NR511 / NR 511 Final Exam Study Guide
Differential Diagnosis & Primary Care Practicum
Questions and Answers (Verified Answers)
1. 1. The remodeling of a scar can take how long?
a. 6 months.
b. 3 months.
c. 1 month.
d. 2 weeks.
: A. 6 months
2. Question 1. A 13-year-old obese (body mass index [BMI] above the 95th
percentile) boy reports low-grade left knee pain for the past 2 months. He
denies antecedent trauma but admits to frequent "horseplay" with his friends.
The pain has progressively worsened, and he is now unable to bear weight at
all on his left leg. His current complaints include left groin, thigh, and medial
knee pain and tenderness. His examination demonstrates negative drawer,
Lachman, and McMurray tests; left hip with decreased internal rotation and
abduction; and external hip rotation with knee flexion. Based on the above
,scenario, the nurse practitioner should suspect:
1. A left meniscal tear.
2. A left anterior cruciate ligament (ACL) tear.
3. A slipped capital femoral epiphysis (SCFE).
4. Osgood-Schlatter disease.
: 3. A slipped capital femoral epiphysis (SCFE).
3. Question 2. In assessing the skeletal muscles, the nurse practitioner turns
the patient's forearm so that the palm is up. This is called:
1. Supination.
2. Pronation.
3. Abduction.
4. Eversion.
: 1. Supination
4. Question 3. Cass, age 67, tells the nurse practitioner (NP) that she has been
diagnosed with a condition that causes sudden flares of pain, swelling, and
redness of the joints in her toes. She cannot remember the name of the
diagnosis, but she knows it is caused by urate crystals that "get stuck in the
joint and cause pain." She is on hydrochlorothiazide (HCTZ) for management of
her hypertension. The NP should suspect a diagnosis of:
1. Septic arthritis.
2. Gout.
,3. Rheumatoid arthritis.
4. Charcot neuro-osteoarthropathy.
: 2. Gout
5. Question 4. Matthew, age 52, is a chef who just severed 2 of his fingers with a
meat cutter. You would recommend that he:
1.Wrap the severed fingers tightly in a dry towel for transport to the emergency
department with him.
2. Leave the severed fingers at the scene because fingers cannot be reat-
, tached.
3. Immediately freeze the severed fingers for reattachment in the near future.
4. Wrap the fingers in a clean, damp cloth; seal them in a plastic bag; and place
the bag in an ice water bath.
: 4. Wrap the fingers in a clean, damp cloth; seal them in a plastic bag; and place the
bag in an ice water bath.
6. Question 5. Marsha, age 34, presents with symptoms resembling both
fibromyalgia and chronic fatigue syndrome, which have many similarities.
Which of the following is more characteristic of fibromyalgia than of chronic
fatigue syndrome?
1. Musculoskeletal pain.
2. Difficulty sleeping.
3. Depression.
4. Fatigue.
: 1. Musculoskeletal pain
7. Question 6. Mrs. Kelly, age 80, has a curvature of the spine. This is likely to
indicate which age-related change?
1. Lordosis.
2. Dorsal kyphosis.
3. Scoliosis.
4. Kyphoscoliosis.
Differential Diagnosis & Primary Care Practicum
Questions and Answers (Verified Answers)
1. 1. The remodeling of a scar can take how long?
a. 6 months.
b. 3 months.
c. 1 month.
d. 2 weeks.
: A. 6 months
2. Question 1. A 13-year-old obese (body mass index [BMI] above the 95th
percentile) boy reports low-grade left knee pain for the past 2 months. He
denies antecedent trauma but admits to frequent "horseplay" with his friends.
The pain has progressively worsened, and he is now unable to bear weight at
all on his left leg. His current complaints include left groin, thigh, and medial
knee pain and tenderness. His examination demonstrates negative drawer,
Lachman, and McMurray tests; left hip with decreased internal rotation and
abduction; and external hip rotation with knee flexion. Based on the above
,scenario, the nurse practitioner should suspect:
1. A left meniscal tear.
2. A left anterior cruciate ligament (ACL) tear.
3. A slipped capital femoral epiphysis (SCFE).
4. Osgood-Schlatter disease.
: 3. A slipped capital femoral epiphysis (SCFE).
3. Question 2. In assessing the skeletal muscles, the nurse practitioner turns
the patient's forearm so that the palm is up. This is called:
1. Supination.
2. Pronation.
3. Abduction.
4. Eversion.
: 1. Supination
4. Question 3. Cass, age 67, tells the nurse practitioner (NP) that she has been
diagnosed with a condition that causes sudden flares of pain, swelling, and
redness of the joints in her toes. She cannot remember the name of the
diagnosis, but she knows it is caused by urate crystals that "get stuck in the
joint and cause pain." She is on hydrochlorothiazide (HCTZ) for management of
her hypertension. The NP should suspect a diagnosis of:
1. Septic arthritis.
2. Gout.
,3. Rheumatoid arthritis.
4. Charcot neuro-osteoarthropathy.
: 2. Gout
5. Question 4. Matthew, age 52, is a chef who just severed 2 of his fingers with a
meat cutter. You would recommend that he:
1.Wrap the severed fingers tightly in a dry towel for transport to the emergency
department with him.
2. Leave the severed fingers at the scene because fingers cannot be reat-
, tached.
3. Immediately freeze the severed fingers for reattachment in the near future.
4. Wrap the fingers in a clean, damp cloth; seal them in a plastic bag; and place
the bag in an ice water bath.
: 4. Wrap the fingers in a clean, damp cloth; seal them in a plastic bag; and place the
bag in an ice water bath.
6. Question 5. Marsha, age 34, presents with symptoms resembling both
fibromyalgia and chronic fatigue syndrome, which have many similarities.
Which of the following is more characteristic of fibromyalgia than of chronic
fatigue syndrome?
1. Musculoskeletal pain.
2. Difficulty sleeping.
3. Depression.
4. Fatigue.
: 1. Musculoskeletal pain
7. Question 6. Mrs. Kelly, age 80, has a curvature of the spine. This is likely to
indicate which age-related change?
1. Lordosis.
2. Dorsal kyphosis.
3. Scoliosis.
4. Kyphoscoliosis.
