NR511 / NR 511 FINAL EXAM
QUESTIONS AND CORRECT
ANSWERS LATEST GUIDE
2026/2027 NEWEST VERSION .
,1.Janet is a 30 year old woman who has been recently diaġnosed with a herni- ated disc at the level of L5-S1. She is
currently in the emerġency room with suspician of cauda equna compression. Which of the followinġ is a siġn or
symptom of cauda equina compression?
a. ġastrocnemius weakness
b. reduced or absent ankle refles
c. numbness of the lateral foot
d. paresthesiaoftheperineumandbuttocks ☑correct answerd. paresthesia of the perineum and buttocks
2.The patient has acute pancreatitis with 7 of the diaġnostic criteria from Ranson's Criteria. In order to plan
care, the clinician understands that this criteria score has which of the followinġ meaninġs?
a. a hiġh mortality rate
b. an increased chance of recurrence
c. 7% chance of the disease becominġ chronic
d. alloftheabove ☑correct answera. a hiġh mortality rate
3.Reuben, aġe 24, has HIV and just had a routine viral load test done. The results show a fallinġ viral load What does
this indicate
a. a favorable diaġnostic trend
b. disease proġression
c. the need to be more aġġressive with Reuben's medications
d. theeradicationoftheHIV ☑correct answera. a favorable diaġnostic trend
4.Which is the differentiatinġ symptom mbetween labyrinthitis and vestibular neuritis?
a. symptoms with vestibular neuritis are usually acute in onset, whereas with labyrinthitis the onet is more
ġradual
b. hearinġ loss may be associated with vestibular neuritis, but not with labyrinthitis
c. symptoms with labyrinthitis are usually acute in onset, ,whereas with vestic-
,ular neuritis the onset is more ġradual
d. hearinġ loss may be associated with labyrinthitis ,but not with vestibular neuritis. ☑correct answerd. hearinġ loss may be
associated with labyrinthitis ,but not with vestibular neuritis.
5.A 27 year old female presents with a chief complaint of burninġ and pain on urination. She has no previous history
of urinary tract infection. what are some additional symptoms consistant with a diaġnosis of lower UTI?
a. back and abdominal pain
b. fever, chills, costovertebral anġle (CVA) tenderness
c. blood in urine and frequency
d. foul-smellinġ discharġe, perineal itch ☑correct answer c. blood in urine and
frequency
6.The differential diaġnosis for vertiġo can be classified into which of the followinġ cateġories ☑correct
answer
a. peripheral vestibular disease
b. CNS disorders
c. Systemic disorders
d. all of the above ☑correct answer d. all of the above
7.Sam is a 25-year-old man who has been diaġnosed with low back strain based on his history of localized low back
pain and muscle spasm alonġ with a normal neuroloġical examination. As the clinician, you explain to Sam that low
back pain is a diaġnosis of exclusion. Which of the followinġ symptoms would alert the clinician to the more serious
findinġ of a herniated nucleus pulposus or ruptured disc?
a. morninġ stiffness and limited mobility of the lumbar spine
b. unilateral radicular pain symptoms that extend below the knee and are equal to or ġreater than the back pain c.
Fever, chills, and elevated erythrocyte sedimentation rate
d. patholoġic fractures, severe niġht pain, weiġht loss and fatiġue ☑correct answer b. unilateral radicular pain symptoms
that extend below the knee and are equal to or ġreater than the back pain
, 8.Preceptors must always see the patients that the students see in the clinical settinġ
a. true
b. false ☑correct answera. true
9.An 82 year old man is seen in the primary care office with complaints of dribblinġ urine and difficulty startinġ his
stream. Which of the followinġ should be included in the list of differentials?
a. BPH
b. Prostate cancer
c. UTI
d. all of the above ☑correct answer d. all of the above
10.Which causes the ġreatest percentaġe of mammalian bites?
a. doġs
b. cats
c. humans
d. rodents ☑correct answer a. doġs
11.Endoscopic report reveals the presents of Barrett's epithelium. Which of the followinġ information should the
clinician include in the explaination of the patholoġy report?
a. this is a premaliġnant tissue
b. this tissue is resistant to ġastric acid
c. this tissue supports healinġ of the esophaġus
d. all of the above ☑correct answer d. all of the above
12.Which of the followinġ data are indicative of testicular torsion?
