NU 518 Exame 2 ACTUAL EXAM QUESTIONS WITH COMPLETE
SOLUTION GUIDE) (MULTIPLE CHOICES) (A+ GRADED 100%
VERIFIED) LATEST VERSION 2025
A 38-year-old accountant comes to your clinic for evaluation of a headache. The
throbbing sensation is located in the right temporal region and is an 8 on a scale of 1 to
10. It started a few hours ago, and she has noted nausea with sensitivity to light; she has
had headaches like this in the past, usually less than one per week, but not as severe.
She does not know of any inciting factors. There has been no change in the frequency of
her headaches. She usually takes an over the-counter analgesic, and this results in
resolution of the headache. Based on this description, what is the most likely diagnosis
of the type of headache?
A) Tension
B) Migraine
C) Cluster
D) Analgesic rebound - ANSWER✔✔-B
OLIVIA GREENWAYS© 2025, ALL RIGHTS RESRVED 1
,A 29-year-old computer programmer comes to your office for evaluation of a headache.
The tightening sensation is located all over the head and is of moderate intensity. It
used to last minutes, but this time it has lasted for 5 days. He denies photophobia and
nausea. He spends several hours each day at a computer monitor/keyboard. He has
tried over-the-counter medication; it has dulled the pain but not taken it away. Based on
this description, what is your
most likely diagnosis?
A) Tension
B) Migraine
C) Cluster
D) Analgesic rebound - ANSWER✔✔-A
Which of the following is a symptom involving the eye?
A) Scotomas
B) Tinnitus
C) Dysphagia
D) Rhinorrhea - ANSWER✔✔-A
A 49-year-old administrative assistant comes to your office for evaluation of dizziness.
You elicit the information that the dizziness is a spinning sensation of sudden onset,
OLIVIA GREENWAYS© 2025, ALL RIGHTS RESRVED 2
,worse with head position changes. The episodes last a few seconds and then go away,
and they are accompanied by intense nausea. She has vomited one time. She denies
tinnitus. You perform a physical examination of the head and neck and note that the
patient's hearing is intact to Weber and Rinne and that there is nystagmus. Her gait is
normal. Based on this description, what is the most likely diagnosis?
A) Benign positional vertigo
B) Vestibular neuronitis
C) Ménière's disease
D) Acoustic neuroma - ANSWER✔✔-A
A 55-year-old bank teller comes to your office for persistent episodes of dizziness. The
first episode started suddenly and lasted 3 to 4 hours. He experienced a lot of nausea
with vomiting; the episode resolved spontaneously. He has had five episodes in the
past 1½ weeks. He does note
some tinnitus that comes and goes. Upon physical examination, you note that he has a
normal gait. The Weber localizes to the right side and the air conduction is equal to the
bone conduction in the right ear. Nystagmus is present. Based on this description, what
is the most likely diagnosis?
A) Benign positional vertigo
B) Vestibular neuronitis
OLIVIA GREENWAYS© 2025, ALL RIGHTS RESRVED 3
, C) Ménière's disease
D) Acoustic neuroma - ANSWER✔✔-C
A 73-year-old nurse comes to your office for evaluation of new onset of tremors. She is
not on any medications and does not take herbs or supplements. She has no chronic
medical conditions. She does not smoke or drink alcohol. She walks into the
examination room with slow movements and shuffling steps. She has decreased facial
mobility and a blunt expression,
without any changes in hair distribution on her face. Based on this description, what is
the most likely reason for the patient's symptoms?
A) Cushing's syndrome
B) Nephrotic syndrome
C) Myxedema
D) Parkinson's disease - ANSWER✔✔-D
A 29-year-old physical therapist presents for evaluation of an eyelid problem. On
observation, the right eyeball appears to be protruding forward. Based on this
description, what is the most likely diagnosis?
