NSG 6440 PRACTICE TEST / RANDOM
WITH COMPLETE SOLUTIONS
The fmost fcost-effective fscreening ftest ffor fdetermining fHIV fstatus fis fwhich fof fthe
ffollowing?
Western fblot
Enzyme-linked fimmunosorbent fassay f
Venereal fDisease fResearch fLaboratory ftest fViral fload f- fcorrect fanswers f-Enzyme-
linked fimmunosorbent fassay
Which fblood ftest fis fa fnonspecific fmethod fand fmost fhelpful
,for fevaluating fthe fseverity fand fcourse fof fan finflammatory fprocess?
Erythrocyte fsedimentation frate
White fblood fcell fcount fPolymorphonuclear fcells
C-reactive fprotein f(CRP) f- fcorrect fanswers f-C-reactive fprotein f(CRP)
Cocaine facts fas fa fstimulant fby fblocking fthe freuptake fof
which fneurotransmitter?
GABA f
Acetylcholine f
Dopamine f
Serotonin f- fcorrect fanswers f-Dopamine
Mrs. fThomas fwas fseen fin fthe foffice fcomplaining fof fpain fand
point ftenderness fin fthe farea fof fher felbow. fThe fpain fhas fincreased ffollowing fa fday
fof fgardening fone fweek fago. fA fphysical ffinding fthat fdifferentiates fthe fdiagnosis fand
fis fmost fconsistent fwith flateral fepicondylitis f(tennis felbow) fis:
fEcchymosis, fedema, fand ferythema fover fthe flateral fepicondyle
fPain fat fthe felbow fwith fresisted fmovements fat fthe fwrist fand fforearm
Inability fto fsupinate fand fpronate fthe farm
Inability fto fflex for fextend fthe felbow fagainst fresistance f- fcorrect fanswers f-Pain fat fthe
felbow fwith fresisted fmovements fat fthe fwrist fand fforearm
Which fof fthe ffollowing fstatements fconcerning fthe
musculoskeletal fexamination fis ftrue?
fThe funinvolved fside fshould fbe fexamined finitially fand fthen fcompared fto fthe
finvolved fside.
fThe fpart fof fthe fbody fthat fis fcausing fthe fpatient fpain fshould fbe fexamined ffirst.
fWhen fpossible, fthe fpatient fshould fnot fbe fasked fto fperform factive frange-of-motion
f(ROM) fexercises fto favoid fcausing fpain.
fRadiographs fshould falways fbe fobtained fprior fto fexamination fso fas fnot fto fcause
ffurther finjury fto fthe fpatient. f- fcorrect fanswers f-The funinvolved fside fshould fbe
fexamined finitially fand fthen fcompared fto fthe finvolved fside.
Which fof fthe ffollowing fsigns for fsymptoms findicate fan
f
inflammatory fetiology fto fmusculoskeletal fpain?
,Decreased fC-reactive fprotein
Hyperalbuminemia f
Morning fstiffness f
Weight fgain f- fcorrect fanswers f-Morning fstiffness
Which fcauses fthe fgreatest fpercentage fof fmammalian fbites?
fDogs f
Cats
Humans f
Rodents f- fcorrect fanswers f-Dogs
A f48-year-old fwoman fis fseen fin fthe fclinic fwith fcomplaints fof
prolonged fheavy fmenstrual fperiods. fShe fis fpale fand fstates fshe fcan fno flonger
fexercise. fPelvic fexam freveals fa fsingle, fvery flarge fmass. fWhich fof fthe ffollowing
fdiagnostic ftests fshould fthe fclinician forder ffirst?
Transvaginal fultrasound
Endometrial fbiopsy fMRI
Abdominal fcomputed ftomography fscan f- fcorrect fanswers f-Transvaginal fultrasound
A fdiabetic fpatient fasks fthe fclinician fwhy fhe fneeds fto fcheck
his fblood fsugar fat fhome feven fwhen fhe ffeels fgood. fWhich fof fthe ffollowing
fresponses fwould fbe fmost fappropriate?
f"Control fof fglucose fwill fhelp fpostpone for fdelay
complications."
f"Regularly fchecking fblood fsugar fwill fhelp festablish fa froutine."
"Monitoring fglucose fwill fpromote fa fsense fof fcontrol." f
All fof fthe fabove f- fcorrect fanswers f-All fof fthe fabove
f"Control fof fglucose fwill fhelp fpostpone for fdelay
complications."
f"Regularly fchecking fblood fsugar fwill fhelp festablish fa froutine."
"Monitoring fglucose fwill fpromote fa fsense fof fcontrol."
