NR511 Final Questions With Complete Solutions
80% of men have noticeable hair loss by what age? Correct
Answer 85
A 14yo male is seen with c/o severe testicular pain. The
clinician suspects testicular torsion. Which of the following is
the appropriate action? Correct Answer Refer to urologist
immediately
A 21yo student present with c/o fatigue, HA, anorexia, and a
runny nose, all of which began about 2wks ago. She started
taking vitamins and OTC cold preps but she feels worse. The
smell of food makes her nauseated. Her boyfriend had mono
about a month ago and she wonders if she might have it also.
Exam reveals cervical adenopathy and an enlarged liver and
spleen. Which of the following labs would be most helpful in the
DD at this point? Correct Answer Antihepatitis D virus
A 22yo is seen c/o vague belly pain. This type of pain is seen at
what point in appendicitis? Correct Answer Very early
A 22yo males is seen in clinic because he found a hard lump in
his testicle when performing a testicular self-exam. Which of the
following should be included in the list of DD? Correct Answer
All of the above (testicular ca, inguinal hernia, varicocele)
A 23yo sexually active man is seen in clinic with unilat painful
testicular swelling and he is dx'd with epididymitis. In order to
prescribe the correct drug, the clinician must understand that
,which of these is the most common causative organism?
Correct Answer Chlamydia trachomatis
A 25yo accountant is seen in the clinic c/o crampy abd pain after
meals. She is often constipated and takes laxatives, which are
followed by a couple of days of diarrhea. She temporarily feels
better after a bowel movement. She states she is embarrassed by
flatulence and has abd distention. She has had no wt loss or
blood in stool. This problem has gone on for about 6mo. What
should the next step be? Correct Answer Obtain a complete hx
A 25yo pt presents w/fatigue, cold intolerance, wt gain,
constipation x3mo. On PE, clinician notices a sinus brady;
muscular stiffness; coarse dry hair; delayed DTRs. Which of the
following tests should be ordered next? Correct Answer TSH
A 27yo female presents with a CC of burning and pain on
urination. She has no previous h/o UTI. What are some
additional symptoms consistent w/a dx of lower UTI? Correct
Answer Blood in urine and frequency
A 28yo is seen with c/o diarrhea. Which of the following
responses to the Hx questions would help the PCP establish the
dx of IBS? Correct Answer All of the above (feels relief after
BM, sometimes is constipated, does not defacate in the middle
of the night)
A 28yo pt is seen in clinic with colicky abd pain particularly
with meals. She has frequent constipation, flatulence, abd
distention. Which of the data make a dx of diverticulitis
unlikely? Correct Answer Her age
,A 29yo Englishman is seen in the office c/o pain in his chest and
belly. He has been suffering with the pain for 2wks and gets
temporary relief from Alka-Seltzer. The burning pain wakes him
at night and radiates up to his chest. Which factor favors a dx of
gastric ulcer? Correct Answer His use of Alka-Seltzer
A 30yo man is seen w/CC of loss of libido. Which of the
following lab tests would help establish a dx? Correct Answer
Testosterone level
A 30yo pt presents w/pain on urination. The urine microscopy of
unspun urine greater than 10 leukocytes/mL and a dipstick is
positive for nitrites. What is the probable dx? Correct Answer
Lower UTI
A 34yo pt was treated for UTI and has not responded to abx.
Which of the following actions should be taken next? Correct
Answer Send a urine specimen for microscopy and eval for
fungal colonies.
A 35yo female pt is seen in clinic c/o abd pain. Which of the
following should be included in H&P? Correct Answer All of
the above (DRE, pelvic exam, sexual hx)
A 35yo man presents with c/o painful erections, and he notices
his penis is crooked when erect. What is the most likely dx?
Correct Answer Peyronie's Dz
, A 35yo woman presents w/symptoms of hypoglycemia. There is
no h/o DM. Which of the following should be included in the
DD? Correct Answer Pheochromocytoma
A 42yo woman is seen in clinic w/fever, chills, vomiting, severe
dysuria. She is dx'd with acute pyelo. How should this pt be
managed? Correct Answer Hospitalization
A 45yo pt presents with a CC of generalized abd pain. Her PE is
remarkable for LLQ tenderness. At this time, which of the
following should be considered in the DD? Correct Answer All
of the above (endometriosis, colon cancer, diverticulitis)
A 46yo is seen in the clinic w/abd pain. Which of the following
tests is essential for this pt? Correct Answer Urine HCG
A 46yo man presents with urinary hesitancy and low back pain.
He has no h/o UTI. DRE reveals normal prostate, and a dx of
prostatodynia is made. Which is the appropriate tx? Correct
Answer Terazosin 2mg PO daily
A 58yo pt has been receiving leuprolide as tx for prostate ca.
The clinician should instruct the pt about which of these SE?
