NR509 Bates Test Bank (NR509 Midterm Exam Questions with
Answers)
1.A patient presents for evaluation of a sharp, aching chest pain which
in- creases with breathing. Which anatomic area would you localize the
symptom to?
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine: A) Musculoskeletal
Chest pain may be due to a musculoskeletal condition, such as
costochondritis or intercostal muscle cramp. This would be worsened by
motion of the chest wall.
Pleuritic chest pain is also a sharp chest pain which increases with a dee
breath.
This type of pain can
occur with inflammation of the pleura from pneumonia or other condition
and pulmonary
embolus.
2.A patient comes to the emergency room for evaluation of shortness
of breath. To which anatomic region would you assign the symptom?
A) Reproductive
B) Urinary
C) Cardiac
D) Hematologic: C) Cardiac
Cardiac disorders such as congestive heart failure are the most likely on
this list to result in shortness of breath. There are cases within the other
categories which may also result
in shortness of breath, such as anemia in the hematologic category,
pregnancy in the reproductive
category, or sepsis with UTI in the urinary category.
3.A patient presents for evaluation of a cough. Which of the
following anatom- ic regions can be responsible for a cough?
, A) Ophthalmologic
B) Auditory
C) Cardiac
D) Endocrine: C) Cardiac
The cardiac system can cause a cough if the patient has congestive heart
failure.
This results in fluid buildup in the lungs, which in turn can cause a cough
that produces pink,
rothy sputum. A foreign body in the ear may also cause a cough by
stimulating Arnold's branch of the vagus nerve, but this is less likely to b
seen clinically than heart failure.
4.A 22-year-old advertising copywriter presents for evaluation of joint
pain. The pain is new,
located in the wrists and fingers bilaterally, with some subjective fever. The
patient denies a
rash; she also denies recent travel or camping activities. She has a family
history significant for
rheumatoid arthritis. Based on this information, which of the following patho
logic processes
would be the most correct?
A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic: B) Inflammatory
The description is most consistent with an inflammatory process, although
all the other etiologies should be considered. Lyme disease is an infectio
which commonly causes
arthritis, hemophilia is a hematologic condition which can cause bleeding in
the joints, and trauma can obviously cause joint pain.
5.A 47-year-old contractor presents for evaluation of neck pain, which has
been intermittent for several years. He normally takes over-the-counter
med- ications to ease the pain, but this time they haven't worked as well and
he still has discomfort. He recently wallpapered the entire second floor in
his house, which caused him great discomfort. The pain resolved with rest.
He denies fever, chills, rash, upper respiratory symptoms, trauma, or injury
to the neck. Based on this description, what is the most likely pathologic
,process?
, A) Infectious
B) Neoplastic
C) Degenerative
D) Traumatic: C) Degenerative
The description is most consistent with degenerative arthritis in the neck.
The
Answers)
1.A patient presents for evaluation of a sharp, aching chest pain which
in- creases with breathing. Which anatomic area would you localize the
symptom to?
A) Musculoskeletal
B) Reproductive
C) Urinary
D) Endocrine: A) Musculoskeletal
Chest pain may be due to a musculoskeletal condition, such as
costochondritis or intercostal muscle cramp. This would be worsened by
motion of the chest wall.
Pleuritic chest pain is also a sharp chest pain which increases with a dee
breath.
This type of pain can
occur with inflammation of the pleura from pneumonia or other condition
and pulmonary
embolus.
2.A patient comes to the emergency room for evaluation of shortness
of breath. To which anatomic region would you assign the symptom?
A) Reproductive
B) Urinary
C) Cardiac
D) Hematologic: C) Cardiac
Cardiac disorders such as congestive heart failure are the most likely on
this list to result in shortness of breath. There are cases within the other
categories which may also result
in shortness of breath, such as anemia in the hematologic category,
pregnancy in the reproductive
category, or sepsis with UTI in the urinary category.
3.A patient presents for evaluation of a cough. Which of the
following anatom- ic regions can be responsible for a cough?
, A) Ophthalmologic
B) Auditory
C) Cardiac
D) Endocrine: C) Cardiac
The cardiac system can cause a cough if the patient has congestive heart
failure.
This results in fluid buildup in the lungs, which in turn can cause a cough
that produces pink,
rothy sputum. A foreign body in the ear may also cause a cough by
stimulating Arnold's branch of the vagus nerve, but this is less likely to b
seen clinically than heart failure.
4.A 22-year-old advertising copywriter presents for evaluation of joint
pain. The pain is new,
located in the wrists and fingers bilaterally, with some subjective fever. The
patient denies a
rash; she also denies recent travel or camping activities. She has a family
history significant for
rheumatoid arthritis. Based on this information, which of the following patho
logic processes
would be the most correct?
A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic: B) Inflammatory
The description is most consistent with an inflammatory process, although
all the other etiologies should be considered. Lyme disease is an infectio
which commonly causes
arthritis, hemophilia is a hematologic condition which can cause bleeding in
the joints, and trauma can obviously cause joint pain.
5.A 47-year-old contractor presents for evaluation of neck pain, which has
been intermittent for several years. He normally takes over-the-counter
med- ications to ease the pain, but this time they haven't worked as well and
he still has discomfort. He recently wallpapered the entire second floor in
his house, which caused him great discomfort. The pain resolved with rest.
He denies fever, chills, rash, upper respiratory symptoms, trauma, or injury
to the neck. Based on this description, what is the most likely pathologic
,process?
, A) Infectious
B) Neoplastic
C) Degenerative
D) Traumatic: C) Degenerative
The description is most consistent with degenerative arthritis in the neck.
The
