{"id":110645,"date":"2023-07-27T01:22:22","date_gmt":"2023-07-27T01:22:22","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=110645"},"modified":"2023-07-27T01:22:27","modified_gmt":"2023-07-27T01:22:27","slug":"nr509-final-questions-answers","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/07\/27\/nr509-final-questions-answers\/","title":{"rendered":"NR509 Final Questions & Answers."},"content":{"rendered":"\n
    \n
  1. A young man feels something in his scrotum and comes to you for clarification. On your
    examination, you note what feels like a “bag of worms” in the left scrotum, superior to the
    testicles. Which of the following is most likely?
    A) Hydrocele of the spermatic cord
    B) Varicocele
    C) Testicular carcinoma
    D) A normal vas deferens
    Varicocle
    Rationale: Varicoceles are common in normal men. They are often found in the left scrotum or
    bilaterally and should normally resolve in the supine position. This is because they represent
    varicosities within the scrotum. These require further investigation if they occur only on the right
    side or do not resolve in the supine position. They can contribute to infertility because the
    testicles are unable to achieve a cool enough temperature for sperm production, due to increased
    blood flow from the varicocele. A hydrocele would be a painless mass on the spermatic cord and
    the vas deferens is palpated as part of the spermatic cord. You should lightly pinch the scrotum
    medially and move laterally until you feel the spermatic cord pass between your fingers.<\/li>\n\n\n\n
  2. Which of the following changes are expected in vision as part of the normal aging process?
    A) Cataracts
    B) Glaucoma
    C) Macular degeneration
    D) Blurring of near vision
    Rationale: The lens loses its elasticity over time as part of the normal aging process, and the eye
    is less able to accommodate and focus on near objects; therefore, the patient will be expected to
    have blurring of near vision.<\/li>\n\n\n\n
  3. A 68-year-old mechanic presents to the emergency room for shortness of breath. You are
    concerned about a cardiac cause and measure his jugular venous pressure (JVP). It is
    elevated. Which one of the following conditions is a potential cause of elevated JVP?
    A) Left-sided heart failure
    B) Mitral stenosis
    C) Constrictive pericarditis
    D) Aortic aneurysm
    Constrictive pericarditis
    1 \/ 3<\/li>\n\n\n\n
  4. Which of the following lymph node groups is most commonly involved in breast cancer?
    A) Lateral
    B) Subscapular
    C) Pectoral
    D) Central
    D.) Central<\/li>\n\n\n\n
  5. You are beginning the examination of the skin on a 25-year-old teacher. You have previously
    elicited that she came to the office for evaluation of fatigue, weight gain, and hair loss. You
    strongly suspect that she has hypothyroidism. What is the expected moisture and texture of the
    skin of a patient with hypothyroidism?
    A) Moist and smooth
    B) Moist and rough
    C) Dry and smooth
    D) Dry and rough
    D) Dry and rough<\/li>\n\n\n\n
  6. Mrs. Hill is a 28-year-old African-American with a history of SLE (systemic lupus
    erythematosus). She has noticed a raised, dark red rash on her legs. When you press on the rash,
    it doesn’t blanch. What would you tell her regarding her rash?
    A) It is likely to be related to her lupus.
    B) It is likely to be related to an exposure to a chemical.
    C) It is likely to be related to an allergic reaction.
    D) It should not cause any problems.
    A. It is likely to be related to her lupus<\/li>\n\n\n\n
  7. You are palpating the abdomen and feel a small mass. Which of the following would you do
    next?
    A) Ultrasound
    B) Examination with the abdominal muscles tensed
    C) Surgery referral
    D) Determine size by percussion
    b) examination with the abdominal muscles tensed.
    2 \/ 3<\/li>\n\n\n\n
  8. You are evaluating a 40-year-old banker for coronary heart disease risk factors. He has a
    history of hypertension, which is well-controlled on his current medications. He does not smoke;
    he does 45 minutes of aerobic exercise five times weekly. You are calculating his 10-year
    coronary heart disease risk. Which of the following conditions is considered to be a coronary
    heart disease risk equivalent?
    A) Hypertension
    B) Peripheral arterial disease
    C) Systemic lupus erythematosus
    D) Chronic obstructive pulmonary disease (COPD)
    B) Peripheral Artery Disease<\/li>\n\n\n\n
  9. In obtaining a history, you note that a client uses the word “largely” repeatedly, to the point of
    being a distraction to your task. Which word best describes this speech pattern?
    Perserveration<\/li>\n\n\n\n
  10. A 40-year-old mother of two presents to your office for consultation. She is interested in
    knowing what her relative risks are for developing breast cancer. She is concerned because her
    sister had unilateral breast cancer 6 years ago at age 38. The patient reports on her history that
    she began having periods at age 11 and has been fairly regular ever since, except during her two
    pregnancies. Her first child arrived when she was 26 and her second at age 28. Otherwise she has
    had no health problems. Her father has high blood pressure. Her mother had unilateral breast
    cancer in her 70s. The patient denies tobacco, alcohol, or drug use. She is a family law attorney
    and is married. Her examination is essentially unremarkable.Which risk factor of her personal
    and family history most puts her in danger of getting breast cancer?
    A) First-degree relative with premenopausal breast cancer
    B) Age at menarche of less than 12
    C) First live birth between the ages of 25 and 29
    D) First-degree relative with postmenopausal breast cancer<\/li>\n\n\n\n
  11. A 30-year-old paralegal analyst comes to your clinic, complaining of a bad-smelling vaginal
    discharge with some mild itching, present for about 3 weeks. She tried douching but it did not
    help. She has had no pain with urination or with sexual intercourse. She has noticed the smell
    increased after intercourse and during her period last week. She denies any upper respiratory,
    gastrointestinal, cardiac, or pulmonary symptoms. Her past medical history consists of one
    spontaneous vaginal delivery. She is married and has one child. She denies tobacco, alcohol, or
    drug use. Her mother has high blood pressure and her father died from a heart disease. On
    examination she appears healthy and has unremarkable vital signs. On examination of the<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[],"tags":[],"class_list":["post-110645","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/110645","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=110645"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/110645\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=110645"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=110645"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=110645"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}