6621 Module 2 Assessmentland

NURS 6621

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Test your knowledge from Module 2

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1/5

A 22-year-old male patient presents to clinic with feelings of hopelessness and experiencing no pleasure in activities he formerly enjoyed. You suspect that the patient may have major depression. Which of the following is correct regarding suicide risk factors in such patients?

Suicide is the third leading cause of death in young men aged 15-24 years

He is unlikely to commit suicide if he does not have access to a gun

Women are less likely to make a suicide attempt than men

1/5

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2/5

A 38-year-old accountant presents to his primary care physician with a series of generalized complaints. He relates that he feels a loss of pleasure in daily activities, has difficulty sleeping and is experiencing problems making decisions. After other medical causes are ruled out, which of the following best explains the patient's presentation?

Bipolar disorder in the early pre-excitatory phase

Substance abuse with anhedonia

Depression

2/5

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3/5

During a routine annual examination of an otherwise healthy 42-year-old female, the patient had two episodes during which she experienced a sudden interruption of speech prior to completing her thoughts. The patient has no prior history of psychiatric or neurologic illness, and has a completely normal examination. What is the most likely explanation?

While sometimes abnormal, blocking also occurs in healthy individuals

Blocking is a symptom that always indicates the presence of aphasia

The patient has flight of ideas and probably is experiencing mania

3/5

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4/5

Concerning hallucinations, an abnormal perception experienced by a patient, which of the following statements is true about this abnormality?

By definition hallucinations are confined to those abnormal perceptions that are either auditory or visual in nature

It may occur in association with a number of conditions including delirium, dementia, PTSD, and schizophrenia

Objective testing can be performed by a trained neuropsychologist to ascetain the correct diagnosis associated with this complaint

4/5

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5/5

The leading cause of death from drug abuse is now due to which of the following?

Heroin

Cocaine

Prescription drugs

5/5

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MIRROR MAZE

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1/5

A 24-year-old man with HIV presents to the emergency department with mouth pain. He reports intermittent adherence to his antiretroviral regimen due to medication costs. Which of the following pictures most likely represents his diagnosis of Kaposi's sarcoma?

Your patient is a 56 yo male with a diagnosis of hyperlipidemia and primary biliary cirrhosis. Which of the following represents the most likely finding of xanthelasma on exam?

2/5

3/5

Which of the following is a Weber test?

4/5

Which one of these is most likely benign?

5/5

This type of facial swelling is caused by the indreased adrenal cortisol production of Cushing syndrome.

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HORSE RACE

00:03

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1/5

A 16-year-old male high school student presents with a primary concern of acne. He relates a history of two years of moderate mild acne and closed comedones (whiteheads) which have recently worsened such that a classmate started calling him a pirate due to a large pustule that developed at the tip of his nose. He has increasing outbreaks of cyst-like acne as well as a generally poor complexion with pitting and scarring from prior outbreaks. Which of the following best describes this condition in the adolescent population?

00:30

YOU

Acne vulgaris is associated with blockage of sebaceous glands, stress, humidity, and heavy sweating as well as other contributory factors

Acne vulgaris is always associated with underlying endocrine disorders and/or pituitary dysfunction

Acne vulgaris is associated with an identified virus for which there is no definitive treatment

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1/5

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2/5

A 45-year-old man says he has always had an “odd, asymmetric nose.” He has had no nasal symptoms, allergies, discharge from nose, or bleeding. Examination is notable for the following: Which of the following is the most likely diagnosis?

01:30

YOU

Allergic rhinitis

Tumor

Deviated lower nasal septum

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2/5

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3/5

A 55-year-old woman is evaluated at urgent care for swollen lips, and shortness of breath. She has no past medical history, and recently started a new job yesterday at a health food shop. Upon questioning she admits to having been ingesting some health food products including medicines - to "try out what we are selling." On pulmonary examination, there is diffuse wheezing and facial examination is shown in the corresponding photo. What is the likely diagnosis?

01:30

YOU

Impetigo

Angioedema

A burn

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3/5

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4/5

A nurse practitioner student currently rotating in pediatrics presents to an urgent care clinic. She has had multiple respiratory infections all winter and now has a painful right ear. She is afebrile. Examination is notable for the following: Which of the following is the best next step in management?

01:30

YOU

Send her to an ENT specialist

Treat her with anitibiotics for acute otitis media, and give supportive care for her current upper respiratory infection

Reassure her that the exam is normal

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4/5

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5/5

A 27-year-old African-American male presents to clinic for skin cancer screening after his father was recently diagnosed with malignant melanoma. He was very surprised at this diagnosis, as he had assumed that his dark skin protected him from this disease. In counseling this patient on his skin cancer risk, which of the following is true concerning melanoma in dark-skinned individuals?

01:30

YOU

As dark skin with high melanin concentration is highly protective against melanoma, this disease does not occur in this population

Melanoma in dark-skinned individuals is more likely to be indolent and less likely to be fatal

The USPSTF recommends yearly screening for melanoma in all African-American men over the age of 50

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5/5

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THE HOUSEOF TERROR

Move the light halo tofind the correct answer.Try to get out without getting scared!

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1/5

An 82-year-old man presents to clinic for a routine physical examination. The room is quiet, yet the patient speaks very loudly. What would be a good question to ask to help identify whether or not he has hearing loss?

Do you experience vertigo?

Have you been listening to loud music?

How well do you understand people in a noisy environment, such as a restaurant?

Drag the halo of light!

2/5

The optimal way to open the back of the pharynx to visualize structures is to use a tongue blade and which of the following techniques?

Pressing the tongue blade firmly down upon the midpoint of the arched tongue (without eliciting a gag reflex and asking the patient to say "ah".

Eliciting a gag

Pushing down on the very tip of the tongue

3/5

A very noncompliant patient with advanced diabetes is evaluated by an ophthalmologist who provided him with the following photograph with the label "neovascularization." What is the most appropriate response to this finding? (Picture is hidden below)

This is a bad sign because it indicates advanced damage to the eye from poorly controlled diabetes.

This is a sign of hypertension in which the crossing of blood vessels is abnormal

This is actually a normal finding

4/5

A nurse practitioner tests the extraocular movements of a 25-year-old woman. He notices 5 to 7 beats of rhythmic oscillation of the eyes as he moves his fingers to the right and left. Which of the following is being demonstrated?

Nystagmus

Argyll-Robertson pupils

Normal variant

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