NR509 c
NR509 FINAL EXAM SAMPLE QUESTIONS WITH CORRECT ANSWERS
1.A c31-year-old cfemale cpresents cto cthe cclinic cwith ca cworsening cstiff,
cpainful cneck. cOn cinspection, cthe cpatients chead cis claterally cdeviated
ctoward cthe cshoul- cder cand crotated. cGiven cthis cspecific cphysical
cassessment cfinding, cwhat ccondi- ction cshould cthe cNP csuspect cas ca
cdifferential cdiagnosis?
A-torticollis
B-ankylosing
cspondylitis cC-
osteoarthritis c(OA)
D-spondylolisthesis
E-thoracic ckyphosis: cA
Torticollis
2.A c62-year-old cfemale chas ca cdiagnosis cof crheumatoid carthritis c(RA).
cWhich cof cthe cfollowing care cexpected cassessment cfindings cconsistent cwith
cthe cdiagno- csis?
A-Swelling cof cthe csynovial ctissue cin cjoints cand ctendon csheaths
B-The cfirst cmetatarsophalangeal cjoint cis cfrequently
cinvolved. cC-Asymmetrical cjoint cdistribution.
D-Tophi cpresent cin cthe csubcutaneous
ctissue cE-Stiffness cfollows cjoint cactivity.:
cA
Swelling cof cthe csynovial ctissue cin cjoints cand ctendon csheaths
3.A c66-year-old cfemale cpresents cto cthe coffice cfor ca cfocused cvisit cto
cdiscuss chypertension cmanagement cstrategies. cDuring cthe cinterview, cthe
cpatient casks cthe cMP cif cshe ccould cbe cscreened ctoday cfor ccervical
ccancer/HPV. cReview cof cher cmedical crecord creveals cshe cwas cscreened cat
cages c57, c60, cand c63, cwith cno cabnormal cfindings, cand cno chistory cof
ccancer. cWhat cis cthe cbest caction cthe cNP cshould ctake cregarding cthe
cpatients crequest cfor cscreening?
A-Deny cher crequest, cinform cher cthat cshe cis cpast cdue cfor ccervical
ccancer/HPV cscreening, cand
schedule canother cvisit cin c6 cmonths.
B-Honor cher crequest, cperform cthe cscreening ctoday, cand creschedule cthe cap-
1 c/
c61
,NR509 c
pointment cto cdiscuss
c
hypertension cmanagement cstrategies.
C-Deny cher crequest, cinform cthe cpatient cthat cshe chas chad cthree cnegative
cscreen-
2 c/
c61
,NR509 c
ings cin cthe clast c10 cyears
and cno clonger crequires cscreening, cand cfocus con cthe
creason cfor cthe cvisit.
D-Deny cher crequest, cinform cthe cpatient cshe cis cnot cdue cto cbe cscreened cfor
ctwo cmore cyears, cand cfocus con
the creason cfor cthe cvisit.
E-Honor cher crequest, cperform cthe cscreening ctoday, cand cinform cher cthat cif
cthe cresults care cnegative, cshe
will cno clonger crequire cscreening: cC
Deny cher crequest, cinform cthe cpatient cthat cshe chas chad cthree cnegative
cscreenings cin cthe clast c10 cyears
and cno clonger crequires cscreening, cand cfocus con cthe
creason cfor cthe cvisit.
4.A c45-year-old cfemale cpresents cto cthe cprimary ccare cclinic. cShe
ccomplains cof crecently cexperiencing ca cchange cin cthe cpatterns cof cher
cbowel cmovements. cHer cPMH cis csignificant cfor cbleeding culcers cas cwell cas
cCrohns cdisease. cHer cfamily cmedical chistory cincludes ca cmaternal caunt
cwho cdied cof ccolon ccancer cat cage c49 cyears. cWhich cof cthe cfollowing
chistorical celements cwould cbe cmost cconcerning cfor ccolon ccancer cin cthis
cpatient?
A-recent conset cof csmall-caliber
cstools cB-new-onset canal cfissures
C-recent chistory cof cblack, ctarry
cstools cD-long-term chistory cof
chemorrhoids cE-remote chistory cof
canal cpruritus: cA
recent conset cof csmall-caliber cstools
5.Which cof cthe cfollowing cphysical cassessment cfinding cis cmost csuggestive
cof cperitonitis csecondary cto ca cruptured cappendix?
