell) arteritis - ✔✔* unilateral HA (temporal artery, orbital)
* jaw claudication (pain with chewing)
* temporary blindness
(Medical Urgency) Polymyalgia rheumatica (pain/stiff muscles shoulders and hips)
✔✔What age group is at higher risk for temporal arteritis - ✔✔>50
✔✔Clinical manifestations of Articular disorders? - ✔✔*characterized by deep or diffuse
pain, pain or limited ROM on active and passive movement
*swelling
*crepitus
✔✔Clinical manifestations of Non-Articular disorders? - ✔✔*Tend to be painful on active
but not passive (assisted) ROM.
*Seldom demonstrate swelling, crepitus, instability, or deformity by itself.
✔✔What diagnostic assessment is most useful in a patient who presents with lumbar
radiculopathy? - ✔✔The straight leg raise (assesses L5-S1). pain would indicate most
common disc herniation
✔✔What cranial nerve is affected in Bell's Palsy? - ✔✔CN VII
✔✔S/S of Bell's Palsy - ✔✔* Acute onset one-sided Facial paralysis with normal ocular
movement and sensation
* Affects CN VII (facial)-VII(vestibulocochlear)
* Loss of taste (dysgeusia)
* Postauricular pain
* Sound sensitivity (hyperacusis)
* Heavy feeling in face
✔✔How is Bell's Palsy diagnosed? - ✔✔Clinical history and exam
✔✔What is a serious risk in patients with Bell's Palsey? - ✔✔Loss of the ability to blink
and close the eyelid subjects the cornea to drying and ulceration
✔✔Patient teaching for Bell's Palsey - ✔✔*reassure it is self-limiting with 3-6 month
recovery
, *prevent corneal ulceration/ use artificial tears
✔✔*unilateral and tends to have a throbbing or pulsatile (head)
*precipitated by aura
*nausea
*vomiting
*photophobia
*phonophobia - ✔✔S/S of Migraine H/A
✔✔A patient reports seeing flashes 20 minutes before having a severe H/A what type of
H/A is it? - ✔✔Classic migraine
✔✔*unilateral orbital, supraorbital, and/or temporal (headache)
*causes lacrimation, rhinorrhea, and nasal congestion) - ✔✔S/S of cluster H/A
✔✔bilateral, non-pulsating, tightening (head) pain that is not aggravated by routine
physical activity. It is usually not accompanied by nausea and vomiting or photophobia.
- ✔✔S/S of tension headache
✔✔If a patient c/o sudden 'thunder clap' H/A worst in their life what is a diff dx that
should be considered? - ✔✔Aneurism (subarachnoid hemorrhage)
✔✔potential complications of steroid use in a patient with impaired integrity of bone
structure? - ✔✔Increased risk of fracture
✔✔what maneuver should be used to assess CERVICAL nerve-root compression. -
✔✔Spurling
✔✔Symptoms are related to compression of the median nerve, which results in pain,
paresthesia's, numbness and tingling, and associated weakness in the hand and wrist
that radiate to the thumb, index finger, middle finger, and radial half of the ring finger -
✔✔Carpal Tunnel Syndrome
✔✔Form of arthritis characterized by painful flare-ups in joints of distal extremities? -
✔✔Gout
✔✔Pain on the inside of elbow, Elbow stiffness, Hand and wrist weakness, Tingling
sensation or numbness in the fingers, especially the ring and little fingers, Difficulty
moving the elbow - ✔✔Medial Epicondylitis (Golfer's Elbow)
✔✔Can cause neck pain, radiating arm pain, shoulder pain, and numbness or tingling in
the arm or hand. The quality and type of pain can vary from dull, aching, and difficult to
