28 Dec A. Cranial Nerves I

MSN610 Diagnostic Reasoning and Advanced Physical Assessment

Module 1 Discussion

Complete both of the Discussion Topics and Submit by the Due Date.

1) Obtaining a comprehensive health history can be difficult in a variety of situations. In this discussion, choose one type of patient scenarios and describe how you would approach interview and obtain the history. Each student must reply to at least one other student in discussion of the scenario.

A) The Angry Patient who has been waiting a long time for an appointment and is disgusted with health care in general.

B) The Internet Patient who obtains all his health information from the Internet and has self -diagnosed his problem.

C) The Unfocused Patient with a 3 inch health record she has brought with her to get a second opinion.

D) The Terminal Patient who has end-stage uterine metastatic cancer who has refused treatment.

Instructions:

A. Make your initial post by 11:59pm EST Wednesday of Week 1.

B. Respond to one other classmate posts by 23:59 EST Saturday of Week 1.

2. There are both a comprehensive history and physical exam and a focused history and physical exam. Discuss the circumstances and components for each type of history/exam. This discussion DOES NOT require another student response.

MSN610 Diagnostic Reasoning and Advanced Physical Assessment

Module 2 Discussion

Case Study 2A

C.C. M.A. is a 6 year old female who presents for a sick episodic visit who is accompanied with her mother for sore throat, fever and rash.

HPI: Her mother states M.A.. has been sick for about 4 days which started with a headache. Then she developed a sore throat and runny nose. M.A.. now appears feverish and doesn’t feel like eating much.

She normally attends pre-school, but mom has kept her home yesterday and today since she felt feverish. Now, this morning, she has this rash. The rash is “a little itchy”. Mom denies changing laundry detergents, foods, soaps and there has been no known exposure to anyone else with a rash or illness.

M.A. has never had a rash previously.

PMH: Growth percentiles within normal limits on previous visits

Immunizations Record:

DPT given at: 2 mos 4mos 6 mos 18 mos 5 yr

OPV given at: 2 mos 4 mos 18 mos 5 yr

MMR: given at: 13 mos 5 yr

Hib given at: 2 mos 4 mos 6 mos 18 mos

FH:

Relationship Mortality Age Health Problems Relationship Mortality Age Health Problems

Mother Alive 27 None Father Alive 27 None

MGM Alive 51 HTN/DM MGF Alive 48 HLN

PGM Alive 45 None PGF Alive 52 Prostate CA

SH: Lives with mother but spends every other weekend with father who lives in a suburban area 15 miles away. Mother is an elementary school teacher and Father is an social worker. Parents have been divorced for 2 years. M.A. is doing well in the first grade without social or behavioral problems.

Meds: Children’s Tylenol 1 dose last pm Allergies: None

ROS:

General: Mom denies weight loss, fatigue until the last 3 days, generally eats well

Skin: Mom denies birthmarks, scars, no previous rashes

HEENT: Denies dizziness, head trauma, vision trouble, does not wear glasses, has about 3 colds/year, denies swallowing problems, nasal congestion, Admits to sore throat, difficulty swallowing, but drinking fluids as normal

Neck: Denies lumps, pain, stiffness

Resp: Denies dyspnea or pain, admits to rare non-productive cough for 48 hours

Cardiac: Denies chest pain, irregular heart rate, or edema

Gastrointestinal: Denies nausea, vomiting, diarrhea or abdominal pain

MSN610 Diagnostic Reasoning and Advanced Physical Assessment

Module 3 Discussion

Diagnostic Reasoning and Advanced Physical Assessment

MODULE 3 CASE STUDY

BJ is a 10 yr old female of Hispanic origin who presents to your exam room with an adult Hispanic male that identifies himself as her uncle. He states that BJ has hurt her Right arm after falling down the steps the day before. He states she did NOT loss consciousness or injury her head. The providers asks BJ, “How did you fall down the steps?” BJ looks down and softly states, “I just tripped and feel:. Both speak with broken English.

