NR601 Final Exam Questions and
answers. Latest 2022. Graded A+
You know the following statements regarding the pain of acute coronary syndrome are true except:
a. May last longer than 20min
b. May radiate to arms, back, neck, jaw
c. Present atypically more often in men than women
d. May be retrosternal or poorly localized - Ans-C
You are reviewing a pt chart before the exam. You note that the pt is using topical capsaicin. You know
that topical capsaicin is often used for tx of:
a. Diabetic neuropathy
b. Stress reduction
c. All answers are appropriate
d. Depression
You order bilat wrist XR on a 69yo man c/o pain in both wrists for 6wks not related to known trauma.
You suspect elderly onset rheumatoid arthritis. To guide tx, you look for which radiographic finding?
a. Symmetric joint space narrowing
b. Soft tissue swelling
c. Subluxation of joints
d. Joint erosions - Ans-D
The leading cause of disability worldwide is:
,a. Depression
b. Lung Ca
c. Heart dz
d. DM - Ans-A
RD, 65yo African American female presents for annual physical. You are reviewing VS and objective data
prior to exam. Which would raise suspicion for osteoporosis?
a. Wt loss of 5lbs
b. 1in decrease in ht
c. Hair loss
d. Decreased appetite - Ans-B
In differentiating OA from chronic gout, pseudogout, or septic arthritis, the most valuable diagnostic
study would be:
a. CBC
b. CRP
c. Synovial fluid analysis
d. ESR - Ans-C
52yo Caucasian woman comes in for annual exam. She has mitral valve prolapse, no symptoms. PE
reveals clear/equal breath sounds, midsystolic click. You know her stage of HF is:
a. A
b. B
c. D
d. C - Ans-B (Stage B)
Symptoms of depression distinct to elderly include:
a. Loss of pleasure in usual activities
,b. Lack of emotions
c. Flat affect
d. Appetite/wt disturbances - Ans-B
LB presents w/following hx and presentation: h/o MI 5yrs ago, currently has SOB, cough, 2+ pitting
edema. Tx will be based on LB's stage of HF, which is:
a. D
b. C
c. A
d. B - Ans-B (Stage C)
You ordered a CBC for pt you suspect has PMR. Which 2 findings are common in pt's with PMR?
a. Normochromic, normocytic anemia and thrombocytosis
b. Macrocytic, hyperchromic anemia and leukocytopenia
c. Neutropenia and hypochromic, normocytic anemia
d. Microcytic, hypochromic anemia and reticulocytopenia - Ans-A
An example of secondary prevention you could recommend/order for elderly would be to:
a. Provide foot care for DM pt
b. Check for fecal occult blood
c. Administer tetanus shot
d. Wear seat belts - Ans-B
ACC 2017 Guidelines for High BP in adults discusses screening/management of other CVD risk factors for
hypertensive pts. According to the guideline, basic testing for primary HTN includes fasting BGL, CBC,
lipids, BMP, TSH, UA, EKG w/optional echo, uric acid, and urinary albumin-to-creatinine ratio.
a. True
b. False - Ans-A
, When you recommend exercise for sedentary older adult, which of the following pieces of advice should
be considered for all types of exercise?
a. Focus only on one type of exercise for the first few months
b. Only use equipment recommended by physical trainers
c. Only group exercise is beneficial to someone who has not been active in a long time
d. Start low and go slow - Ans-D
You're reviewing CXR report on 56yo male who presented w/increasing SOB. You suspect COPD. You
know the dx can be made with a high degree of accuracy if 2 of the following criteria are met:
1. Flattening of diaphragm w/blunting of costophrenic angle on PA film
2. Upper zone redistribution of pulmonary blood flow (cephalization)
3. Abnormally enlarged retrosternal space
4. Signs of interstitial edema - Ans-1 and 3
You have completed the first follow up visit for a new COPD pt who is in stable condition. The pt asks
how often he needs to follow up for COPD. You state that stable COPD pts should return for follow up
eval:
a. Yearly
b. Monthly
c. Every 3-6mo
d. Every 2mo - Ans-C
When examining the spine of an older adult, you notice a curvature with a sharp angle. This is referred
to as a:
a. Pectus excavation
b. Scoliosis
c. Kyphosis
answers. Latest 2022. Graded A+
You know the following statements regarding the pain of acute coronary syndrome are true except:
a. May last longer than 20min
b. May radiate to arms, back, neck, jaw
c. Present atypically more often in men than women
d. May be retrosternal or poorly localized - Ans-C
You are reviewing a pt chart before the exam. You note that the pt is using topical capsaicin. You know
that topical capsaicin is often used for tx of:
a. Diabetic neuropathy
b. Stress reduction
c. All answers are appropriate
d. Depression
You order bilat wrist XR on a 69yo man c/o pain in both wrists for 6wks not related to known trauma.
