Maryville NR 620 Primary Care I Exam
1 With Actual 120 Questions &
Verified Answers,Plus
Rationales/Expert Verified For
Guaranteed Pass Graded A+/
2025/2026 /Latest Update/Instant
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Maryville NR 620 Primary Care I – Exam 1 Practice Questions
1. A 45-year-old woman presents with fatigue, weight gain, and cold intolerance. Which
lab is most useful for initial diagnosis of hypothyroidism?
a. T3
b. Free T4
c. TSH
d. Thyroid antibodies
TSH is the most sensitive initial test for hypothyroidism, as it reflects pituitary
response to thyroid hormone levels.
2. A patient presents with sudden unilateral eye pain, blurred vision, and halos around
lights. Intraocular pressure is elevated. What is the likely diagnosis?
a. Open-angle glaucoma
b. Acute angle-closure glaucoma
c. Cataracts
d. Retinal detachment
Acute angle-closure glaucoma is characterized by sudden severe eye pain, halos,
and elevated IOP, requiring emergency treatment.
3. A 28-year-old female presents with dysuria, urgency, and frequency. UA shows pyuria
and positive nitrites. Which antibiotic is first-line therapy for uncomplicated cystitis?
a. Amoxicillin
b. Ciprofloxacin
, c. Nitrofurantoin
d. Ceftriaxone
Nitrofurantoin is recommended as first-line for uncomplicated cystitis due to low
resistance rates and safety profile.
4. Which of the following vaccines is recommended for all adults aged 50 and older,
regardless of past history?
a. Tdap
b. Pneumococcal polysaccharide vaccine
c. Hepatitis B vaccine
d. Shingles (Recombinant zoster vaccine)
Shingles vaccine is recommended for all adults 50 and older, even if they have had
shingles before.
5. A patient presents with a red, warm, swollen calf after a recent flight. Which
diagnostic test is most appropriate?
a. X-ray
b. MRI
c. Venous Doppler ultrasound
d. D-dimer only
Venous Doppler is the imaging test of choice to confirm suspected DVT.
6. A 34-year-old presents with fever, sore throat, and tender anterior cervical
lymphadenopathy. Rapid strep test is positive. What is the treatment of choice?
a. Azithromycin
b. Penicillin V
c. Ciprofloxacin
d. Doxycycline
Penicillin or amoxicillin is the first-line treatment for Group A Streptococcus
pharyngitis.
7. A 60-year-old with hypertension and diabetes presents for a checkup. Which
antihypertensive is preferred?
a. Beta-blocker
b. Calcium channel blocker
c. ACE inhibitor
d. Thiazide diuretic
ACE inhibitors are preferred in diabetics for renal protection in addition to blood
pressure control.
8. Which of the following findings is most concerning for possible malignant
melanoma?
a. Symmetric shape
, b. Uniform color
c. Irregular borders
d. Diameter less than 6 mm
Irregular borders are a red flag for melanoma in the ABCDE criteria.
9. A 55-year-old male smoker presents with a persistent cough and hemoptysis. What is
the most appropriate initial diagnostic test?
a. PET scan
b. Chest X-ray
c. MRI brain
d. Pulmonary function test
Chest X-ray is the first-line imaging test in evaluating chronic cough and suspected
lung disease.
10. Which antibiotic is recommended for the treatment of community-acquired
pneumonia in a healthy outpatient under 65 years?
a. Amoxicillin-clavulanate
b. Levofloxacin
c. Azithromycin
d. Ceftriaxone
Macrolides such as azithromycin are recommended first-line for healthy
outpatients with CAP.
11. A 25-year-old woman presents with fatigue, pallor, and pica. Labs show microcytic
anemia. What is the most likely cause?
a. Vitamin B12 deficiency
b. Folate deficiency
c. Iron deficiency
d. Hemolytic anemia
Iron deficiency is the most common cause of microcytic anemia and presents with
fatigue, pallor, and pica.
12. A 72-year-old patient presents with new-onset confusion and fever. Which is the
most appropriate initial test to rule out urinary tract infection?
a. Urine culture only
b. Urinalysis with microscopy
c. CBC
d. Blood culture
Urinalysis with microscopy is the first-line test to evaluate suspected UTI, especially
in older adults with atypical presentations.
13. A patient with chronic obstructive pulmonary disease presents with increased
dyspnea and purulent sputum. What is the most appropriate initial treatment?
