NR-511 Differential Diagnosis & Primary
Care Practicum – Midterm Exam Practice
Text Questions (Actual Exam 2026-2027)
Correct Detailed & Verified ANSWERS
(100% Accurate Solutions) ALREADY
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1. Which component of the patient history provides the greatest
percentage of information needed to establish a diagnosis?
A. Physical examination
B. Laboratory testing
C. Imaging studies
D. Health history
Answer: D. Health history
Rationale: Approximately 70–80% of diagnoses can be established
through a thorough patient history before additional testing is
performed.
2. A patient presents with crushing substernal chest pain radiating
to the left arm. What is the priority diagnosis to rule out?
A. GERD
B. Costochondritis
C. Acute myocardial infarction
D. Anxiety
,Answer: C. Acute myocardial infarction
Rationale: Acute coronary syndrome is a life-threatening emergency
requiring immediate evaluation before considering less serious
causes.
3. Which symptom is considered an alarm feature in patients with
gastroesophageal reflux disease (GERD)?
A. Heartburn after meals
B. Regurgitation
C. Dysphagia
D. Belching
Answer: C. Dysphagia
Rationale: Dysphagia may indicate esophageal stricture or
malignancy and warrants prompt endoscopic evaluation.
4. Which cranial nerve is responsible for facial sensation?
A. CN III
B. CN V
C. CN VII
D. CN X
Answer: B. CN V
Rationale: The trigeminal nerve (CN V) supplies sensory innervation
to the face and motor function for mastication.
5. A positive Murphy sign is most suggestive of:
A. Appendicitis
B. Pancreatitis
,C. Acute cholecystitis
D. Hepatitis
Answer: C. Acute cholecystitis
Rationale: Pain with inspiration during right upper quadrant
palpation suggests inflammation of the gallbladder.
6. Which laboratory test is most useful for diagnosing diabetes
mellitus?
A. CBC
B. Fasting plasma glucose
C. Lipid panel
D. ESR
Answer: B. Fasting plasma glucose
Rationale: Fasting plasma glucose is one of the ADA-approved
diagnostic tests for diabetes.
7. Which blood pressure reading meets the ACC/AHA definition of
Stage 2 hypertension?
A. 122/76 mmHg
B. 128/78 mmHg
C. 134/84 mmHg
D. 146/92 mmHg
Answer: D. 146/92 mmHg
Rationale: Stage 2 hypertension is defined as ≥140 systolic or ≥90
diastolic.
8. Which symptom is most characteristic of hypothyroidism?
, A. Weight loss
B. Heat intolerance
C. Bradycardia
D. Tremor
Answer: C. Bradycardia
Rationale: Hypothyroidism slows metabolism, producing fatigue,
weight gain, cold intolerance, and bradycardia.
9. Which physical examination technique should be performed
first?
A. Percussion
B. Auscultation
C. Inspection
D. Palpation
Answer: C. Inspection
Rationale: Inspection is generally the first step in a systematic
physical examination.
10. Which electrolyte abnormality commonly produces peaked T
waves on ECG?
A. Hypokalemia
B. Hyperkalemia
C. Hyponatremia
D. Hypercalcemia
Answer: B. Hyperkalemia
Rationale: Hyperkalemia characteristically produces tall, peaked T
waves and may progress to fatal arrhythmias.
Care Practicum – Midterm Exam Practice
Text Questions (Actual Exam 2026-2027)
Correct Detailed & Verified ANSWERS
(100% Accurate Solutions) ALREADY
GRADED A+||NEWEST VERSION Of The
Exam Guarantee Pass!!
1. Which component of the patient history provides the greatest
percentage of information needed to establish a diagnosis?
A. Physical examination
B. Laboratory testing
C. Imaging studies
D. Health history
Answer: D. Health history
Rationale: Approximately 70–80% of diagnoses can be established
through a thorough patient history before additional testing is
performed.
2. A patient presents with crushing substernal chest pain radiating
to the left arm. What is the priority diagnosis to rule out?
A. GERD
B. Costochondritis
C. Acute myocardial infarction
D. Anxiety
,Answer: C. Acute myocardial infarction
Rationale: Acute coronary syndrome is a life-threatening emergency
requiring immediate evaluation before considering less serious
causes.
3. Which symptom is considered an alarm feature in patients with
gastroesophageal reflux disease (GERD)?
A. Heartburn after meals
B. Regurgitation
C. Dysphagia
D. Belching
Answer: C. Dysphagia
Rationale: Dysphagia may indicate esophageal stricture or
malignancy and warrants prompt endoscopic evaluation.
4. Which cranial nerve is responsible for facial sensation?
A. CN III
B. CN V
C. CN VII
D. CN X
Answer: B. CN V
Rationale: The trigeminal nerve (CN V) supplies sensory innervation
to the face and motor function for mastication.
5. A positive Murphy sign is most suggestive of:
A. Appendicitis
B. Pancreatitis
,C. Acute cholecystitis
D. Hepatitis
Answer: C. Acute cholecystitis
Rationale: Pain with inspiration during right upper quadrant
palpation suggests inflammation of the gallbladder.
6. Which laboratory test is most useful for diagnosing diabetes
mellitus?
A. CBC
B. Fasting plasma glucose
C. Lipid panel
D. ESR
Answer: B. Fasting plasma glucose
Rationale: Fasting plasma glucose is one of the ADA-approved
diagnostic tests for diabetes.
7. Which blood pressure reading meets the ACC/AHA definition of
Stage 2 hypertension?
A. 122/76 mmHg
B. 128/78 mmHg
C. 134/84 mmHg
D. 146/92 mmHg
Answer: D. 146/92 mmHg
Rationale: Stage 2 hypertension is defined as ≥140 systolic or ≥90
diastolic.
8. Which symptom is most characteristic of hypothyroidism?
, A. Weight loss
B. Heat intolerance
C. Bradycardia
D. Tremor
Answer: C. Bradycardia
Rationale: Hypothyroidism slows metabolism, producing fatigue,
weight gain, cold intolerance, and bradycardia.
9. Which physical examination technique should be performed
first?
A. Percussion
B. Auscultation
C. Inspection
D. Palpation
Answer: C. Inspection
Rationale: Inspection is generally the first step in a systematic
physical examination.
10. Which electrolyte abnormality commonly produces peaked T
waves on ECG?
A. Hypokalemia
B. Hyperkalemia
C. Hyponatremia
D. Hypercalcemia
Answer: B. Hyperkalemia
Rationale: Hyperkalemia characteristically produces tall, peaked T
waves and may progress to fatal arrhythmias.
