NR 509 Midterm Questions and Answers
Latest Update
Absence of red reflex Correct Answer- an opacity of the lens (cataract) or, possibly, the vitreous
(or even an artificial eye). Less commonly, a detached retina or, i
...
NR 509 Midterm Questions and Answers
Latest Update
Absence of red reflex Correct Answer- an opacity of the lens (cataract) or, possibly, the vitreous
(or even an artificial eye). Less commonly, a detached retina or, in children, a retinoblastoma
may obscure this reflex.
Acanthosis nigricans Correct Answer- deeply pigmented, velvety axillary skin in the axilla
-associated with diabetes, obesity, PCOS, and rarely malignant paraneoplastic disorders
Acromion Correct AnswerAcromion Correct Answer- tip of shoulder
Acute RA Correct Answer- Tender, painful, stiff joints in RA, usually with symmetric involvement
on both sides of the body. The distal interphalangeal (DIP), metacarpophalangeal (MCP), and
wrist joints are the most frequently affected. Note the fusiform or spindle-shaped swelling of
the PIP joints in acute disease.
Adult Illnesses Correct Answer- Medical: Illnesses such as diabetes, hypertension, hepatitis,
asthma, and human immunodeficiency virus (HIV); hospitalizations; number and gender of
sexual partners; and risk-taking sexual practices
■ Surgical: Dates, indications, and types of operations
■ Obstetric/Gynecologic: Obstetric history, menstrual history, methods of contraception, and
sexual function
■ Psychiatric: Illness and time frame, diagnoses, hospitalizations, and treatments
Angina pectoris Correct Answer- Consider this as a differential diagnosis for chest pain
Bronchial Correct Answer- or louder, harsher and higher in pitch, with a short silence be-tween
inspiratory and expiratory sounds. Expiratory sounds last longer than inspiratory sounds.
Bronchovesicular sounds Correct Answer- with inspiratory and expiratory sounds about equal in
length, at times separated by a silent interval. Detecting differences in pitch and intensity is
often easier during expiration.
Bulging discs Correct Answer- Vertebral bodies of the spin associated with bulging disc are
cartilaginous
C-section should be listed under surgeries Correct AnswerCause of falsely high BP Correct Answer- -too small of a BP cuff
- if the brachial artery is below heart level
- loose cuff
- bladder that balloons outside the cuff
Cause of saddle numbness and urinary retention Correct Answer- Cauda equina syndrome
Check for nystagmus Correct Answer- -involuntary jerking movement of the eyes with quick and
slow components.
- It is named for the direction of the quick component
- seen in cerebellar disease and vestibular disorders and in internuclear ophthalmoplegia
Cherry angiomas Correct Answer- Benign
Chronic RA Correct Answer- swelling and thickening of the MCP and PIP joints. Range of motion
becomes limited, and fingers may deviate toward the ulnar side. The interosseous muscles
atrophy. The fingers may show "swan neck" deformities (hyperextension of the PIP joints with
fixed flexion of the distal interphalangeal [DIP] joints). Less common is a boutonnière deformity
(persistent flexion of the PIP joint with hyperextension of the DIP joint). Rheumatoid nodules
are seen in the acute or the chronic stage.
CN 1-6 Correct Answer- 1) Olfactory- smell
2)Optic- visual acuity with eye chart & pupil response
3)Oculomotor- conjugate gaze with EOM
4)Trochlear- conjugate gaze with EOM
5) Trigeminal- palpate masseter & touch fac
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