NR 511 ADVANCED PRIMARY CARE
EXAM STUDY GUIDE QUESTIONS WITH
VERIFIED ANSWERS.NEW UPDATE.
JUST RELEASED
1. A 24-year-old patient presents with a ‘herald patch’ on the trunk, followed by a ‘Christmas
tree’ distribution of smaller erythematous papules. What is the most likely diagnosis?
A. Tinea Corporis
B. Pityriasis Rosea
C. Psoriasis
D. Secondary Syphilis
Answer: B
Conceptual Explanation: Pityriasis rosea typically begins with a single herald patch
followed by a generalized rash in a Christmas tree distribution along skin cleavage lines.
2. Which of the following is the first-line antibiotic treatment for an adult with uncomplicated
Acute Bacterial Rhinosinusitis (ABRS) and no drug allergies?
A. Azithromycin
B. Ciprofloxacin
C. Doxycycline
,D. Amoxicillin-Clavulanate
Answer: D
Conceptual Explanation: According to IDSA guidelines, Amoxicillin-Clavulanate is first-
line for ABRS to cover H. influenzae and S. pneumoniae.
3. A patient presents with a painful, red, swollen area on the lower leg that is poorly
demarcated. The patient has a fever. What is the most appropriate initial management?
A. Oral Cephalexin
B. Topical Mupirocin
C. Incision and Drainage
D. Hydrocortisone cream
Answer: A
Conceptual Explanation: Cellulitis is a non-purulent infection of the deep dermis; oral
antibiotics like Cephalexin are indicated. Purulent infections would require I&D.
4. Which physical exam maneuver is most sensitive for detecting an Anterior Cruciate
Ligament (ACL) tear?
A. McMurray Test
B. Phalen’s Sign
C. Lachman Test
D. Valgus Stress Test
, Answer: C
Conceptual Explanation: The Lachman test is considered more sensitive and specific than
the anterior drawer test for identifying ACL laxity.
5. According to the GINA guidelines, what is the preferred rescue medication for a patient
with Step 1 asthma?
A. Short-acting beta-agonist (SABA) alone
B. Oral Corticosteroids
C. Low-dose Inhaled Corticosteroid (ICS) plus Formoterol as needed
D. Long-acting beta-agonist (LABA) alone
Answer: C
Conceptual Explanation: Recent GINA updates recommend low-dose ICS-formoterol as
the preferred reliever for all steps of asthma management to reduce exacerbation risk.
6. An elderly patient presents with sudden onset of severe eye pain, blurred vision, and
seeing ‘halos’ around lights. The pupil is mid-dilated and non-reactive. What is the priority
action?
A. Immediate referral to the emergency department for Acute Angle-Closure Glaucoma
B. Perform a fundoscopic exam and follow up in 24 hours
C. Prescribe antibiotic eye drops
D. Administer artificial tears
EXAM STUDY GUIDE QUESTIONS WITH
VERIFIED ANSWERS.NEW UPDATE.
JUST RELEASED
1. A 24-year-old patient presents with a ‘herald patch’ on the trunk, followed by a ‘Christmas
tree’ distribution of smaller erythematous papules. What is the most likely diagnosis?
A. Tinea Corporis
B. Pityriasis Rosea
C. Psoriasis
D. Secondary Syphilis
Answer: B
Conceptual Explanation: Pityriasis rosea typically begins with a single herald patch
followed by a generalized rash in a Christmas tree distribution along skin cleavage lines.
2. Which of the following is the first-line antibiotic treatment for an adult with uncomplicated
Acute Bacterial Rhinosinusitis (ABRS) and no drug allergies?
A. Azithromycin
B. Ciprofloxacin
C. Doxycycline
,D. Amoxicillin-Clavulanate
Answer: D
Conceptual Explanation: According to IDSA guidelines, Amoxicillin-Clavulanate is first-
line for ABRS to cover H. influenzae and S. pneumoniae.
3. A patient presents with a painful, red, swollen area on the lower leg that is poorly
demarcated. The patient has a fever. What is the most appropriate initial management?
A. Oral Cephalexin
B. Topical Mupirocin
C. Incision and Drainage
D. Hydrocortisone cream
Answer: A
Conceptual Explanation: Cellulitis is a non-purulent infection of the deep dermis; oral
antibiotics like Cephalexin are indicated. Purulent infections would require I&D.
4. Which physical exam maneuver is most sensitive for detecting an Anterior Cruciate
Ligament (ACL) tear?
A. McMurray Test
B. Phalen’s Sign
C. Lachman Test
D. Valgus Stress Test
, Answer: C
Conceptual Explanation: The Lachman test is considered more sensitive and specific than
the anterior drawer test for identifying ACL laxity.
5. According to the GINA guidelines, what is the preferred rescue medication for a patient
with Step 1 asthma?
A. Short-acting beta-agonist (SABA) alone
B. Oral Corticosteroids
C. Low-dose Inhaled Corticosteroid (ICS) plus Formoterol as needed
D. Long-acting beta-agonist (LABA) alone
Answer: C
Conceptual Explanation: Recent GINA updates recommend low-dose ICS-formoterol as
the preferred reliever for all steps of asthma management to reduce exacerbation risk.
6. An elderly patient presents with sudden onset of severe eye pain, blurred vision, and
seeing ‘halos’ around lights. The pupil is mid-dilated and non-reactive. What is the priority
action?
A. Immediate referral to the emergency department for Acute Angle-Closure Glaucoma
B. Perform a fundoscopic exam and follow up in 24 hours
C. Prescribe antibiotic eye drops
D. Administer artificial tears
