NR511 / NR 511 Final Exam (New Update )
Differential Diagnosis & Primary Care Practicum
Questions & Answers (100% Verified)- Chamberlain
1. Janet is a 30year old woman who has been recently diagnosed with a herniated disc at t
z z z z z z z z z z z z z z z z
he level of L5-
z z z
S1. She is currently in the emergency room with suspician of cauda equna compression.
z z z z z z z z z z z z z z
Which of the following is a sign or symptom of cauda equina compression?
z z z z z z z z z z z z
a. gastrocnemius weakness z
b. reduced or absent ankle refles z z z z
c. numbness of the lateral foot z z z z
d. paresthesia of the perineum and buttocks: d. paresthesia of the perineum and buttocks
z z z z z z z z z z z z
2. The patient has acute pancreatitis with 7 of the diagnostic criteria from Ranson's Cri
z z z z z z z z z z z z z
teria. In order to plan care, the clinician understands that this criteria score has which
z z z z z z z z z z z z z z z
of the following meanings?
z z z
a. a high mortality rate
z z z
b. an increased chance of recurrence
z z z z
c. 7% chance of the disease becoming chronic
z z z z z z
d. all of the above: a. a high mortality rate
z z z z z z z z
3. Reuben, age 24, has HIV and just had a routine viral load test done.The results show
z z z z z z z z z z z z z z z z z
a falling viral load What does this indicate
z z z z z z z
a. a favorable diagnostic trend
z z z
b. disease progression z
c. the need to be more aggressive with Reuben's medications
z z z z z z z z
d. the eradication of the HIV: a. a favorable diagnostic trend
z z z z z z z z z
4. Which is the differentiating symptom mbetween labyrinthitis and vestibular neuritis?
z z z z z z z z z
a. symptoms with vestibular neuritis are usually acute in onset, whereas with labyrinthitis
z z z z z z z z z z z
1z/z39
,the onet is more gradual
z z z z
b. hearing loss may be associated with vestibular neuritis, but not with labyrinthiti
z z z z z z z z z z z
s
c. symptoms with labyrinthitis are usually acute in onset, ,whereas with ves-
z z z z z z z z z z
ticular neuritis the onset is more gradual
z z z z z z z
d. hearing loss may be associated with labyrinthitis ,but not with vestibular neuritis.: d. he
z z z z z z z z z z z z z
aring loss may be associated with labyrinthitis ,but not with vestibular neuritis.
z z z z z z z z z z z
5. A 27 year old female presents with a chief complaint of burning and pain on urination.
z z z z z z z z z z z z z z z z
She has no previous history of urinary tract infection. what are
z z z z z z z z z z
2z/z39
,some additional symptoms consistant with a diagnosis of lower UTI?
z z z z z z z z z
a. back and abdominal pain z z z
b. fever, chills, costovertebral angle (CVA) tenderness
z z z z z
c. blood in urine and frequency z z z z
d. foul-smelling discharge, perineal itch: c. blood in urine and frequency z z z z z z z z z
6. The differential diagnosis for vertigo can be classified into which of the following ca
z z z z z z z z z z z z z
tegories:
a. peripheral vestibular disease z z
b. CNS disorders z
c. Systemic disorders z
d. all of the above: d. all of the above
z z z z z z z z
7. Sam is a 25-year- z z z
old man who has been diagnosed with low back strain based on his history of localized low
z z z z z z z z z z z z z z z z
back pain and muscle spasm along with a normal neurological examination. As the clinici
z z z z z z z z z z z z z z
an, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the followin
z z z z z z z z z z z z z z z z z
g symptoms would alert the clinician to the more serious finding of a herniated nucleus p
z z z z z z z z z z z z z z z
ulposus or ruptured disc? z z z
a. morning stiffness and limited mobility of the lumbar spine
z z z z z z z z
b. unilateral radicular pain symptoms that extend below the knee and are equal to or greater
z z z z z z z z z z z z z z
than the back pain
z z z
c. Fever, chills, and elevated erythrocyte sedimentation rate
z z z z z z
d. pathologic fractures, severe night pain, weight loss and fatigue: b. unilateral radicular pai
z z z z z z z z z z z z
n symptoms that extend below the knee and are equal to or greater than the back pain
z z z z z z z z z z z z z z z z
8. Preceptors must always see the patients that the students see in the clinical setting
z z z z z z z z z z z z z
a. true
b. false: a. true z z
9. An 82 year old man is seen in the primary care office with complaints of dribbling urine a
z z z z z z z z z z z z z z z z z
nd difficulty starting his stream.Which of the following should be included in the list of diffe
z z z z z z z z z z z z z z z z
3z/z39
, rentials?
