NR511 ACTUAL TEST PAPER FULL
QUESTIONS AND ACCURATE ANSWERS
GRADED APLUS
●● A patient is seen in the office and is complaining of constipation. The
patient lists all of the following medications. Which drug could be
responsible for the constipation?
Answer: Pepto-Bismol
●● A patient with complaints of diarrhea is seen. Which of the following
should be included on the differential diagnosis list for a patient with
diarrhea?
Answer: Gastroenteritis, Lactase deficiency, Inflammatory bowel
disease
●● Mr. J. K., 38 years old, is 5 feet 8 inches tall and weighs 189 pounds.
He reports that he has had intermittent heartburn for several months for
which he takes Tums with temporary relief. He has been waking during
the night with a burning sensation in his chest. Which additional
information would lead you to believe that gastro esophageal reflux
disease (GERD) is the cause of his pain?
Answer: He awakens at night coughing with a bad taste in his mouth.
,●● A 29-year-old Englishman is seen in the office with complaints of
pain in his chest and belly for 2 weeks. He gets temporary relief from
Alka Seltzer. The burning pain wakes him at night and radiates up into
his chest. Which factor favors a diagnosis of gastric ulcer?
Answer: His use of Alka Seltzer
●● Which of the following is most effective in diagnosing appendicitis?
Answer: History and physical
●● Which of the following is associated with celiac disease (celiac
sprue)?
Answer: Malabsorption
●● A 45-year-old patient presents with a chief complaint of generalized
abdominal pain. Her physical exam is remarkable for left lower quadrant
(LLQ) tenderness. Which of the following should be considered in the
differential diagnosis at this time?
Answer: Endometriosis, Diverticulitis, Colon cancer
●● A 46-year-old patient is seen in the clinic with abdominal pain.
Which of the following tests is essential for this patient?
Answer: Urine hCG
, ●● A 25-year-old accountant is seen in the clinic complaining of crampy
abdominal pain after meals. She is often constipated and takes laxatives.
Following this, she has diarrhea for a couple of days. She temporarily
feels better after a bowel movement. She states she is embarrassed by
flatulence and has abdominal distension. She has had no weight loss or
blood in her stool. This problem has gone on for about 6 months. What
should the next step be?
Answer: Obtain a complete history.
●● A 28-year-old patient is seen in the clinic with colicky abdominal
pain, particularly with meals. She has frequent constipation, flatulence,
and abdominal distension. Which of the data make a diagnosis of
diverticulitis unlikely?
Answer: Her age
●● A 28-year-old patient is seen with complaints of diarrhea. Which of
the following questions would help the clinician establish the diagnosis
of irritable bowel syndrome?
Answer: Feels relief after a bowel movement, Sometimes is constipated,
Does not defecate in the middle of the night
●● A patient is diagnosed with gastroesophageal reflux disease (GERD),
and his endoscopic report reveals the presence of Barrett's epithelium.
Which of the following information should the clinician include in the
explanation of the pathology report?
QUESTIONS AND ACCURATE ANSWERS
GRADED APLUS
●● A patient is seen in the office and is complaining of constipation. The
patient lists all of the following medications. Which drug could be
responsible for the constipation?
Answer: Pepto-Bismol
●● A patient with complaints of diarrhea is seen. Which of the following
should be included on the differential diagnosis list for a patient with
diarrhea?
Answer: Gastroenteritis, Lactase deficiency, Inflammatory bowel
disease
●● Mr. J. K., 38 years old, is 5 feet 8 inches tall and weighs 189 pounds.
He reports that he has had intermittent heartburn for several months for
which he takes Tums with temporary relief. He has been waking during
the night with a burning sensation in his chest. Which additional
information would lead you to believe that gastro esophageal reflux
disease (GERD) is the cause of his pain?
Answer: He awakens at night coughing with a bad taste in his mouth.
,●● A 29-year-old Englishman is seen in the office with complaints of
pain in his chest and belly for 2 weeks. He gets temporary relief from
Alka Seltzer. The burning pain wakes him at night and radiates up into
his chest. Which factor favors a diagnosis of gastric ulcer?
Answer: His use of Alka Seltzer
●● Which of the following is most effective in diagnosing appendicitis?
Answer: History and physical
●● Which of the following is associated with celiac disease (celiac
sprue)?
Answer: Malabsorption
●● A 45-year-old patient presents with a chief complaint of generalized
abdominal pain. Her physical exam is remarkable for left lower quadrant
(LLQ) tenderness. Which of the following should be considered in the
differential diagnosis at this time?
Answer: Endometriosis, Diverticulitis, Colon cancer
●● A 46-year-old patient is seen in the clinic with abdominal pain.
Which of the following tests is essential for this patient?
Answer: Urine hCG
, ●● A 25-year-old accountant is seen in the clinic complaining of crampy
abdominal pain after meals. She is often constipated and takes laxatives.
Following this, she has diarrhea for a couple of days. She temporarily
feels better after a bowel movement. She states she is embarrassed by
flatulence and has abdominal distension. She has had no weight loss or
blood in her stool. This problem has gone on for about 6 months. What
should the next step be?
Answer: Obtain a complete history.
●● A 28-year-old patient is seen in the clinic with colicky abdominal
pain, particularly with meals. She has frequent constipation, flatulence,
and abdominal distension. Which of the data make a diagnosis of
diverticulitis unlikely?
Answer: Her age
●● A 28-year-old patient is seen with complaints of diarrhea. Which of
the following questions would help the clinician establish the diagnosis
of irritable bowel syndrome?
Answer: Feels relief after a bowel movement, Sometimes is constipated,
Does not defecate in the middle of the night
●● A patient is diagnosed with gastroesophageal reflux disease (GERD),
and his endoscopic report reveals the presence of Barrett's epithelium.
Which of the following information should the clinician include in the
explanation of the pathology report?
