NR511 FINAL EXAM DIFFERENTIAL
DIAGNOSIS & PRIMARY CARE
PRACTICUM EXAM WITH CORRECT
ACTUAL QUESTIONS AND CORRECTLY
WELL DEFINED ANSWERS LATEST
ALREADY GRADED A+ 2025 – 2026
A 72-year-old male patient presents to the clinic for his annual
physical. He states that he is worried because he only has a bowel
movement every three days. How should the clinician respond?
There is no such thing as a normal pattern of defecation
Rotavirus
Appendicitis
A 16 year old male presents to urgent care clinic with abdominal
pain. The pain is constant and located in the periumbilical region
shifting to the RLQ. N/V/D. Elevation in wbc and wbc in urine
,Appendicitis
Rovsing's sign is associated with which of the following?
An acute abdomen, such as during a ruptured appendix
A 7-year-old male presents with his mother to the urgent care clinic
complaining of abdominal pain. He started to complain of pain prior
to going to bed; however, it has gotten progressively worse and is
now preventing him from sleeping. He is nauseous but hasn't
vomited and didn't eat dinner due to the pain. The patient appears
pale and is complaining of right-sided abdominal pain. His vitals are
as follows: blood pressure 130/85, pulse 120, temperature 100.5°F,
pulse oximetry 98% on room air. On physical exam he is
tender in the right lower quadrant. His complete blood count (CBC)
shows a white blood cell count (WBC) of 17.0. What is the patient's
likely diagnosis?
Appendicitis (This is the clinical scenario typical for appendicitis)
gastroenteritis
A 26-year-old male recently returned from a camping trip with
symptoms of acute gastroenteritis. He reports that he only ate
vegetables from his garden that he canned prior to his outing.
Which of the following pathogens might be causing his symptoms?
Clostridium botulinum
A 39 year old female reports a 10 year history of crohns disease.
which of the following is true of crohns
disease?
obstructions, fissures are seen with disease progression
Initial laboratory testing for IBS may include:
abdominal imaging
,A 25-year-old accountant is seen in the clinic complaining of crampy
abdominal pain after meals. She is often constipated and takes
laxatives. Following this, she has diarrhea for a couple of days. She
temporarily feels better after a bowel movement. She states she is
embarrassed by flatulence and has abdominal distension. She has
had no weight loss or blood in her stool. This problem has gone on
for about 6 months. What should the next step be?
Obtain a complete history
H. Pylori
A 42 year old male has been diagnosed with h pylori gastritis which
was confirmed by urea breath test. The clinician has given the
patient a prescription for a standard 14 day triple therapy regimen.
Which is correct
regarding treatment?
Repeat test 4 weeks after therapy completion
Topics
GI Disorders
....
Ulcerative colitis
A 38-year-old male patient has recently had an ileostomy for
ulcerative colitis. Which self-care measures should the clinician
teach him about to relieve food blockage?
massage the peristomal area
, Diverticulitis
Which of the following is true regarding diverticula
obesity is correlated
Left lower quadrant abdominal pain for 2 days, the pain started
suddenly and then fever, chills, anorexia, nausea and painless
bloody stools.
Acute diverticulitis
An 82-year-old female has been diagnosed with irritable bowel,
chronic constipation, and diverticulosis following a colonoscopy.
Which pharmacological agent should the clinician recommend?
bulk laxative
Which of the following is part of the treatment plan for the
patient with irritable bowel syndrome?
High fiber diet
A 35-year-old female patent is seen in the clinic complaining of
abdominal pain. Which of the following should be included in the
history and physical exam?
digital rectal exam, Sexual history, Pelvic exam
A 28-year-old patent is seen in the clinic with colicky abdominal
pain, particularly with meals. She has
frequent constipation, flatulence, and abdominal distension. Which
of the data make a diagnosis of
diverticulitis unlikely?
