NR 511 Final Exam , NR 511 Differential Diagnosis and Primary Care, Chamberlain

NR 511 Final Exam


Question 1: The most cost-effective screening test for
determining HIV status is which of the following?
Student Answer: Western blot
Enzyme-linked immunosorbent
assay Venereal Disease Research
Laboratory test Viral load
Points Received: 0 of 2

Comments:

Question 2.Question : Which blood test is a nonspecific method and most
helpful
for evaluating the severity and course of an
inflammatory process?
Student Answer: Erythrocyte sedimentation rate
White blood cell count
Polymorphonuclear cells

C-reactive protein (CRP)

, Points Received: 0 of 2

Comments:


Question 3.Question : Cocaine acts as a stimulant by blocking the reuptake of
which neurotransmitter?
Student Answer: GABA
Acetylcholine
Dopamine
Serotonin
Points Received: 0 of 2

Comments:

Question 4.Question : Mrs. Thomas was seen in the office complaining of pain and
point tenderness in the area of her elbow. The pain has
increased following a day of gardening one week ago. A
physical finding that differentiates the diagnosis and is
most consistent with lateral epicondylitis (tennis elbow) is:
Student Answer: Ecchymosis, edema, and erythema over the
lateral epicondyle
Pain at the elbow with resisted movements at the wrist
and forearm
Inability to supinate and pronate the arm
Inability to flex or extend the elbow against
resistance Points Received: 2 of 2
Comments:

Question 5.Question : Which of the following statements concerning the
musculoskeletal examination is true?
Student Answer: The uninvolved side should be examined initially and
then compared to the involved side.
The part of the body that is causing the patient
pain should be examined first.
When possible, the patient should not be asked to
perform active range-of-motion (ROM) exercises to
avoid causing pain.
Radiographs should always be obtained prior to
examination so as not to cause further injury to the patient.
Points Received: (not graded)

Comments:

Question 6.Question : Which of the following signs or symptoms indicate an

, inflammatory etiology to musculoskeletal pain?
Student Answer: Decreased C-reactive protein
Hyperalbuminemia
Morning stiffness
Weight gain
Points Received: (not graded)

Comments:

Question 7.Question : Which causes the greatest percentage of mammalian bites?
Student Answer: Dogs
Cats
Humans
Rodents
Points Received: (not graded)

Comments:

Question 8.Question : A 48-year-old woman is seen in the clinic with complaints of
prolonged heavy menstrual periods. She is pale and
states she can no longer exercise. Pelvic exam reveals a
single, very large mass. Which of the following diagnostic
tests should the clinician order first?
Student Answer: Transvaginal ultrasound
Endometrial biopsy
MRI
Abdominal computed tomography scan
Points Received: (not graded)
Comments:

Question 9.Question : A diabetic patient asks the clinician why he needs to check
his blood sugar at home even when he feels good. Which
of the following responses would be most appropriate?
Student Answer: "Control of glucose will help postpone or delay
complications."
"Regularly checking blood sugar will help establish a
routine."
"Monitoring glucose will promote a sense of control."
All of the above
Points Received: (not graded)
Comments:



Question 10.Question : A 25-year-old patient presents to the clinic with fatigue, cold

, intolerance, weight gain, and constipation for the past 3
months. On physical examination, the clinician notices a
sinus bradycardia; muscular stiffness; coarse, dry hair; and
a delay in relaxation in deep tendon reflexes. Which of the
following tests should be ordered next?
Student Answer: Serum
calcium TSH
Electrolytes
Urine specific gravity
Points Received: (not graded) Comments:

Question 11.Question : Which of the following medications for type 2 diabetes
mellitus should not be prescribed during pregnancy?
Student Answer: Insulin
Metformin
Glucotrol
Precose
Points Received: (not graded)

Comments:

Question 12.Question : During a DRE on a 75-year-old man, the clinician suspects
the patient has prostate cancer. What physical finding
should make the clinician suspicious?
Student Answer: An enlarged rubbery gland
A hard irregular gland
A tender gland
A boggy gland
Points Received: (not graded)
Comments:

Question 13.Question : Eddie, age 4, presents to the ED with a live insect trapped in
his ear canal causing a lot of distress. What should be
your first step?
Student Answer: Remove the insect with tweezers.
Immobilize the insect with 2% lidocaine.
Sedate Eddie with diazepam.
Shine a light in the ear for the insect to "find its way
out." Points Received: (not graded)
Comments: