NRS 509 FINAL QUESTIONS AND ANSWERS ALL RATED A+

NRS 509 FINAL QUESTIONS AND ANSWERS ALL RATED A A 3 YEAR OLD CAN DO IN REGARD TO JUMPING AND BALANCING ? Correct Answer- PEDALS A TRICYCLE, JUMPS IN PLACE, FEEDS SELF WITH UTENSILS. A WOMAN WHO IS 8 WEEKS PREGNANT IS ...

NRS 509 FINAL QUESTIONS AND ANSWERS ALL RATED A A 3 YEAR OLD CAN DO IN REGARD TO JUMPING AND BALANCING ? Correct Answer- PEDALS A TRICYCLE, JUMPS IN PLACE, FEEDS SELF WITH UTENSILS. A WOMAN WHO IS 8 WEEKS PREGNANT IS IN THE CLINIC FOR A CHECK UP. THE FNP READS HER CHART THAT HER CERVIX IS... CYANOTIC. THE FNP KNOWS THAT THE WOMAN IS EXHIBITING SIGN AND SIGN Correct Answer- GOODELL'S SIGN AND CHADWICK SIGN atopic dermatitis Correct Answer- Excess inflammation; dry skin, redness, and itching from allergies and irritants. Bounding pulse Correct Answer- A pulse with an increased volume that feels very strong and full 3+ BRIEF MEMORY TEST Correct Answer- TODAYS WEATHER CURRENT MEDICATIONS LAB TESTS. Buerger Test -lower limb arterial insufficiency Correct Answer- *return of color 10 seconds - venous filling 15 seconds* -both legs 90 degrees Carotid Pulsations Correct Answer- Palpable Vigorous thrust Not eliminated with pressure Pulsation does not change with position Not affected by inspirationcauses of hematemesis Correct Answer- blood altered by gastric acid Causes of S2 Splitting Correct Answer- during unsynchronized closure of the aortic and pulmonary valves during inspiration. Causes of the S3 heart sound? Correct Answer- The most common cause of the S3 is congestive heart failure, less common is valvular regurgitation and left to right shunts. Causes of venous insufficiency Correct Answer- DVT (leaflets become thickened and contracted so that they are incapable of preventing retrograde flow; then secondary incompetence develops in distal valves because high pressures distend the vein and separate the leaflets) Primary valvular incompetence Chadwick's sign Correct Answer- Bluish purple discoloration of the cervix, vagina, and labia during pregnancy as a result of increased vascular congestion. chalazion Correct Answer- a nodule or cyst, usually on the upper eyelid, caused by obstruction in a sebaceous gland characteristics of a breast cyst Correct Answer- soft to firm round mobile often tender. CONCERNS OF IRREGULAR RECTAL MASSES ? Correct Answer- RECTAL CANCER Condylomata acuminata Correct Answer- soft, pointed, fleshy papules that occur on the genitalia and are caused by the human papillomavirus (HPV) Cysts Correct Answer- Fluid, infection, or other matter under the skin Delirium vs Dementia Correct Answer- 1. Delirium- Acute, dramatic onset, common causes= illness, toxin, withdrawal, usually reversible. Poor attention and fluctating arousal level.2. Dementia: Chronic, insidious onset, usually not reversible, attention usually unaffected and normal arousal level. depression screening with vague symptoms. Correct Answer- physical symptoms account for 50% diastasis recti Correct Answer- Separation of the longitudinal muscles of the abdomen (rectus abdominis) during pregnancy. DIFFERENTIAL DX FOR EPIGASTRIC PAIN Correct Answer- DYSPEPSIA, STOMACH ULCER, BOWEL OBSTRUCTION, ACUTE PANCREATITIS, GALLSTONES, CHOLECYSTITIS Examining the Lateral Portion of the Breast Correct Answer- patient rolls on opposite hip placing her hand on her forehead keeping shoulders flat. Fibroadenoma Correct Answer- a round, firm, rubbery mass that arises from excess growth of glandular and connective tissue in the breast Fibrocystic changes cancer Correct Answer- nodular ropelike irregular firm mobile or fixed. Finding an abdominal mass Correct Answer- ask the patient to raise head and shoulders and strain down. Functional syndromes Correct Answer- problems that appear to have a physiological basis, but with normal structures. irritable bowel syndrome, TMJ, fibromyalgia, chronic fatigue. Goodell's sign Correct Answer- softening of the cervix Hepatitis A is transmitted by Correct Answer- ingestion of food contaminated by fecesHPV PROTECTS AGAINST ? Correct Answer- GENITAL WARTS AND CERVICAL CANCER infection of bartholin's gland presents ? Correct Answer- tense hot tender abscess with pus emerging from the duct or erythema. INTERNAL JUGULAR PULSATIONS Correct Answer- Rarely palpable; pulsations eliminated by light pressure on veins above sternal end of clavicle; height of pulsations changed by position; height of pulsations falls with inspiration; 2 elevations and 2 troughs per heartbeat KYAHOGUE Correct Answerlarge purplish bruises are called Correct Answer- Senile purpura Lungs in the elderly Correct Answer- stiffer lose recoil residual volume increases as the alveoli increase. LYMPH NODE GROUP INVOLVED WITH DETECTING BREAST CANCER Correct Answer- AXILLARY NODES, OR CENTRAL NODES. LYMPH NODES FOR STREP Correct Answer- ANTERIOR CERVICAL LYMPH NODES macula Correct Answer- yellowish region on the retina lateral to and slightly below the optic disc. has photo receptors that detect light and interpret images. Malaria rubra Correct Answer- Acute inflammatory disorder of the sweat glands, resulting in the eruption of red vesicles and burning, itching skin from excessive heat exposure metorrhagia Correct Answer- bleeding between periodsMILESTONES FOR A 8 MOS OLD CHILD Correct Answer- CAN SAY MAMA PAPA INDICATES WANTS, FEEDS SELF. mucus plug Correct Answer- A collection of thick mucus in the cervix that prevents bacteria from entering the uterus Oncychomycosis Correct Answer- Fungal infection of the finger or toenail plate Many species of fungus, tends to be a dermatophyte Nail surface is soft, dry and powdery and can easily be scraped away Nail bed is raised pain at the lateral epicondyle IS ? Correct Answer- tennis elbow or repetitive extension of the wrist or pronation or supination of the forearm. Pancreatitis pain is located where ? Correct Answer- upper abdomen peritonitis Correct Answer- inflammation of the peritoneum (membrane lining the abdominal cavity and surrounding the organs within it) Perseveration Correct Answer- persistent repetition of the same word or idea in response to different questions presentation of genital syphilis Correct Answer- ulcerated papule with indurated edges. May resemble a carcinoma or crusted cold sore. prostate gland Correct Answer- a gland surrounding the neck of the bladder in male mammals and releasing prostatic fluid. rectal cancer Correct Answer- 1 Proximal Non metastatic treated with lower anterior resection+radiation and chemo in node +ve,2 Distal rectal cancer treated with local resection sphincter sparing operation or abdominoperineal resection called extensivradical operation rectal cancer Correct Answer- A 64 year old male present