Final Exam NR 511 Questions With Complete Solutions
Achilles Tendon Rupture Correct Answer Complete tear, post
recreational sport, sudden pain and a loud snapping noise.
a gap of 4-5 cm in the tendon can be felt immediatly after injury.
patient will limp.
requires an MRI if can't diagnose alone.
Surgical referral immediatly
Acute Bacterial and non-bacterial s/s Correct Answer Fever
chills, malaise, arthralgia, LBP, Dysuria, urgency, frequency,
nocturia, bladder outlet obstruction. Abrupt on set
Acute LBP Correct Answer acitivity intolerance d/t back or
back leg symptoms of less than 3 months
acute prostatitis Correct Answer Abrupt onset, and always
associated with an UTI, most predominant in sexually active
men between the ages of 30-50.
Adhesive Capsulitis (Frozen Shoulder) Correct Answer
idiopathic loss of both active and passive ROM, with no clear
predisposition based on gender, arm dominance, or occupation.
Patients aged 40 to 60 years are more likely to be affected;
diabetes mellitus (especially type 1) is the most common risk
factor.
An enlarged rubbery gland Correct Answer During adigital
rectal exam on a 75 year old male, the clinician suspects the
patient has prostate cancer. What physical finding should make
the clinician suspicious?
Ankle sprin Correct Answer occurs after some injury and is a
tearing of the ligaments.
Most common is lateral
X-Ray only required if the malleolar zone has pain.
Not able to walk ER visit
PRICE: protect, rest, ice, compression, and elevation).
Tylenol and nsaids
Anticholinergic/antispasmodic Agents Tx Correct Answer
tolterodine (Detrol LA) or Oxybutynin or (Ditropan XL)
Contraindications: Closed angle glaucoma and myasthenia
gravis
Used to treat OAB/Urge and Stress incontinence
,Articular symptoms characterized by Correct Answer Deep or
diffuse pain
Limited AROM and PROM
Swelling
Crepitation
Instability
Locking
Deformity
Bence Jones protein Correct Answer a special protein found in
the blood and urine, indicative of multiple myeloma.
When proteinuria is identified in low risk (nondiabetic or
nonpregnant) consider running this test.
Benigh prostatic hyperplasia (BPH) Correct Answer excessive
development pertaining to the prostate gland
bladder cancer cardinal sign Correct Answer Gross pain less
hematuria
BPH symptoms Correct Answer Obstructive symptoms:
-Hesitancy
-Decreased force
-Straining to void
retention
-Dribbling
Irritative symptoms:
-Urgency
, -Frequency
-Nocturia
-dysuria
-Smooth, firm, elastic prostate
BPH treatment Correct Answer -Alpha blockers [relax bladder
neck muscles in the prostate making urination easier]; alfuzosin
(Uroxatral), doxazosin (Cardura), tamsulosin (Flomax), and
silodosin (Rapaflo),
-5-alpha reductase inhibitors [shrink your prostate by preventing
hormonal changes that cause prostate growth]; finasteride
(Proscar), dutasteride (Avodart)
TURP may be need when retention or other symptoms are
unmanageable.
Bullous impetigo Correct Answer Vesicles enlarge to form a
faccid bullae with clear yellow fluid, leaving a thin brown crust.
Trunk is more frequently affected.
If an adult w/ appropriate demographic risk factors should
prompt an HIV investigation.
Cada Equina Syndrome Correct Answer Below the first lumbar
level, horse's tail. including perineal sensation and bladder and
anal sphincter function.
Saddle anesthesia. Bowel or blader retention and or
incontinence.
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