MIDTERM EXAM: NR 511/
NR511 (LATEST 2026/ 2027
UPDATE) DIFFERENTIAL
DIAGNOSIS AND PRIMARY
CARE PRACTICUM REVIEW|
QUESTIONS & ANSWERS|
GRADE A| 100% CORRECT
(VERIFIED SOLUTIONS)-
What’s inside
Comprehensive collection of exam-style questions
and answers covering high-yield 2026-2027
NR511 topics.
Organized in an easy-to-follow question-and-
answer format for efficient studying.
Covers patient assessment, diagnosis, treatment
planning, and clinical decision-making
Designed to reinforce key concepts commonly
assessed in midterm examinations.
,1
Answer: ....
Q: GI Disorder
Answer: massage the peristomal area
Q: A 38-year-old male patient has recently had an
ileostomy for ulcerative colitis. Which self-care
measures should the clinician teach him about to
relieve food blockage?
Answer: obesity is correlated
Q: Which of the following is true regarding
diverticula
Answer: Acute diverticulitis
Q: Left lower quadrant abdominal pain for 2 days
the pain started suddenly and then fever chills
anorexia nausea and painless bloody stools.
Answer: bulk laxative
Q: An 82-year-old female has been diagnosed with
irritable bowel chronic constipation and
diverticulosis following a colonoscopy. Which
pharmacological agent should the clinician recommend?
Answer: High fiber diet
Q: Which of the following is part of the
treatment plan for the patient with irritable bowel
syndrome?
Answer: digital rectal exam Sexual history Pelvic
exam
Q: A 35-year-old female patent is seen in the
clinic complaining of abdominal pain. Which of the
following should be included in the history and
physical exam?
,2
Answer: Her age
Q: A 28-year-old patent is seen in the clinic
with colicky abdominal pain particularly with meals.
She has frequent constipation flatulence and abdominal
distension. Which of the data make a diagnosis of
diverticulitis unlikely?
Answer: Order an endoscopy (This is the next step
in treatment in order to evaluate the etiology of the
patient’s GERD and consider biopsy if necessary)
Q: A 54-year-old female presents to your primary
care office for routine reevaluation for
gastroesophageal reflux disease (GERD). She has been
treated with diet modifications and 6 weeks of
omeprazole without improvement of her symptoms. What
is the next step in the management of this patient's
GERD?
Answer: nonsteroidal anti-inflammatory drugs
Q: A 67-year-old female on multiple medications
for chronic conditions was just diagnosed with
gastroesophageal reflux disease (GERD). In teaching
the patient about the disease what medication should
the clinician recommend that the patient refrain from
using?
Answer: Weightlifting
Q: The patient with gastro esophageal reflux
disease (GERD)should be instructed to eliminate which
of these activities?
Answer: Pancreatitis peptic ulcer disease
diverticulitis All of the above
Q: A patient is seen with a sudden onset of flank
pain accompanied by nausea vomiting and diaphoresis in
addition to nephrolithiasis which of the following
should be added to the list of differential diagnoses?
, 3
Answer: Metronidazole
Q: A patient is diagnosed with Giardia after a
backpacking trip in the mountains. Which of the
following would be the appropriate treatment?
Answer: Elevated alkaline phosphatase
Q: A patient is seen in the clinic with right
upper quadrant (RUQ)pain that is radiating to the
middle of the back. The clinician suspects acute
cholelithiasis. The clinician should expect which of
the following laboratory findings?
Answer: This is a premalignant tissue This tissue
is resistant to gastric acid This tissue supports
healing of the esophagus: All of the above
Q: A patient is diagnosed with gastroesophageal
reflux disease (GERD) and his endoscopic report
reveals the presence barrettes epithelium. Which of
the following information should the clinician include
in the explanation of the pathology
Answer: Eliminate coffee
Q: which of the following dietary information
should be given to a patient with gastroesophageal
reflux disease (GERD)
Answer: Clostridium perfringens
Q: Mark has necrotizing fasciitis of his left
lower extremity. Pressure on the skin reveals crepitus
due to gas production by which anaerobic bacteria?
Answer: stop smoking eat smaller meals-have a
snack before retiring for bed.
