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NURS 6531 Final Exam

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NURS_6531_Final_Exam
Question 2. Which of the following is a potential acquired cause of thrombophilia?

Homocysteinuria


Protein C deficiency


Factor V Leiden


Antiphospholipid antibodies


Question 3
Phalen’s test, 90°wrist flexion for 60 seconds, reproduces symptoms of:

Ulnar tunnel syndrome


Carpal tunnel syndrome


Tarsal tunnel syndrome


Myofascial pain syndrome


Question 4
Which patient would benefit most from screening for type 2 diabetes?

A 30 year old female with unintended weight loss.


A 25 year old male with family history of type 1 diabetes


An obese female with recurrent vaginitis


A 50 year old hyperlipidemic male


Question 5
A 72 year old female patient reports a 6 month history of gradually progressive swollen and painful distal
interphalangeal (DIP) joints of one hand. She has no systemic symptoms but the erythrocyte sedimentation
rate (ESR), antinuclear antibody (ANA), and rheumatoid factor (RF) are all minimally elevated. What is the
most likely diagnosis?

Rheumatoid arthritis (RA)

,NURS_6531_Final_Exam
Osteoarthritis (OA)


Lupus


Peripheral neuropathy


Question 6
A 32 year old male patient complains of urinary frequency and burning on urination for 3 days. Urinalysis
reveals bacteriuria. He denies any past history of urinary tract infection. The initial treatment should be:

Trimethoprim-sulfamethoxazole for 3 days


Ciprofloxacin for 7-10 days


Trimethoprim-sulfamethoxazole for 14 days


Ciprofloxacin for 3 days

A thymectomy is usually recommended in the early treatment of which disease?

Parkinson’s disease


Multiple sclerosis


Myasthenia gravis


Huntington’s chorea


Question 8
The diagnosis of human papilloma virus (HPV) infection in males is usually made by:

Clinical appearance


Viral culture


Tzanck smear


KOH prep

,NURS_6531_Final_Exam
Question 9
The most effective intervention(s) to prevent stroke is (are):

81 mg of aspirin daily


Carotid endarterectomy for patients with high-grade carotid lesions


Routine screening for carotid artery stenosis with auscultation for bruits


Smoking cessation and treatment of hypertension


Question 10
What is the most common cause of Cushing’s syndrome?

Excessive ACTH production


Administration of a glucocorticoid or ACTH


Pituitary adenoma or a non-pituitary ACTH-producing tumor


Autonomous cortisol production from adrenal tissue


Question 11
Diagnostic radiological studies are indicated for low back pain:

Routinely after 3 weeks of low back pain symptoms.


To screen for spondylolithiasis in patients less than 20 years of age with 2 weeks of more of low back
pain.


When there is a suspicion of a space-occupying lesion, fracture, cauda equina, or infection.


As a part of a pre-employment physical when heavy lifting is included in the job description.


Question 12
After treating a patient for Helicobacter pylori infection, what test do you order to see if it has been cured?

An enzyme-linked immunosorbent assay titer

, NURS_6531_Final_Exam
A urea breath test

A rapid urease test


A repeat endoscopy


Question 13
Which appropriate test for the initial assessment of Alzheimer’s disease provides the performance ratings on
10 complex, higher order activities?

MMSE


CAGE questionnaire


FAQ – Functional Activities Questionnaire


Holmes and Rahe social readjustment scale


Question 14
Major depression occurs most often in which of the following conditions?

A. Myocardial infarction


Parkinson’s disease


Stroke


Alzheimer’s disease


Question 15
Which of the following statements about multiple sclerosis (MS) is correct?

MS is a chronic, untreatable illness that is almost always fatal.


MS is a disease of steadily progressive and unrelenting neurologic deterioration.


MS is a chronic, treatable illness with unknown cause and a variable course.

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