DIFFERENTIAL DIAGNOSIS AND PRIMARY CARE NR 511
MIDTERM EXAM / NR511 MIDTERM EXAM COMPLETE
REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (CORRECT VERIFIED
SOLUTIONS) LATEST UPDATES |GUARANTEED PASS
A+!!DIFFERENTIAL DIAGNOSIS AN
Which of the following initiatives does not fall under the National Prevention
Strategy - ANSWER: Diabetes Management. Reference Page 29
All of the following statements about the US Preventive Services Task Force (USPSTF)
are true except? - ANSWER: All of the recommendations made by the USPSTF are
strong recommendations
What type of reaction following an immunization is considered serious and requires
reevaluation - ANSWER: Temperature greater than 103˚F
Herbert, a 69-year-old man, comes to your office complaining of nocturia. On
questioning Herbert, you find that for the past 3 months he has been getting up at
least 5 times a night to void. He came in to seek help today because of his wife's
insistence that he be checked out. When you perform the digital rectal exam, you
find that his prostate protrudes 3 to 4 cm into the rectum. What grade would you
assign to Herbert's prostate enlargement? - ANSWER: Grade 3
Which of the following individuals should get the shingles (herpes zoster) vaccine -
ANSWER: Joe, who has a stressful job
As a primary care provider, which of the following topics is not typically important
for adults aged 20 to 40 - ANSWER: Focusing on increasing lifespan
Which of the following statements defines health literacy - ANSWER: The level to
which a patient can understand, gain access to, and make proper medical decisions
Between ages 7 and 18, both boys and girls are immunized against the following
diseases - ANSWER: Tetanus, diphtheria, pertussis, meningitis, and human
papillomavirus
The OLD CARTS (onset, location, duration, character, aggravating/alleviating factors,
radiation, timing, severity) mnemonic is best used in which part of your chart note -
ANSWER: History of present illness
Eileen, a 42-year-old woman, comes to your office with a chief complaint of fatigue,
weight loss, and blurred vision. Eileen has a past medical history that is negative for
any chronic medical problems. You obtain a fasting chemistry panel, lipid profile,
, complete blood count (CBC), and hemoglobin A1c (HbA1c). The results of the blood
work show Eileen's blood sugar elevated at 356 mg/dL, total cholesterol elevated at
255, high-density lipoprotein (HDL) cholesterol low at 28, low-density lipoprotein
(LDL) cholesterol elevated at 167, triglycerides 333, and HbA1c 12. On questioning
Eileen further, you discover that both her grandmothers had adult-onset diabetes
mellitus. You diagnose type 2 diabetes mellitus. Your treatment plan should include
a cholesterol-lowering agent, an agent that lowers blood sugar, and which other
class of medication? - ANSWER: Angiotensin-converting enzyme (ACE) inhibitor
Margaret, age 29, is of medium build and 5 ft 4 in tall. You estimate that she should
weigh about - ANSWER: 120 lb
Susie, age 5, comes to the clinic for a well-child visit. She has not been in since she
was 2. Her immunizations are up to date. What immunizations would you give her
today - ANSWER: Diphtheria, tetanus, and pertussis (DTaP); inactivated polio vaccine
(IPV); and measles, mumps, and rubella (MMR)
Mimi, age 52, asks why she should perform a monthly breast self-examination (BSE)
when she has her mammograms on schedule. You respond: - ANSWER: "More than
90% of all breast abnormalities are first detected by self-examination."
Marian's husband, Stu, age 72, has temporal arteritis. She tells you that his physician
wants to perform a biopsy of the temporal artery. She asks if there is a less invasive
diagnostic test. What test do you tell her is less invasive? - ANSWER: Color duplex
ultrasonography
Which of the following refers to an aspect of a patient's health that can be changed
or affected by a health intervention? - ANSWER: Modifiable risk factor
An 81-year-old patient presents for a physical. She recently had a fall and now has
problems walking up her stairs. The only restroom in the house is on the second
floor. She also has a flight of stairs outside her house she has to navigate in order to
reach street level, and this is difficult for her. Where does this information belong in
your chart note? - ANSWER: Functional health patterns
Telehealth has shown a drastic increase in utilization by patients in which of the
following fields of medicine - ANSWER: Psychology and psychiatry
Mark, a 56-year-old man, comes to your practice seeking help quitting smoking. You
prescribe varenicline (Chantix), a prescription medication, to aid with his attempt.
What instructions do you give Mark regarding how to stop smoking with Chantix? -
ANSWER: Start the Chantix today according to the dosing schedule and then pick a
date to stop smoking about 7 days after starting Chantix
Joseph, a 55-year-old man with diabetes, is at your office for his diabetes follow-up.