Q: A patient is diagnosed with GERD the clinician
knows that she misunderstands the teaching when she
says:
NR511 (LATEST 2026/ 2027
UPDATE) DIFFERENTIAL
DIAGNOSIS AND PRIMARY
CARE PRACTICUM REVIEW|
QUESTIONS & ANSWERS|
GRADE A| 100% CORRECT
(VERIFIED SOLUTIONS)-
What’s inside
Comprehensive collection of exam-style questions
and answers covering high-yield 2026-2027
NR511 topics.
Organized in an easy-to-follow question-and-
answer format for efficient studying.
Covers patient assessment, diagnosis, treatment
planning, and clinical decision-making
Designed to reinforce key concepts commonly
assessed in midterm examinations.
,1
Answer: ....
Q: GI Disorder
Answer: massage the peristomal area
Q: A 38-year-old male patient has recently had an
ileostomy for ulcerative colitis. Which self-care
measures should the clinician teach him about to
relieve food blockage?
Answer: obesity is correlated
Q: Which of the following is true regarding
diverticula
Answer: Acute diverticulitis
Q: Left lower quadrant abdominal pain for 2 days
the pain started suddenly and then fever chills
anorexia nausea and painless bloody stools.
Answer: bulk laxative
Q: An 82-year-old female has been diagnosed with
irritable bowel chronic constipation and
diverticulosis following a colonoscopy. Which
pharmacological agent should the clinician recommend?
Answer: High fiber diet
Q: Which of the following is part of the
treatment plan for the patient with irritable bowel
syndrome?
Answer: digital rectal exam Sexual history Pelvic
exam
Q: A 35-year-old female patent is seen in the
clinic complaining of abdominal pain. Which of the
following should be included in the history and
physical exam?
,2
Answer: Her age
Q: A 28-year-old patent is seen in the clinic
with colicky abdominal pain particularly with meals.
She has frequent constipation flatulence and abdominal
distension. Which of the data make a diagnosis of
diverticulitis unlikely?
Answer: Order an endoscopy (This is the next step
in treatment in order to evaluate the etiology of the
patient’s GERD and consider biopsy if necessary)
Q: A 54-year-old female presents to your primary
care office for routine reevaluation for
gastroesophageal reflux disease (GERD). She has been
treated with diet modifications and 6 weeks of
omeprazole without improvement of her symptoms. What
is the next step in the management of this patient's
GERD?
Answer: nonsteroidal anti-inflammatory drugs
Q: A 67-year-old female on multiple medications
for chronic conditions was just diagnosed with
gastroesophageal reflux disease (GERD). In teaching
the patient about the disease what medication should
the clinician recommend that the patient refrain from
using?
Answer: Weightlifting
Q: The patient with gastro esophageal reflux
disease (GERD)should be instructed to eliminate which
of these activities?
Answer: Pancreatitis peptic ulcer disease
diverticulitis All of the above
Q: A patient is seen with a sudden onset of flank
pain accompanied by nausea vomiting and diaphoresis in
addition to nephrolithiasis which of the following
should be added to the list of differential diagnoses?
, 3
Answer: Metronidazole
Q: A patient is diagnosed with Giardia after a
backpacking trip in the mountains. Which of the
following would be the appropriate treatment?
Answer: Elevated alkaline phosphatase
Q: A patient is seen in the clinic with right
upper quadrant (RUQ)pain that is radiating to the
middle of the back. The clinician suspects acute
cholelithiasis. The clinician should expect which of
the following laboratory findings?
Answer: This is a premalignant tissue This tissue
is resistant to gastric acid This tissue supports
healing of the esophagus: All of the above
Q: A patient is diagnosed with gastroesophageal
reflux disease (GERD) and his endoscopic report
reveals the presence barrettes epithelium. Which of
the following information should the clinician include
in the explanation of the pathology
Answer: Eliminate coffee
Q: which of the following dietary information
should be given to a patient with gastroesophageal
reflux disease (GERD)
Answer: Clostridium perfringens
Q: Mark has necrotizing fasciitis of his left
lower extremity. Pressure on the skin reveals crepitus
due to gas production by which anaerobic bacteria?
Answer: stop smoking eat smaller meals-have a
snack before retiring for bed.
Q: A patient is diagnosed with GERD the clinician
knows that she misunderstands the teaching when she
says:
