Update
) Differential
Diagnosis and
Primary Care Practicum
Questions with
100% Correct Answers [Grade A] –
Chamberlain
Define diagnostic reasoning-correct answer Reflective thinking because the
process involves questioning one's thinking to determine if all possible
avenues have been explored and if the conclusions that are being drawn are
based on evidence.
Seen as a kind of critical thinking.
What symptoms are associated with peritonsilar abscess?-correct answer
Almost always unilateral, located between tonsil and superior pharyngeal
constrictor muscle Gradual onset of severe unilateral sore throat
Odynophagia
Fever
Otalgia
Asymmetric cervical adenopathy
Pronounced trismus (hot potato voice)
Toxic appearance (poor/absent eye contact, failure to recognize parents,
irritability, inability to be consoled/distracted, drooling, severe halitosis,
tonsillar erythema, exudates)
Swelling above affected tonsil with a discrete bulge, deviation of soft
palate/uvula
What is the most common cause of viral pharyngitis?-correct answer
Adenovirus
NR 511 Midterm Exam (Latest Update 2025-2026) Differential Diagnosis and
Primary Care Practicum Questions with 100% Correct Answers (Grade A) –
Chamberlain
, NR 511 Midterm Exam (Latest
Update
) Differential
Diagnosis and
Primary Care Practicum
Questions with
Mononucleosis (Epstein-Barr)
HSV-1
RSV
Flu A&B
Coxsackie
Enteroviruses
100% Correct Answers [Grade A] –
Chamberlain
What is the most common cause of acute n/v?-correct answer Acute
gastroenteritis
What is the importance of obtaining an abdominal XR to rule out perforation
or obstruction even though the diagnosis of diverticulitis can be made
clinically?-correct answer To look for free air (indicating perforation), ileus,
or obstruction and treat empirically. Early treatment leads to better
outcomes, so don't delay treatment.
What are colon cancer screening recommendations relative to certain
populations?correct answer Age 50 or older: initial scope at 50yo, then
every 10yrs.
If at increased/high risk of colorectal cancer, start screening earlier (i.e. age
40) and be screened more often based on findings.
African Americans: Starts screening at age 40-45.
NR 511 Midterm Exam (Latest Update 2025-2026) Differential Diagnosis and
Primary Care Practicum Questions with 100% Correct Answers (Grade A) –
Chamberlain
, NR 511 Midterm Exam (Latest
Update
) Differential
Diagnosis and
Primary Care Practicum
Questions with
Identify at least two disorders that are considered to be disorders related to
conductive hearing loss.-correct answer Cerumen accumulation/impaction
FB in ear canal
Otitis externa
Chronic otitis media
Middle ear effusion
Tosclerosis
Vascular anomaly
Cholesteatoma
What is the most common cause of bacterial pharyngitis?-correct answer
Group A Beta Hemolytic Streptococcus (GABHS)
What are the clinical findings associated with mononucleosis?-correct
answer Gradual onset of fever
100% Correct Answers [Grade A] –
Chamberlain
Marked malaise
Severe sore throat
Maybe exudative tonsillitis (50% of cases)
Palatal petechiae/rash
Anterior/posterior cervical lymphadenopathy
Splenic enlargement
How is the diagnosis of streptococcal pharyngitis made clinically based on
the Centor criteria?-correct answer Fever >38C (100.5F)
NR 511 Midterm Exam (Latest Update 2025-2026) Differential Diagnosis and
Primary Care Practicum Questions with 100% Correct Answers (Grade A) –
Chamberlain
, NR 511 Midterm Exam (Latest
Update
) Differential
Diagnosis and
Primary Care Practicum
Questions with
Tender anterior cervical lymphadenopathy
No cough
Pharyngotonsillar exudate
Presence of all 4 strongly suggest GABHS infection.
3 or more present: empirically dx and treat w/out further testing
What is one intervention for a pt with gastroenteritis?-correct answer Fluid
repletion
(PO if possible, pedialyte; IVF for more severe dehydration)
Nutrition
When are stool studies warranted?-correct answer In pts with severe or
prolonged diarrhea, fever >38.5C, bloody stools, stools +leukocytes/occult
blood
What is an appropriate treatment for prophylaxis or treatment of traveler's
diarrhea?correct answer Trimethoprim-sulfamethoxazole (Bactrim DS) 1 tab
BID x3days
Cipro 500mg
Norfloxacin (Noroxin) 400mg
Ofloxacin (Floxin) 300mg
100% Correct Answers [Grade A] –
Chamberlain
Describe the component of the H&P that should be done for a pt with abd
pain.-correct answer OLDCARTS
NR 511 Midterm Exam (Latest Update 2025-2026) Differential Diagnosis and
Primary Care Practicum Questions with 100% Correct Answers (Grade A) –
Chamberlain