Grand canyon university nur 634 midterm exam
Health Care / Exam
A 55-year-old smoker complains of chest pain and gestures with a closed fist over her
sternum to describe it. Which of the following diagnoses should you consider because
of her gesture?
A. Bronchitis
B. Costochondritis
C. Pericarditis
D. Angina pectoris
Feedback: The clenched fist of Levine's sign, while not completely specific for ischemic
pain, should definitely cause you to consider this etiology. Bronchitis is usually painless,
and pericarditis can produce a sharp pain which worsens with inspiration. This is called
pleuritic pain and can be associated with pneumonia and other chest diseases.
Costochondritis is a parasternal pain, usually well localized. It is exquisitely tender
Retinal detachment may be associated with all of the following EXCEPT:
A. painless, unilateral loss in vision
B. Spontaneous recovery
C. Flashes of light
D. Context of trauma
Optic neuritis may be associated with all the following conditions EXCEPT:
A. Sudden, painful loss in unilateral vision
B. Associated with autoimmune disease
C. Early sign of multiple sclerosis
D. Common incidental finding on fundoscopic exam
Mrs. Fletcher comes to your office with unilateral pain during chewing, which is chronic.
She does not have facial tenderness or tenderness of the scalp. Which of the following
is the most likely cause of her pain?
A. Trigeminal neuralgia
B. Temporomandibular joint syndrome
C. Temporal arteritis
D. Tumor of the mandible
Feedback: Temporomandibular joint syndrome is a very common cause of pain with
chewing. Ischemic pain with chewing, or jaw claudication, can occur with temporal
arteritis, but the lack of tenderness of the scalp overlying the artery makes this less
likely. Trigeminal neuralgia can be associated with extreme tenderness over the
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