PMI: No hospitalization or Surgeries. Immunization History is unknown.

Medications: None Allergies: None

FH: Parents Living Mother age 24 Father age 30, No Siblings

SH: Both parents work cleaning in the hotel industry. BJ is “home schooled” by her aunt.

ROS:

General: NEG weight loss or gain NEG fatigue, NEG fever

HEENT: NEG for headache, congestion, nasal drainage, vision problems, throat pain

Cardiac: NEG for chest pain, palpitations, swelling, loss of consciousness

Resp: NEG Dyspnea, Neg for cough, wheezing, NEG PND

GI: NEG Nausea, Neg for Vomiting, Diarrhea, dysphagia, pain, anorexia

MS: + R Shoulder Joint pain, +Joint Swelling, + for falls

HEME: + for bruising NEG for bleeding, Neg night sweats

ENDO: Neg for thirst, heat or cold intolerance

NEURO: NEG dizziness, Neg for confusion, numbness, aphasia

PSYCH: NEG for memory loss, Neg for nervousness, suicidal ideation

MSN610 Diagnostic Reasoning and Advanced Physical Assessment

Module 4 Discussion

Diagnostic Reasoning and Advanced Physical Assessment

Module 4 Case Study

K.H. is a 16 year old male who presents to your exam room with recurrent episodes of dyspnea. His mother is with him and reports he has been in his usual good health until this past fall football season ( 4 months ago), when she noticed him wheezing after activities. Usually the wheezing would resolve spontaneously after a couple of minutes of rest. When you ask K.H. how often he feels SOB, he states it has gotten worse and now even walking up a flight of steps causes wheezing and coughing. He also admits to increased fatigue with decreased exercise tolerance.

PMH: Croup as an infant. Recurrent URIs as a child. Immunizations are Up To Date.

Surgical History includes PE tubes at age 3 for chronic OTM (Otitis Media)

Medications: None Allergies: Amoxicillin (hives)

SH: Breast fed x 6 month. Normal Developmental Milestones. Currently in grade 10 at local high school. Active in sports (football, baseball) Grades: As and Bs. + Smoking 3-4 cigs per day x 1 year. Neg for ETOH (alcohol)

Denies illegal drugs. Lives at home with both parents and sister

FH: Mother living @ age 36 with Hypertension and Hypothyroidism – Asthma, – Pneumonia – Smoking

Father living @ age 40 with GERDS -Asthma -Pneumonia + Smoking 1 ppd x 10 years

Siblings: 1 Sister age 13 with recurrent URIs

MSN610 Diagnostic Reasoning and Advanced Physical Assessment

Module 5 Discussion

Case Study 5

CC: J.D. is a 32 year old male presents to your office for a complete physical exam as a new patient. He c/o intermittent episodes of diarrhea, abdominal discomfort, bloating and occasional constipation.

HPI: J.D. states he often eats a meal and within 10 minutes, he feels bloated and “gassy”. He frequently has periods of nausea, urgent watery diarrhea. This is embarrassing for him as he is not always near a bathroom. This has become progressively worse over the last years and occurs almost daily. He first realized he was having bowel problems when he was in high school when he played on the football team. Diarrhea always seemed to get worse on game day. He denies vomiting or laxative use.

PMH: No hospitalizations or surgeries. His childhood immunizations were all completed and he had a tetanus booster 5 years ago. Only health problem has been his abdominal bloating and “bowel problems”. He was treated for strep throat and a sinus infection 5 years ago with Amoxicillin.

FH: Relationship Mortality Age Health Problems

Mother Alive 54 None

Father Alive 56 Arthritis

MGM Alive 70 HTN, Rheumatoid Arthritis, HLN

PGM Alive 66 Breast CA, Pacemaker

PGF Alive 67 None

MGF Deceased 65 CVA

SH: He is a graduate student at the university studying Psychology. He lives in an apartment with his girlfriend.

