NR511 Final Exam Differential Diagnosis &
Primary Care Practicum Questions And
Correct Answers Updated
Which of the following are predisposing factors for pyelonephritis?
a. pregnancy
d. dehydration
c. smoking
d. alkaline urine -Answer:-d. alkaline urine
A patient is seen in the clinic with right upper quadrant pain (RUQ)
that is radiating to the middle of the back. The clinical suspects acute
cholelithasis. The clinician should expect with of the following
laboratory findings?
a. Decreased alanine anminotransferase (ALT) and aspartate
aminotransferase (AST)
b. elevated alkaline phosphatase
c. elevated indirect biliruben
d. decreased white blood cell (WBC) count -Answer:-b. elevated
alkaline phosphatase
,A 25 year old patient presents to the clinic with fatigue, cold
intolerance, weght gain and constipation for the past 3 months. On
physical exam, the clinican notices a sinus bradycardia, muscular
stiffness, coarse dry hair and a delay in relaxation in deep tendon
reflexes (DTR's). Which of the following tests should be ordered
next?
a. Serum Calcium
b. Thyroid Stimulating Hormone (TSH)
c. electrolytes
d. urine specific gravity -Answer:-b. Thyroid Stimulating Hormone
(TSH)
You are preforming muscle strength testing on a patient presenting
with musculoskeletal pain and find that the patient has complete
range of motion with gravity eliminated. Which numeric grade of
muscle strength would you give this patient?
a. 1
b. 2
c. 3
,d. 4 -Answer:-b. 2
The patient is diagnosed with overactive bladder (OAB). Which of
the following instructions should be given to this woman?
a. Limit the amount of water that you drink
b. eliminate caffeine from your diet
c. wear panty liners
d. all of the above -Answer:-b. eliminate caffeine from your diet
A 28 year old patient is seen in the office with colicky abdominal
pain, particularly with meals. She has frequent constipation,
flatulence and abdominal distention. Which of the data makes a
diagnosis of diverticulitis unlikely?
a. her age
b. frequent constipation
c. flatulence
d. colicky abdominal pain -Answer:-a. her age
Treatment for epididymitis includes which of the following?
, a. warm sitz baths
b. scrotal elevation
c. masturbation
d. all of the above -Answer:-b. scrotal elevation
Josh, aged 22, has tinea versicolor. Which description is the most
likely for this condition?
a. there are round hypopigmented macules on his back
b. there are red papules on his face
c. there are crusted placques in Josh's groin area
d. there are white streaks on his neck -Answer:-a. there are round
hypopigmented macules on his back
The clinican has instructed Sam, a 25 year old patient with low back
strain, to use NSAID's to manage his symptoms of pain and
discomfort. Which of the following statements would be most
appropriate withn teaching sam about the use of NSAID' to manage
his pain
Primary Care Practicum Questions And
Correct Answers Updated
Which of the following are predisposing factors for pyelonephritis?
a. pregnancy
d. dehydration
c. smoking
d. alkaline urine -Answer:-d. alkaline urine
A patient is seen in the clinic with right upper quadrant pain (RUQ)
that is radiating to the middle of the back. The clinical suspects acute
cholelithasis. The clinician should expect with of the following
laboratory findings?
a. Decreased alanine anminotransferase (ALT) and aspartate
aminotransferase (AST)
b. elevated alkaline phosphatase
c. elevated indirect biliruben
d. decreased white blood cell (WBC) count -Answer:-b. elevated
alkaline phosphatase
,A 25 year old patient presents to the clinic with fatigue, cold
intolerance, weght gain and constipation for the past 3 months. On
physical exam, the clinican notices a sinus bradycardia, muscular
stiffness, coarse dry hair and a delay in relaxation in deep tendon
reflexes (DTR's). Which of the following tests should be ordered
next?
a. Serum Calcium
b. Thyroid Stimulating Hormone (TSH)
c. electrolytes
d. urine specific gravity -Answer:-b. Thyroid Stimulating Hormone
(TSH)
You are preforming muscle strength testing on a patient presenting
with musculoskeletal pain and find that the patient has complete
range of motion with gravity eliminated. Which numeric grade of
muscle strength would you give this patient?
a. 1
b. 2
c. 3
,d. 4 -Answer:-b. 2
The patient is diagnosed with overactive bladder (OAB). Which of
the following instructions should be given to this woman?
a. Limit the amount of water that you drink
b. eliminate caffeine from your diet
c. wear panty liners
d. all of the above -Answer:-b. eliminate caffeine from your diet
A 28 year old patient is seen in the office with colicky abdominal
pain, particularly with meals. She has frequent constipation,
flatulence and abdominal distention. Which of the data makes a
diagnosis of diverticulitis unlikely?
a. her age
b. frequent constipation
c. flatulence
d. colicky abdominal pain -Answer:-a. her age
Treatment for epididymitis includes which of the following?
, a. warm sitz baths
b. scrotal elevation
c. masturbation
d. all of the above -Answer:-b. scrotal elevation
Josh, aged 22, has tinea versicolor. Which description is the most
likely for this condition?
a. there are round hypopigmented macules on his back
b. there are red papules on his face
c. there are crusted placques in Josh's groin area
d. there are white streaks on his neck -Answer:-a. there are round
hypopigmented macules on his back
The clinican has instructed Sam, a 25 year old patient with low back
strain, to use NSAID's to manage his symptoms of pain and
discomfort. Which of the following statements would be most
appropriate withn teaching sam about the use of NSAID' to manage
his pain
