NR 509 MIDTERM EXAM NR509 ADVANCED

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NR 509 MIDTERM EXAM /NR509 ADVANCED

PHYSICAL ASSESSMENT MIDTERM EXAM NEWEST

2024-2025 ACTUAL EXAM COMPLETE ALL 100

QUESTIONS AND CORRECT DETAILED ANSWERS

(VERIFIED ANSWERS ) |ALREADY GRADED A+

A theoretical new laboratory test for strep throat has high specificity. When a test has high specificity, clinicians can be confident in which of the following aspects?

• If the test result is positive, the patient probably has strep

throat.

• If the test result is positive, the patient probably does not have

strep throat.

• If the test result is negative, the patient probably has strep

throat.

• If the test result is negative, the patient probably does not

have strep throat.

• If the test result is positive, a confirmatory test should be

performed. - ANSWER- a. If the test result is positive, the patient probably has strep throat.

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Weight change may indicate the presence of important underlying pathology requiring further investigation. Which of the following best describes a significant weight change that requires further evaluation?

• A 45-year-old male with baseline weight of 280 lb who

decides to undertake a light exercise regimen and loses 15% of his total body weight in 3 months

• A 32-year-old female with a baseline weight of 175 lb who

checks her weight irregularly but reports a 5-lb unintended weight loss over 3 months

• A 45-year-old recently menopausal female who gains 5%

beyond her baseline weight of 140 lb in 6 months

• A 26-year-old female with a baseline body mass index (BMI)

of 25 who loses 5% of her body weight with 6 months of diet and exercise modification

• A 31-year-old male with a baseline body mass index (BMI) of

20 who loses 3 lb after a prolonged bout of infectious gastroenteritis - ANSWER- a. A 45-year-old male with baseline weight of 280 lb who decides to undertake a light exercise regimen and loses 15% of

A 19-year-old student of art history presents to clinic after a syncopal (fainting) episode at school. He is notably thin; on a thorough review of his medical history, he admits that he eats 2 / 4

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only minimally to maintain a very low body weight that he feels is ideal. He is embarrassed that his issues were discussed by peers after this episode, especially because he believes that this is a problem that is only faced by girls and women. Concerning the two most common eating disorders (anorexia nervosa and bulimia nervosa), which of the following statements is true?

a. Men and women are both afflicted, but with a female:male

prevalence ratio estimated at ~2:1.

• Both of these eating disorders are associated with a body mass

index (BMI) of <17.5.

• Both of these eating disorders are associated with a real or

imagined fear of appearing fat.

• Persons with eating disorders are generally easily identified

by their appeara - ANSWER- c. Both of these eating disorders are associated with a real or imagined fear of appearing fat.

A 55-year-old air traffic control agent reports his home blood pressure log to clinic after he was diagnosed with hypertension at a prior visit. He notes that he consistently measures within the normal range at home, but seems to fall outside the normal range every time he comes to the clinic. Which of the following blood pressure measurements is considered to be most accurate (i.e., reflecting the patient's "true" blood pressure)?

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• Blood pressure recorded in three positions in the health

practitioner's office

• Three separate blood pressure measurements recorded by a

medical technician within 90 minutes of awakening in the morning in an office setting using an automated device

• Blood pressure recorded in three positions in the health

practitioner's office after resting for a 10-minute period in a supine position

• Regular ambulatory monitoring recorded outside of the office

setting

• A total of six blood pre - ANSWER- d. Regular ambulatory

monitoring recorded outside of the office setting

A 68-year-old retired college professor presents for routine physical examination. After the patient has been reading a novel in the waiting room for ~20 minutes, the technician records his blood pressure in both arms using an automated device. The technician notes a 20-mm Hg difference in systolic blood pressure between the right and left arms; he repeats the readings 10 minutes later and records the same asymmetrical systolic blood pressure. Which of the following is true regarding this physical finding?

• An arm-to-arm difference of up to 20 mm Hg in systolic

blood pressure is considered the upper limits of normal.

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