NUR-634 Final Exam Test Prep
NUR-634 Final Exam Test Prep
1. You are examining an elderly man and notice the following: Decreased vibration sense in the feet and ankles, diminished gag reflex, right patellar reflex less than the left, and diminished abdominal reflexes. Which of these is abnorma...
nur 634 final exam test prep 1 you are examining an elderly man and notice the following decreased vibration sense in the feet and ankles
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NUR-634 Final Exam Test Prep
1. You are examining an elderly man and notice the following: Decreased vibration
sense in the feet and ankles, diminished gag reflex, right patellar reflex less than the
left, and diminished abdominal reflexes. Which of these is abnormal?
Decreased vibration sense
Diminished gag reflex
Diminished right patellar reflex compared to the left
Diminished abdominal reflexes
Question Points: 1..0
2. A 68-year-old retired farmer presents to your office for evaluation of a skin lesion. On
the right temporal area of the forehead, you see a flattened papule the same color as his
skin, covered by a dry scale that is round and feels hard. He has several more of these
scattered on the forehead, arms, and legs. Based on this description, what is your most
likely diagnosis?
Actinic keratosis
Seborrheic keratosis
Basal cell carcinoma
Squamous cell carcinoma
Question Points: 1..0
3. A 14-year-old junior high school student is brought in by his mother and father
because he seems to be developing breasts. The mother is upset because she read on the
Internet that smoking marijuana leads to breast enlargement in males. The young man
adamantly denies using any tobacco, alcohol, or drugs. He has recently noticed changes
, in his penis, testicles, and pubic hair pattern. Otherwise, his past medical history is
unremarkable. His parents are both in good health. He has two older brothers who never
had this problem. On examination, you see a mildly overweight teenager with enlarged
breast tissue that is slightly tender on both sides. Otherwise his examination is normal.
He is agreeable to taking a drug test.
What is the most likely cause of his gynecomastia?
Breast cancer
Imbalance of hormones of puberty
Drug use
Alcohol use
Question Points: 1..0
4. A 17-year-old female presents to your office, complaining of a clear discharge from
her right breast for 2 months. She states that she noticed it when she and her boyfriend
were “messing around” and he squeezed her nipple. She continues to have this discharge
anytime she squeezes that nipple. She denies any trauma to her breasts. Her past medical
history is unremarkable. She denies any pregnancies. Both of her parents are healthy. She
denies using tobacco or illegal drugs and drinks three to four beers a week. On
examination, her breasts are symmetric with no skin changes. You are able to express
clear discharge from her right nipple. You feel no discrete masses and her axillae are
normal. The remainder of her heart, lung, abdominal, and pelvic examinations are
unremarkable. A urine pregnancy test is negative.
What cause of nipple discharge is the most likely in her circumstance?
Benign breast abnormality
Breast cancer
Nonpuerperal galactorrhea
Pagets disease
, Question Points: 1..0
5. A 26-year-old flight attendant presents in for a third trimester prenatal visit. She has
had prenatal care since her sixth week of pregnancy. She has no complaints today and her
prenatal course has been unremarkable. Today her blood pressure and weight gain are
appropriate, and her urine is unremarkable. You have a first-year medical student
shadowing you, so you ask the student to get Doptones and measure the patient's uterus
in centimeters. The nurse practitioner student promptly reports fetal heart tones of 140,
but he is having difficulty obtaining the correct measurement. He knows one end of the
tape goes over the uterine fundus.
From what inferior anatomic position should the tape be placed?
Vagina
Clitoris
Pubic symphysis
Umbilicus
Question Points: 1..0
6. A 58-year-old gardener presents to your office for evaluation of a new lesion on her
upper chest. The lesion appears to be “stuck on” and is oval, brown, and slightly elevated
with a flat surface. It has a rough, wart like texture on palpation. Based on this
description, what is your most likely diagnosis?
Actinic keratosis
Seborrheic keratosis
Basal cell carcinoma
Squamous cell carcinoma
, Question Points: 0..0
7. Which of the following represents age-related changes in the lungs?
Decrease in chest wall compliance
Speed of expiration increases
Increase in respiratory muscle strength
Increased elastic recoil of lung tissue
Question Points: 1..0
8. A 15-month-old is brought to you for a fever of 38.6 degrees Celsius and fussiness. The
ear examination is as follows: external ear, normal appearance and no tenderness with
manipulation; canal, normal diameter without evidence of inflammation; tympanic
membrane, bulging, erythematous, and opaque. Insufflation is deferred due to pain. What is
the most likely condition here?
Otitis externa
Cholesteatoma
Ruptured tympanic membrane
Otitis media
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