ifferentialNR511-
Diagnosis
NR@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@@@@@@!@ED@EKDLKEIO@IOPO@#)__$)))%)_)#_
and
511Primary
Final Exam
Care(Latest
Practicum
2025-
(8 2026
LatestUpdate)
Versions
Differential
Bundle Exam).docx@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@
Diagnosis and Primary Care Practicum (8 Latest Versions Bundle Exam).docx@#@(H*HNRMD*
NR511/ NR 511 Final Exam: (Latest
2025/ 2026 Update) Differential
Diagnosis and Primary Care Practicum
(8 Latest Versions Bundle Exam)
QUESTION
Responded to antibiotic therapy. Which of the following actions should be taken next?
a. send a urine specimen for microscopy looking for fungal colonies
b. increase the dose of the antibiotic
c. order a cystoscopy
d. order a different antibiotic
Answer:
a. send a urine specimen for microscopy looking for fungal colonies
QUESTION
A 14 year old is seen with complaints of severe testicular pain. The clinician suspects testicular
torsion. Which of the following is the appropriate action?
pg. 1
NR511-
@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@@@@@@!@ED@EKDLKEIO@IOPO@#)__$)))%)_)#_
NR@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@@@@@@!@ED@EKDLKEIO@IOPO@#)__$)))%)_)#_
511 Final Exam (Latest 2025- 2026 Update) Differential Diagnosis and Primary Care Practicum (8 Latest Versions Bundle Exam).docx@#@(H*HNRMD*
,ifferentialNR511-
Diagnosis
NR@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@@@@@@!@ED@EKDLKEIO@IOPO@#)__$)))%)_)#_
and
511Primary
Final Exam
Care(Latest
Practicum
2025-
(8 2026
LatestUpdate)
Versions
Differential
Bundle Exam).docx@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@
Diagnosis and Primary Care Practicum (8 Latest Versions Bundle Exam).docx@#@(H*HNRMD*
a. obtain a scrotal ultrasound
b. obtain a computed tomography scan (CT)
c. instruct the patient to elevate the scrotum
d. send the patient to the Emergency room
Answer:
c. instruct the patient to elevate the scrotum
d. send the patient to the Emergency room
QUESTION
A 22 year old male is seen in the clinic because he found a hard lump in his testicle during a
testicular self exam (TSE). which of the following shoud be included in the differential diagnosis.
a. testicular cancer
b.. inguinal hernia
c. varicocele
d. all of the above
Answer:
d. all of the above
QUESTION
A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at what point in
appendicitis?
pg. 2
NR511-
@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@@@@@@!@ED@EKDLKEIO@IOPO@#)__$)))%)_)#_
NR@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@@@@@@!@ED@EKDLKEIO@IOPO@#)__$)))%)_)#_
511 Final Exam (Latest 2025- 2026 Update) Differential Diagnosis and Primary Care Practicum (8 Latest Versions Bundle Exam).docx@#@(H*HNRMD*
,ifferentialNR511-
Diagnosis
NR@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@@@@@@!@ED@EKDLKEIO@IOPO@#)__$)))%)_)#_
and
511Primary
Final Exam
Care(Latest
Practicum
2025-
(8 2026
LatestUpdate)
Versions
Differential
Bundle Exam).docx@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@
Diagnosis and Primary Care Practicum (8 Latest Versions Bundle Exam).docx@#@(H*HNRMD*
a. very early
b 3-4 hours after perforation
c. late in inflammation
d. appendicitis never presents with vague pain
Answer:
a. very early
QUESTION
A 23 year old sexually active man is seen in the clinic with unilateral painful testicular swelling
and diagnosed with epididymitis. In order to prescribe the correct drub, the clinician
understands that which of these is them most common causative organism?
a. escheichia coli
b. staphylococcus aureus
c. chlamydia trachomatis
d. pseudomonas aerugonisa
Answer:
c. chlamydia trachomatis
QUESTION
pg. 3
NR511-
@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@@@@@@!@ED@EKDLKEIO@IOPO@#)__$)))%)_)#_
NR@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@@@@@@!@ED@EKDLKEIO@IOPO@#)__$)))%)_)#_
511 Final Exam (Latest 2025- 2026 Update) Differential Diagnosis and Primary Care Practicum (8 Latest Versions Bundle Exam).docx@#@(H*HNRMD*
,ifferentialNR511-
Diagnosis
NR@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@@@@@@!@ED@EKDLKEIO@IOPO@#)__$)))%)_)#_
and
511Primary
Final Exam
Care(Latest
Practicum
2025-
(8 2026
LatestUpdate)
Versions
Differential
Bundle Exam).docx@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@
Diagnosis and Primary Care Practicum (8 Latest Versions Bundle Exam).docx@#@(H*HNRMD*
A 25 year old patient presents to the clinic with fatigue, cold intolerance, weght gain and
constipation for the past 3 months. On physical exam, the clinican notices a sinus bradycardia,
muscular stiffness, coarse dry hair and a delay in relaxation in deep tendon reflexes (DTR's).
