St. Thomas University –NUR 509 PRIMARY CARE: FAMILY MID-TERM Exam With Complete Questions & Accurate Detailed Answers||DETAILED ANSWERS WITH RATIONALES (RELIABLE SOLUTIONS) CURRENTLY UPDATED VERSION 2026 EDITION

St. Thomas University –NUR 509 PRIMARY CARE:
FAMILY MID-TERM 2026-2027 Exam With Complete
Questions & Accurate Detailed Answers||DETAILED
ANSWERS WITH RATIONALES (RELIABLE SOLUTIONS)
CURRENTLY UPDATED VERSION 2026 EDITION



A patient has dysphonia x3 days as a result of a viral illness. Which
of the following educational points is correct?


ANSWERS: make sure the patient has adequate fluid intake


Eleanor would like to quit smoking, but she is unsure of the
benefits, as she is 60 years old. Which of these is a benefit to
quitting smoking that her provider should inform her of?


ANSWERS: enhanced taste and smell


Jean has acute otitis externa with fluid that is black and
malodorous. Which of the following is responsible for the
infection?


ANSWERS: fungal infection

A chronic cough lasts longer than:


ANSWERS: 8 weeks


A provider is examining a patient with temporomandibular joint
disease (TMJ). Which of the following results with the provider
expect from the exam?


ANSWERS: the mandible deviates to the left side

,1. Based on these patients' histories, which of the following
should receive fungal serology testing for their chronic
cough?


ANSWERS: patient with a hx of AIDS

A patient presents with nonvesicular lesions that are 2 to 10 mm,
symmetrical, and scattered on the oropharynx and the mouth.
What is their most likely diagnosis?


ANSWERS: secondary syphillis


Though common as people age, what concerning disease can
dysphonia be a cardinal sign for?

ANSWERS: laryngeal cancer



Madeline is a smoker and a primary care visit with her provider.
After her provider asked if she is willing to quit, she says she
has decided to quit, has bought nicotine gum, and is interested
in hearing about Chantix.
Which of the following steps is Madeline and regarding
behavioral changes in her attempt at cessation?


ANSWERS: preparation

,Peter presents with complaints of right hearing loss that has been
getting worse and a congruent headache. What is the most
likely diagnosis?


ANSWERS: acoustic neuroma

A patient just had epistaxis and the provider is counseling them
on what to do when they go home. Which of the following
should be included?


ANSWERS: avoid hot liquids after a nose bleed

What is the initial treatment for uncomplicated anterior epistaxis?


ANSWERS: applying firm and continuous pressure superior to the
nasal alar cartilages for 10 to 15 minutes


In which of the following scenarios would otitis media (OM) be
considered chronic?


ANSWERS: a patient has had severe pain and continuous otorrhea
lasting for three months


Lisa is a 25-year-old Hispanic female experiencing chest tightness,
feeling of suffocation, and feels like she "can't get air in". She has no
current history of heart or lung disease and did not exercise
leading up to this attack. Which of the following is the most likely
cause for this
dyspnea?


ANSWERS: anxiety related dyspnea

, Which of the following statements regarding pulmonary
function and cigarettes smoking is true?


ANSWERS: cigarette smoking increases the risk of pneumothorax


You are using the CURB-65 clinical prediction tool to decide
whether Latisha, whom you have diagnosed with community
acquired pneumonia (CAP), should be hospitalized or treated at
home. Which of the following risk factors would increase
Latisha's chances of CAP associated mortality and
complications?


ANSWERS: hx of diabetes

Name a form of external otitis in which bacterial infection
extends from the auditory canal into the skull?


ANSWERS: necrotizing otitis


Which murmur is also called a 50/50 murmur?


ANSWERS: aortic sclerosis



Which medication can cause hyperlipidemia?


ANSWERS: high dose diuretic


A patient is undergoing a cardiac stress test. Which of the
following parts of their history could cause a false-positive
reading?


ANSWERS: if the patient is taking labetalol