- | P a g e
NUR 524 EXAM 3 NEWEST 2024 ACTUAL E XAM
COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS ( VERIFIED ANSWERS )
|ALREADY GRADED A+
When evaluating for stress urinary incontinence, which of the following tests should be performed to confirm the diagnosis?Bladder stress test Postvoid residual Urinalysis Urodynamic test - ANSWER- Bladder stress test
A 75-year-old man presents to the clinic to discuss concerns regarding cancer screening. His brother was recently diagnosed with esophageal cancer, and he believes that he is having similar symptoms to what his brother had a year ago. What are the most common symptoms of esophageal carcinoma to look for in this patient?Abdominal pain and food regurgitation Dysphagia and weight loss Hematemesis and odynophagia Hoarseness and diarrhea - ANSWER- Dysphagia and weight loss
Rationale; Esophageal carcinoma is a relatively rare cancer, accounting for about 1% of all cancers in the United States. The 1 / 4
- | P a g e
incidence of esophageal carcinoma has remained stable over the last several decades. Esophageal carcinoma is about four times more likely to occur in men than women. The two main types of esophageal carcinoma are squamous cell carcinoma and adenocarcinoma, with the latter being the most common type. The most common symptoms of esophageal carcinoma are progressive dysphagia, odynophagia, and weight loss
A 60-year-old man presents for evaluation of an ongoing tremor. He notes the tremor has been present for roughly 1 year. He says it occurs in both hands, primarily with activity and most notably with writing and eating, and it appears to improve with alcohol intake. He has a medical history of well-controlled hypertension, hyperlipidemia, and benign prostatic hypertrophy. He reports his father had a similar tremor. On physical examination, the patient's vital signs are normal, and a rhythmic, moderate amplitude tremor is noted to the wrist and fingers when his hand is outstretched and with finger-nose testing. The tremor is absent at rest. There is no dysmetria with finger-nose testing, gait is normal, and there is no rigidity with passive movements of either arm.What is the likely diagnosis in this patient?Benign essential tremor Dystonic tremor Enhanced physiologic tremor Parkinson disease - ANSWER- Benign essential tremor
Rationale; Benign essential tremor is the most common movement disorder in adults and typically involves the hands but can also affect the head or voice. The classic clinical feature is a tremor activated by movement or when the extremity is held in an 2 / 4
- | P a g e
outstretched posture against gravity. The tremor is absent when the extremity is relaxed, and there are typically no other neurologic findings, such as bradykinesia, rigidity, or postural instability
A 45-year-old businessman presents for "shakiness" of his hands for several months. He notices it most when giving a presentation at work, and adds that his voice "quivers" at those times too. No other symptoms are present. He says his father had a similar problem for most of his adult life. Which of the following medications is the best initial selection for this condition?Botulinum toxin A Donepezil Propranolol Rasagiline - ANSWER- Propranolol
Rationale; This patient is showing symptoms of benign essential (familial) tremor, for which the best initial treatment option in lifestyle-limiting disease is the beta-blocker propranolol. Essential tremor usually presents with a postural tremor of the hands or head that is often worsened by psychic stress
Which of the following physical examination findings is most consistent with a diagnosis of tension-type headache?Miosis Neck muscle tenderness Photophobia Vision loss - ANSWER- Neck muscle tenderness 3 / 4
- | P a g e
Rationale; Neck muscle tenderness is a physical examination finding commonly found in a patient with tension-type headache. Tension- type headache is the most common type of headache and one of the most common disorders in the world. It is described as a mild to moderate bilateral, non-pulsating head pain often characterized as dull or "band-like". The most common precipitating factor is stress followed by odors and hunger.
A 78-year-old man with a history of advanced liver cirrhosis presents to the clinic for a check-up. Which of the following findings would alert the provider to possible hepatorenal syndrome?Blood urea nitrogen of 20 mg/dL Creatinine of 3.02 mg/dL Urine protein of 54 mg/dL Urine RBC of 4/hpf - ANSWER- Creatinine of 3.02 mg/dL
Rationale; Hepatorenal syndrome is associated with a poor prognosis and occurs in patients with advanced liver disease in which vasodilation and reduced cardiac output cause acute kidney injury. Patients most often affected have portal hypertension due to severe alcoholic hepatitis, cirrhosis, or metastatic tumors. Patients with ascites are most likely to develop hepatorenal syndrome
A 32-year-old woman reports burning with urination, frequency, urgency, and suprapubic pain for 3 days. She has no prior history of urinary tract infections and does not have any chronic health conditions.She reports no fever, chills, flank pain, or vomiting. On exam, there is
- / 4