Which of the following tests should be ordered next?
a. Serum Calcium
b. Thyroid Stimulating Hormone (TSH)
c. electrolytes
d. urine specific gravity
Answer:
b. Thyroid Stimulating Hormone (TSH)
QUESTION
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
QUESTION
pg. 4
NR511-
@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@@@@@@!@ED@EKDLKEIO@IOPO@#)__$)))%)_)#_
NR@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@@@@@@!@ED@EKDLKEIO@IOPO@#)__$)))%)_)#_
511 Final Exam (Latest 2025- 2026 Update) Differential Diagnosis and Primary Care Practicum (8 Latest Versions Bundle Exam).docx@#@(H*HNRMD*
Diagnosis
NR@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@@@@@@!@ED@EKDLKEIO@IOPO@#)__$)))%)_)#_
and
511Primary
Final Exam
Care(Latest
Practicum
2025-
(8 2026
LatestUpdate)
Versions
Differential
Bundle Exam).docx@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@
Diagnosis and Primary Care Practicum (8 Latest Versions Bundle Exam).docx@#@(H*HNRMD*
NR511/ NR 511 Final Exam: (Latest
2025/ 2026 Update) Differential
Diagnosis and Primary Care Practicum
(8 Latest Versions Bundle Exam)
QUESTION
Responded to antibiotic therapy. Which of the following actions should be taken next?
a. send a urine specimen for microscopy looking for fungal colonies
b. increase the dose of the antibiotic
c. order a cystoscopy
d. order a different antibiotic
Answer:
a. send a urine specimen for microscopy looking for fungal colonies
QUESTION
A 14 year old is seen with complaints of severe testicular pain. The clinician suspects testicular
torsion. Which of the following is the appropriate action?
pg. 1
NR511-
@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@@@@@@!@ED@EKDLKEIO@IOPO@#)__$)))%)_)#_
NR@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@@@@@@!@ED@EKDLKEIO@IOPO@#)__$)))%)_)#_
511 Final Exam (Latest 2025- 2026 Update) Differential Diagnosis and Primary Care Practicum (8 Latest Versions Bundle Exam).docx@#@(H*HNRMD*
,ifferentialNR511-
Diagnosis
NR@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@@@@@@!@ED@EKDLKEIO@IOPO@#)__$)))%)_)#_
and
511Primary
Final Exam
Care(Latest
Practicum
2025-
(8 2026
LatestUpdate)
Versions
Differential
Bundle Exam).docx@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@
Diagnosis and Primary Care Practicum (8 Latest Versions Bundle Exam).docx@#@(H*HNRMD*
a. obtain a scrotal ultrasound
b. obtain a computed tomography scan (CT)
c. instruct the patient to elevate the scrotum
d. send the patient to the Emergency room
Answer:
c. instruct the patient to elevate the scrotum
d. send the patient to the Emergency room
QUESTION
A 22 year old male is seen in the clinic because he found a hard lump in his testicle during a
testicular self exam (TSE). which of the following shoud be included in the differential diagnosis.
a. testicular cancer
b.. inguinal hernia
c. varicocele
d. all of the above
Answer:
d. all of the above
QUESTION
A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at what point in
appendicitis?
pg. 2
NR511-
@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@@@@@@!@ED@EKDLKEIO@IOPO@#)__$)))%)_)#_
NR@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@@@@@@!@ED@EKDLKEIO@IOPO@#)__$)))%)_)#_
511 Final Exam (Latest 2025- 2026 Update) Differential Diagnosis and Primary Care Practicum (8 Latest Versions Bundle Exam).docx@#@(H*HNRMD*
,ifferentialNR511-
Diagnosis
NR@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@@@@@@!@ED@EKDLKEIO@IOPO@#)__$)))%)_)#_
and
511Primary
Final Exam
Care(Latest
Practicum
2025-
(8 2026
LatestUpdate)
Versions
Differential
Bundle Exam).docx@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@
Diagnosis and Primary Care Practicum (8 Latest Versions Bundle Exam).docx@#@(H*HNRMD*
a. very early
b 3-4 hours after perforation
c. late in inflammation
d. appendicitis never presents with vague pain
Answer:
a. very early
QUESTION
A 23 year old sexually active man is seen in the clinic with unilateral painful testicular swelling
and diagnosed with epididymitis. In order to prescribe the correct drub, the clinician
understands that which of these is them most common causative organism?
a. escheichia coli
b. staphylococcus aureus
c. chlamydia trachomatis
d. pseudomonas aerugonisa
Answer:
c. chlamydia trachomatis
QUESTION
pg. 3
NR511-
@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@@@@@@!@ED@EKDLKEIO@IOPO@#)__$)))%)_)#_
NR@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@@@@@@!@ED@EKDLKEIO@IOPO@#)__$)))%)_)#_
511 Final Exam (Latest 2025- 2026 Update) Differential Diagnosis and Primary Care Practicum (8 Latest Versions Bundle Exam).docx@#@(H*HNRMD*
,ifferentialNR511-
Diagnosis
NR@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@@@@@@!@ED@EKDLKEIO@IOPO@#)__$)))%)_)#_
and
511Primary
Final Exam
Care(Latest
Practicum
2025-
(8 2026
LatestUpdate)
Versions
Differential
Bundle Exam).docx@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@
Diagnosis and Primary Care Practicum (8 Latest Versions Bundle Exam).docx@#@(H*HNRMD*
A 25 year old patient presents to the clinic with fatigue, cold intolerance, weght gain and
constipation for the past 3 months. On physical exam, the clinican notices a sinus bradycardia,
muscular stiffness, coarse dry hair and a delay in relaxation in deep tendon reflexes (DTR's).
Which of the following tests should be ordered next?
a. Serum Calcium
b. Thyroid Stimulating Hormone (TSH)
c. electrolytes
d. urine specific gravity
Answer:
b. Thyroid Stimulating Hormone (TSH)
QUESTION
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
QUESTION
pg. 4
NR511-
@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@@@@@@!@ED@EKDLKEIO@IOPO@#)__$)))%)_)#_
NR@#@(H*HNRMD*R)(#I$M*)(I$($)_I_@)I$)(#I($*Y$NHHMN&*(@*$I(@(@@@@@@@@@@@@!@ED@EKDLKEIO@IOPO@#)__$)))%)_)#_
511 Final Exam (Latest 2025- 2026 Update) Differential Diagnosis and Primary Care Practicum (8 Latest Versions Bundle Exam).docx@#@(H*HNRMD*
