1|Page
NR 511 Differential Diagnosis & Primary Care I Final
Examination Version 2||Verified Exam!!||, 2026/2027 –
Questions with Verified Solutions||Newest Exam!!!
A 27 year old female presents with a chief complaint of
burning and pain on urination. She has no previous history
of urinary tract infection. what are some additional
symptoms consistant with a diagnosis of lower UTI?
a. back and abdominal pain
b. fever, chills, costovertebral angle (CVA) tenderness
c. blood in urine and frequency
d. foul-smelling discharge, perineal itch - Answer-c. blood
in urine and frequency
The differential diagnosis for vertigo can be classified into
which of the following categories:
a. peripheral vestibular disease
b. CNS disorders
c. Systemic disorders
d. all of the above - Answer-d. all of the above
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Sam is a 25-year-old man who has been diagnosed with
low back strain based on his history of localized low back
pain and muscle spasm along with a normal neurological
examination. As the clinician, you explain to Sam that low
back pain is a diagnosis of exclusion. Which of the
following symptoms would alert the clinician to the more
serious finding of a herniated nucleus pulposus or
ruptured disc?
a. morning stiffness and limited mobility of the lumbar
spine
b. unilateral radicular pain symptoms that extend below
the knee and are equal to or greater than the back pain
c. Fever, chills, and elevated erythrocyte sedimentation
rate
d. pathologic fractures, severe night pain, weight loss and
fatigue - Answer-b. unilateral radicular pain symptoms that
extend below the knee and are equal to or greater than
the back pain
Preceptors must always see the patients that the students
see in the clinical setting
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a. true
b. false - Answer-a. true
An 82 year old man is seen in the primary care office with
complaints of dribbling urine and difficulty starting his
stream. Which of the following should be included in the
list of differentials?
a. BPH
b. Prostate cancer
c. UTI
d. all of the above - Answer-d. all of the above
Janet is a 30 year old woman who has been recently
diagnosed with a herniated disc at the level of L5-S1. She
is currently in the emergency room with suspician of cauda
equna compression. Which of the following is a sign or
symptom of cauda equina compression?
a. gastrocnemius weakness
b. reduced or absent ankle refles
c. numbness of the lateral foot
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d. paresthesia of the perineum and buttocks - Answer-d.
paresthesia of the perineum and buttocks
The patient has acute pancreatitis with 7 of the diagnostic
criteria from Ranson's Criteria. In order to plan care, the
clinician understands that this criteria score has which of
the following meanings?
a. a high mortality rate
b. an increased chance of recurrence
c. 7% chance of the disease becoming chronic
d. all of the above - Answer-a. a high mortality rate
Reuben, age 24, has HIV and just had a routine viral load
test done. The results show a falling viral load What does
this indicate
a. a favorable diagnostic trend
b. disease progression
c. the need to be more aggressive with Reuben's
medications
NR 511 Differential Diagnosis & Primary Care I Final
Examination Version 2||Verified Exam!!||, 2026/2027 –
Questions with Verified Solutions||Newest Exam!!!
A 27 year old female presents with a chief complaint of
burning and pain on urination. She has no previous history
of urinary tract infection. what are some additional
symptoms consistant with a diagnosis of lower UTI?
a. back and abdominal pain
b. fever, chills, costovertebral angle (CVA) tenderness
c. blood in urine and frequency
d. foul-smelling discharge, perineal itch - Answer-c. blood
in urine and frequency
The differential diagnosis for vertigo can be classified into
which of the following categories:
a. peripheral vestibular disease
b. CNS disorders
c. Systemic disorders
d. all of the above - Answer-d. all of the above
,2|Page
Sam is a 25-year-old man who has been diagnosed with
low back strain based on his history of localized low back
pain and muscle spasm along with a normal neurological
examination. As the clinician, you explain to Sam that low
back pain is a diagnosis of exclusion. Which of the
following symptoms would alert the clinician to the more
serious finding of a herniated nucleus pulposus or
ruptured disc?
a. morning stiffness and limited mobility of the lumbar
spine
b. unilateral radicular pain symptoms that extend below
the knee and are equal to or greater than the back pain
c. Fever, chills, and elevated erythrocyte sedimentation
rate
d. pathologic fractures, severe night pain, weight loss and
fatigue - Answer-b. unilateral radicular pain symptoms that
extend below the knee and are equal to or greater than
the back pain
Preceptors must always see the patients that the students
see in the clinical setting
,3|Page
a. true
b. false - Answer-a. true
An 82 year old man is seen in the primary care office with
complaints of dribbling urine and difficulty starting his
stream. Which of the following should be included in the
list of differentials?
a. BPH
b. Prostate cancer
c. UTI
d. all of the above - Answer-d. all of the above
Janet is a 30 year old woman who has been recently
diagnosed with a herniated disc at the level of L5-S1. She
is currently in the emergency room with suspician of cauda
equna compression. Which of the following is a sign or
symptom of cauda equina compression?
a. gastrocnemius weakness
b. reduced or absent ankle refles
c. numbness of the lateral foot
, 4|Page
d. paresthesia of the perineum and buttocks - Answer-d.
paresthesia of the perineum and buttocks
The patient has acute pancreatitis with 7 of the diagnostic
criteria from Ranson's Criteria. In order to plan care, the
clinician understands that this criteria score has which of
the following meanings?
a. a high mortality rate
b. an increased chance of recurrence
c. 7% chance of the disease becoming chronic
d. all of the above - Answer-a. a high mortality rate
Reuben, age 24, has HIV and just had a routine viral load
test done. The results show a falling viral load What does
this indicate
a. a favorable diagnostic trend
b. disease progression
c. the need to be more aggressive with Reuben's
medications
