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NR511 / NR 511 FINAL EXAM|| DIFFERENTIAL
DIAGNOSIS & PRIMARY CARE PRACTICUM
QUESTIONS AND CORRECT ANSWERS ALREADY
GRADED A+|| 2024-2025 UPDATE WITH VERIFIED
SOLUTIONS|| ASSURED PASS!!
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).
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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-
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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.
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4. Kyphoscoliosis.
: 2. Dorsal Kyphosis
8. Question 7. The valgus stress test, varus stress test, Lachman test, and thumb
sign are all considered standard tests to check the integrity of the ligaments of the
knee. Which test would the nurse practitioner choose to assess the anterior cruciate
ligament (ACL), which is the most commonly involved structure in severe knee
injury?
1. Valgus stress test.
2. Varus stress test.
3. Lachman test.
4. Thumb sign.
: 3. Lachman test
9. Question 8. Lillian, age 70, was told that she has osteoporosis. When she asks
you what this is, you respond that osteoporosis:
1. Develops when loss of bone occurs more rapidly than new bone growth.
2. Is a degenerative joint disease characterized by loss of cartilage in certain
joints.
3. Is a chronic inflammatory disorder that affects multiple joints.
4. Is a bone disorder that has to do with inadequate mineralization of the bones.
: 1. Develops when loss of bone occurs more rapidly than new bone growth.
10. Question 9. Mike, age 42, a golf pro, has had chronic back pain for many years.
His workup reveals that it is not the result of a degenerative disk problem. His back
"goes out" about twice per year, and he is out of work for
NR511 / NR 511 FINAL EXAM|| DIFFERENTIAL
DIAGNOSIS & PRIMARY CARE PRACTICUM
QUESTIONS AND CORRECT ANSWERS ALREADY
GRADED A+|| 2024-2025 UPDATE WITH VERIFIED
SOLUTIONS|| ASSURED PASS!!
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).
,2|Page
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-
,3|Page
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.
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4. Kyphoscoliosis.
: 2. Dorsal Kyphosis
8. Question 7. The valgus stress test, varus stress test, Lachman test, and thumb
sign are all considered standard tests to check the integrity of the ligaments of the
knee. Which test would the nurse practitioner choose to assess the anterior cruciate
ligament (ACL), which is the most commonly involved structure in severe knee
injury?
1. Valgus stress test.
2. Varus stress test.
3. Lachman test.
4. Thumb sign.
: 3. Lachman test
9. Question 8. Lillian, age 70, was told that she has osteoporosis. When she asks
you what this is, you respond that osteoporosis:
1. Develops when loss of bone occurs more rapidly than new bone growth.
2. Is a degenerative joint disease characterized by loss of cartilage in certain
joints.
3. Is a chronic inflammatory disorder that affects multiple joints.
4. Is a bone disorder that has to do with inadequate mineralization of the bones.
: 1. Develops when loss of bone occurs more rapidly than new bone growth.
10. Question 9. Mike, age 42, a golf pro, has had chronic back pain for many years.
His workup reveals that it is not the result of a degenerative disk problem. His back
"goes out" about twice per year, and he is out of work for
