NR 509 MIDTERM EXAM QUESTIONS WITH
COMPLETE SOLUTION
Sources of Joint Pain
Nonarticular, intra-articular (Acute <6 weeks), Intra-articular (Chronic, >6
weeks)
Non-articular sources
Trauma/fractures, fibromyalgia, polymyalgia, rheumatica, bursitis, tendinitis
Intra-articular (Acute, <6weeks)
Arthritis (infectious arthritis, gout, pseudo gout, reiter syndrome)
Intra-Articular (Chronic, >6weeks)
Arthritis (inflammatory/non-inflammatory), Lupus, OA, RA, scleroderma,
polymyostis
What causes saddle numbness?
Cauda equina syndrome
how does retinal detachment present?
sudden painless unilateral vision loss
obtunded means?
eyes open, slow to respond, slighty confused, decreased interest/alertness
in environment
cranial nerve in charge of lateral gaze?
Cranial nerve 6, abducens
What should be listed under an adults health history?
Medical, surgical, OBGYN, psychiatric
What conditions do not have a red reflex?
opacity of the lens (cataracts), vitreous (fake eye), rare but retinal
displacement, retinoblastoma in children
Signs of seasonal allergies
Red, runny nose, sneezy, watery, red, and itchy eyes
optic neuritis presents by?
Sudden Painful unilateral vision loss.
sometimes associated with MS
how does pityriasis rosacea present?
Oval lesions on trunk, can be in the shape of a christmas tree, especially
on children, (Harolds sign)- Largest lesion first
What is listed under present illness?
, OLDCART
onset, location, duration, characteristics, aggravated factors, relieving
factors, and treatment
Know where the acromion process is?
between clavicle and shoulder (Sticks off)
What can cause falsy high BP?
brachial artery below heart, too small of a cough, white coat syndrome
nystagmus (What is it/how to check for it?)
involuntary movements of the eyes with quick and slow movements. Note
the direction of the gaze and the plane of it (horizontal, vertical, rotary,
mixed) & the direction of quick and slow movements. it is named for the
direction of the quick component. Have patient stare at object across the
room and see if nystagmus increases or decreases
yellow sclera indicates>
high billirubin, jaundice
signs of degenerative joint disease?
"giving out sensation"
hurts with bending, lifting, twisting, and sitting
relieved by changing positions, walking, running, laying down
Otosclerosis presents with Weber and Rinne test
-Weber test: Vibrations are heard in impaired. (room noises not heard well,
so detection of vibrations improves)
-Rinne Test: BC>=AC.
tuning fork at external auditory meatus, then the mastoid bone --- air
conduction through the external or middle ear is impaired, vibrations
through the bone bypass the problem and reach the cochlea
Are cherry angiomas benign or not?
Benign
Visual Acuity score
20/40----
20 is how far the patient is standing from the chart
40--how far normal eyes can read it
order for meeting/conducting an interview with patient
Prepare( reasearch record)
Set an agenda
check appearances
Great and build rapport with patient
establish and agenda
COMPLETE SOLUTION
Sources of Joint Pain
Nonarticular, intra-articular (Acute <6 weeks), Intra-articular (Chronic, >6
weeks)
Non-articular sources
Trauma/fractures, fibromyalgia, polymyalgia, rheumatica, bursitis, tendinitis
Intra-articular (Acute, <6weeks)
Arthritis (infectious arthritis, gout, pseudo gout, reiter syndrome)
Intra-Articular (Chronic, >6weeks)
Arthritis (inflammatory/non-inflammatory), Lupus, OA, RA, scleroderma,
polymyostis
What causes saddle numbness?
Cauda equina syndrome
how does retinal detachment present?
sudden painless unilateral vision loss
obtunded means?
eyes open, slow to respond, slighty confused, decreased interest/alertness
in environment
cranial nerve in charge of lateral gaze?
Cranial nerve 6, abducens
What should be listed under an adults health history?
Medical, surgical, OBGYN, psychiatric
What conditions do not have a red reflex?
opacity of the lens (cataracts), vitreous (fake eye), rare but retinal
displacement, retinoblastoma in children
Signs of seasonal allergies
Red, runny nose, sneezy, watery, red, and itchy eyes
optic neuritis presents by?
Sudden Painful unilateral vision loss.
sometimes associated with MS
how does pityriasis rosacea present?
Oval lesions on trunk, can be in the shape of a christmas tree, especially
on children, (Harolds sign)- Largest lesion first
What is listed under present illness?
, OLDCART
onset, location, duration, characteristics, aggravated factors, relieving
factors, and treatment
Know where the acromion process is?
between clavicle and shoulder (Sticks off)
What can cause falsy high BP?
brachial artery below heart, too small of a cough, white coat syndrome
nystagmus (What is it/how to check for it?)
involuntary movements of the eyes with quick and slow movements. Note
the direction of the gaze and the plane of it (horizontal, vertical, rotary,
mixed) & the direction of quick and slow movements. it is named for the
direction of the quick component. Have patient stare at object across the
room and see if nystagmus increases or decreases
yellow sclera indicates>
high billirubin, jaundice
signs of degenerative joint disease?
"giving out sensation"
hurts with bending, lifting, twisting, and sitting
relieved by changing positions, walking, running, laying down
Otosclerosis presents with Weber and Rinne test
-Weber test: Vibrations are heard in impaired. (room noises not heard well,
so detection of vibrations improves)
-Rinne Test: BC>=AC.
tuning fork at external auditory meatus, then the mastoid bone --- air
conduction through the external or middle ear is impaired, vibrations
through the bone bypass the problem and reach the cochlea
Are cherry angiomas benign or not?
Benign
Visual Acuity score
20/40----
20 is how far the patient is standing from the chart
40--how far normal eyes can read it
order for meeting/conducting an interview with patient
Prepare( reasearch record)
Set an agenda
check appearances
Great and build rapport with patient
establish and agenda
