NUR 611 MIDTERM EXAM: QUESTIONS WITH ANSWERS
atypical pigmentation; red/white/grey/blue/black/brown; geriatric population Right Ans - malignant melanoma prolonged horizontal growth or vertical, can spread to other organs Right Ans - lentigo maligna melanoma most common skin malignancy, malignant neoplasm of the basal cells of the epidermis, lesions almost always occur on face; pearly, rolled, well-defined margins, ulceration in center Right Ans - basal cell carcinoma malignant neoplasm of keratocytes in the epidermis; scaling, crusting, plaque appearance, can ulcerate and bleed Right Ans - squamous cell carcinoma frequently encountered in patients with HIV infection; mouth and nose; vesicular at first then dries/crusts up Right Ans - herpes simplex before rash erupts patient will describe burning, tingling sensation on skin then eruption of vesicular rash along dermatome; can come out along a spinal nerve or cranial nerve (body or face) Right Ans - herpes zoster less than 1 cm; filled with serous fluid; blister, herpes simplex Right Ans - vesicle greater than 1 cm; filled with serous fluid; blister, vulgaris Right Ans - bullae smaller than 1 cm; nevus, wart Right Ans - papule would cause enlargement of submaxillary or submental Right Ans - dental abscess
- or more enlargement of lymph node; post auricular and post cervical nodes
would be enlarged; viral or bacterial etiology Right Ans - lymphadenopathy exudate, fever, tonsils 3+ is what type of pharyngitis? Right Ans - bacterial 1 / 2
tonsils 2-3+ (may be 4+), absence of fever is what type of pharyngitis? (most common cause) Right Ans - viral measurement of fluid overload, heart, strain, flow is what assessment?Right Ans - jugular venous pressure pockets in the tonsils are normal unless ? Right Ans - covered with exudate what type of conjunctivitis? both eyes affected, generally no pain, URI, fever Right Ans - viral conjunctivitis what type of conjunctivitis? usually 1 eye, generally no pain, discharge Right Ans - bacterial conjuctivitis difference between conjunctivitis and retinal issue is ? Right Ans - pain what type of eye condition- both eyes are itchy, tearing, shiners, allergy symptoms Right Ans - allergic reaction thyroid gland enlargement (graves disease) Right Ans - hyperthyroidism weight loss, anxiety, fast metabolism can be related to ? Right Ans - Hyperthyroidism weight gain, fatigue, dry skin, brittle nails can be related to ? Right Ans - hypothyroid main symptom and time frame Right Ans - chief complaint further explain chief complaint Right Ans - history of present illness summarizes in terms of body systems all the symptoms that may have been overlooked in the HPI, yes or no questions Right Ans - review of symptoms (subjective) preparation of equipment; inspection, palpation, auscultation, percussion; conduct by body regions from head to toe Right Ans - physical exam (objective)
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