Assignment: Musculoskeletal Chest Syndrome

Assignment: Musculoskeletal Chest Syndrome

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Musculoskeletal chest wall syndrome with radiation

Esophageal motor disorder with radiation

Acute cholecystitis with cholelithiasis

Coronary artery disease with angina pectoris

Question 9.

9. A common auscultatory finding in advanced CHF is: (Points : 2)

Systolic ejection murmur

S3 gallop rhythm

Friction rub

Bradycardia

Question 10.

10. Which of the following symptoms is common with acute otitis media? (Points : 2)

Bulging tympanic membrane

Bright light refle of tympanic membrane

Increased tympanic membrane mobility

All of the above

Question 11.

11. Rheumatic heart disease is a complication that can arise from which type of infection? (Points : 2)

Epstein-Barr virus

Diphtheria

Group A beta hemolytic streptococcus

Streptococcus pneumoniae

Question 12.

12. In eamining the mouth of an older adult with a history of smoking, the nurse practitioner finds a suspicious oral lesion. The patient has

been referred for a biopsy to be sent for pathology. Which is the most common oral precancerous lesion? (Points : 2)

Fictional keratosis

Keratoacanthoma

Lichen planus

Leukoplakia

Question 13.

13. Jenny is a 24 year old graduate student that presents to the clinic today with complaints of fever, midsternal chest pain and generalized

fatigue for the past two days. She denies any cough or sputum production. She states that when she takes Ibuprofen and rest that the chest

pain does seem to ease off. Upon eamination the patient presents looking very ill. She is leaning forward and states that this is the most

comfortable position for her. Temp is 102. BP= 100/70. Heart rate is 120/min and regular. Upon auscultation a friction rub is audible. Her lung

sounds are clear. With these presenting symptoms your initial diagnosis would be: (Points : 2)

Mitral Valve Prolapse

Referred Pain from Cholecystitis

Pericarditis

Pulmonary Embolus

Question 14.

14. Which of the following findings should trigger an urgent referral to a cardiologist or neurologist? (Points : 2)

History of bright flash of light followed by significantly blurred vision

History of transient and painless monocular loss of vision

History of monocular severe eye pain, blurred vision, and ciliary flush

All of the above

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