NR 667 CEA FINAL EXAM
1. Your 64-year-old female patient presents with a complaint of severe
pain in her left big toe that began acutely this morning. It is red,
warm, and very tender to touch. She reports drinking wine with dinner
last night. Based on these findings, which of the following is the most
likely diagnosis? - ANSWERS-Gout
2. A 40-year-old patient with hyperpigmented, velvety patches in the
axilla and neck should be evaluated for which of the following
underlying disorders? - ANSWERS-Diabetes mellitus
3. Which of the following dermatologic lesions can be described as a
small (<1 cm), circumscribed, elevated, fluid-filled lesion? -
ANSWERS-Vesicle
4. A patient presents with a bulls-eye lesion after a camping trip in the
Northeast United States. What is the most likely diagnosis? -
ANSWERS-Lyme disease
5. A patient presents with a widespread, itchy, red rash with silvery
scales over the extensor surfaces of the elbows and knees. What is the
most likely diagnosis? - ANSWERS-Psoriasis
6. A patient with a suspected diagnosis of basal cell carcinoma would
most likely present with which of the following skin lesions? -
ANSWERS-Pearly papule with rolled borders
,7. Your 68-year-old male patient presents with difficulty starting
urination and a weak urinary stream. He also reports nocturia and
urgency. What is the most likely diagnosis? - ANSWERS-Benign
prostatic hyperplasia
8. Which of the following medications is most appropriate as initial
management of benign prostatic hyperplasia? - ANSWERS-
Tamsulosin
9. Which of the following laboratory findings would most likely be
elevated in a patient with prostate cancer? - ANSWERS-Prostate
specific antigen
10. Which of the following screening tests is most appropriate for
colorectal cancer screening in a 50-year-old average-risk patient? -
ANSWERS-Colonoscopy every 10 years
11. Your 35-year-old patient presents with right lower quadrant
abdominal pain, nausea, and rebound tenderness. What is the most
likely diagnosis? - ANSWERS-Appendicitis
12. A patient with a history of GERD is most at risk for developing
which of the following complications? - ANSWERS-Barrett's
esophagus
13. A patient presents with complaints of postprandial bloating,
nausea, and early satiety. Which of the following is the most
, appropriate initial diagnostic test? - ANSWERS-Abdominal
ultrasound
14. Your patient is being treated with omeprazole. Which of the
following is a potential long-term side effect of proton pump inhibitor
use? - ANSWERS-Vitamin B12 deficiency
15. Which of the following signs is most suggestive of cholecystitis? -
ANSWERS-Positive Murphy's sign
16. A patient presents with severe, sharp left lower quadrant
abdominal pain and fever. Which of the following diagnoses is most
likely? - ANSWERS-Diverticulitis
17. Which of the following dietary modifications should be
recommended to a patient recovering from diverticulitis? -
ANSWERS-Low-residue diet
18. Which of the following is the most appropriate screening
recommendation for a 21-year-old female with normal Pap history? -
ANSWERS-Pap smear every 3 years
19. A female patient complains of painful urination, increased urinary
frequency, and urgency. Urinalysis shows positive nitrites and
leukocyte esterase. What is the most likely diagnosis? - ANSWERS-
Urinary tract infection
1. Your 64-year-old female patient presents with a complaint of severe
pain in her left big toe that began acutely this morning. It is red,
warm, and very tender to touch. She reports drinking wine with dinner
last night. Based on these findings, which of the following is the most
likely diagnosis? - ANSWERS-Gout
2. A 40-year-old patient with hyperpigmented, velvety patches in the
axilla and neck should be evaluated for which of the following
underlying disorders? - ANSWERS-Diabetes mellitus
3. Which of the following dermatologic lesions can be described as a
small (<1 cm), circumscribed, elevated, fluid-filled lesion? -
ANSWERS-Vesicle
4. A patient presents with a bulls-eye lesion after a camping trip in the
Northeast United States. What is the most likely diagnosis? -
ANSWERS-Lyme disease
5. A patient presents with a widespread, itchy, red rash with silvery
scales over the extensor surfaces of the elbows and knees. What is the
most likely diagnosis? - ANSWERS-Psoriasis
6. A patient with a suspected diagnosis of basal cell carcinoma would
most likely present with which of the following skin lesions? -
ANSWERS-Pearly papule with rolled borders
,7. Your 68-year-old male patient presents with difficulty starting
urination and a weak urinary stream. He also reports nocturia and
urgency. What is the most likely diagnosis? - ANSWERS-Benign
prostatic hyperplasia
8. Which of the following medications is most appropriate as initial
management of benign prostatic hyperplasia? - ANSWERS-
Tamsulosin
9. Which of the following laboratory findings would most likely be
elevated in a patient with prostate cancer? - ANSWERS-Prostate
specific antigen
10. Which of the following screening tests is most appropriate for
colorectal cancer screening in a 50-year-old average-risk patient? -
ANSWERS-Colonoscopy every 10 years
11. Your 35-year-old patient presents with right lower quadrant
abdominal pain, nausea, and rebound tenderness. What is the most
likely diagnosis? - ANSWERS-Appendicitis
12. A patient with a history of GERD is most at risk for developing
which of the following complications? - ANSWERS-Barrett's
esophagus
13. A patient presents with complaints of postprandial bloating,
nausea, and early satiety. Which of the following is the most
, appropriate initial diagnostic test? - ANSWERS-Abdominal
ultrasound
14. Your patient is being treated with omeprazole. Which of the
following is a potential long-term side effect of proton pump inhibitor
use? - ANSWERS-Vitamin B12 deficiency
15. Which of the following signs is most suggestive of cholecystitis? -
ANSWERS-Positive Murphy's sign
16. A patient presents with severe, sharp left lower quadrant
abdominal pain and fever. Which of the following diagnoses is most
likely? - ANSWERS-Diverticulitis
17. Which of the following dietary modifications should be
recommended to a patient recovering from diverticulitis? -
ANSWERS-Low-residue diet
18. Which of the following is the most appropriate screening
recommendation for a 21-year-old female with normal Pap history? -
ANSWERS-Pap smear every 3 years
19. A female patient complains of painful urination, increased urinary
frequency, and urgency. Urinalysis shows positive nitrites and
leukocyte esterase. What is the most likely diagnosis? - ANSWERS-
Urinary tract infection