You suspect elderly onset rheumatoid arthritis. To guide tx, you look for which radiographic finding?
a. Symmetric joint space narrowing
b. Soft tissue swelling
c. Subluxation of joints
d. Joint erosions - Ans-D
The leading cause of disability worldwide is:
,a. Depression
b. Lung Ca
c. Heart dz
d. DM - Ans-A
RD, 65yo African American female presents for annual physical. You are reviewing VS and objective data
prior to exam. Which would raise suspicion for osteoporosis?
a. Wt loss of 5lbs
b. 1in decrease in ht
c. Hair loss
d. Decreased appetite - Ans-B
In differentiating OA from chronic gout, pseudogout, or septic arthritis, the most valuable diagnostic
study would be:
a. CBC
b. CRP
c. Synovial fluid analysis
d. ESR - Ans-C
52yo Caucasian woman comes in for annual exam. She has mitral valve prolapse, no symptoms. PE
reveals clear/equal breath sounds, midsystolic click. You know her stage of HF is:
a. A
b. B
c. D
d. C - Ans-B (Stage B)
Symptoms of depression distinct to elderly include:
a. Loss of pleasure in usual activities
,b. Lack of emotions
c. Flat affect
d. Appetite/wt disturbances - Ans-B
LB presents w/following hx and presentation: h/o MI 5yrs ago, currently has SOB, cough, 2+ pitting
edema. Tx will be based on LB's stage of HF, which is:
a. D
b. C
c. A
d. B - Ans-B (Stage C)
You ordered a CBC for pt you suspect has PMR. Which 2 findings are common in pt's with PMR?
a. Normochromic, normocytic anemia and thrombocytosis
b. Macrocytic, hyperchromic anemia and leukocytopenia
c. Neutropenia and hypochromic, normocytic anemia
d. Microcytic, hypochromic anemia and reticulocytopenia - Ans-A
An example of secondary prevention you could recommend/order for elderly would be to:
a. Provide foot care for DM pt
b. Check for fecal occult blood
c. Administer tetanus shot
d. Wear seat belts - Ans-B
ACC 2017 Guidelines for High BP in adults discusses screening/management of other CVD risk factors for
hypertensive pts. According to the guideline, basic testing for primary HTN includes fasting BGL, CBC,
lipids, BMP, TSH, UA, EKG w/optional echo, uric acid, and urinary albumin-to-creatinine ratio.
a. True
b. False - Ans-A
, When you recommend exercise for sedentary older adult, which of the following pieces of advice should
be considered for all types of exercise?
a. Focus only on one type of exercise for the first few months
b. Only use equipment recommended by physical trainers
c. Only group exercise is beneficial to someone who has not been active in a long time
d. Start low and go slow - Ans-D
You're reviewing CXR report on 56yo male who presented w/increasing SOB. You suspect COPD. You
know the dx can be made with a high degree of accuracy if 2 of the following criteria are met:
1. Flattening of diaphragm w/blunting of costophrenic angle on PA film
2. Upper zone redistribution of pulmonary blood flow (cephalization)
3. Abnormally enlarged retrosternal space
4. Signs of interstitial edema - Ans-1 and 3
You have completed the first follow up visit for a new COPD pt who is in stable condition. The pt asks
how often he needs to follow up for COPD. You state that stable COPD pts should return for follow up
eval:
a. Yearly
b. Monthly
c. Every 3-6mo
d. Every 2mo - Ans-C
When examining the spine of an older adult, you notice a curvature with a sharp angle. This is referred
to as a:
a. Pectus excavation
b. Scoliosis
c. Kyphosis
