Exam Questions 1- 100 NR-511 Differential Diagnosis & Primary
Care Practicum NR 511 Midterm and Finals Examplify Online
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, SECTION 1: Gastrointestinal & Genitourinary Disorders (Questions 1-25)
Question 1
A 45-year-old male presents with acute-onset right lower quadrant abdominal
pain that began 12 hours ago. He reports nausea and anorexia. On exam, he
has tenderness at McBurney's point with guarding. Which physical exam finding
would further support the suspected diagnosis?
A) Murphy's sign
B) Obturator sign
C) Carnett's sign
D) Kehr's sign
Answer: B
Rationale: The obturator sign is elicited by passive internal and external rotation
of the flexed right hip and is positive when it reproduces RLQ pain. This
suggests irritation of the obturator muscle from an inflamed appendix. Murphy's
sign is associated with cholecystitis, Carnett's sign helps distinguish abdominal
wall pain from intra-abdominal pathology, and Kehr's sign (left shoulder pain) is
associated with splenic rupture or free air under the diaphragm .
Question 2
A 28-year-old female presents with 3 days of urinary frequency, dysuria, and
suprapubic discomfort. She reports no fever, flank pain, or vaginal discharge.