1 With Actual 120 Questions &
Verified Answers,Plus
Rationales/Expert Verified For
Guaranteed Pass Graded A+/
2025/2026 /Latest Update/Instant
Download Pdf
Maryville NR 620 Primary Care I – Exam 1 Practice Questions
1. A 45-year-old woman presents with fatigue, weight gain, and cold intolerance. Which
lab is most useful for initial diagnosis of hypothyroidism?
a. T3
b. Free T4
c. TSH
d. Thyroid antibodies
TSH is the most sensitive initial test for hypothyroidism, as it reflects pituitary
response to thyroid hormone levels.
2. A patient presents with sudden unilateral eye pain, blurred vision, and halos around
lights. Intraocular pressure is elevated. What is the likely diagnosis?
a. Open-angle glaucoma
b. Acute angle-closure glaucoma
c. Cataracts
d. Retinal detachment
Acute angle-closure glaucoma is characterized by sudden severe eye pain, halos,
and elevated IOP, requiring emergency treatment.
3. A 28-year-old female presents with dysuria, urgency, and frequency. UA shows pyuria
and positive nitrites. Which antibiotic is first-line therapy for uncomplicated cystitis?
a. Amoxicillin
b. Ciprofloxacin
, c. Nitrofurantoin
d. Ceftriaxone
Nitrofurantoin is recommended as first-line for uncomplicated cystitis due to low
resistance rates and safety profile.
4. Which of the following vaccines is recommended for all adults aged 50 and older,
regardless of past history?
a. Tdap
b. Pneumococcal polysaccharide vaccine
c. Hepatitis B vaccine
d. Shingles (Recombinant zoster vaccine)
Shingles vaccine is recommended for all adults 50 and older, even if they have had
shingles before.
5. A patient presents with a red, warm, swollen calf after a recent flight. Which
diagnostic test is most appropriate?
a. X-ray
b. MRI
c. Venous Doppler ultrasound
d. D-dimer only
Venous Doppler is the imaging test of choice to confirm suspected DVT.
6. A 34-year-old presents with fever, sore throat, and tender anterior cervical
lymphadenopathy. Rapid strep test is positive. What is the treatment of choice?
a. Azithromycin
b. Penicillin V
c. Ciprofloxacin
d. Doxycycline
Penicillin or amoxicillin is the first-line treatment for Group A Streptococcus
pharyngitis.
7. A 60-year-old with hypertension and diabetes presents for a checkup. Which
antihypertensive is preferred?
a. Beta-blocker
b. Calcium channel blocker
c. ACE inhibitor
d. Thiazide diuretic
ACE inhibitors are preferred in diabetics for renal protection in addition to blood
pressure control.
8. Which of the following findings is most concerning for possible malignant
melanoma?
a. Symmetric shape
, b. Uniform color
c. Irregular borders
d. Diameter less than 6 mm
Irregular borders are a red flag for melanoma in the ABCDE criteria.
9. A 55-year-old male smoker presents with a persistent cough and hemoptysis. What is
the most appropriate initial diagnostic test?
a. PET scan
b. Chest X-ray
c. MRI brain
d. Pulmonary function test
Chest X-ray is the first-line imaging test in evaluating chronic cough and suspected
lung disease.
10. Which antibiotic is recommended for the treatment of community-acquired
pneumonia in a healthy outpatient under 65 years?
a. Amoxicillin-clavulanate
b. Levofloxacin
c. Azithromycin
d. Ceftriaxone
Macrolides such as azithromycin are recommended first-line for healthy
outpatients with CAP.
11. A 25-year-old woman presents with fatigue, pallor, and pica. Labs show microcytic
anemia. What is the most likely cause?
a. Vitamin B12 deficiency
b. Folate deficiency
c. Iron deficiency
d. Hemolytic anemia
Iron deficiency is the most common cause of microcytic anemia and presents with
fatigue, pallor, and pica.
12. A 72-year-old patient presents with new-onset confusion and fever. Which is the
most appropriate initial test to rule out urinary tract infection?
a. Urine culture only
b. Urinalysis with microscopy
c. CBC
d. Blood culture
Urinalysis with microscopy is the first-line test to evaluate suspected UTI, especially
in older adults with atypical presentations.
13. A patient with chronic obstructive pulmonary disease presents with increased
dyspnea and purulent sputum. What is the most appropriate initial treatment?
