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2023 GENUINE EXAM

Class notes

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NR 509 Advanced Physical Assessment

NR 509 2023

NR 509 Week 4 Midterm Exam Requires Respondus LockDown Browser + Webcam

2023 GENUINE EXAM

PASS

QUIZ 1

An 18-year-old patient comes to the office for evaluation of a rash. At first there was only one large patch, but then more lesions erupted suddenly on the back and torso; the lesions itch. On physical examination, you note that the pattern of eruption is like a Christmas tree and that there are a variety of erythematous papules and macules on the cleavage lines of the back. Based on this description, what is the most likely diagnosis?

Pityriasis rosea

Psoriasis

Atopic eczema

Tinea versicolor

QUIZ 2

A 19-year-old construction worker presents for evaluation of a rash. He notes that it started on his back with a multitude of spots and is also on his arms, chest, and neck. It itches a lot. He does sweat more than before because being outdoors is part of his job.On physical examination, you note dark tan patches with a reddish cast that has sharp borders and fine scales, scattered more prominently around the upper back, chest, neck, and upper arms as well as under the arms. Based on this description, what is your most likely diagnosis?

Psoriasis

Tinea versicolor

NR 509 Advanced Physical Assessment

NR 509 2023

Atopic eczema

Pityriasis rosea

QUIZ 3

NR 509 Advanced Physical Assessment

NR 509 2023

You are examining a child with severe cerebral palsy. When you suddenly move his foot dorsally, a sustained “beating” of the foot against your hand ensues. What does this represent?

Clonus

Reinforcement

A focal seizure

Extinction

QUIZ 4

A patient presents with a daily headache which has worsened over the past several months. On funduscopic examination, you notice that the disk edge is indistinct and the veins do not pulsate. Which is most likely?

Detached retina

Glaucoma

Migraine

Increased intracranial pressure

QUIZ 5

A patient complains of epistaxis. Which other cause should be considered?Hematemesis

NR 509 Advanced Physical Assessment

NR 509 2023

Hematoma of the nasal septum

Intestinal hemorrhage

Intracranial hemorrhage

QUIZ 6

A patient complains of shortness of breath for the past few days. On examination, you note late inspiratory crackles in the lower third of the chest that were not present a week ago. What is the most likely explanation for these?

Heart failure

Asthma

Bronchiectasis

COPD

QUIZ 7

You are excited about a positive test finding you have just noticed on physical examination of your patient. You go on to do more examination, laboratory work, and diagnostic tests, only to find that there is no sign of the disease you thought would correlate with the finding. This same experience happens several times. What should you conclude?

Continue using the test, perhaps doing less laboratory work and diagnostics.

Omit this test from future examinations.

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2023 GENUINE EXAM

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