On examining his feet with monofilament, you discover that he has developed
decreased sensation in both feet. There are no open areas or signs of infection on his
MIDTERM EXAM / NR511 MIDTERM EXAM COMPLETE
REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (CORRECT VERIFIED
SOLUTIONS) LATEST UPDATES |GUARANTEED PASS
A+!!DIFFERENTIAL DIAGNOSIS AN
Which of the following initiatives does not fall under the National Prevention
Strategy - ANSWER: Diabetes Management. Reference Page 29
All of the following statements about the US Preventive Services Task Force (USPSTF)
are true except? - ANSWER: All of the recommendations made by the USPSTF are
strong recommendations
What type of reaction following an immunization is considered serious and requires
reevaluation - ANSWER: Temperature greater than 103˚F
Herbert, a 69-year-old man, comes to your office complaining of nocturia. On
questioning Herbert, you find that for the past 3 months he has been getting up at
least 5 times a night to void. He came in to seek help today because of his wife's
insistence that he be checked out. When you perform the digital rectal exam, you
find that his prostate protrudes 3 to 4 cm into the rectum. What grade would you
assign to Herbert's prostate enlargement? - ANSWER: Grade 3
Which of the following individuals should get the shingles (herpes zoster) vaccine -
ANSWER: Joe, who has a stressful job
As a primary care provider, which of the following topics is not typically important
for adults aged 20 to 40 - ANSWER: Focusing on increasing lifespan
Which of the following statements defines health literacy - ANSWER: The level to
which a patient can understand, gain access to, and make proper medical decisions
Between ages 7 and 18, both boys and girls are immunized against the following
diseases - ANSWER: Tetanus, diphtheria, pertussis, meningitis, and human
papillomavirus
The OLD CARTS (onset, location, duration, character, aggravating/alleviating factors,
radiation, timing, severity) mnemonic is best used in which part of your chart note -
ANSWER: History of present illness
Eileen, a 42-year-old woman, comes to your office with a chief complaint of fatigue,
weight loss, and blurred vision. Eileen has a past medical history that is negative for
any chronic medical problems. You obtain a fasting chemistry panel, lipid profile,
, complete blood count (CBC), and hemoglobin A1c (HbA1c). The results of the blood
work show Eileen's blood sugar elevated at 356 mg/dL, total cholesterol elevated at
255, high-density lipoprotein (HDL) cholesterol low at 28, low-density lipoprotein
(LDL) cholesterol elevated at 167, triglycerides 333, and HbA1c 12. On questioning
Eileen further, you discover that both her grandmothers had adult-onset diabetes
mellitus. You diagnose type 2 diabetes mellitus. Your treatment plan should include
a cholesterol-lowering agent, an agent that lowers blood sugar, and which other
class of medication? - ANSWER: Angiotensin-converting enzyme (ACE) inhibitor
Margaret, age 29, is of medium build and 5 ft 4 in tall. You estimate that she should
weigh about - ANSWER: 120 lb
Susie, age 5, comes to the clinic for a well-child visit. She has not been in since she
was 2. Her immunizations are up to date. What immunizations would you give her
today - ANSWER: Diphtheria, tetanus, and pertussis (DTaP); inactivated polio vaccine
(IPV); and measles, mumps, and rubella (MMR)
Mimi, age 52, asks why she should perform a monthly breast self-examination (BSE)
when she has her mammograms on schedule. You respond: - ANSWER: "More than
90% of all breast abnormalities are first detected by self-examination."
Marian's husband, Stu, age 72, has temporal arteritis. She tells you that his physician
wants to perform a biopsy of the temporal artery. She asks if there is a less invasive
diagnostic test. What test do you tell her is less invasive? - ANSWER: Color duplex
ultrasonography
Which of the following refers to an aspect of a patient's health that can be changed
or affected by a health intervention? - ANSWER: Modifiable risk factor
An 81-year-old patient presents for a physical. She recently had a fall and now has
problems walking up her stairs. The only restroom in the house is on the second
floor. She also has a flight of stairs outside her house she has to navigate in order to
reach street level, and this is difficult for her. Where does this information belong in
your chart note? - ANSWER: Functional health patterns
Telehealth has shown a drastic increase in utilization by patients in which of the
following fields of medicine - ANSWER: Psychology and psychiatry
Mark, a 56-year-old man, comes to your practice seeking help quitting smoking. You
prescribe varenicline (Chantix), a prescription medication, to aid with his attempt.
What instructions do you give Mark regarding how to stop smoking with Chantix? -
ANSWER: Start the Chantix today according to the dosing schedule and then pick a
date to stop smoking about 7 days after starting Chantix
Joseph, a 55-year-old man with diabetes, is at your office for his diabetes follow-up.
On examining his feet with monofilament, you discover that he has developed
decreased sensation in both feet. There are no open areas or signs of infection on his
