NR 511 Differential Diagnosis and
Primary Care Final Exam Questions and
Answers
1. The most cost-effective screening test for determining HIV status is which of
the following?
Answer Enzyme-linked immunosorbent assay
2. Which blood test is a nonspecific method and most helpful
for evaluating the severity and course of aninflammatory process?
Answer C-reactive protein (CRP
3. Cocaine acts as a stimulant by blocking the reuptake of
which neurotransmitter?
Answer Dopamine
4. Mrs. Thomas was seen in the office complaining of pain and
point tenderness in the area of her elbow. The pain has increased following a
day of gardening one week ago. A physical finding that differentiates the
diagnosis and is most consistent with lateral epicondylitis (tennis elbow) is
Answer Pain at the elbow with resisted movements at the wrist and forearm
,5. Which of the following statements concerning the
musculoskeletal examination is true?
Answer The uninvolved side should be examined initially and then compared to the involved side.
6. Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain?
Answer Morning stiffness
7. Which causes the greatest percentage of mammalian bites?
Answer Dogs
8. A 48-year-old woman is seen in the clinic with complaints of
prolonged heavy menstrual periods. She is pale and states she can no longer
exercise. Pelvic exam reveals a single, very large mass. Which of the following
diagnostic tests should the clinician order first?
Answer Transvaginal ultrasound
9. A diabetic patient asks the clinician why he needs to check
his blood sugar at home even when he feels good. Which of the following
responses would be most appropriate?
Answer Control of glucose will help postpone or delay complications."
"Regularly checking blood sugar will help establish a routine."
"Monitoring glucose will promote a sense of control."
, ALL OF THE ABOVE
10. A 25-year-old patient presents to the clinic with fatigue, cold
intolerance, weight gain, and constipation for the past 3 months. On
physi- cal examination, the clinician notices a sinus bradycardia; muscular
stiffness;
coarse, dry hair; and a delay in relaxation in deep tendon reflexes. Which of
the following tests should be ordered next?
Answer TSH
11. Which of the following medications for type 2
diabetes mellitus should not be prescribed during pregnancy?
Answer Glucotrol
12. During a DRE on a 75-year-old man, the clinician suspects
the patient has prostate cancer. What physical finding should make the clinician
suspicious?
Answer An enlarged rubbery gland
13. Eddie, age 4, presents to the ED with a live insect trapped in
his ear canal causing a lot of distress. What should be your first step?
Answer Immobilize the insect with 2% lidocaine.
Primary Care Final Exam Questions and
Answers
1. The most cost-effective screening test for determining HIV status is which of
the following?
Answer Enzyme-linked immunosorbent assay
2. Which blood test is a nonspecific method and most helpful
for evaluating the severity and course of aninflammatory process?
Answer C-reactive protein (CRP
3. Cocaine acts as a stimulant by blocking the reuptake of
which neurotransmitter?
Answer Dopamine
4. Mrs. Thomas was seen in the office complaining of pain and
point tenderness in the area of her elbow. The pain has increased following a
day of gardening one week ago. A physical finding that differentiates the
diagnosis and is most consistent with lateral epicondylitis (tennis elbow) is
Answer Pain at the elbow with resisted movements at the wrist and forearm
,5. Which of the following statements concerning the
musculoskeletal examination is true?
Answer The uninvolved side should be examined initially and then compared to the involved side.
6. Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain?
Answer Morning stiffness
7. Which causes the greatest percentage of mammalian bites?
Answer Dogs
8. A 48-year-old woman is seen in the clinic with complaints of
prolonged heavy menstrual periods. She is pale and states she can no longer
exercise. Pelvic exam reveals a single, very large mass. Which of the following
diagnostic tests should the clinician order first?
Answer Transvaginal ultrasound
9. A diabetic patient asks the clinician why he needs to check
his blood sugar at home even when he feels good. Which of the following
responses would be most appropriate?
Answer Control of glucose will help postpone or delay complications."
"Regularly checking blood sugar will help establish a routine."
"Monitoring glucose will promote a sense of control."
, ALL OF THE ABOVE
10. A 25-year-old patient presents to the clinic with fatigue, cold
intolerance, weight gain, and constipation for the past 3 months. On
physi- cal examination, the clinician notices a sinus bradycardia; muscular
stiffness;
coarse, dry hair; and a delay in relaxation in deep tendon reflexes. Which of
the following tests should be ordered next?
Answer TSH
11. Which of the following medications for type 2
diabetes mellitus should not be prescribed during pregnancy?
Answer Glucotrol
12. During a DRE on a 75-year-old man, the clinician suspects
the patient has prostate cancer. What physical finding should make the clinician
suspicious?
Answer An enlarged rubbery gland
13. Eddie, age 4, presents to the ED with a live insect trapped in
his ear canal causing a lot of distress. What should be your first step?
Answer Immobilize the insect with 2% lidocaine.
