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NU 518 Exam 2 with complete solutions 2024
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NU 518 Exam 2 with complete solutions 2024
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NU 518 Exam 2 with complete solutionsh h h h h h
2024
h
A h38-year-old haccountant hcomes hto hyour hclinic hfor hevaluation hof ha
hheadache. hThe hthrobbing hsensation his hlocated hin hthe hright htemporal hregion
hand his han h8 hon ha hscale hof h1 hto h10. hIt hstarted ha hfew hhours hago, hand hshe
hhas hnoted hnausea hwith hsensitivity hto hlight; hshe hhas hhad hheadaches hlike
hthis hin hthe hpast, husually hless hthan hone hper hweek, hbut hnot has hsevere. hShe
hdoes hnot hknow hof hany hinciting hfactors. hThere hhas hbeen hno hchange hin hthe
hfrequency hof hher hheadaches. hShe husually htakes han hover hthe-counter
hanalgesic, hand hthis hresults hin hresolution hof hthe hheadache. hBased hon hthis
hdescription, hwhat his hthe hmost hlikely hdiagnosis hof hthe htype hof hheadache?
A) hTension
B) hMigraine
C) hCluster
D) hAnalgesic hrebound h- hANSWER✓✓-B
A h29-year-old hcomputer hprogrammer hcomes hto hyour hoffice hfor hevaluation hof
ha hheadache. hThe htightening hsensation his hlocated hall hover hthe hhead hand his
hof hmoderate hintensity. hIt hused hto hlast hminutes, hbut hthis htime hit hhas hlasted
hfor h5 hdays. hHe hdenies hphotophobia hand hnausea. hHe hspends hseveral hhours
heach hday hat ha hcomputer hmonitor/keyboard. hHe hhas htried hover-the-counter
hmedication; hit hhas hdulled hthe hpain hbut hnot htaken hit haway. hBased hon hthis
hdescription, hwhat his hyour h
most hlikely hdiagnosis?
A) hTension
B) hMigraine
C) hCluster
D) hAnalgesic hrebound h- hANSWER✓✓-A
Which hof hthe hfollowing his ha hsymptom hinvolving hthe heye?
A) hScotomas
B) hTinnitus
C) hDysphagia
D) hRhinorrhea h- hANSWER✓✓-A
,A h49-year-old hadministrative hassistant hcomes hto hyour hoffice hfor hevaluation
hof hdizziness. hYou helicit hthe hinformation hthat hthe hdizziness his ha hspinning
hsensation hof hsudden honset, hworse hwith hhead hposition hchanges. hThe
hepisodes hlast ha hfew hseconds hand hthen hgo haway, hand hthey hare
haccompanied hby hintense hnausea. hShe hhas hvomited hone htime. hShe hdenies
htinnitus. hYou hperform ha hphysical hexamination hof hthe hhead hand hneck hand
hnote hthat hthe hpatient's hhearing his hintact hto hWeber hand hRinne hand hthat
hthere his hnystagmus. hHer hgait his hnormal. hBased hon hthis hdescription, hwhat
his hthe hmost hlikely hdiagnosis?
A) hBenign hpositional hvertigo
B) hVestibular hneuronitis
C) hMénière's hdisease
D) hAcoustic hneuroma h- hANSWER✓✓-A
A h55-year-old hbank hteller hcomes hto hyour hoffice hfor hpersistent hepisodes hof
hdizziness. hThe hfirst hepisode hstarted hsuddenly hand hlasted h3 hto h4 hhours. hHe
hexperienced ha hlot hof hnausea hwith hvomiting; hthe hepisode hresolved
hspontaneously. hHe hhas hhad hfive hepisodes hin hthe hpast h1½ hweeks. hHe hdoes
hnote
some htinnitus hthat hcomes hand hgoes. hUpon hphysical hexamination, hyou hnote
hthat hhe hhas ha hnormal hgait. hThe hWeber hlocalizes hto hthe hright hside hand hthe
hair hconduction his hequal hto hthe hbone hconduction hin hthe hright hear.
hNystagmus his hpresent. hBased hon hthis hdescription, hwhat his hthe hmost hlikely
hdiagnosis?
A) hBenign hpositional hvertigo
B) hVestibular hneuronitis
C) hMénière's hdisease
D) hAcoustic hneuroma h- hANSWER✓✓-C
A h73-year-old hnurse hcomes hto hyour hoffice hfor hevaluation hof hnew honset hof
htremors. hShe his hnot hon hany hmedications hand hdoes hnot htake hherbs hor
hsupplements. hShe hhas hno hchronic hmedical hconditions. hShe hdoes hnot
hsmoke hor hdrink halcohol. hShe hwalks hinto hthe hexamination hroom hwith hslow
hmovements hand hshuffling hsteps. hShe hhas hdecreased hfacial hmobility hand ha
hblunt hexpression, h
without hany hchanges hin hhair hdistribution hon hher hface. hBased hon hthis
hdescription, hwhat his hthe hmost hlikely hreason hfor hthe hpatient's hsymptoms?