Her age
C. diff Definition and Risk factors
C. diff Symptoms
DIAGNOSIS & PRIMARY CARE
PRACTICUM EXAM WITH CORRECT
ACTUAL QUESTIONS AND CORRECTLY
WELL DEFINED ANSWERS LATEST
ALREADY GRADED A+ 2025 – 2026
A 72-year-old male patient presents to the clinic for his annual
physical. He states that he is worried because he only has a bowel
movement every three days. How should the clinician respond?
There is no such thing as a normal pattern of defecation
Rotavirus
Appendicitis
A 16 year old male presents to urgent care clinic with abdominal
pain. The pain is constant and located in the periumbilical region
shifting to the RLQ. N/V/D. Elevation in wbc and wbc in urine
,Appendicitis
Rovsing's sign is associated with which of the following?
An acute abdomen, such as during a ruptured appendix
A 7-year-old male presents with his mother to the urgent care clinic
complaining of abdominal pain. He started to complain of pain prior
to going to bed; however, it has gotten progressively worse and is
now preventing him from sleeping. He is nauseous but hasn't
vomited and didn't eat dinner due to the pain. The patient appears
pale and is complaining of right-sided abdominal pain. His vitals are
as follows: blood pressure 130/85, pulse 120, temperature 100.5°F,
pulse oximetry 98% on room air. On physical exam he is
tender in the right lower quadrant. His complete blood count (CBC)
shows a white blood cell count (WBC) of 17.0. What is the patient's
likely diagnosis?
Appendicitis (This is the clinical scenario typical for appendicitis)
gastroenteritis
A 26-year-old male recently returned from a camping trip with
symptoms of acute gastroenteritis. He reports that he only ate
vegetables from his garden that he canned prior to his outing.
Which of the following pathogens might be causing his symptoms?
Clostridium botulinum
A 39 year old female reports a 10 year history of crohns disease.
which of the following is true of crohns
disease?
obstructions, fissures are seen with disease progression
Initial laboratory testing for IBS may include:
abdominal imaging
,A 25-year-old accountant is seen in the clinic complaining of crampy
abdominal pain after meals. She is often constipated and takes
laxatives. Following this, she has diarrhea for a couple of days. She
temporarily feels better after a bowel movement. She states she is
embarrassed by flatulence and has abdominal distension. She has
had no weight loss or blood in her stool. This problem has gone on
for about 6 months. What should the next step be?
Obtain a complete history
H. Pylori
A 42 year old male has been diagnosed with h pylori gastritis which
was confirmed by urea breath test. The clinician has given the
patient a prescription for a standard 14 day triple therapy regimen.
Which is correct
regarding treatment?
Repeat test 4 weeks after therapy completion
Topics
GI Disorders
....
Ulcerative colitis
A 38-year-old male patient has recently had an ileostomy for
ulcerative colitis. Which self-care measures should the clinician
teach him about to relieve food blockage?
massage the peristomal area
, Diverticulitis
Which of the following is true regarding diverticula
obesity is correlated
Left lower quadrant abdominal pain for 2 days, the pain started
suddenly and then fever, chills, anorexia, nausea and painless
bloody stools.
Acute diverticulitis
An 82-year-old female has been diagnosed with irritable bowel,
chronic constipation, and diverticulosis following a colonoscopy.
Which pharmacological agent should the clinician recommend?
bulk laxative
Which of the following is part of the treatment plan for the
patient with irritable bowel syndrome?
High fiber diet
A 35-year-old female patent is seen in the clinic complaining of
abdominal pain. Which of the following should be included in the
history and physical exam?
digital rectal exam, Sexual history, Pelvic exam
A 28-year-old patent is seen in the clinic with colicky abdominal
pain, particularly with meals. She has
frequent constipation, flatulence, and abdominal distension. Which
of the data make a diagnosis of
diverticulitis unlikely?
Her age
C. diff Definition and Risk factors
C. diff Symptoms
