NR511 / NR 511 EXAM 2
COMPREHENSIVE ASSESSMENT
QUESTIONS AND VERIFIED ANSWERS
|GRADE A+| JUST RELEASED.
CHAMBERLAIN
1. According to GINA 2023 guidelines, what is the preferred first-line ‘reliever’ medication for
adults and adolescents with mild asthma?
A. Low-dose inhaled corticosteroid (ICS)-formoterol
B. Short-acting beta2-agonist (SABA) alone
C. Oral corticosteroids (OCS)
D. Long-acting muscarinic antagonist (LAMA)
Answer: A
Conceptual Explanation: Modern GINA guidelines prefer a low-dose ICS-formoterol
combination as a reliever to reduce the risk of severe exacerbations compared to SABA
monotherapy.
2. A 65-year-old male presents with a COPD exacerbation. Spirometry reveals an FEV1/FVC
ratio of 0.65 and an FEV1 of 42% predicted. According to GOLD criteria, how is the severity of
airflow limitation classified?
A. GOLD 1 (Mild)
,B. GOLD 2 (Moderate)
C. GOLD 4 (Very Severe)
D. GOLD 3 (Severe)
Answer: D
Conceptual Explanation: GOLD 3 (Severe) is defined by an FEV1 between 30% and 49%
predicted in patients with an FEV1/FVC ratio < 0.70.
3. Which of the following is NOT a component of the CURB-65 criteria used to determine the
site of care for community-acquired pneumonia (CAP)?
A. Confusion
B. Urea > 7 mmol/L
C. Respiratory rate >= 30
D. Oxygen saturation < 90%
Answer: D
Conceptual Explanation: CURB-65 stands for Confusion, Urea, Respiratory rate, Blood
pressure, and Age >= 65. Oxygen saturation is not part of the score, although it is clinically
relevant.
4. A patient presents with a ‘herald patch’ followed by a ‘Christmas tree’ distribution of
smaller maculopapular lesions on the trunk. What is the most likely diagnosis?
A. Tinea corporis
, B. Atopic dermatitis
C. Secondary syphilis
D. Pityriasis rosea
Answer: D
Conceptual Explanation: Pityriasis rosea typically begins with a single herald patch
followed by a generalized eruption in a cleavage line (Christmas tree) distribution.
5. A 45-year-old female presents with sudden onset of severe eye pain, blurred vision, and
seeing ‘halos’ around lights. On exam, the pupil is mid-dilated and fixed. What is the priority
management?
A. Administer topical antibiotics and follow up in 24 hours
B. Immediate referral to ophthalmology for suspected Acute Angle-Closure Glaucoma
C. Perform a fluorescein stain to check for corneal abrasion
D. Prescribe high-dose oral prednisone
Answer: B
Conceptual Explanation: Acute Angle-Closure Glaucoma is an ocular emergency
characterized by rapid vision loss and high intraocular pressure; immediate referral is
necessary to prevent permanent blindness.
COMPREHENSIVE ASSESSMENT
QUESTIONS AND VERIFIED ANSWERS
|GRADE A+| JUST RELEASED.
CHAMBERLAIN
1. According to GINA 2023 guidelines, what is the preferred first-line ‘reliever’ medication for
adults and adolescents with mild asthma?
A. Low-dose inhaled corticosteroid (ICS)-formoterol
B. Short-acting beta2-agonist (SABA) alone
C. Oral corticosteroids (OCS)
D. Long-acting muscarinic antagonist (LAMA)
Answer: A
Conceptual Explanation: Modern GINA guidelines prefer a low-dose ICS-formoterol
combination as a reliever to reduce the risk of severe exacerbations compared to SABA
monotherapy.
2. A 65-year-old male presents with a COPD exacerbation. Spirometry reveals an FEV1/FVC
ratio of 0.65 and an FEV1 of 42% predicted. According to GOLD criteria, how is the severity of
airflow limitation classified?
A. GOLD 1 (Mild)
,B. GOLD 2 (Moderate)
C. GOLD 4 (Very Severe)
D. GOLD 3 (Severe)
Answer: D
Conceptual Explanation: GOLD 3 (Severe) is defined by an FEV1 between 30% and 49%
predicted in patients with an FEV1/FVC ratio < 0.70.
3. Which of the following is NOT a component of the CURB-65 criteria used to determine the
site of care for community-acquired pneumonia (CAP)?
A. Confusion
B. Urea > 7 mmol/L
C. Respiratory rate >= 30
D. Oxygen saturation < 90%
Answer: D
Conceptual Explanation: CURB-65 stands for Confusion, Urea, Respiratory rate, Blood
pressure, and Age >= 65. Oxygen saturation is not part of the score, although it is clinically
relevant.
4. A patient presents with a ‘herald patch’ followed by a ‘Christmas tree’ distribution of
smaller maculopapular lesions on the trunk. What is the most likely diagnosis?
A. Tinea corporis
, B. Atopic dermatitis
C. Secondary syphilis
D. Pityriasis rosea
Answer: D
Conceptual Explanation: Pityriasis rosea typically begins with a single herald patch
followed by a generalized eruption in a cleavage line (Christmas tree) distribution.
5. A 45-year-old female presents with sudden onset of severe eye pain, blurred vision, and
seeing ‘halos’ around lights. On exam, the pupil is mid-dilated and fixed. What is the priority
management?
A. Administer topical antibiotics and follow up in 24 hours
B. Immediate referral to ophthalmology for suspected Acute Angle-Closure Glaucoma
C. Perform a fluorescein stain to check for corneal abrasion
D. Prescribe high-dose oral prednisone
Answer: B
Conceptual Explanation: Acute Angle-Closure Glaucoma is an ocular emergency
characterized by rapid vision loss and high intraocular pressure; immediate referral is
necessary to prevent permanent blindness.