A f25-year-old fpatient fpresents fto fthe fclinic fwith ffatigue, fcold
f
intolerance, fweight fgain, fand fconstipation ffor fthe fpast f3 fmonths. fOn fphysical
fexamination, fthe fclinician fnotices fa fsinus fbradycardia; fmuscular fstiffness; fcoarse,
, fdry fhair; fand fa fdelay fin frelaxation fin fdeep ftendon freflexes. fWhich fof fthe ffollowing
ftests fshould fbe fordered fnext?
Serum fcalcium f
TSH
Electrolytes
Urine fspecific fgravity f- fcorrect fanswers f-TSH
Which fof fthe ffollowing fmedications ffor ftype f2 fdiabetes
mellitus fshould fnot fbe fprescribed fduring fpregnancy?
Insulin f
Metformin f
Glucotrol
Precose f- fcorrect fanswers f-Glucotrol
During fa fDRE fon fa f75-year-old fman, fthe fclinician fsuspects
the fpatient fhas fprostate fcancer. fWhat fphysical ffinding fshould fmake fthe fclinician
fsuspicious?
An fenlarged frubbery fgland
A fhard firregular fgland f
A ftender fgland
A fboggy fgland f- fcorrect fanswers f-An fenlarged frubbery fgland
Eddie, fage f4, fpresents fto fthe fED fwith fa flive finsect ftrapped fin
his fear fcanal fcausing fa flot fof fdistress. fWhat fshould fbe fyour ffirst fstep?
Remove fthe finsect fwith ftweezers.
Immobilize fthe finsect fwith f2% flidocaine. f
Sedate fEddie fwith fdiazepam.
Shine fa flight fin fthe fear ffor fthe finsect fto f"find fits fway fout." f- fcorrect fanswers f-
Immobilize fthe finsect fwith f2% flidocaine.
What fis fthe fmost fcommon fcause fof fmicrocytic fanemia?
Anemia fof fchronic fdisease
Sideroblastic fanemia f
Iron-deficiency fanemia fThalassemia f- fcorrect fanswers f-Iron-deficiency fanemia
An f82-year-old fman fis fseen fin fthe fprimary fcare foffice fwith
complaints fof fdribbling furine fand fdifficulty fstarting fhis fstream. fWhich fof fthe ffollowing
fshould fbe fincluded fin fthe flist fof fdifferential fdiagnoses?
WITH COMPLETE SOLUTIONS
The fmost fcost-effective fscreening ftest ffor fdetermining fHIV fstatus fis fwhich fof fthe
ffollowing?
Western fblot
Enzyme-linked fimmunosorbent fassay f
Venereal fDisease fResearch fLaboratory ftest fViral fload f- fcorrect fanswers f-Enzyme-
linked fimmunosorbent fassay
Which fblood ftest fis fa fnonspecific fmethod fand fmost fhelpful
,for fevaluating fthe fseverity fand fcourse fof fan finflammatory fprocess?
Erythrocyte fsedimentation frate
White fblood fcell fcount fPolymorphonuclear fcells
C-reactive fprotein f(CRP) f- fcorrect fanswers f-C-reactive fprotein f(CRP)
Cocaine facts fas fa fstimulant fby fblocking fthe freuptake fof
which fneurotransmitter?
GABA f
Acetylcholine f
Dopamine f
Serotonin f- fcorrect fanswers f-Dopamine
Mrs. fThomas fwas fseen fin fthe foffice fcomplaining fof fpain fand
point ftenderness fin fthe farea fof fher felbow. fThe fpain fhas fincreased ffollowing fa fday
fof fgardening fone fweek fago. fA fphysical ffinding fthat fdifferentiates fthe fdiagnosis fand
fis fmost fconsistent fwith flateral fepicondylitis f(tennis felbow) fis:
fEcchymosis, fedema, fand ferythema fover fthe flateral fepicondyle
fPain fat fthe felbow fwith fresisted fmovements fat fthe fwrist fand fforearm
Inability fto fsupinate fand fpronate fthe farm
Inability fto fflex for fextend fthe felbow fagainst fresistance f- fcorrect fanswers f-Pain fat fthe
felbow fwith fresisted fmovements fat fthe fwrist fand fforearm
Which fof fthe ffollowing fstatements fconcerning fthe
musculoskeletal fexamination fis ftrue?
fThe funinvolved fside fshould fbe fexamined finitially fand fthen fcompared fto fthe
finvolved fside.
fThe fpart fof fthe fbody fthat fis fcausing fthe fpatient fpain fshould fbe fexamined ffirst.
fWhen fpossible, fthe fpatient fshould fnot fbe fasked fto fperform factive frange-of-motion
f(ROM) fexercises fto favoid fcausing fpain.
fRadiographs fshould falways fbe fobtained fprior fto fexamination fso fas fnot fto fcause
ffurther finjury fto fthe fpatient. f- fcorrect fanswers f-The funinvolved fside fshould fbe
fexamined finitially fand fthen fcompared fto fthe finvolved fside.