A) Ptosis
B) Exophthalmos
OLIVIA GREENWAYS© 2025, ALL RIGHTS RESRVED 4
SOLUTION GUIDE) (MULTIPLE CHOICES) (A+ GRADED 100%
VERIFIED) LATEST VERSION 2025
A 38-year-old accountant comes to your clinic for evaluation of a headache. The
throbbing sensation is located in the right temporal region and is an 8 on a scale of 1 to
10. It started a few hours ago, and she has noted nausea with sensitivity to light; she has
had headaches like this in the past, usually less than one per week, but not as severe.
She does not know of any inciting factors. There has been no change in the frequency of
her headaches. She usually takes an over the-counter analgesic, and this results in
resolution of the headache. Based on this description, what is the most likely diagnosis
of the type of headache?
A) Tension
B) Migraine
C) Cluster
D) Analgesic rebound - ANSWER✔✔-B
OLIVIA GREENWAYS© 2025, ALL RIGHTS RESRVED 1
,A 29-year-old computer programmer comes to your office for evaluation of a headache.
The tightening sensation is located all over the head and is of moderate intensity. It
used to last minutes, but this time it has lasted for 5 days. He denies photophobia and
nausea. He spends several hours each day at a computer monitor/keyboard. He has
tried over-the-counter medication; it has dulled the pain but not taken it away. Based on
this description, what is your
most likely diagnosis?
A) Tension
B) Migraine
C) Cluster
D) Analgesic rebound - ANSWER✔✔-A
Which of the following is a symptom involving the eye?
A) Scotomas
B) Tinnitus
C) Dysphagia
D) Rhinorrhea - ANSWER✔✔-A
A 49-year-old administrative assistant comes to your office for evaluation of dizziness.
You elicit the information that the dizziness is a spinning sensation of sudden onset,
OLIVIA GREENWAYS© 2025, ALL RIGHTS RESRVED 2
,worse with head position changes. The episodes last a few seconds and then go away,
and they are accompanied by intense nausea. She has vomited one time. She denies
tinnitus. You perform a physical examination of the head and neck and note that the
patient's hearing is intact to Weber and Rinne and that there is nystagmus. Her gait is
normal. Based on this description, what is the most likely diagnosis?
A) Benign positional vertigo
B) Vestibular neuronitis
C) Ménière's disease
D) Acoustic neuroma - ANSWER✔✔-A
A 55-year-old bank teller comes to your office for persistent episodes of dizziness. The
first episode started suddenly and lasted 3 to 4 hours. He experienced a lot of nausea
with vomiting; the episode resolved spontaneously. He has had five episodes in the
past 1½ weeks. He does note
some tinnitus that comes and goes. Upon physical examination, you note that he has a
normal gait. The Weber localizes to the right side and the air conduction is equal to the
bone conduction in the right ear. Nystagmus is present. Based on this description, what
is the most likely diagnosis?
A) Benign positional vertigo
B) Vestibular neuronitis
OLIVIA GREENWAYS© 2025, ALL RIGHTS RESRVED 3
, C) Ménière's disease
D) Acoustic neuroma - ANSWER✔✔-C
A 73-year-old nurse comes to your office for evaluation of new onset of tremors. She is
not on any medications and does not take herbs or supplements. She has no chronic
medical conditions. She does not smoke or drink alcohol. She walks into the
examination room with slow movements and shuffling steps. She has decreased facial
mobility and a blunt expression,
without any changes in hair distribution on her face. Based on this description, what is
the most likely reason for the patient's symptoms?
A) Cushing's syndrome
B) Nephrotic syndrome
C) Myxedema
D) Parkinson's disease - ANSWER✔✔-D
A 29-year-old physical therapist presents for evaluation of an eyelid problem. On
observation, the right eyeball appears to be protruding forward. Based on this
description, what is the most likely diagnosis?
A) Ptosis
B) Exophthalmos
OLIVIA GREENWAYS© 2025, ALL RIGHTS RESRVED 4