He drank heavily in high school, but may have 1 glass of wine weekly. Denies smoking cigs/marijuana or IV drug use. He exercises regularly but his diet is “awful” and depends on how hectic his schedule is. He is currently working full time as a bank teller.

Meds: None Allergies: None

ROS:

General: Fair appetite with no weight loss, Denies fatigue, fever, chills, blood transfusion

Skin: Denies rashes, lesions, scars

HEENT: Denies dizziness, headaches, head trauma, vision or hearing difficulties, Sees dentist annually, Denies allergies, nasal congestion, sinus problems, dysphagia

Neck: Denies lumps, pain, stiffness

Cardiac: Denies chest pain, dyspnea on exertion, palpitations

Resp: Denies dyspnea, cough, wheezing

Gastrointestinal: See HPI

Genitourinary: Denies dysuria, frequency, hematuria, penile discharge, heterosexual but libido is low as he frequently just does not feel well.

Musculoskeletal: Denies joint pain, swelling, arthritis, myalgia

Endocrine: Denies skin or hair changes, temperature intolerances, excessive thirst or urination

Neurological: Denies weakness, seizures,

Psychological: Denies depression, but admits he sometimes gets “anxious” with graduate school and work.

Nutritional: Admits he eats 1 meal/day usually in the evening when “life has quieted down”. This meal consists of some meat/potato. Salads causes bloating. Snacks can cause cramping and diarrhea in the afternoon-so I just don’t eat. Milk products do not seem to bother him.

Physical Exam:

Vital Signs: Temperature 98 Pulse: 76 b/min Resp: 16/mi BP: 120/80 HT: 5’11 WT: 174 BMI: _____

General Appearance: Well developed, well nourished, appropriately groomed and appears his stated age

Skin: Smooth, soft, w/o lesions, rashes, scars. Tattoo of an eagle on his chest.

HEENT: Normocephalic with evenly distributed hair. No redness or lesions of his eyes, extraocular movements (EOM) intact.

Ophthalmic Exam: Red reflex intact bilaterally. Optic Disc is round creamy yellow with clear margins. Retinal vessels are bright red without exudate, edema, and wool spots. Macula is positive for foveal light reflex.

MSN610 Diagnostic Reasoning and Advanced Physical Assessment

Module 6 Discussion

Case Study 6

CC: 85 year old female presents to your exam room with “memory loss”

HPI: J.B. is brought in with her son who states his mom is forgetting to pay her bills over the last 4 months and “gets lost” in her own home. J.B. admits she sometimes gets “forgetful”. Her previous PCP retired 6 months ago and they have no medical records with them.

PMH: Total Abdominal Hysterectomy 20 years ago. G3P2 1 Miscarriage. No other surgeries or hospitalizations. Treated for HTN, A-fib

Medications: HCTZ 25 mg daily Allergies: None

Digoxin 0.25 mg daily

Coumadin 1 mg daily

Multivitamin daily

FH: Relationship Mortality Age Health Problems

Mother Deceased 54 Diabetes Mellitus II

Father Deceased 75 CAD

Daughter Deceased 20 MVA

Son Alive 45 None

ROS:

General: Denies weight loss, fatigue until the last 3 days, generally eats well

Skin: Denies birthmarks, scars, no previous rashes

HEENT: Denies dizziness, head trauma, vision trouble, does wear glasses, Had cataract surgery in L eye , denies swallowing problems, nasal congestion,

Neck: Denies lumps, pain, stiffness

Resp: Denies dyspnea or pain, cough, wheezing

Cardiac: Denies chest pain, or edema of extremities, Has had an irregular heart rhythm “for years”

Gastrointestinal: Denies nausea, vomiting, diarrhea or abdominal pain

Genitourinary: Denies hematuria, dysuria, or odor

Musculoskeletal: Denies back pains, Admits to knee pain with difficulty walking

Neurological: Denies seizures, limb weakness, headaches, loss of consciousness

Psychological: Denies depression/anxiety. No suicidal/homicidal ideations.

