NR 509 /NR509 FINAL EXAM NEWEST 2024
COMPLETE 100 QUESTIONS AND (VERIFIED
ANSWERS) |ALREADY GRADED A+
Know the signs of epididymitis - CORRECT ANSWER-Acute epididymitis: an acutely inflamed epididymis is
indurated, swollen, and notably tender, making it difficult to distinguish from the testis. The scrotum
may be reddened and the vas deferens inflamed.
Know what to do if you cannot feel a testicle in the scrotum of a newborn - CORRECT ANSWER-If you
feel a testis up in the inguinal canal, gently milk it downward into the scrotum. Need to differentiate
between undescended testes (in the inguinal canals) and highly retractile testes.
Know the sign factors of prostate cancer: age - CORRECT ANSWER-rare in ages below 40 but incidence
rates begin increasing rapidly after age 50. Median age at diagnosis is 66.
Know the sign factors of prostate cancer: ethnicity - CORRECT ANSWER-African American men have the
highest incidence and mortality rates. Compared to white men, a higher percentage of African American
men are diagnosed with prostate cancer before age 50. They are also more likely to present with
advanced-stage cancer.
Know the sign factors of prostate cancer: family hx - CORRECT ANSWER-Genetics appear to play an
important role in prostate cancer risk. For men with one affected first degree relative (father, brother)
risk of developing prostate cancer increases two fold. For men with 2 or 3 affected first degree relatives,
risk increases 5-11 fold. The BRCA1 and BRCA2 mutations also appear to confer increased risk of
prostate cancer.
Know the sign factors of prostate cancer: other risk factors - CORRECT ANSWER-Agent Orange exposure
among Vietnam veterans, diets high in animal fat, obesity, and cigarette smoking. BPH is NOT a risk
factor.
Know what chicken pox looks like (will be a description) - CORRECT ANSWER-Chickenpox is a highly
contagious disease caused by the varicella-zoster virus (VZV). It can cause an itchy, blister-like rash. The
rash first appears on the chest, back, and face, and then spreads over the entire body, causing between
250 and 500 itchy blisters. (CDC)
, Know the signs of candida vaginitis - CORRECT ANSWER-(YEAST INFECTION) Discharge that is white and
curdy, may be thin but typically thick, not malodorous. Often accompanied by pruritis, vaginal soreness,
pain on urination (from skin inflammation) and dyspareunia. Vulva and surrounding skin are often
inflamed and sometimes swollen to a variable extent. The vaginal mucosa is often reddened with
tenacious patches of white discharge.
Know when to order ABI (ankle-brachial index) - CORRECT ANSWER-Order with findings of diminished or
absent pulses (present in peripheral arterial disease (PAD)
Know which lymph node group is most commonly involved in breast cancer - CORRECT ANSWER-central
nodes (axillary)
Know the Risk Factors for PAD - CORRECT ANSWER-1. Age greater than or equal to 50 with a hx of DM or
smoking
2. Leg symptoms with exertion
3. Nonhealing wounds
Also: smoking, diabetes, obesity (BMI >30), high blood pressure, high cholesterol, increasing age
(especially over 50), family hx of PAD, heart dis, or stroke.
Know what Condylamata Acuminata is - CORRECT ANSWER-Genital warts- single or multiple papules or
plaques of variable shapes; may be round, acuminate (pointed), or thin and slender. May be raised, flat,
or cauliflower like (verrucous). Caused by HPV, usually strains 6 & 11. Incubation usually weeks to
months. Infected contact may have had no visible warts. Occasionally cause itching and pain. May
disappear without treatment. Can arise on penis, scrotum, groin, thighs, or anus (in males).
Know the differentials for epigastric pain - CORRECT ANSWER-GERD, pancreatitis, and perforated ulcers,
myocardial ischemia
Know what a bounding pulse is on a number scale 0-3 - CORRECT ANSWER-bounding= 3+
Know what an 8-month-old child should be able to do in regards to standing, using words, and vocalizing
what he wants - CORRECT ANSWER-Can pull up to stand, say "mama" and "dada" and indicates wants by
vocalizing and pointing
