NU 650 Exam 3 (not why
6 month old Well visit should still have this reflex present - correct answer-parachute reflex
6-year female patient; position to exam her genitalia - correct answer-supine, frog-leg
position
A 22 year old woman is being seen at the clinic for problems with vulvar pain, dysuria, and
fever. On physical examination, the practitioner notices clusters of small shallower vesicles
with surrounding erythema on the labia. There is also inguinal lymphadenopathy present.
The most likely cause of these lesions is - correct answer-Herpes simplex virus type 2
A 28-year-old housewife presents to your office for a 6-week postpartum checkup. She
complains of fatigue greater than expected and palpitations. Her hair is falling out as well.
She denies sadness or depression symptoms. Before this, she had not had any medical
problems. She is breastfeeding her child and is not on any birth control. She had her first
period since giving birth last week. A pregnancy test done in the office is negative. What is
your most likely diagnosis?(A) Thyroiditis(B) Iron-deficiency anemia(C) Addison's disease(D)
Sheehan's syndrome - correct answer-A
A 29-year-old computer programmer comes to your office for evaluation of a headache. The
tightening sensation is located all over the head and is of moderate intensity. It used to last
minutes, but this time it has lasted for 5 days. He denies photophobia and nausea. He
spends several hours each day at a computer monitor/keyboard. He has tried
over-the-counter medication; it has dulled the pain but not taken it away. Based on this
description, what is your most likely diagnosis?A) TensionB) MigraineC) ClusterD) Analgesic
rebound - correct answer-A
A 36-year-old female patient is seen in the clinic for a reported fever and back pain. She
complained of pain when the NP percussed over the left CVA angle. This finding supports
which of the following differential diagnosis?A. PyelonephritisB. Left lower lobe pneumoniaC.
SplenomegalyD. Cholecystitis - correct answer-A
A 38-year-old accountant comes to your clinic for evaluation of a headache. The throbbing
sensation is located in the right temporal region and is an 8 on a scale of 1 to 10. It started a
few hours ago, and she has noted nausea with sensitivity to light; she has had headaches
like this in the past, < 1/wk, but not as severe. She does not know of any inciting factors.
There has been no change in the frequency of her headaches. She usually takes an
over-the counter analgesic and this results in resolution of the headache. Based on this
description, what is the most likely diagnosis of the type of headache?A) TensionB)
MigraineC) ClusterD) Analgesic rebound - correct answer-B
A 49-year-old administrative assistant comes to your office for eval of dizziness. You elicit
the information that the dizziness is a spinning sensation of sudden onset, worse with head
position changes. The episodes last a few seconds and then go away, and they are
accompanied by intense nausea. Vomiting x1. She denies tinnitus. You perform a physical
, exam of the head and neck and note that the patient's hearing is intact to Weber and Rinne
and that there is nystagmus. Her gait is normal. Based on this description, what is the most
likely diagnosis?A) Benign positional vertigoB) Vestibular neuronitisC) Ménière's diseaseD)
Acoustic neuroma - correct answer-A
A 55-year-old bank teller comes to your office for persistent episodes of dizziness. The first
episode started suddenly and lasted 3 to 4 hours. He experienced a lot of nausea with
vomiting; the episode resolved spontaneously. He has had five episodes in the past 1½
weeks. He does note some tinnitus that comes and goes. Upon physical examination, you
note that he has a normal gait. The Weber localizes to the right side and the air conduction
is equal to the bone conduction in the right ear. Nystagmus is present. Based on this
description, what is the most likely diagnosis?A) Benign positional vertigoB) Vestibular
neuronitisC) Ménière's diseaseD) Acoustic neuroma - correct answer-C
A 57-year-old maintenance worker comes to your office for evaluation of pain in his legs. He
has smoked two packs per day since the age of 16, but he is otherwise healthy. You are
concerned that he may have peripheral vascular disease. Which of the following is part of
common or concerning symptoms for the peripheral vascular system?A) Intermittent
claudicationB) Chest pressure with exertionC) Shortness of breathD) Knee pain - correct
answer-A
A patient demonstrates left facial droop but can wrinkle both sides of the forehead. The
examiner should suspect a problem with:(A) Central innervation of cranial nerve VII
(facial)(B) Cranial nerve V (trigeminal)(C) Peripheral innervation of cranial nerve VII(D)
Frontalis muscle - correct answer-A
A patient is seen in the office for amenorrhea, for which you obtain a urine pregnancy test in
the office that returns negative. You would document this finding in which of the following
sections of the encounter?A. HPIB. CCC. Subjective DataD. Objective Data - correct
answer-D
A significant sway when the client stands erect with feet together, arms at the side, and the
eyes closed - correct answer-Positive rombergs sign
A test to evaluate position sense - correct answer-Romberg test
A young woman undergoes cranial nerve testing. On touching the soft palate, her uvula
deviates to the left. Which of the following is likely?A) CN IX lesion on the leftB) CN IX lesion
on the rightC) CN X lesion on the leftD) CN X lesion on the right - correct answer-D
Assessment of normal prostate - correct answer-It is heart shaped with a palpable grooveIt
surface is smoothIt has a elasticity, rubbery consistency
Associated with increased breast cancer risk - correct answer-Heavy alcohol usefirst degree
relative with breast canceradvancing age
Breast palpation that is most suggestive of cancer - correct answer-Firm, nontender lump
that is fixed to underlying tissue
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