FINAL EXAM: NR511 (LATEST UPDATE ) DIFFERENTIAL
DIAGNOSIS & PRIMARY CARE PRACTICUM EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS|| GRADED A+
The effectiveness of benzodiazepines in treating anxiety disorders suggests that which of the
following neurotransmitters plays a role in anxiety? -ANSWER: Gamma-aminobutyric acid
(GABA)
The criteria for diagnosing generalized anxiety disorder in the American Psychiatric
Associations Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text revision)
state that excessive worry or apprehension must be present more days than not for at least? -
ANSWER: 6 months
A 20-year-old woman is seen in the clinic because her boyfriend was found to have gonorrhea.
Which of the following is the treatment of choice for gonorrhea?
a. Ceftriaxone
b. Doxycycline
c. Acyclovir
d. Metronidazole -ANSWER: Ceftriaxone
A patient is seen in the clinic with a chief complaint of hematuria. To make a differential
diagnosis, which of the following questions should be asked?
a. "Do you have a history of liver disease?"
,b. "What medications are you currently taking?"
c. "Have you noticed swelling in your ankles?"
d. All of the above -ANSWER: "What medications are you currently taking"
A patient is seen in the clinic with hematuria confirmed on microscopic examination. The
clinician should inquire about the ingestion of which of these substances that might be the cause
of hematuria?
a. NSAIDs
b. Beets
c. Vitamin A
d. Red meat -ANSWER: NSAIDS
A 27-year-old female presents with a chief complaint of burning and pain on urination. She has
no previous history of urinary tract infection (UTI). What are some additional symptoms
consistent with a diagnosis of lower UTI?
a. Back and abdominal pain
b. Fever, chills, costovertebral angle (CVA) tenderness
c. Blood in urine and frequency
d. Foul-smelling discharge, perineal itch -ANSWER: Blood in urine ad frequency
A 30-year-old patient presents with pain on urination. The urine microscopy of unspun urine
shows greater than 10 leukocytes/mL, and a dipstick is positive for nitrites. What is the probable
diagnosis?
a. Lower urinary tract infection
,b. Chlamydia infection
c. Candidiasis
d. Pyelonephritis -ANSWER: Lower urinary tract infection
A patient presents with CVA tenderness and a several-day history of high fever, chills, and
dysuria. Which of the following diagnoses is most likely given the above information?
a. Pyelonephritis
b. Cystitis
c. Renal calculi
d. Bladder tumor -ANSWER: Pyelonephritis
A patient is diagnosed with urge incontinence. Before prescribing Detrol XL, the provider should
question the patient about which of these contraindications to this medication?
a. Diarrhea
b. Parkinson's disease
c. Closed-angle glaucoma
d. Breast cancer -ANSWER: Closed-angle glaucoma
A patient is seen in the office complaining of severe flank pain. The clinician should assess this
patient for which risk factor for kidney stones?
a. Hypertension
b. Constipation
c. Tubal ligation
, d. Diabetes -ANSWER: Hypertension
A patient is diagnosed with overactive bladder. Which of the following instructions should be
given to this woman?
a. "Limit the amount of water that you drink."
b. "Eliminate caffeine from your diet."
c. "Wear panty liners."
d. All of the above -ANSWER: Eliminate caffeine from your diet
A 34-year-old patient was treated for a UTI and has not responded to antibiotic therapy. Which
of the following actions should be taken next?
a. Send a urine specimen for microscopy and evaluate for fungal colonies.
b. Increase the dose of antibiotic.
c. Order a cytoscopy.
d. Order a different antibiotic. -ANSWER: Send a urine specimen for microscopy and evaluate
for fungal colonies
Which of the following are predisposing factors for pyelonephritis?
a. Pregnancy
b. Dehydration
c. Smoking
d. Alkaline urine -ANSWER: Pregnancy
DIAGNOSIS & PRIMARY CARE PRACTICUM EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS|| GRADED A+
The effectiveness of benzodiazepines in treating anxiety disorders suggests that which of the
following neurotransmitters plays a role in anxiety? -ANSWER: Gamma-aminobutyric acid
(GABA)
The criteria for diagnosing generalized anxiety disorder in the American Psychiatric
Associations Diagnostic and Statistical Manual of Mental Disorders, 5th edition (text revision)
state that excessive worry or apprehension must be present more days than not for at least? -
ANSWER: 6 months
A 20-year-old woman is seen in the clinic because her boyfriend was found to have gonorrhea.
Which of the following is the treatment of choice for gonorrhea?
a. Ceftriaxone
b. Doxycycline
c. Acyclovir
d. Metronidazole -ANSWER: Ceftriaxone
A patient is seen in the clinic with a chief complaint of hematuria. To make a differential
diagnosis, which of the following questions should be asked?
a. "Do you have a history of liver disease?"
,b. "What medications are you currently taking?"
c. "Have you noticed swelling in your ankles?"
d. All of the above -ANSWER: "What medications are you currently taking"
A patient is seen in the clinic with hematuria confirmed on microscopic examination. The
clinician should inquire about the ingestion of which of these substances that might be the cause
of hematuria?
a. NSAIDs
b. Beets
c. Vitamin A
d. Red meat -ANSWER: NSAIDS
A 27-year-old female presents with a chief complaint of burning and pain on urination. She has
no previous history of urinary tract infection (UTI). What are some additional symptoms
consistent with a diagnosis of lower UTI?
a. Back and abdominal pain
b. Fever, chills, costovertebral angle (CVA) tenderness
c. Blood in urine and frequency
d. Foul-smelling discharge, perineal itch -ANSWER: Blood in urine ad frequency
A 30-year-old patient presents with pain on urination. The urine microscopy of unspun urine
shows greater than 10 leukocytes/mL, and a dipstick is positive for nitrites. What is the probable
diagnosis?
a. Lower urinary tract infection
,b. Chlamydia infection
c. Candidiasis
d. Pyelonephritis -ANSWER: Lower urinary tract infection
A patient presents with CVA tenderness and a several-day history of high fever, chills, and
dysuria. Which of the following diagnoses is most likely given the above information?
a. Pyelonephritis
b. Cystitis
c. Renal calculi
d. Bladder tumor -ANSWER: Pyelonephritis
A patient is diagnosed with urge incontinence. Before prescribing Detrol XL, the provider should
question the patient about which of these contraindications to this medication?
a. Diarrhea
b. Parkinson's disease
c. Closed-angle glaucoma
d. Breast cancer -ANSWER: Closed-angle glaucoma
A patient is seen in the office complaining of severe flank pain. The clinician should assess this
patient for which risk factor for kidney stones?
a. Hypertension
b. Constipation
c. Tubal ligation
, d. Diabetes -ANSWER: Hypertension
A patient is diagnosed with overactive bladder. Which of the following instructions should be
given to this woman?
a. "Limit the amount of water that you drink."
b. "Eliminate caffeine from your diet."
c. "Wear panty liners."
d. All of the above -ANSWER: Eliminate caffeine from your diet
A 34-year-old patient was treated for a UTI and has not responded to antibiotic therapy. Which
of the following actions should be taken next?
a. Send a urine specimen for microscopy and evaluate for fungal colonies.
b. Increase the dose of antibiotic.
c. Order a cytoscopy.
d. Order a different antibiotic. -ANSWER: Send a urine specimen for microscopy and evaluate
for fungal colonies
Which of the following are predisposing factors for pyelonephritis?
a. Pregnancy
b. Dehydration
c. Smoking
d. Alkaline urine -ANSWER: Pregnancy