She likes to color and work on puzzles but sometimes “I loose pieces” that makes me angry.

MSN610 Diagnostic Reasoning and Advanced Physical Assessment

Module 1 Assignment

Differential Diagnoses Table

Complete and Submit the Differential Diagnoses Table for Module 1 using information from Stern, S., Cifu, A., and Altkorn, D., (2015). Symptom to Diagnosis. 3rd edition to complete the table.

Read pages 179-183, 341-342, and Chapters 18 (Fatigue) and 32 (Unintentional Weight Loss). Chapters 18 and 32 can be associated with generalized symptoms i.e. Fever.

This assignment is designed to assist you in the development of differential diagnoses based on the signs/symptoms,and physical findings of specific disease entities. You will also begin examining the commonly used laboratory, radiological and other diagnostic studies to identify the diagnosis (rule in) and/or exclude the diagnosis (rule out).

Within the table there are identified diagnoses listed that may be associated with a chief complaint. You are to complete each column for each disease entity.

The Epidemiology Data includes the population you would see this diagnosis occur i.e. pediatrics, adult females/males, elderly, etc. Condense this information as you would in the “Illness Script” described in the Medical Media software.

List the subjective data: that is what a patient may tell you. Also, list the physical findings of that disorder. This is the objective data that you would discover on exam. Then list 3 other differential diagnosis that may present with the same chief complaint to begin grouping pattern recognition.

USE BULLET POINTS. This is not a narrative

Finally, list any diagnostic testing you would use to finalize the diagnosis and the references used to complete the table. All citations should be in APA format. References should be listed at the bottom of the table. For Module 3 Use ONLY peer review articles for references as Stern does not cover Mental Health in his textbook.

MSN610 Diagnostic Reasoning and Advanced Physical Assessment

Module 2 Assignment

Differential Diagnoses Table

Within the table there are identified diagnoses listed that may be associated with a chief complaint. This assignment will focus on additional diagnoses within the Skin, HEENT and Neck body systems.

Read Chapters 14 (Dizziness), 20 (Headache), 29 (Rash) and 30 (Sore Throat) within Stern, Cifu & Altkorn to complete your table. Use Bullet Points !!

Complete the table and submit to your faculty by the due date.

You are to submit the table within CANVAS for each module. This table is to be used as a collective tool throughout the course and may be used to help study for your credentialing exam.

Chief Complaint

Differential Diagnoses

Epidemiology

Other Differential Diagnoses to Consider (List 3 and consider the Do Not Miss Diagnoses)

Signs and Symptoms

List 5 Subjective Data Points (Presentation & Symptom Analysis)

Physical Findings

List 5 Objective Key Features (Highest LR+ or High Specificity)

Diagnostic Tests

List 1-3 most specific

to this disease entity

MODULE 1: GENERAL

Multisystem Disorders

Fever

Influenza

Module 2: Dermatological,

HEENT & Neck Disorder

Rash

Cellulitis

Benign Positional Vertigo

MSN610 Diagnostic Reasoning and Advanced Physical Assessment

Module 3 Assignment

Within the table there are identified diagnoses listed that may be associated with a chief complaint for mental health, substance abuse or seen in the pediatric population. You are to utilize other resources to list the signs/symptoms and physical findings of that disorder. Also include in what patient population this disorder may be seen.

READ Chapter 11 (Dementia/Delirium) in Stern, Cifu, and Altkorn.

You will also need to perform a journal search for a peer-reviewed article for each of these diagnoses. WEB MD is NOT acceptable. Document the reference article used beneath the table.

You are to submit the table within CANVAS for each module by the due date. This table is to be used as a collective tool throughout the course and may be used to help study for your credentialing exam. Remember: BULLET Points Only.

Module 3: Mental,

Substance Abuse &

Pediatric Disorders

Forgetfulness

Attention Deficit Disorder

Chemical Dependency

Concussion Syndrome

Headache

Migraine

MSN610 Diagnostic Reasoning and Advanced Physical Assessment

Module 4 Assignment

Within the table, there are identified diagnoses listed that may be associated with a chief complaint for the cardiovascular and respiratory systems .

Read Chapters 9 (Chest Pain), 15 (Dyspnea), 17 (Edema), 31 (Syncope) and 33 (Wheezing) from Stern, CIFU and Altkorn (2015) to assist in the completion of your table.

Finally, list any diagnostic testing you would use to finalize the diagnosis and the references used to complete the table.

You are to submit the table within CANVAS for each module by the due date. This table is to be used as a collective tool throughout the course and may be used to help study for your credentialing exam.

Each diagnosis is worth 1.0 points (.20 points for each column)

Module 4:

Cardiovascular & Resp

Disorders

Edema

Venous Insufficiency

Deep Vein Thrombosis

Dyspnea

Community Acquired

Pneumonia

Congestive Heart Failure

Palpitations

Sick Sinus Syndrome

MSN610 Diagnostic Reasoning and Advanced Physical Assessment

Module 5 Assignment

This assignment will focus on additional diagnoses within Abdomen, Male/Female GU, Female Breast/ Pelvic systems. Complete the table and submit to your faculty by the due date.

You are to read Chapters 3( Abdominal Pain), 13 ( Diarrhea), 19, (GI Bleed), 21 (Hematuria), and 26 ( Jaundice) within Stern, Cifu and Altkorn (2015) to assist in the completion of the table.

Finally, list any diagnostic testing you would use to finalize the diagnosis and the references used to complete the table.

You are to submit the table within CANVAS for each module. This table is to be used as a collective tool throughout the course and may be used to help study for your credentialing exam.

Module 5: Abdomen &

Male/Female & GU

Disorders

RUQ Pain

Cirrhosis

RLQ Pain

Appendicitis

Rectal Bleeding

GI Bleed

LLQ Pain

Diverticulitis

MSN610 Diagnostic Reasoning and Advanced Physical Assessment

Module 6 Assignment

This assignment will focus on additional diagnoses within Musculoskeletal, Neuro and Endocrine systems. Complete the table and submit to your faculty by the due date.

You are to read Chapters 7 (Back Pain), 12 (Diabetes), and 27( Joint Pain) within Stern, Cifu and Altkorn (2015) to assist in the completion of the table.

Finally, list any diagnostic testing you would use to finalize the diagnosis and the references used to complete the table.

You are to submit the table within CANVAS for each module. This table is to be used as a collective tool throughout the course and may be used to help study for your credentialing exam.

Module 6: Musculo-

Skeletal, Neuro, and

Endocrine Disorders

Ataxia

Parkinson’s Disease

Gout

Peripheral Neuropathy

Spinal Stenosis

Fainting Spells

Seizures

MSN610 Diagnostic Reasoning and Advanced Physical Assessment

Final Exam

Comprehensive History & Physical Exam

DEMOGRAPHICS

Providers Name: ___________________________________ Patient’s Initials: (Data Source)____________________

Date of Exam: _______________________________________________________ Patient’s DOB: _______________

Chief Complaint: Gender/Sexual Orientation: ____________________

History of Present Illness:

Past Medical History:

Active Problems:

Resolved Problems:

Previous Hospitalizations:

Surgical History:

Allergies:

Current Medications:

Social History:

Living Arrangements:

Occupation:

Environmental Safety:

Smoking:

Alcohol:

Drugs:

Other Non-Prescribed Drugs:

Diet:

Family History:

Relationship

Living or Deceased

Age

Illnesses

Mother

Father

Children

Grandparents

Preventative Health/ Anticipatory Guidance: (Age Appropriate)

Safety Issues:

Screenings:

Immunizations:

Review of Systems:

General:

Skin, Hair, Nails:

HEENT:

Neck:

Cardiovascular:

Pulmonary:

Abd/GI:

Genitourinary/ Gynecology/ Breast

Musculoskeletal:

