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NR605 Midterm Actual Exam With Complete 100 Questions And Correct
Answers |Already Graded A
1. A 45-year-old patient presents with new-onset hypertension. Which is the most
appropriate initial diagnostic test?
A. Renal ultrasound
B. Serum creatinine and electrolytes
C. Echocardiogram
D. CT abdomen
Answer: B. Serum creatinine and electrolytes
2. Which of the following is the most appropriate first-line pharmacologic treatment for
generalized anxiety disorder?
A. Alprazolam
B. Fluoxetine
C. Buspirone
D. Lorazepam
Answer: B. Fluoxetine
3. A 62-year-old man with COPD presents with worsening dyspnea. On auscultation, you hear
wheezes. Which inhaled therapy should be prioritized?
A. Inhaled corticosteroid
B. Long-acting muscarinic antagonist (LAMA)
C. Long-acting beta agonist (LABA)
D. Oral theophylline
Answer: B. Long-acting muscarinic antagonist (LAMA)
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4. Which of the following is a diagnostic criterion for metabolic syndrome?
A. Hypotension
B. Elevated triglycerides
C. Low serum creatinine
D. Hypercalcemia
Answer: B. Elevated triglycerides
5. A 29-year-old woman presents with fatigue and heavy menstrual bleeding. CBC reveals
microcytic anemia. What is the most likely diagnosis?
A. Vitamin B12 deficiency
B. Folate deficiency
C. Iron deficiency anemia
D. Thalassemia trait
Answer: C. Iron deficiency anemia
6. Which medication is most appropriate for initial management of type 2 diabetes mellitus?
A. Metformin
B. Sulfonylurea
C. Insulin
D. Thiazolidinedione
Answer: A. Metformin
7. A patient with heart failure with reduced ejection fraction (HFrEF) should be prescribed
which of the following first-line therapies?
A. Beta-blocker and ACE inhibitor
B. Calcium channel blocker
C. Digoxin monotherapy
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D. Nitrates only
Answer: A. Beta-blocker and ACE inhibitor
8. Which vaccine is recommended for all adults age 50 and older, regardless of prior history of
illness?
A. Pneumococcal conjugate
B. Shingles (Recombinant zoster vaccine)
C. Influenza (live)
D. Hepatitis A
Answer: B. Shingles (Recombinant zoster vaccine)
9. Which screening test is recommended annually for patients with diabetes?
A. Colonoscopy
B. Thyroid ultrasound
C. Urine albumin-to-creatinine ratio
D. PSA level
Answer: C. Urine albumin-to-creatinine ratio
10. A 37-year-old man presents with chest pain reproducible by palpation. ECG and troponins
are normal. Most likely diagnosis?
A. Myocardial infarction
B. Costochondritis
C. Pulmonary embolism
D. GERD
Answer: B. Costochondritis
NR605 Midterm Actual Exam With Complete 100 Questions And Correct
Answers |Already Graded A
1. A 45-year-old patient presents with new-onset hypertension. Which is the most
appropriate initial diagnostic test?
A. Renal ultrasound
B. Serum creatinine and electrolytes
C. Echocardiogram
D. CT abdomen
Answer: B. Serum creatinine and electrolytes
2. Which of the following is the most appropriate first-line pharmacologic treatment for
generalized anxiety disorder?
A. Alprazolam
B. Fluoxetine
C. Buspirone
D. Lorazepam
Answer: B. Fluoxetine
3. A 62-year-old man with COPD presents with worsening dyspnea. On auscultation, you hear
wheezes. Which inhaled therapy should be prioritized?
A. Inhaled corticosteroid
B. Long-acting muscarinic antagonist (LAMA)
C. Long-acting beta agonist (LABA)
D. Oral theophylline
Answer: B. Long-acting muscarinic antagonist (LAMA)
,2|Page
4. Which of the following is a diagnostic criterion for metabolic syndrome?
A. Hypotension
B. Elevated triglycerides
C. Low serum creatinine
D. Hypercalcemia
Answer: B. Elevated triglycerides
5. A 29-year-old woman presents with fatigue and heavy menstrual bleeding. CBC reveals
microcytic anemia. What is the most likely diagnosis?
A. Vitamin B12 deficiency
B. Folate deficiency
C. Iron deficiency anemia
D. Thalassemia trait
Answer: C. Iron deficiency anemia
6. Which medication is most appropriate for initial management of type 2 diabetes mellitus?
A. Metformin
B. Sulfonylurea
C. Insulin
D. Thiazolidinedione
Answer: A. Metformin
7. A patient with heart failure with reduced ejection fraction (HFrEF) should be prescribed
which of the following first-line therapies?
A. Beta-blocker and ACE inhibitor
B. Calcium channel blocker
C. Digoxin monotherapy
, 3|Page
D. Nitrates only
Answer: A. Beta-blocker and ACE inhibitor
8. Which vaccine is recommended for all adults age 50 and older, regardless of prior history of
illness?
A. Pneumococcal conjugate
B. Shingles (Recombinant zoster vaccine)
C. Influenza (live)
D. Hepatitis A
Answer: B. Shingles (Recombinant zoster vaccine)
9. Which screening test is recommended annually for patients with diabetes?
A. Colonoscopy
B. Thyroid ultrasound
C. Urine albumin-to-creatinine ratio
D. PSA level
Answer: C. Urine albumin-to-creatinine ratio
10. A 37-year-old man presents with chest pain reproducible by palpation. ECG and troponins
are normal. Most likely diagnosis?
A. Myocardial infarction
B. Costochondritis
C. Pulmonary embolism
D. GERD
Answer: B. Costochondritis