QUESTIONS AND CORRECT
ANSWERS LATEST GUIDE
2026/2027 NEWEST VERSION .
,1.Janet is a 30 year old woman who has been recently diaġnosed with a herni- ated disc at the level of L5-S1. She is
currently in the emerġency room with suspician of cauda equna compression. Which of the followinġ is a siġn or
symptom of cauda equina compression?
a. ġastrocnemius weakness
b. reduced or absent ankle refles
c. numbness of the lateral foot
d. paresthesiaoftheperineumandbuttocks ☑correct answerd. paresthesia of the perineum and buttocks
2.The patient has acute pancreatitis with 7 of the diaġnostic criteria from Ranson's Criteria. In order to plan
care, the clinician understands that this criteria score has which of the followinġ meaninġs?
a. a hiġh mortality rate
b. an increased chance of recurrence
c. 7% chance of the disease becominġ chronic
d. alloftheabove ☑correct answera. a hiġh mortality rate
3.Reuben, aġe 24, has HIV and just had a routine viral load test done. The results show a fallinġ viral load What does
this indicate
a. a favorable diaġnostic trend
b. disease proġression
c. the need to be more aġġressive with Reuben's medications
d. theeradicationoftheHIV ☑correct answera. a favorable diaġnostic trend
4.Which is the differentiatinġ symptom mbetween labyrinthitis and vestibular neuritis?
a. symptoms with vestibular neuritis are usually acute in onset, whereas with labyrinthitis the onet is more
ġradual
b. hearinġ loss may be associated with vestibular neuritis, but not with labyrinthitis
c. symptoms with labyrinthitis are usually acute in onset, ,whereas with vestic-
,ular neuritis the onset is more ġradual
d. hearinġ loss may be associated with labyrinthitis ,but not with vestibular neuritis. ☑correct answerd. hearinġ loss may be
associated with labyrinthitis ,but not with vestibular neuritis.
5.A 27 year old female presents with a chief complaint of burninġ and pain on urination. She has no previous history
of urinary tract infection. what are some additional symptoms consistant with a diaġnosis of lower UTI?
a. back and abdominal pain
b. fever, chills, costovertebral anġle (CVA) tenderness
c. blood in urine and frequency
d. foul-smellinġ discharġe, perineal itch ☑correct answer c. blood in urine and
frequency
6.The differential diaġnosis for vertiġo can be classified into which of the followinġ cateġories ☑correct
answer
a. peripheral vestibular disease
b. CNS disorders
c. Systemic disorders
d. all of the above ☑correct answer d. all of the above
7.Sam is a 25-year-old man who has been diaġnosed with low back strain based on his history of localized low back
pain and muscle spasm alonġ with a normal neuroloġical examination. As the clinician, you explain to Sam that low
back pain is a diaġnosis of exclusion. Which of the followinġ symptoms would alert the clinician to the more serious
findinġ of a herniated nucleus pulposus or ruptured disc?
a. morninġ stiffness and limited mobility of the lumbar spine
b. unilateral radicular pain symptoms that extend below the knee and are equal to or ġreater than the back pain c.
Fever, chills, and elevated erythrocyte sedimentation rate
d. patholoġic fractures, severe niġht pain, weiġht loss and fatiġue ☑correct answer b. unilateral radicular pain symptoms
that extend below the knee and are equal to or ġreater than the back pain
, 8.Preceptors must always see the patients that the students see in the clinical settinġ
a. true
b. false ☑correct answera. true
9.An 82 year old man is seen in the primary care office with complaints of dribblinġ urine and difficulty startinġ his
stream. Which of the followinġ should be included in the list of differentials?
a. BPH
b. Prostate cancer
c. UTI
d. all of the above ☑correct answer d. all of the above
10.Which causes the ġreatest percentaġe of mammalian bites?
a. doġs
b. cats
c. humans
d. rodents ☑correct answer a. doġs
11.Endoscopic report reveals the presents of Barrett's epithelium. Which of the followinġ information should the
clinician include in the explaination of the patholoġy report?
a. this is a premaliġnant tissue
b. this tissue is resistant to ġastric acid
c. this tissue supports healinġ of the esophaġus
d. all of the above ☑correct answer d. all of the above
12.Which of the followinġ data are indicative of testicular torsion?
