1|Page
NR511 FINAL EXAM- DIFFERENTIAL DIAGNOSIS &
PRIMARY CARE PRACTICUM 2026| COMPLETE EXAM SET
WITH ACTUAL QUESTIONS AND CORRECT SOLUTIONS
Which is the differentiating symptom between labyrinthitis and vestibular
neuritis?
a. symptoms with vestibular neuritis are usually acute in onset, whereas with
labyrinthitis the onet is more gradual
b. hearing loss may be associated with vestibular neuritis, but not with
labyrinthitis
c. symptoms with labyrinthitis are usually acute in onset, ,whereas with vesticular
neuritis the onset is more gradual
d. hearing loss may be associated with labyrinthitis ,but not with vestibular
neuritis. - correct-answer -d. hearing loss may be associated with labyrinthitis ,but
not with vestibular neuritis.
A 27 year old female presents with a chief complaint of burning and pain on
urination. She has no previous history of urinary tract infection. what are some
additional symptoms consistant with a diagnosis of lower UTI?
a. back and abdominal pain
b. fever, chills, costovertebral angle (CVA) tenderness
c. blood in urine and frequency
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d. foul-smelling discharge, perineal itch - correct-answer -c. blood in urine and
frequency
The differential diagnosis for vertigo can be classified into which of the following
categories:
a. peripheral vestibular disease
b. CNS disorders
c. Systemic disorders
d. all of the above - correct-answer -d. all of the above
Sam is a 25-year-old man who has been diagnosed with low back strain based on
his history of localized low back pain and muscle spasm along with a normal
neurological examination. As the clinician, you explain to Sam that low back pain
is a diagnosis of exclusion. Which of the following symptoms would alert the
clinician to the more serious finding of a herniated nucleus pulposus or ruptured
disc?
a. morning stiffness and limited mobility of the lumbar spine
b. unilateral radicular pain symptoms that extend below the knee and are equal to
or greater than the back pain
c. Fever, chills, and elevated erythrocyte sedimentation rate
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d. pathologic fractures, severe night pain, weight loss and fatigue - correct-answer
-b. unilateral radicular pain symptoms that extend below the knee and are equal
to or greater than the back pain
Preceptors must always see the patients that the students see in the clinical
setting
a. true
b. false - correct-answer -a. true
An 82 year old man is seen in the primary care office with complaints of dribbling
urine and difficulty starting his stream. Which of the following should be included
in the list of differentials?
a. BPH
b. Prostate cancer
c. UTI
d. all of the above - correct-answer -d. all of the above
A patient presents with the following signs and symptoms: gradual onset of low
grade fever, marked fatigue, severe sore throat and posterior cervical
lymphadenopathy. Based on the signs and symptoms alone, which of the
following conditions is most likely the cause?
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a. gonorrhea
b. mononucleosis
c. influenza
d. herpes zoster - correct-answer -b. mononucleosis
In which of the following situations would referral to a specialist be needed for
sinusitis
a. recurrent sinusitis
b. allergic sinusitis
c. sinusitis that is refractory to antibiotic therapy
d. all of the above - correct-answer -d. all of the above
Heart valve damage resulting from acute rheumatic fever is a long-term sequelae
resulting from infection with which of the following pathogens?
a. coxsackievirus
b. cytomegalovirus
c. francisella tularensis
d. group A streptococcus - correct-answer -d. group A streptococcus
NR511 FINAL EXAM- DIFFERENTIAL DIAGNOSIS &
PRIMARY CARE PRACTICUM 2026| COMPLETE EXAM SET
WITH ACTUAL QUESTIONS AND CORRECT SOLUTIONS
Which is the differentiating symptom between labyrinthitis and vestibular
neuritis?
a. symptoms with vestibular neuritis are usually acute in onset, whereas with
labyrinthitis the onet is more gradual
b. hearing loss may be associated with vestibular neuritis, but not with
labyrinthitis
c. symptoms with labyrinthitis are usually acute in onset, ,whereas with vesticular
neuritis the onset is more gradual
d. hearing loss may be associated with labyrinthitis ,but not with vestibular
neuritis. - correct-answer -d. hearing loss may be associated with labyrinthitis ,but
not with vestibular neuritis.
A 27 year old female presents with a chief complaint of burning and pain on
urination. She has no previous history of urinary tract infection. what are some
additional symptoms consistant with a diagnosis of lower UTI?
a. back and abdominal pain
b. fever, chills, costovertebral angle (CVA) tenderness
c. blood in urine and frequency
,2|Page
d. foul-smelling discharge, perineal itch - correct-answer -c. blood in urine and
frequency
The differential diagnosis for vertigo can be classified into which of the following
categories:
a. peripheral vestibular disease
b. CNS disorders
c. Systemic disorders
d. all of the above - correct-answer -d. all of the above
Sam is a 25-year-old man who has been diagnosed with low back strain based on
his history of localized low back pain and muscle spasm along with a normal
neurological examination. As the clinician, you explain to Sam that low back pain
is a diagnosis of exclusion. Which of the following symptoms would alert the
clinician to the more serious finding of a herniated nucleus pulposus or ruptured
disc?
a. morning stiffness and limited mobility of the lumbar spine
b. unilateral radicular pain symptoms that extend below the knee and are equal to
or greater than the back pain
c. Fever, chills, and elevated erythrocyte sedimentation rate
,3|Page
d. pathologic fractures, severe night pain, weight loss and fatigue - correct-answer
-b. unilateral radicular pain symptoms that extend below the knee and are equal
to or greater than the back pain
Preceptors must always see the patients that the students see in the clinical
setting
a. true
b. false - correct-answer -a. true
An 82 year old man is seen in the primary care office with complaints of dribbling
urine and difficulty starting his stream. Which of the following should be included
in the list of differentials?
a. BPH
b. Prostate cancer
c. UTI
d. all of the above - correct-answer -d. all of the above
A patient presents with the following signs and symptoms: gradual onset of low
grade fever, marked fatigue, severe sore throat and posterior cervical
lymphadenopathy. Based on the signs and symptoms alone, which of the
following conditions is most likely the cause?
, 4|Page
a. gonorrhea
b. mononucleosis
c. influenza
d. herpes zoster - correct-answer -b. mononucleosis
In which of the following situations would referral to a specialist be needed for
sinusitis
a. recurrent sinusitis
b. allergic sinusitis
c. sinusitis that is refractory to antibiotic therapy
d. all of the above - correct-answer -d. all of the above
Heart valve damage resulting from acute rheumatic fever is a long-term sequelae
resulting from infection with which of the following pathogens?
a. coxsackievirus
b. cytomegalovirus
c. francisella tularensis
d. group A streptococcus - correct-answer -d. group A streptococcus