a. BPH
b. Prostate cancer
z
4z/z39
Differential Diagnosis & Primary Care Practicum
Questions & Answers (100% Verified)- Chamberlain
1. Janet is a 30year old woman who has been recently diagnosed with a herniated disc at t
z z z z z z z z z z z z z z z z
he level of L5-
z z z
S1. She is currently in the emergency room with suspician of cauda equna compression.
z z z z z z z z z z z z z z
Which of the following is a sign or symptom of cauda equina compression?
z z z z z z z z z z z z
a. gastrocnemius weakness z
b. reduced or absent ankle refles z z z z
c. numbness of the lateral foot z z z z
d. paresthesia of the perineum and buttocks: d. paresthesia of the perineum and buttocks
z z z z z z z z z z z z
2. The patient has acute pancreatitis with 7 of the diagnostic criteria from Ranson's Cri
z z z z z z z z z z z z z
teria. In order to plan care, the clinician understands that this criteria score has which
z z z z z z z z z z z z z z z
of the following meanings?
z z z
a. a high mortality rate
z z z
b. an increased chance of recurrence
z z z z
c. 7% chance of the disease becoming chronic
z z z z z z
d. all of the above: a. a high mortality rate
z z z z z z z z
3. Reuben, age 24, has HIV and just had a routine viral load test done.The results show
z z z z z z z z z z z z z z z z z
a falling viral load What does this indicate
z z z z z z z
a. a favorable diagnostic trend
z z z
b. disease progression z
c. the need to be more aggressive with Reuben's medications
z z z z z z z z
d. the eradication of the HIV: a. a favorable diagnostic trend
z z z z z z z z z
4. Which is the differentiating symptom mbetween labyrinthitis and vestibular neuritis?
z z z z z z z z z
a. symptoms with vestibular neuritis are usually acute in onset, whereas with labyrinthitis
z z z z z z z z z z z
1z/z39
,the onet is more gradual
z z z z
b. hearing loss may be associated with vestibular neuritis, but not with labyrinthiti
z z z z z z z z z z z
s
c. symptoms with labyrinthitis are usually acute in onset, ,whereas with ves-
z z z z z z z z z z
ticular neuritis the onset is more gradual
z z z z z z z
d. hearing loss may be associated with labyrinthitis ,but not with vestibular neuritis.: d. he
z z z z z z z z z z z z z
aring loss may be associated with labyrinthitis ,but not with vestibular neuritis.
z z z z z z z z z z z
5. A 27 year old female presents with a chief complaint of burning and pain on urination.
z z z z z z z z z z z z z z z z
She has no previous history of urinary tract infection. what are
z z z z z z z z z z
2z/z39
,some additional symptoms consistant with a diagnosis of lower UTI?
z z z z z z z z z
a. back and abdominal pain z z z
b. fever, chills, costovertebral angle (CVA) tenderness
z z z z z
c. blood in urine and frequency z z z z
d. foul-smelling discharge, perineal itch: c. blood in urine and frequency z z z z z z z z z
6. The differential diagnosis for vertigo can be classified into which of the following ca
z z z z z z z z z z z z z
tegories:
a. peripheral vestibular disease z z
b. CNS disorders z
c. Systemic disorders z
d. all of the above: d. all of the above
z z z z z z z z
7. Sam is a 25-year- z z z
old man who has been diagnosed with low back strain based on his history of localized low
z z z z z z z z z z z z z z z z
back pain and muscle spasm along with a normal neurological examination. As the clinici
z z z z z z z z z z z z z z
an, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the followin
z z z z z z z z z z z z z z z z z
g symptoms would alert the clinician to the more serious finding of a herniated nucleus p
z z z z z z z z z z z z z z z
ulposus or ruptured disc? z z z
a. morning stiffness and limited mobility of the lumbar spine
z z z z z z z z
b. unilateral radicular pain symptoms that extend below the knee and are equal to or greater
z z z z z z z z z z z z z z
than the back pain
z z z
c. Fever, chills, and elevated erythrocyte sedimentation rate
z z z z z z
d. pathologic fractures, severe night pain, weight loss and fatigue: b. unilateral radicular pai
z z z z z z z z z z z z
n symptoms that extend below the knee and are equal to or greater than the back pain
z z z z z z z z z z z z z z z z
8. Preceptors must always see the patients that the students see in the clinical setting
z z z z z z z z z z z z z
a. true
b. false: a. true z z
9. An 82 year old man is seen in the primary care office with complaints of dribbling urine a
z z z z z z z z z z z z z z z z z
nd difficulty starting his stream.Which of the following should be included in the list of diffe
z z z z z z z z z z z z z z z z
3z/z39
, rentials?
a. BPH
b. Prostate cancer
z
4z/z39
