NR 509 Week 4 Midterm Exam.
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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 Question 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 Question 5 A patient complains of epistaxis. Which other cause should be considered? Hematemesis Consider not doing this test routinely. Use this test when you have a higher suspicion for a certain correlating condition. Question 8 A 50-year-old woman presents with a new complaint of headache. The patient states, “this is worst headache of my life”. Her concurrent conditions includes hypertension. Her history includes habitual ER visits for various complaints and panic attacks. Her most recent ER visit was last week. Today her BP is 200/110 with a HR of 95. Of the following diagnoses, which etiology has the highest priority? Migraine Subarachnoid hemorrhage Cluster Panic disorder Question 9 A patient with alcoholism is brought in with confusion. You ask him to “stop traffic” with his palms and notice that every few seconds his palms suddenly move toward the floor. What does this indicate? Metabolic problems Stroke Severe fatigue and weakness You ask a patient to hold her arms up, with her palms up, and then to close her eyes. The right arm begins to move downward after a few seconds and her thumb rotates upward. This is most likely a problem with which part of the nervous system? Thalamus Dorsal root ganglion Spinothalamic tract Corticospinal tract Question 13 When assessing for mitral stenosis, you should place the patient in what position? right lateral decubitus position squatting tripod position to enhance cardiac circulation left lateral decubitus position supine with head of bed elevated 30 degrees Question 14 A patient presents with ear pain. She is an avid swimmer. The history includes pain and drainage from the left ear. On examination, she has pain when the ear is manipulated, including manipulation of the tragus. The canal is narrowed and erythematous, with some white debris in the canal. The rest of the examination is normal. What diagnosis would you assign this patient? Perforation of the tympanum Wheezing Question 17 Which is true of examination of the olfactory nerve? Allergies are unrelated to testing of this nerve. It is not tested for laterality. Diminished responses may be seen in otherwise normal elderly. The smell must be identified to declare a normal response. Loss of smell occurs in sinus conditions, head trauma, smoking, normal aging, use of cocaine, and Parkinson disease (p. 736). Question 18 0 / 2 pts During the physical examination, which is the best position to place the patient when auscultating for S1, S2, and murmurs? Lying with the head of the bed elevated Leaning forward with the foot elevated
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