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NR511 FINAL EXAM QUESTIONS
AND ANSWERS
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
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
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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
d. the eradication of the HIV - ANSWER-a. a favorable
diagnostic trend
Which is the differentiating symptom mbetween labyrinthitis and
vestibular neuritis?
a. symptoms with vestibular neuritis are usually acute in onset,
whereas with labyrinthitis the onet is more gradual
b. hearing loss may be associated with vestibular neuritis, but
not with labyrinthitis
c. symptoms with labyrinthitis are usually acute in onset,
,whereas with vesticular neuritis the onset is more gradual
d. hearing loss may be associated with labyrinthitis ,but not with
vestibular neuritis. - ANSWER-d. hearing loss may be
associated with labyrinthitis ,but not with vestibular neuritis.
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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
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
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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
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?
NR511 FINAL EXAM QUESTIONS
AND ANSWERS
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
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
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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
d. the eradication of the HIV - ANSWER-a. a favorable
diagnostic trend
Which is the differentiating symptom mbetween labyrinthitis and
vestibular neuritis?
a. symptoms with vestibular neuritis are usually acute in onset,
whereas with labyrinthitis the onet is more gradual
b. hearing loss may be associated with vestibular neuritis, but
not with labyrinthitis
c. symptoms with labyrinthitis are usually acute in onset,
,whereas with vesticular neuritis the onset is more gradual
d. hearing loss may be associated with labyrinthitis ,but not with
vestibular neuritis. - ANSWER-d. hearing loss may be
associated with labyrinthitis ,but not with vestibular neuritis.
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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
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
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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
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?
