Exam Review
Your 35-year-old male patient as an established patient to the community health clinic. He has a history of IV drug use and untreated hepatitis C. He also suffers from depression and has difficulty with medication compliance. He comes to the clinic complaining of burning on urination and has recently seen blood in his urine. Which approach should the nurse practitioner follow for this patient’s visit?
What is a problem-focused health history?
What is As soon as the clinician lays eyes on the patient ?
Weakness, fevers, night sweats, fatigue and anorexia are examples of what?
What are constitutional symptoms?
A circumscribed flat, discolored, non-palpable area of the skin < 1 cm in diameter is called what?
What is a macule?
The NP is examining a patient, and the nasal mucosa of her nares appears pale and almost bluish in color. What is the cause?
What is allergies, allergic rhinitis ?
You are examining your 50 year old male patient. On exam, there are decreased breath sounds in the left lower lobe, "E" to "A" changes in the left lower lobe and rhonchi noted in the right lower lobe. What is the reason for these findings?
What is a consolidation from pneumonia?
A 78-year-old patient visits the clinic because of a severe cold. She appears healthy and active, but her daughter reports that she often has trouble dressing herself and bathing herself. The patient agrees that this is the case. In which section of the Health History does such information belong?
What is Personal and Social History ?
59-year-old unemployed man complains of “always feeling tired and hungry” despite getting sufficient rest and having a good appetite and access to sufficient food. The patient is obese and is wearing a large coat, a beanie, and thermal socks. He says his feet are “always cold and feel funny.” Which body system should the physician evaluate first?
What is the HEAD AND NECK?
The nurse practitioner is interviewing a patient who presents to the outpatient clinic with complaints of excessive worrying, feeling restless, difficulty concentrating and irritability which has been getting progressively worse over the past six months. You suspect your patient has generalized anxiety disorder. What screening tool can you use for this patient?
What is the GAD-7 ?
What is the Gold Standard for colorectal screenings?
What is a colonscopy?
What hearing test is specifically designed to compare air conduction to bone conduction?
What is Rinne?
On cardiac examination, the nurse practitioner knows that S2 is usually louder than S1 at what area of the heart?
What is the base ?
The practitioner is interviewing the patient and says she would like to ask the patient a series of questions to ensure any symptoms haven’t been missed. The practitioner asks the patient if they have been experiencing any weight changes, any fatigue, weakness or fever. What regional system is the practitioner asking the patient about?
What is GENERAL in the REVIEW OF SYSTEMS?
A 55-year-old retired firefighter is seen by the nurse practitioner for the first time as a new patient. He appears healthy and well-nourished, but reports the sense that his eyesight is failing. He is quite overweight and says that his mother had diabetes before her death ten years earlier at the age of 71. What type of examination should this patient undergo?
What is A comprehensive examination ?
The general survey is a general description and a statement of observations that the provider observes when assess their patient, which includes the patient's apparent state of health; level of consciousness; state of discomfort or distress; dress, grooming and personal hygiene, and more. Describing someone as "frail", "acutely ill", "toxic appearing" or "well appearing" is what component of the general survey?
What is Apparent state of health ?
What does ABCDE stand for?
What is
A- Asymmetry
B - Borders
C - Color
D - Diameter
E- Evolving
?
A 27-year-old man presents to an urgent care clinic with a chief complaint of headache that has lasted for three days. He also reports accompanying severe congestion, a low-grade fever, and malaise. He also reports he had an upper respiratory infection over a week ago. Examination is notable for tenderness over the maxillary sinuses. The patient’s headache is made worse by leaning forward. What is the diagnosis?
What is Acute bacterial sinusitis?
What is acute cholecystitis ?
What does OLDCARTS stand for?
What is ONSET; LOCATION; DURATION; CHARACTERISTICS; ALLEVIATING AND AGGRAVATING FACTORS; RADIATION OR RELIEVING FACTORS; TIMING; SEVERITY?
Sharp and dull, acute and chronic, proximal vs distal are examples of what?
What is semantic qualifiers
A 78-year old resident of a long-term care facility complains of generalized itchiness at night that disturbs her sleep; examination shows a narrow elevated channel in the interdigital region. What condition does this patient have?
What are scabies?
A young male is being evaluated for ear pain he has had for two days. He is also having trouble hearing in that same left ear. For the past week, the patient has had a runny nose and a cough. Examination shows an erythematous, bulging tympanic membrane with pale yellow fluid behind it. The membrane is immobile with pneumatic otoscopy. What is the diagnosis?
What is acute otitis media?
Your 25-year-old female patient presents to the office with complaints of nervousness, weight loss and excessive sweating. You note tachycardia and tremors on exam. What is the cause / likely diagnosis?
What is hyperthyroidism?
Your patient develops shortness of breath and chest pain three days after undergoing a total left knee replacement. It is discovered she has right lower extremity swelling and it is suspected she has a pulmonary embolism. Her pain is caused by what?
What is Inflamed parietal pleura ?
The practitioner is interviewing her patient, and asks “Can you describe to me what the pain feels like? Is it sharp, dull, or aching?” Which attributes of a symptom is the practitioner using to gather more information?
Mammograms and Papanicolaou (Pap) smears are screening tests recommended by the United States Preventive Services Task force. Screening tests are a form of what type of prevention?
What is secondary prevention?
An altered state of consciousness, characterized by episodes of confusion, that can develop over hours or days; Sudden onset of symptoms include inattention, changing levels of consciousness, and reduced ability to focus is called what?
What is delirium?
What are the three factors that determines the technical quality of the chest radiograph (X-ray)?
What is:
Rotation
Inspiration
Penetration
?
You are interviewing a 27-year-old female who presents with complaints of nervousness, weight loss, palpitations, and heat intolerance. Lid lag is found on exam. What is the cause / likely diagnosis?
What is hyperthyroidism?
You are examining your patient. You see a painful ulcerative lesion near the medial malleolus with accompanying hyperpigmentation. What is the diagnosis?
What is Venous insufficiency ?
What is the appropriate technique for hand placement when viewing the patient’s right fundus with an Ophthalmoscope?
What is :
Use your right hand to hold the scope and your right eye to view with your left hand to steady
patients head while approaching the patient from an angle to view the fundus
?
A 65 year old male presents to the clinic with complaints of redness of his left eye, severe eye pain, blurry vision with significantly decreased visual acuity that happened suddenly in the past 24 hours. On exam, the pupil is fixed and dilated, and the eye is also injected. What is the diagnosis?
What is Acute angle closure glaucoma ?
What is peritonitis?
What type of pain is caused by forcefully contracting or distended and stretched abdominal organs?
What is visceral pain?
What is the correct order for performing the components of the abdominal examination?
What is Inspection, auscultation, percussion, palpation?
McBurney Point is between anatomical landmarks?
What is anterior superior iliac spine and the umbilicus ?