A) hCushing's hsyndrome
B) hNephrotic hsyndrome
C) hMyxedema
D) hParkinson's hdisease h- hANSWER✓✓-D
A h29-year-old hphysical htherapist hpresents hfor hevaluation hof han heyelid
hproblem. hOn hobservation, hthe hright heyeball happears hto hbe hprotruding
hforward. hBased hon hthis hdescription, hwhat his hthe hmost hlikely hdiagnosis?
A) hPtosis
,B) hExophthalmos
C) hEctropion
D) hEpicanthus h- hANSWER✓✓-B
A h12-year-old hpresents hto hthe hclinic hwith hhis hfather hfor hevaluation hof ha
hpainful hlump hin hthe hleft heye. hIt hstarted hthis hmorning. hHe hdenies hany
htrauma hor hinjury. hThere his hno hvisual hdisturbance. hUpon hphysical
hexamination, hthere his ha hred hraised harea hat hthe hmargin hof hthe heyelid hthat his
htender hto hpalpation; hno htearing hoccurs hwith hpalpation hof hthe hlesion. hBased
hon hthis hdescription, hwhat his hthe h
most hlikely hdiagnosis?
A) hDacryocystitis
B) hChalazion
C) hHordeolum
D) hXanthelasma h- hANSWER✓✓-C
A h15-year-old hhigh hschool hsophomore hpresents hto hthe hemergency hroom
hwith hhis hmother hfor hevaluation hof han harea hof hblood hin hthe hleft heye. hHe
hdenies htrauma hor hinjury hbut hhas hbeen hcoughing hforcefully hwith ha hrecent
hcold. hHe hdenies hvisual hdisturbances, heye hpain, hor hdischarge hfrom hthe heye.
hOn hphysical hexamination, hthe hpupils hare hequal, hround, hand hreactive hto
hlight, hwith ha hvisual hacuity hof
20/20 hin heach heye hand h20/20 hbilaterally. hThere his ha hhomogeneous, hsharply
hdemarcated harea hat hthe hlateral haspect hof hthe hbase hof hthe hleft heye. hThe
hcornea his hclear. hBased hon hthis hdescription, hwhat his hthe hmost hlikely
hdiagnosis?
A) hConjunctivitis
B) hAcute hiritis
C) hCorneal habrasion
D) hSubconjunctival hhemorrhage h- hANSWER✓✓-D
A h67-year-old hlawyer hcomes hto hyour hclinic hfor han hannual hexamination. hHe
hdenies hany hhistory hof heye htrauma. hHe hdenies hany hvisual hchanges. hYou
hinspect hhis heyes hand hfind ha htriangular hthickening hof hthe hbulbar hconjunctiva
hacross hthe houter hsurface hof hthe hcornea. hHe hhas ha hnormal hpupillary
hreaction hto hlight hand haccommodation. hBased hon hthis hdescription, hwhat his
hthe hmost hlikely hdiagnosis?
A) hCorneal harcus
B) hCataracts
C) hCorneal hscar
D) hPterygium h- hANSWER✓✓-D
Which hof hthe hfollowing his ha h"red hflag" hregarding hpatients hpresenting hwith
hheadache?
A) hUnilateral hheadache
B) hPain hover hthe hsinuses
, C) hAge hover h50
D) hPhonophobia hand hphotophobia h- hANSWER✓✓-C
A hsudden, hpainless hunilateral hvision hloss hmay hbe hcaused hby hwhich hof hthe
hfollowing?
A) hRetinal hdetachment
B) hCorneal hulcer
C) hAcute hglaucoma
D) hUveitis h- hANSWER✓✓-A
Sudden, hpainful hunilateral hloss hof hvision hmay hbe hcaused hby hwhich hof hthe
hfollowing hconditions?
A) hVitreous hhemorrhage
B) hCentral hretinal hartery hocclusion
C) hMacular hdegeneration
D) hOptic hneuritis h- hANSWER✓✓-D
Diplopia, hwhich his hpresent hwith hone heye hcovered, hcan hbe hcaused hby hwhich
hof hthe hfollowing hproblems?
A) hWeakness hof hCN hIII
B) hWeakness hof hCN hIV
C) hA hlesion hof hthe hbrainstem
D) hAn hirregularity hin hthe hcornea hor hlens h- hANSWER✓✓-D
A hpatient hcomplains hof hepistaxis. hWhich hother hcause hshould hbe
hconsidered?
A) hIntracranial hhemorrhage
B) hHematemesis
C) hIntestinal hhemorrhage
D) hHematoma hof hthe hnasal hseptum h- hANSWER✓✓-B
Glaucoma his hthe hleading hcause hof hblindness hin hAfrican hAmericans hand hthe
hsecond hleading hcause hof hblindness hoverall. hWhat hfeatures hwould hbe hnoted
hon hfunduscopic hexamination?
A) hIncreased hcup-to-disc hratio
B) hAV hnicking
C) hCotton hwool hspots
D) hMicroaneurysms h- hANSWER✓✓-A
Very hsensitive hmethods hfor hdetecting hhearing hloss hinclude hwhich hof hthe
hfollowing?
A) hThe hwhisper htest
B) hThe hfinger hrub htest
C) hThe htuning hfork htest
D) hAudiometric htesting h- hANSWER✓✓-D
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