Which fof fthe ffollowing fsigns for fsymptoms findicate fan
f
inflammatory fetiology fto fmusculoskeletal fpain?
,Decreased fC-reactive fprotein
Hyperalbuminemia f
Morning fstiffness f
Weight fgain f- fcorrect fanswers f-Morning fstiffness
Which fcauses fthe fgreatest fpercentage fof fmammalian fbites?
fDogs f
Cats
Humans f
Rodents f- fcorrect fanswers f-Dogs
A f48-year-old fwoman fis fseen fin fthe fclinic fwith fcomplaints fof
prolonged fheavy fmenstrual fperiods. fShe fis fpale fand fstates fshe fcan fno flonger
fexercise. fPelvic fexam freveals fa fsingle, fvery flarge fmass. fWhich fof fthe ffollowing
fdiagnostic ftests fshould fthe fclinician forder ffirst?
Transvaginal fultrasound
Endometrial fbiopsy fMRI
Abdominal fcomputed ftomography fscan f- fcorrect fanswers f-Transvaginal fultrasound
A fdiabetic fpatient fasks fthe fclinician fwhy fhe fneeds fto fcheck
his fblood fsugar fat fhome feven fwhen fhe ffeels fgood. fWhich fof fthe ffollowing
fresponses fwould fbe fmost fappropriate?
f"Control fof fglucose fwill fhelp fpostpone for fdelay
complications."
f"Regularly fchecking fblood fsugar fwill fhelp festablish fa froutine."
"Monitoring fglucose fwill fpromote fa fsense fof fcontrol." f
All fof fthe fabove f- fcorrect fanswers f-All fof fthe fabove
f"Control fof fglucose fwill fhelp fpostpone for fdelay
complications."
f"Regularly fchecking fblood fsugar fwill fhelp festablish fa froutine."
"Monitoring fglucose fwill fpromote fa fsense fof fcontrol."
A f25-year-old fpatient fpresents fto fthe fclinic fwith ffatigue, fcold
f
intolerance, fweight fgain, fand fconstipation ffor fthe fpast f3 fmonths. fOn fphysical
fexamination, fthe fclinician fnotices fa fsinus fbradycardia; fmuscular fstiffness; fcoarse,
, fdry fhair; fand fa fdelay fin frelaxation fin fdeep ftendon freflexes. fWhich fof fthe ffollowing
ftests fshould fbe fordered fnext?
Serum fcalcium f
TSH
Electrolytes
Urine fspecific fgravity f- fcorrect fanswers f-TSH
Which fof fthe ffollowing fmedications ffor ftype f2 fdiabetes
mellitus fshould fnot fbe fprescribed fduring fpregnancy?
Insulin f
Metformin f
Glucotrol
Precose f- fcorrect fanswers f-Glucotrol
During fa fDRE fon fa f75-year-old fman, fthe fclinician fsuspects
the fpatient fhas fprostate fcancer. fWhat fphysical ffinding fshould fmake fthe fclinician
fsuspicious?
An fenlarged frubbery fgland
A fhard firregular fgland f
A ftender fgland
A fboggy fgland f- fcorrect fanswers f-An fenlarged frubbery fgland
Eddie, fage f4, fpresents fto fthe fED fwith fa flive finsect ftrapped fin
his fear fcanal fcausing fa flot fof fdistress. fWhat fshould fbe fyour ffirst fstep?
Remove fthe finsect fwith ftweezers.
Immobilize fthe finsect fwith f2% flidocaine. f
Sedate fEddie fwith fdiazepam.
Shine fa flight fin fthe fear ffor fthe finsect fto f"find fits fway fout." f- fcorrect fanswers f-
Immobilize fthe finsect fwith f2% flidocaine.
What fis fthe fmost fcommon fcause fof fmicrocytic fanemia?
Anemia fof fchronic fdisease
Sideroblastic fanemia f
Iron-deficiency fanemia fThalassemia f- fcorrect fanswers f-Iron-deficiency fanemia
An f82-year-old fman fis fseen fin fthe fprimary fcare foffice fwith
complaints fof fdribbling furine fand fdifficulty fstarting fhis fstream. fWhich fof fthe ffollowing
fshould fbe fincluded fin fthe flist fof fdifferential fdiagnoses?