A cpain cwith cinternal crotation cof cthe cright chip
B cabdominal cpain cthat cincreases cwith chip cflexion
C clocalized cpain cover cMcBurney cpoint, cwhich clies c2 cinches cfrom cthe
3 c/
c61
, NR509 c
c anterior csuperior ciliac cspinous cprocess
4 c/
c61
NR509 FINAL EXAM SAMPLE QUESTIONS WITH CORRECT ANSWERS
1.A c31-year-old cfemale cpresents cto cthe cclinic cwith ca cworsening cstiff,
cpainful cneck. cOn cinspection, cthe cpatients chead cis claterally cdeviated
ctoward cthe cshoul- cder cand crotated. cGiven cthis cspecific cphysical
cassessment cfinding, cwhat ccondi- ction cshould cthe cNP csuspect cas ca
cdifferential cdiagnosis?
A-torticollis
B-ankylosing
cspondylitis cC-
osteoarthritis c(OA)
D-spondylolisthesis
E-thoracic ckyphosis: cA
Torticollis
2.A c62-year-old cfemale chas ca cdiagnosis cof crheumatoid carthritis c(RA).
cWhich cof cthe cfollowing care cexpected cassessment cfindings cconsistent cwith
cthe cdiagno- csis?
A-Swelling cof cthe csynovial ctissue cin cjoints cand ctendon csheaths
B-The cfirst cmetatarsophalangeal cjoint cis cfrequently
cinvolved. cC-Asymmetrical cjoint cdistribution.
D-Tophi cpresent cin cthe csubcutaneous
ctissue cE-Stiffness cfollows cjoint cactivity.:
cA
Swelling cof cthe csynovial ctissue cin cjoints cand ctendon csheaths
3.A c66-year-old cfemale cpresents cto cthe coffice cfor ca cfocused cvisit cto
cdiscuss chypertension cmanagement cstrategies. cDuring cthe cinterview, cthe
cpatient casks cthe cMP cif cshe ccould cbe cscreened ctoday cfor ccervical
ccancer/HPV. cReview cof cher cmedical crecord creveals cshe cwas cscreened cat
cages c57, c60, cand c63, cwith cno cabnormal cfindings, cand cno chistory cof
ccancer. cWhat cis cthe cbest caction cthe cNP cshould ctake cregarding cthe
cpatients crequest cfor cscreening?
A-Deny cher crequest, cinform cher cthat cshe cis cpast cdue cfor ccervical
ccancer/HPV cscreening, cand
schedule canother cvisit cin c6 cmonths.
B-Honor cher crequest, cperform cthe cscreening ctoday, cand creschedule cthe cap-
1 c/
c61
,NR509 c
pointment cto cdiscuss
c
hypertension cmanagement cstrategies.
C-Deny cher crequest, cinform cthe cpatient cthat cshe chas chad cthree cnegative
cscreen-
2 c/
c61
,NR509 c
ings cin cthe clast c10 cyears
and cno clonger crequires cscreening, cand cfocus con cthe
creason cfor cthe cvisit.
D-Deny cher crequest, cinform cthe cpatient cshe cis cnot cdue cto cbe cscreened cfor
ctwo cmore cyears, cand cfocus con
the creason cfor cthe cvisit.
E-Honor cher crequest, cperform cthe cscreening ctoday, cand cinform cher cthat cif
cthe cresults care cnegative, cshe
will cno clonger crequire cscreening: cC
Deny cher crequest, cinform cthe cpatient cthat cshe chas chad cthree cnegative
cscreenings cin cthe clast c10 cyears
and cno clonger crequires cscreening, cand cfocus con cthe
creason cfor cthe cvisit.
4.A c45-year-old cfemale cpresents cto cthe cprimary ccare cclinic. cShe
ccomplains cof crecently cexperiencing ca cchange cin cthe cpatterns cof cher
cbowel cmovements. cHer cPMH cis csignificant cfor cbleeding culcers cas cwell cas
cCrohns cdisease. cHer cfamily cmedical chistory cincludes ca cmaternal caunt
cwho cdied cof ccolon ccancer cat cage c49 cyears. cWhich cof cthe cfollowing
chistorical celements cwould cbe cmost cconcerning cfor ccolon ccancer cin cthis
cpatient?
A-recent conset cof csmall-caliber
cstools cB-new-onset canal cfissures
C-recent chistory cof cblack, ctarry
cstools cD-long-term chistory cof
chemorrhoids cE-remote chistory cof
canal cpruritus: cA
recent conset cof csmall-caliber cstools
5.Which cof cthe cfollowing cphysical cassessment cfinding cis cmost csuggestive
cof cperitonitis csecondary cto ca cruptured cappendix?
A cpain cwith cinternal crotation cof cthe cright chip
B cabdominal cpain cthat cincreases cwith chip cflexion
C clocalized cpain cover cMcBurney cpoint, cwhich clies c2 cinches cfrom cthe
3 c/
c61
, NR509 c
c anterior csuperior ciliac cspinous cprocess
4 c/
c61
