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Differential Diagnosis and Primary Care Practicum – [Institution Name], Academic Year [XXXX/XXXX] – Practical guide and case-based learning material

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This document covers key concepts and practical applications of differential diagnosis in a primary care setting. It includes case studies, clinical decision-making frameworks, and step-by-step approaches for evaluating common patient presentations. The material is designed to support hands-on learning and integration of theory into clinical practice.

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Differential Diagnosis And Primary Care Practicum
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Institution
Differential Diagnosis and Primary Care Practicum
Course
Differential Diagnosis and Primary Care Practicum

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Uploaded on
January 21, 2026
Number of pages
35
Written in
2025/2026
Type
Exam (elaborations)
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Questions & answers

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NR 511 / NR511 Midterm Exam V1
(Latest Update )
Differential Diagnosis and Primary
Care Practicum | Questions and
Answers | 100 out of 100 | Grade A -
Chamberlain


Which of the following is associated with severe tinnitus?

Depressive Disorder

HTN

Stroke

diabetic retinopathy

HTN




How do most clients on traditional Medicare cover their out of pocket expenses?

Acquiring Medicare Part Being

Acquiring a secondary insurance plan

Setting up a monthly payment plan

Paying after the service has been rendered.

Acquiring a secondary insurance plan.




Which of the following is true regarding atopic dermatitis?

, NR 511 / NR511 Midterm Exam V1
(Latest Update )
Differential Diagnosis and Primary
Care Practicum | Questions and
Answers | 100 out of 100 | Grade A -
Chamberlain
The client complains of itching after the rash appears

The cardinal sign is puritas

Puritas occurs during the acute phase of the rash

The client complains of itching after the rash appears




A 16 year old client presents to the clinic with right ear pain for two days following participating
in HS swim meet. The eardrum demonstrates tenderness with traction of the pinna and Tragus
pain, when pressure is applied? The ear canal is red and swollen to the point that the tympanic
membrane cannot be visualized. Which of the following is the most likely diagnosis?

Foreign body in ear

Otitis media

Otitis externa

Ruptured tympanic membrane

Otitis externa




A 10 year old boy was prescribed amoxicillin for otitis media. The FNP receives a call. From the
parents that the client has developed a rash on the truck. What is the most appropriate next
activity by the FNp??

Stop the medication

, NR 511 / NR511 Midterm Exam V1
(Latest Update )
Differential Diagnosis and Primary
Care Practicum | Questions and
Answers | 100 out of 100 | Grade A -
Chamberlain
Prescribe systemic antihistamines

Prescribe a short course of systemic steroids

Continue the drug since it is expected early reaction

Stop the medication




Which of the following statements regarding the client history is true?

History of present illness (HPI) is a detailed breakdown of the clients chief complaint.

Objective findings are reported in the review of systems (ROS).

The OLDCART Acronym represents the clients previous medical history.

Objective findings are reported in the history of present illness (HPI)

History of present illness (HPI) is a detailed breakdown of the clients chief complaint.




Which of the following individuals is at MOST RISK for developing epiphora (excessive tearing)?

A 15 year old soccer player.

A 76 year old type 2 diabetic:

A 40 year old with HTN.

A 30 year old computer programmer.

, NR 511 / NR511 Midterm Exam V1
(Latest Update )
Differential Diagnosis and Primary
Care Practicum | Questions and
Answers | 100 out of 100 | Grade A -
Chamberlain
A 76 year old type 2 diabetic.




A client presents to the office with a complaint of skin irritation, redness, and tenderness on the
back of his neck. Examination reveals a rubbery, smooth and round mass of tissue fat, it is
compressible and has a soft texture. What is the most likely diagnosis?

Acrochordons

Skin tags

Nevi

Lipoma

Lipoma




A CBC may identify which of the following as a cause of tinnitus?

Thyroid disease

Zinc deficiency

Anemia

Hyperlipidemia

Anemia
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