Neuro:

Endo/Lymphatic:

Hematology:

Psych:

Physical Exam

Patient’s Initials: ________ Date of Exam: _________

Vital Signs: Temp: Pulse: BP: Resp:

General Appearance:

Skin:

Head:

Ears:

Eyes:

Nose:

Throat:

Neck:

Heart:

Lungs:

Abdomen:

Musculoskeletal:

Sensory:

Motor:

Peripheral Vascular:

Neuro:

Cranial Nerves:

Reflexes:

Cognitive Function:

Problem Presentation/Assessment Statement: (Summary of presenting problems)

Assessment: Problem List (As many or as few as needed)

1)

2)

3)

Plan:

Submitted by:

Date Submitted:

MSN610 Diagnostic Reasoning and Advanced Physical Assessment

Module 2 Quiz

Question 1Which of the following is NOT considered a lesion classification?

A. Dermatitis

B. Papulosquamous

C. Pruritis

D. Vesiculobullous

Question 2Inspection of the eye using an ophthalmoscope should include documentation which of the following?

A. Red Reflux

B. Optic Disc

C. Physiological Cup

D. Retinal Vessels

E. All of the Above

Question 3Which of the following is FALSE?

A. Position of the ear canal for children under age 3 consists of pulling the ear downward, outward and backward.

B. Presbycusis is a common cause of hearing loss in geriatric patients.

C. Crying can make the ear canal and tympanic membrane red.

D. Maternal Diabetes is not associated with increased congenital hearing loss of the newborn.

Question 4Assessment of the nose consists of all the following EXCEPT:

A. Inspect the nose for symmetry and lesions,

B. Inspect the nasal canal for discharge, drainage and patency.

C. Palpation of the nose and sinuses

D. Percussion of the sinuses.

E. These are all TRUE.

Question 5Assessment of the mouth and throat consists of all the following EXCEPT:

A. Inspect the tongue, gums, teeth and mouth for symmetry, color, edema, lesions and dentition.

B. Evaluate the uvula to move laterally with the patient saying “ah”

C. Evaluate the tonsils

D. Palpate the pre-auricular, post-auricular occipital , tonsilar and submandibular lymph nodes

MSN610 Diagnostic Reasoning and Advanced Physical Assessment

Module 3 Quiz

Question 1. Which of the following are barriers to an accurate mental status assessment?

A. Moralizing

B. Interrupting

C. Failure to provide privacy

D. Rushed Schedule

E. All of the Above

Question 2Which of the following acronyms are used to assess depression?

A. SIGECAPS

B. DIGFAST

C. CAGE

D. SAFE

Question 3The Mini Mental Status Exam …..

A. is used to assess dementia

B. evaluates cognitive function

C. takes about 10 minutes to administer

D. requires the patient to duplicate a drawing

E. All of the Above

Question 4Assessment of suicide risk include all of the following EXCEPT:

A. Family History of Suicide

B. Acute or Chronic Depression

C. Maximizing their credit cards

D. Personal losses or separations

Question 5Which of the following immunizations should adults 19 years and older have had?

A. T dap then Td every 10 years

B. MMR

C. Hepatitis A & B

D. Pneumococcal conjugate

E. All of the Above

MSN610 Diagnostic Reasoning and Advanced Physical Assessment

Module 4 Quiz

Question 1 Which of the following are factors to be assessed related to a cough?

A. Pitch

B. Frequency

C. Sputum production

D. All of the Above

Question 2 Which of the following statements is TRUE?

A. Kussmal breathing pattern is rapid, short, deep inspirations

B. Ceyne-Stokes breathing pattern is rapid gasping with pauses in between episodes

C. Hyperpnea is regular rate and pattern

D. Biot’s breathing is rapid increases & decreases in respiration with periods of apnea

Question 3 Which of the following statements is FALSE?

