NR 511 DIFFERENTIAL DIAGNOSIS AND
PRIMARY CARE PRACTICUM COMPREHENSIVE
REVIEW GUIDE 2026
◉ Most nosocomial pneumonias are caused by:
a. Fungi.
b. Viruses
c. Gram-negative bacteria.
d. Pneumococcal pneumonia. Answer: c. Gram-negative bacteria.
◉ A family practice office for all 5 of your clinical rotations will
guarantee that you will gain the required pediatric exposure
a. true
b. false. Answer: b. false
◉ The most common precancerous skin lesion found in Caucasians
is
a. skin tags
b. actinic keratosis
c. melanoma
,d. basal skin lesion. Answer: b. actinic keratosis
◉ Which obstructive lung disease is classified as reversible?
a. Asthma
b. Chronic bronchitis
c. Emphysema
d. COPD. Answer: a. Asthma
◉ Which of the following is an example of an articular structure
a. bone
b. synovium
c. tendons
d. fascia. Answer: b. synovium
◉ Jennifer is an 18-year-old girl who comes to the emergency room
after a fall during a soccer game. Jennifer explains that she fell on her
left side and kept her arm out straight to break her fall. She has been
experiencing severe pain and limited range of motion in her left
shoulder. The clinician has diagnosed Jennifer with a dislocated
shoulder. Which of the following statements are true concerning
shoulder dislocation?
,a. posterior dislocations are more common than anterior
dislocations
b. there is a risk of neurovascular and neurosensory trauma, so the
clinician should check for distal pulses. Answer: b. there is a risk of
neurovascular and neurosensory trauma, so the clinician should
check for distal pulses
◉ Which of the following statements is true concerning the
management of the client with a herniated disc?
a. muscle relaxants and narcotics can be used to control moderate
pain but should be discontinued after 3 weeks of use
b. an epidural injection is helpful in reducing leg pain that has
persisted for at least 3 weeks after the herniation occurred.
c. intolerable pain for more than 3 months is an indication for
surgical intervention
d. all of the above. Answer: c. intolerable pain for more than 3
months is an indication for surgical intervention
◉ After 6 months of synthroid therapy, the clinician should expect
which of the following in the repeat thyroid studies?
a. elevated TSH
b. normal TSH
, c. low TSH
d. undetectable TSH. Answer: b. normal TSH
◉ The clinician suspects that a client seen in the office has
hyperthyroidism. Which of the following tests should the clinician
order on the initial visit?
a. thryoid stimulating hormone (TSH) and free T4
b. TSH and thyrotoxin antibodies
•High sensitivity thyroid stimulating hormone TSH and free T4
• Free T4 and serum calcium. Answer: a. thryoid stimulating
hormone (TSH) and free T4
◉ Cat bites are commonly associated with which of the following
pathogens?
a. pasteurella multocida
b. vibri vulnificus
c. group B streptococcus
d. Group A beta hemolytic streptococcus. Answer: a. pasteurella
multocida
PRIMARY CARE PRACTICUM COMPREHENSIVE
REVIEW GUIDE 2026
◉ Most nosocomial pneumonias are caused by:
a. Fungi.
b. Viruses
c. Gram-negative bacteria.
d. Pneumococcal pneumonia. Answer: c. Gram-negative bacteria.
◉ A family practice office for all 5 of your clinical rotations will
guarantee that you will gain the required pediatric exposure
a. true
b. false. Answer: b. false
◉ The most common precancerous skin lesion found in Caucasians
is
a. skin tags
b. actinic keratosis
c. melanoma
,d. basal skin lesion. Answer: b. actinic keratosis
◉ Which obstructive lung disease is classified as reversible?
a. Asthma
b. Chronic bronchitis
c. Emphysema
d. COPD. Answer: a. Asthma
◉ Which of the following is an example of an articular structure
a. bone
b. synovium
c. tendons
d. fascia. Answer: b. synovium
◉ Jennifer is an 18-year-old girl who comes to the emergency room
after a fall during a soccer game. Jennifer explains that she fell on her
left side and kept her arm out straight to break her fall. She has been
experiencing severe pain and limited range of motion in her left
shoulder. The clinician has diagnosed Jennifer with a dislocated
shoulder. Which of the following statements are true concerning
shoulder dislocation?
,a. posterior dislocations are more common than anterior
dislocations
b. there is a risk of neurovascular and neurosensory trauma, so the
clinician should check for distal pulses. Answer: b. there is a risk of
neurovascular and neurosensory trauma, so the clinician should
check for distal pulses
◉ Which of the following statements is true concerning the
management of the client with a herniated disc?
a. muscle relaxants and narcotics can be used to control moderate
pain but should be discontinued after 3 weeks of use
b. an epidural injection is helpful in reducing leg pain that has
persisted for at least 3 weeks after the herniation occurred.
c. intolerable pain for more than 3 months is an indication for
surgical intervention
d. all of the above. Answer: c. intolerable pain for more than 3
months is an indication for surgical intervention
◉ After 6 months of synthroid therapy, the clinician should expect
which of the following in the repeat thyroid studies?
a. elevated TSH
b. normal TSH
, c. low TSH
d. undetectable TSH. Answer: b. normal TSH
◉ The clinician suspects that a client seen in the office has
hyperthyroidism. Which of the following tests should the clinician
order on the initial visit?
a. thryoid stimulating hormone (TSH) and free T4
b. TSH and thyrotoxin antibodies
•High sensitivity thyroid stimulating hormone TSH and free T4
• Free T4 and serum calcium. Answer: a. thryoid stimulating
hormone (TSH) and free T4
◉ Cat bites are commonly associated with which of the following
pathogens?
a. pasteurella multocida
b. vibri vulnificus
c. group B streptococcus
d. Group A beta hemolytic streptococcus. Answer: a. pasteurella
multocida
