NR511 Final exam / NR 511 FINAL Exam QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES VERIFIED ANSWERS ALREADY GRADED A+

NR511 Final exam / NR 511 FINAL Exam QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES VERIFIED
ANSWERS ALREADY GRADED A+


1. Janet is a 30 year old woman who has been recently diagnosed with a herniated disc at the level
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of L5-
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S1. She is currently in the emergency room with suspician of cauda equna compression.Which of the
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following is a sign or symptom of cauda equina compression?
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a. gastrocnemiusweakness l



b. reduced or absent ankle refles l l l l



c. numbness of the lateral foot l l l l



d. paresthesiaoftheperineumandbuttocks(CORRECT ANSWER) paresthesiaoftheperineumand l l l l l l l ll l l l l l


buttocks
2. The patient has acute pancreatitis with 7 of the diagnostic criteria from Ranson's Criteria.In o
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rder to plan care,the clinician understands that this criteria score has which of the following mea
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nings?

a. a high mortality rate
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b. an increased chance of recurrence
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c. 7% chance of the disease becoming chronic
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d. all of the above (CORRECT ANSWER) a.a high mortality rate
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3. Reuben,age 24,has HIV and just had a routine viral load test done.The results show a falling
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viral load What does this indicate
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a. a favorable diagnostic trend
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b. disease progression l



c. the need to be more aggressive with Reuben's medications
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d. the eradication of the HIV (CORRECT ANSWER) a.a favorable diagnostic trend
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4. Whichisthedifferentiatingsymptommbetweenlabyrinthitisandvestibular neuritis?
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a. symptomswith vestibular neuritis are usually acute in onset,whereas with labyrinthitis the onet is
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,more graduall



b. hearing loss may be associated with vestibular neuritis,but notwith labyrinthitis
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c. symptoms with labyrinthitis are usually acute in onset,,whereas with ves-
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ticular neuritis the onset is more gradual
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d. hearing loss may be associated with labyrinthitis ,but not with vestibular neuritis. (CORRECT AN
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SWER) d.hearinglossmaybeassociatedwithlabyrinthitis,butnotwithvestibular neuritis.
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5. A 27 year old female presents with a chief complaint of burning and pain on urination.She has n
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o previous history of urinary tract infection. what are
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,some additional symptoms consistant with a diagnosis of lower UTI?
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a. back and abdominal pain l l l



b. fever,chills,costovertebralangle (CVA)tenderness l l l l l



c. blood in urine and frequency l l l l



d. foul-smelling discharge,perineal itch (CORRECT ANSWER) c.blood in urine and frequency l l l l l ll l l l l l



6. The differential diagnosis for vertigo can be classified into which of the following categories
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(CORRECT ANSWER) l l




a. peripheral vestibular disease l l



b. CNS disorders l



c. Systemic disorders l



d. all of the above (CORRECT ANSWER) d.all of the above
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7. Sam is a 25-year- l l l


old man who has been diagnosed with low back strain based on his historyoflocalized low back pai
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n and muscle spasm alongwith a normal neurological examination. As the clinician, you explain to S
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am that low back pain is a diagnosis of exclusion.Which of the following symptoms would alert the cl
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inician to the more serious finding of a herniated nucleus pulposus or ruptured disc?
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a. morning stiffness and limited mobility of the lumbar spine l l l l l l l l



b. unilateralradicularpainsymptomsthatextendbelowthekneeandareequal to or greater than th l l l l l l l l l l l l l l l l


e back pain
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c. Fever,chills,and elevated erythrocyte sedimentation rate l l l l l l



d. pathologicfractures,severenight pain,weightlossandfatigue (CORRECT ANSWER) b.unilater l l l l l l l l l l ll l


al radicularpainsymptomsthatextendbelowthekneeandareequaltoorgreaterthan the back pain
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8. Preceptorsmustalwaysseethepatientsthatthestudentsseeintheclinical setting l l l l l l l l l l l l l




a. true
b. false (CORRECT ANSWER) a.true l l ll l



9. An 82 year old man is seen in the primary care office with complaints of dribblingurineanddifficu
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ltystartinghisstream.Whichofthefollowingshould be included in the list of differentials?
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a. BPH
b. Prostate cancer l





, c. UTI
d. all of the above (CORRECT ANSWER) d.all of the above
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10. Which causes the greatest percentage of mammalian bites?
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a. dogs
b. cats
c. humans
d. rodents (CORRECT ANSWER) a.dogs l l ll l



11. Endoscopic report reveals the presents ofBarrett's epithelium.Which of the following inform l l l l l l l l l l l l


ation should the clinician include in the explaination of the pathology report?
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a. this is a premalignant tissue
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b. this tissue is resistant to gastric acid
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c. this tissue supports healing of the esophagus
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d. all of the above (CORRECT ANSWER) d.all of the above
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12. Which of the following data are indicative of testicular torsion?
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a. absent cremasteric reflux l l



b. pain relived on testicular elevation
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c. testicle very low in the scrotum l l l l l



d. swollen scrotum with a red dot sign (CORRECT ANSWER) a.absent cremasteric reflux
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13. Most nosocomial pneumonias are caused by (CORRECT ANSWER)
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a. Fungi.
b. Viruses
c. Gram-negative bacteria. l



d. Pneumococcal pneumonia. (CORRECT ANSWER) c.Gram-negative bacteria. l l l ll l l



14. Afamilypracticeofficeforall5ofyourclinicalrotationswillguaranteethat you will gain the requ
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ired pediatric exposure
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a. true
b. false (CORRECT ANSWER) b.false l l ll l



15. The most common precancerous skin lesion found in Caucasians is
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a. skin tags l