6621 Module 1 Mystery Breakout

NURS 6621 Advanced Physical Assessment

Module 1 Mystery Breakout

Start

Intro

You have entered a dark and unknown world from which you have to get out before it's too late and you will be locked in forever.

Continue

Mission 1

Locked

Locked

Locked

Answer the question and you will find out the address of the following scenario

A 24-year-old man presents to a sexually transmitted infections clinic with concern regarding possible exposures to such diseases. During the course of the interview, the patient becomes somewhat uncomfortable with detailed questions about his exposures, including history of intravenous drug use and anal receptive sexual intercourse, all of which he denies vehemently. He questions the need for such interrogation and answers some inquiries with a shrug and a glare. Ultimately, he demands to know the purpose of this process. In answer to his question, the ultimate role of the medical history is to obtain which of the following?

Document the patient's narrative for medico-legal preotection of the clinician

Document the patient's narrative for billing and reimbursement reasons

Assist with generation and testing of hypotheses about the patient's diagnosis

Mission 2

Locked

Completed

Locked

Drag and discover

A 38-year-old schoolteacher presents with a large, palpable breast lump, significant weight loss, and fatigue. Her mother died of breast cancer at the age of 51, which the patient states is “why I’m so afraid to get a mammogram.” Which of the following should the nurse practitioner (NP), avoid sharing with the patient?

A mammogram can be arranged, if desired

His suspicion that the patient has breast cancer

The lump is palpable

Mission 3

Completed

Completed

Locked

A 35-year-old woman comes to the physician due to pelvic pain and bloating. These symptoms have been present for most of the past six weeks. On pelvic examination, the clinician detects a retrouterine mass approximately the diameter of a golf ball, which is itself roughly 4 cm in diameter. How should the size of this mass be recorded?

"A 30 mm mass"

"A 4 cm mass"

"A mass roughly the size of a golf ball"

A 24-year-old man presents to his primary care clinic and relates the following information: “I have been having this pain in my abdomen for the past week. I tried taking antacids but it didn’t seem to help. The pain stayed the same. But when I bend over the pain gets worse and sort of moves to my back. It feels like a sharp burning pain. Sometimes it seems to go away when I sit down but in an hour or so it returns. I think it is getting worse.” Which of the following clarifying questions would best complete the history of her presenting symptom?

Does the pain radiate anywhere?

How would you rate the pain on a scale of 1-10?

Where on your abdomen is the pain?

A 45-year-old man is brought to the emergency department (ED) after a serious car accident. The ED resident suspects subarachnoid hemorrhage (SAH). In researching the likelihood of SAH in motor vehicle accidents, he finds that the likelihood ratio of SAH is 10 in the presence of neck stiffness and 0.4 in the absence of neck stiffness. The patient’s neck is not stiff. Which of the following is correct?

The presence of SAH is unrelated to neck stiffness

The patient is fairly likely to have SAH

The patient is unlikley to have SAH

Remember the code

216

Continue

Completed

Completed

Completed

Mission 4

A 59-year-old man complains of frequent pain “in my stomach,” and when questioned in detail, points to his substernal area. He says that the pain feels like a dull ache. He also reports dry mouth, itching between his toes, and a feeling that his vision is “just isn’t as sharp as it used to be.” Which of the following actions would help the clinician narrow down the patient’s problem to the cardiovascular system?

Identifying other problems the patient has not yet mentioned

Asking the patient to rate his pain severity on a 10 point scale

Identifying the conditions that precipitate the pain

14+3

Continue

You have reached the last mission 🎉 Do you know what the code is?

Enter the password

Congratulations, you made it out!

Wrong answer!

Try again