A. Chest pain due to gastrointestinal causes is described as substernal burning, worse with lying flat.

B. Chest pain due to musculoskeletal etiology is described as aching, pinching, and can usually be definitely localized

C. Chest Pain associated with pleural etiology is sharp and worsens with deep inspiration.

D. Chest pain associated with cardiac etiology is diffuse, worse with rest, and usually non-radiating.

Question 4 Which of the following statements is TRUE?

A. Normal heart sounds include S1S2

B. S3 can be an early sign of heart failure

C. A pericardial friction may be heard which the patient holds their brath

D. All of these are true.

Question 5 Severe +4 pitting edema consists of:

A. 2 mm depth of indentation that disappears rapidlyy

B. 6 mm depth of indentation and disappears in 1-2 min

C. > 8 mm depth of indentation and disappears in 2-5 min

D. 4 mm depth of indentation and disappears in 10-15 sec

MSN610 Diagnostic Reasoning and Advanced Physical Assessment

Module 5 Quiz

Question 1 Which of the following statements is TRUE?

A. Percussion of the abdomen consists of the patient repeating the words “99”

B. Percussion of the abdomen can identify solid organs from hollow organs.

C. Acid breath is indicative of hepatic failure

D. Bruits are vascular sounds indicating increased circulation between the portal and venous systems

Question 2 Which of the following is FALSE?

A. The obturator test is evaluating for ruptured appendix or pelvic infection by having the patient perform a straight leg raise.

B. Murphy’s sign is an inspiratory arrest upon palpation of the abdomen

C. McBurney’s sign is tenderness and rigidity from the umbilicus to the R anterior superior iliac spine.

D. Palpation for abdominal aortic aneursym is performed in the epigastric area above the umbilicus.

Question 3 Signs and Symptoms of a urinary tract infection (UTI) include:

A. previously toilet-trained children who start to wet their clothes

B. Increased mental confusion in the elderly

C. Being seen in sexually active adolescents

D. All of the Above

Question 4 Normal physical findings in a female pelvic exam include all of the following EXCEPT:

A. Hair distribution on the mons pubis

B. Bartholin glands along the walls of the vaginal orifice

C. Chadwick’s sign

D. Urethral and vaginal orifices found within the vestibule

Question 5 Which of the following statements is FALSE?

A. When palpating the epididymis, it is located on the anterior surface of the testes.

B. Palpation for an inguinal hernia involves inserting a gloved finger into the lower scrotum along the vas deferens into the inguinal canal.

C. Testicular torsion consists of the vas deferens, spermatic artery and pampiniform plexus being twisted together.

D. A DRE should consist of inserting a lubricated gloved finger into the anal canal towards the umbilicus, to find the firm, rubbery, smooth prostate which should be a size of a walnut.

MSN610 Diagnostic Reasoning and Advanced Physical Assessment

Module 6 Quiz

Question 1 Chief Complaints associated with endocrine disorders include all of the following EXCEPT:

A. Exophthalmos

B. Temperature Intolerance

C. Joint Pains

D. Chronic Fatigue

Question 2 The “5 P’s” of performing a musculoskeletal exam include all of the following EXCEPT:

A. Pruritus

B. Paralysis

C. Paresthesia

D. Pallor

E. Pain

Question 3 Which one of the following statements is FALSE?

A. The Apprehension test is used to assess the shoulder and arms.

B. The Anterior drawer test is used to assess the elbow function.

C. The Laxity test assesses the stability of the scapula and the humeral head.

D. The Phalen’s test assess for carpet tunnel syndrome.

Question 4 Assessment of neurological functioning includes all of the following EXCEPT:

A. Mental Status

B. Cranial Nerves

C. Motor Function

D. Reflexes

E. Fremitus

Question 5 Which of the following is TRUE?

A. Cranial Nerves II, III, IV, V, VI, IX and X can all be accomplished with the complete exam of the HEET.

B. Cranial Nerve XI assesses the tongue

C. Cranial Nerve X assesses the Sternocleidomastoid muscles.

D. Cranial Nerve VIII assesses spinal muscles.