Correct Answer All of the above (risk of osteoporosis, may
have hot flashes, may have impotence)
A 60yo man presents with an enlarged scrotum. The clinician
uses a penlight to transilluminate the scrotum. In a pt with a
hydrocele, what would the clinician expect to find? Correct
Answer The scrotum will appear light pink or yellow
80% of men have noticeable hair loss by what age? Correct
Answer 85
A 14yo male is seen with c/o severe testicular pain. The
clinician suspects testicular torsion. Which of the following is
the appropriate action? Correct Answer Refer to urologist
immediately
A 21yo student present with c/o fatigue, HA, anorexia, and a
runny nose, all of which began about 2wks ago. She started
taking vitamins and OTC cold preps but she feels worse. The
smell of food makes her nauseated. Her boyfriend had mono
about a month ago and she wonders if she might have it also.
Exam reveals cervical adenopathy and an enlarged liver and
spleen. Which of the following labs would be most helpful in the
DD at this point? Correct Answer Antihepatitis D virus
A 22yo is seen c/o vague belly pain. This type of pain is seen at
what point in appendicitis? Correct Answer Very early
A 22yo males is seen in clinic because he found a hard lump in
his testicle when performing a testicular self-exam. Which of the
following should be included in the list of DD? Correct Answer
All of the above (testicular ca, inguinal hernia, varicocele)
A 23yo sexually active man is seen in clinic with unilat painful
testicular swelling and he is dx'd with epididymitis. In order to
prescribe the correct drug, the clinician must understand that
,which of these is the most common causative organism?
Correct Answer Chlamydia trachomatis
A 25yo accountant is seen in the clinic c/o crampy abd pain after
meals. She is often constipated and takes laxatives, which are
followed by a couple of days of diarrhea. She temporarily feels
better after a bowel movement. She states she is embarrassed by
flatulence and has abd distention. She has had no wt loss or
blood in stool. This problem has gone on for about 6mo. What
should the next step be? Correct Answer Obtain a complete hx
A 25yo pt presents w/fatigue, cold intolerance, wt gain,
constipation x3mo. On PE, clinician notices a sinus brady;
muscular stiffness; coarse dry hair; delayed DTRs. Which of the
following tests should be ordered next? Correct Answer TSH
A 27yo female presents with a CC of burning and pain on
urination. She has no previous h/o UTI. What are some
additional symptoms consistent w/a dx of lower UTI? Correct
Answer Blood in urine and frequency
A 28yo is seen with c/o diarrhea. Which of the following
responses to the Hx questions would help the PCP establish the
dx of IBS? Correct Answer All of the above (feels relief after
BM, sometimes is constipated, does not defacate in the middle
of the night)
A 28yo pt is seen in clinic with colicky abd pain particularly
with meals. She has frequent constipation, flatulence, abd
distention. Which of the data make a dx of diverticulitis
unlikely? Correct Answer Her age
,A 29yo Englishman is seen in the office c/o pain in his chest and
belly. He has been suffering with the pain for 2wks and gets
temporary relief from Alka-Seltzer. The burning pain wakes him
at night and radiates up to his chest. Which factor favors a dx of
gastric ulcer? Correct Answer His use of Alka-Seltzer
A 30yo man is seen w/CC of loss of libido. Which of the
following lab tests would help establish a dx? Correct Answer
Testosterone level
A 30yo pt presents w/pain on urination. The urine microscopy of
unspun urine greater than 10 leukocytes/mL and a dipstick is
positive for nitrites. What is the probable dx? Correct Answer
Lower UTI
A 34yo pt was treated for UTI and has not responded to abx.
Which of the following actions should be taken next? Correct
Answer Send a urine specimen for microscopy and eval for
fungal colonies.
A 35yo female pt is seen in clinic c/o abd pain. Which of the
following should be included in H&P? Correct Answer All of
the above (DRE, pelvic exam, sexual hx)
A 35yo man presents with c/o painful erections, and he notices
his penis is crooked when erect. What is the most likely dx?
Correct Answer Peyronie's Dz
, A 35yo woman presents w/symptoms of hypoglycemia. There is
no h/o DM. Which of the following should be included in the
DD? Correct Answer Pheochromocytoma
A 42yo woman is seen in clinic w/fever, chills, vomiting, severe
dysuria. She is dx'd with acute pyelo. How should this pt be
managed? Correct Answer Hospitalization
A 45yo pt presents with a CC of generalized abd pain. Her PE is
remarkable for LLQ tenderness. At this time, which of the
following should be considered in the DD? Correct Answer All
of the above (endometriosis, colon cancer, diverticulitis)
A 46yo is seen in the clinic w/abd pain. Which of the following
tests is essential for this pt? Correct Answer Urine HCG
A 46yo man presents with urinary hesitancy and low back pain.
He has no h/o UTI. DRE reveals normal prostate, and a dx of
prostatodynia is made. Which is the appropriate tx? Correct
Answer Terazosin 2mg PO daily
A 58yo pt has been receiving leuprolide as tx for prostate ca.
The clinician should instruct the pt about which of these SE?
Correct Answer All of the above (risk of osteoporosis, may
have hot flashes, may have impotence)
A 60yo man presents with an enlarged scrotum. The clinician
uses a penlight to transilluminate the scrotum. In a pt with a
hydrocele, what would the clinician expect to find? Correct
Answer The scrotum will appear light pink or yellow
