NUR507_module_8_final_exam.docx (175.59 KB)

NUR507 Module 8 Final Exam latest 2018 MAY (limited answers) Module 8 Final exam

Question 1

Jeannie is a 24-year-old pregnant woman who asks you if her
frequent urination is normal. Which of the following hormones is most likely
responsible for this?

TSH

HCG

Oxytocin

Estradiol

Question 2

Marion presents to your office with back pain associated
with constipation and urinary retention. Which of the following is most likely?

Sciatica

Epidural abscess

Cauda equine

Idiopathic low back pain

Question 3

Which is true of examination of the olfactory nerve?

It is not tested unless patient reports a change in smell

The smell must not be identified to declare a normal
response

Abnormal responses may be seen in otherwise normal elderly
patients

Allergies are unrelated to testing of this nerve

Question 4

A woman in her 24th week of pregnancy notices she feels
faint when lying down for a period. What would you suspect as the cause for
this?

Adrenal insufficiency

Orthostatic hypotension

Supine hypotensive syndrome

Hypoglycemia

Question 5

What is the most effective pattern of palpation for breast
cancer?

Beginning at the nipple, make an ever-enlarging spiral

Divide the breast into quadrants and inspect each
systematically

Examine in lines resembling the back and forth pattern of
mowing the lawn

Inspect the breast in a circular motion

Question 6

You are assessing a patient with diffuse joint pains and
want to make sure that it is only the joints that are the problem, and that the
pain is not related to other diseases. Which of the following is a systemic
cause of joint pain?

Gout

Osteoarathritis

Tendonitis

Spondylosis

Question 7

You are examining a child with severe cerebral palsy. When
you suddenly move his foot dorsally, a sustained “beating” of the
foot against your hand ensues. What does this represent?

A focal seizure

Clonus

Kernig’s sign

Brudzinski’s sign

Question 8

A young woman comes in experiencing brief, rapid, jerky, irregular
movements. They can occur at rest or during other intentional movements. They
mostly involve her face, head, lower arms, and hands. How would you describe
these movements?

Tics

Dystonia

Athetosis

Chorea

Question 9

An infant presents with a heart rate of 180, a respiratory
rate of 68, and an enlarged liver. What diagnosis does this suggest?

Pneumonia

Heart failure

Sepsis

Necrotizing enterocolitis

Question 10

You are assessing a patient with joint pain and are trying
to decide whether it is inflammatory or non-inflammatory in nature. Which one
of the following symptoms is consistent with an inflammatory process?

Stiffness

Cool temperature

Ecchymosis

Deformity

Question 11

Which is true of women who have had unilateral mastectomy?

Examination of the remaining breast only

Lymohedema of the ipsilateral arm usually suggests
recurrence of breast cancer

Breast reconstruction over the mastectomy site no longer
requires examination

Examination starts at the nipple, making an ever-enlarging
spiral

Question 12

Which is true of prostate cancer?

It is commonly lethal

It is one of the less common forms of cancer

Family history does not appear to be a risk factor

Ethnicity is a risk factor

Question 13

Which of the following will help to optimize yield from a
pediatric examination?

Take advantage of quiet periods for auscultation

Perform a head to toe exam

Use firmness, as needed to make it through your examination

Encourage Mom to hold the child’s hand

Question 14

A patient presents with a daily headache which has worsened
over the past few months. On funduscopic examination, you notice that the disk
edge is indistinct and the veins do not pulsate. Which is most likely?

Migraine

Retinal vascular disease

Stroke

Increased intracranial pressure

Question 15

Which of the following is true about the human papilloma
virus (HPV) infection?

Pap smear is a relatively ineffective screening method

It commonly resolves spontaneously in 1-2 years

It is the second most common STI in the United States

HPV infections cause a small but significant number of
cervical cancers

Question 16

Which of the following is most likely benign on breast
examination?

Thickening of the skin

One breast larger than the other

One nipple inverted

One breast with a dimple when the patient leans forward

Question 17

Mrs. Jaeger is a 67-year-old who went through menopause at
the age of 55. She is now experiencing some vaginal bleeding. Which of the
following should be considered?

Hormone Replacement Therapy

Ovarian Cysts

Fallopian Tube Torsion

None of the above

Question 18

You are conducting a mental status examination and note
impairment of judgement, but the rest of your examination is intact. Where is
the most likely location of the problem?

Frontal lobe

Cerebellum

Brainstem

Basal ganglia

Question 19

Pain, swelling, loss of both active and passive motion,
locking, and deformity are consistent with which of the following?

Articular joint pain

Bursitis

Muscular injury

Nerve damage

Question 20

Abby is a newly married woman who is unable to have
intercourse due to vaginismus. This is most likely due to

Lack of lubrication

Atrophic vaginitis

Volvodynia

Psychosocial reasons

Question 21

A patient with alcoholism is brought in with confusion. You ask
him to “stop traffic” with his palms and notice that every few
seconds his palms suddenly move toward the floor. What does this indicate?

Stroke

Metabolic problems

Carpal tunnel syndrome

Dupuytren’s contracture

Question 22

Which of the following accompanies decreased ovarian
function?

Increased sloop

Diminution of sexual interest

Enlargement of the clitoris

Decrease in vaginal secretions

Question 23

Important techniques in performing the rectal examination
include all the following except?

Lubrication

Waiting for the sphincter to relax

Explaining each step before it occurs

Position patient on right side

Question 24

Which of the following synovial joints would be an example
of a condylar joint?

Hip

Interphalangeal joints of the hand

Temporomandibular joint

Intervertebral joint

Question 25

Which of the following changes are expected in vision as
part of the normal aging process?

Fluctuating vision

Floaters

Macular degeneration

Blurring of near vision

Question 26

Which of the following represents metrorrhagia?

Irregular uterine bleeding

Excessive flow of menses

Infrequent uterine bleeding

Bleeding between periods

Question 27

Induration along the ventral surface of the penis suggests
which of the following?

Urethral stricture

Peripheral inflammation

Peyronie’s disease

Epidermoid cyst

Question 28

Which of the following is commonly seen in aging men?

Erectile dysfunction in 20 percent of all men

Testicles riding higher within the right scrotom

Strong response to visual erotic cues

Persistent sexual interest

Question 29

A patient comes to you because she is experiencing a tremor
that only appears when she reaches for things. This becomes worse as she nears
the “target.” When you ask her to hold out her hands, no tremor is
apparent. What type of tremor does this most likely represent?

Intention tremor

Postural tremor

Essential tremor

Physiologic tremor

Question 30

Which of the following would lead you to suspect a hydrocele
versus other causes of scrotal swelling?

Elevation of testes

Being able to palpate superior to the mass

Positive translumination

Absence of cremasteric reflex