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NR511 Final Exam (Week 8) | Differential Diagnosis & Primary Care Practicum – Study Guide, Practice Questions & Exam Review

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NR511 Final Exam (Week 8) | Differential Diagnosis & Primary Care Practicum – Study Guide, Practice Questions & Exam Review

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Final Exam (Week 8) NRhttps://www.stuvia.com/user/filwe1099salmin
511 Differential Diagnosis
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NR-511 Differential Diagnosis & Primary Care Practicum

NR511 – Final Exam (Week 8)

1: which test is used to confirm a diagnosis of epididymitis?

Ans: Ultrasound of the scrotum.

2: Which of the following is part of the treatment plan for the
patient with irritable bowel syndrome?

Ans; High fiber diet

3: Reuben, age 24 years old has HIV and just had a routine
viral load test done. The results show a falling viral load. What
does this indicates?

Ans: A favorable diagnostic trend

4: The patient with gastro esophageal reflux disease (GERD)
should be instructed to eliminate which of these activities?

Ans: Weight lifting

5: you have detected the presence of crepitus on examination of
a patient with a musculoskeletal complaint. Additionally, there is
limited range of motion with both active and passive movement.
These findings suggest that the origin of the musculoskeletal
complaint is

Ans: Articular

6: A 25 years old patient presents to the clinic with fatigue, cold
intolerance, weight gain and constipation for the past 3 months.
On physical exam, the clinician notice a sinus bradycardia,
muscular stiffness, coarse, dry hair, and a delay in relaxation in
deep tendon reflexes (DTRs). Which of the following test should
be ordered next?

Ans: Thyroid Stimulating Hormone (TSH)

7: Sam is a 25years old man who has been diagnosis with low
back stain based on his history of localized low back pain and
muscle spasm along with a normal numerological examination.
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Final Exam (Week 8) NRhttps://www.stuvia.com/user/filwe1099salmin
511 Differential Diagnosis
https://www.stuvia.com/user/filwe1099salmin
& Primary Care Practicumhttps://www.stuvia.com



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?

Ans: Unilateral radicular pain symptoms that extend below
the knee and are equal to or greater than the back pain.

8: Which of the following data is indication of testicular torsion?

Ans: Asecnt cremasteric reflex

9: What is the recommended daily calcium intake for adults over
the age of 50 with low bone mass?

Ans: 1500mg /day

10: A 14 years old is seen with complaint of severe testicular pain.
The clinician suspect testicular torsion. Which of the following is
the appropriate action?

Ans: Send the patient to the emergency room

11: Which of the following data are indicative of testicular torsion?

Ans: Absent cremasteric reflex

12: A patient is seen with a sudden onset of flank pain
accompanied by nausea, vomiting, and diaphoresis, in addition to
nephrolithiasis, which of the following should be added to the list
of differential diagnoses?

Ans: Pancreatitis, peptic ulcer disease, diverticulitis, All of
the above

13: The patient is seen in the office complaining flank pain. The
clinician should assess this patient for which risk factor for kidney
stones?

Ans: Hypertension




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Final Exam (Week 8) NRhttps://www.stuvia.com/user/filwe1099salmin
511 Differential Diagnosis
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& Primary Care Practicumhttps://www.stuvia.com



14: A 76 years old man is seen in the office for complaint of
urinary incontinence. The clinician should suspect which causes of
incontinence in men?

Ans; Urinary Tract Infection (UTI)

14: Harvey has a rubbery smooth, round mass on his chest
which is compressible and has a soft to to very firm texture.
What do you diagnose this as?

Ans: Lipoma

15: The patient is prescribed radioactive iodine (RA) and asks the
clinician how this drug works. The clinician’s response should
include which of the following data?

Ans: RAI destroys thyroid tissue.

16: Most nosocomial pneumonias are caused by

Ans: Gram-negative bacteria

17: Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain?

Ans: Morning stiffness.

18: A patient presents to the clinician with a sore throat, fever,
of 100.7f and tender anterior cervical lymphadenopathy. The
clinician suspect strep throat and performed a rapid strep test
that is negative. What would the nest step be?

Ans: A throat culture should be performed to confirm the
result of the rapid strep test.

19:Most Nosocomial pneumonias are caused by…….

Ans: ?




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