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NR 576 / NR576 Final Exam – Differential
Diagnosis in Adult-Gerontology Primary Care |
Latest 2025/2026 Update | Verified 100%
Correct Questions & Answers | Grade A |
Chamberlain
A 40 year old patient presents with a limp and pain in the right foot during weight bearing. He
states that the pain is generally at its worst in the morning and subsides slightly with use. There
is palpatory tenderness and mild swelling along the plantar aspect of the involved calcaneus.
This history is most indicative of:
A. Plantar fasciitis
B. Plantar Neuroma
C. Stress fracture of metatarsals
D. Anterior compartment syndrome
A
What presents as a soft, pear shaped, fluid filled cystic mass anterior to the testicle and
epididymis that transiluminate?
A. Hydroceles
B. Testicular cancer
C. Testicular varicosities
D. Inguinal hernia
A
Which digits are most often affected by Dupuytren's contracture?
A. Index and thumb
B. Right and little finger
C. Index and middle
D. Thumb and little finger
B
A 40 year old male complains of abdominal pain following a visit to Mexico. His pain is very
sharp in nature and his abdominal musculature is guarding. What is his likely diagnosis?
A. Cholicytitis
B. Peptic ulcer
C. Acute pancreatitis
D. Peritonitis
D
, Your 45 year old male patient reports that he has a change in his bowel habits, including diarrhea
and a change in consistency of his stool. He reports some blood in his stool and persistent
abdominal discomfort with gas pains. He does have some weakness and fatigue and he has
experienced some weight loss. What is his most likely diagnosis?
A. Ulcerative colitis
B. Steatorrhea
C. Crohn's disease
D. Colon cancer
D
A 12 year old overweight male presents with acute, localized pain in his right hip for the last
week. Orthopedic examination reveals restricted hip range of motion and a positive right
Patrick's FABRE test. X-rays of the right hip reveal a slipped epiphysis on the right hip. Which
of these is the most appropriate subsequent course of action?
A. Apply lumbar support and recommend 2 weeks bed rest
B. Refer for further orthopedic evaluation
C. Offer crutches and recommend 2 weeks bed rest
D. Apply cold packs and manipulate the hip
B
Squeezing chest pain lasting for several minutes to 30 minutes with possible radiation to arm or
jaw. Usually occur after exertion and is relieved by rest and nitroglycerin.
A. Stable angina
B. Myocardial infarction
C. Unstable angina
D. Acute pancreatitis
A
List a red flag that may indicate that a patient with headaches may require referral for special
imaging or emergency treatment.
A. Photophobia and phonophobia
B. Wakes the patient up at least once a night
C. Vomiting without nausea
D. Nausea with headache
C
Low back and upper thigh pain exacerbated by spinal extension and relieved by flexion suggests
which of the following 2 differentials.
A. Neurologic claudication
B. Meralgia parenthetica
C. Cauda equine syndrome
D. Spinal stenosis
E. Facet syndrome
F. Lumbar disc herniation
G. Lumobsacral sprain strain
D&E
NR 576 / NR576 Final Exam – Differential
Diagnosis in Adult-Gerontology Primary Care |
Latest 2025/2026 Update | Verified 100%
Correct Questions & Answers | Grade A |
Chamberlain
A 40 year old patient presents with a limp and pain in the right foot during weight bearing. He
states that the pain is generally at its worst in the morning and subsides slightly with use. There
is palpatory tenderness and mild swelling along the plantar aspect of the involved calcaneus.
This history is most indicative of:
A. Plantar fasciitis
B. Plantar Neuroma
C. Stress fracture of metatarsals
D. Anterior compartment syndrome
A
What presents as a soft, pear shaped, fluid filled cystic mass anterior to the testicle and
epididymis that transiluminate?
A. Hydroceles
B. Testicular cancer
C. Testicular varicosities
D. Inguinal hernia
A
Which digits are most often affected by Dupuytren's contracture?
A. Index and thumb
B. Right and little finger
C. Index and middle
D. Thumb and little finger
B
A 40 year old male complains of abdominal pain following a visit to Mexico. His pain is very
sharp in nature and his abdominal musculature is guarding. What is his likely diagnosis?
A. Cholicytitis
B. Peptic ulcer
C. Acute pancreatitis
D. Peritonitis
D
, Your 45 year old male patient reports that he has a change in his bowel habits, including diarrhea
and a change in consistency of his stool. He reports some blood in his stool and persistent
abdominal discomfort with gas pains. He does have some weakness and fatigue and he has
experienced some weight loss. What is his most likely diagnosis?
A. Ulcerative colitis
B. Steatorrhea
C. Crohn's disease
D. Colon cancer
D
A 12 year old overweight male presents with acute, localized pain in his right hip for the last
week. Orthopedic examination reveals restricted hip range of motion and a positive right
Patrick's FABRE test. X-rays of the right hip reveal a slipped epiphysis on the right hip. Which
of these is the most appropriate subsequent course of action?
A. Apply lumbar support and recommend 2 weeks bed rest
B. Refer for further orthopedic evaluation
C. Offer crutches and recommend 2 weeks bed rest
D. Apply cold packs and manipulate the hip
B
Squeezing chest pain lasting for several minutes to 30 minutes with possible radiation to arm or
jaw. Usually occur after exertion and is relieved by rest and nitroglycerin.
A. Stable angina
B. Myocardial infarction
C. Unstable angina
D. Acute pancreatitis
A
List a red flag that may indicate that a patient with headaches may require referral for special
imaging or emergency treatment.
A. Photophobia and phonophobia
B. Wakes the patient up at least once a night
C. Vomiting without nausea
D. Nausea with headache
C
Low back and upper thigh pain exacerbated by spinal extension and relieved by flexion suggests
which of the following 2 differentials.
A. Neurologic claudication
B. Meralgia parenthetica
C. Cauda equine syndrome
D. Spinal stenosis
E. Facet syndrome
F. Lumbar disc herniation
G. Lumobsacral sprain strain
D&E
