NR 511 FINAL EXAM | DIFFERENTIAL DIAGNOSIS & PRIMARY
CARE PRACTICUM QUESTIONS AND ANSWERS | VERIFIED
ANSWERS GRADED A+ | LATEST UPDATE
The most cost-effective screening test for determining HIV status is which of
the following? - CORRECT ANSWER - Enzyme-linked immunosorbent assay
Which blood test is a nonspecific method and most helpful
for evaluating the severity and course of aninflammatory process? -
CORRECT ANSWER - C-reactive protein (CRP
Cocaine acts as a stimulant by blocking the reuptake of
which neurotransmitter? - CORRECT ANSWER - Dopamine
Mrs. Thomas was seen in the office complaining of pain and
point tenderness in the area of her elbow. The pain has increased following a
day of gardening one week ago. A physical finding that differentiates the
diagnosis and is most consistent with lateral epicondylitis (tennis elbow) is: -
CORRECT ANSWER - Pain at the elbow with resisted movements at the wrist
and forearm
Which of the following statements concerning the
musculoskeletal examination is true? - CORRECT ANSWER - The
uninvolved side should be examined initially and then compared to the involved
side.
Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain? - CORRECT ANSWER -
Morning stiffness
,Which causes the greatest percentage of mammalian bites? - CORRECT
ANSWER - Dogs
A 48-year-old woman is seen in the clinic with complaints of
prolonged heavy menstrual periods. She is pale and states she can no longer
exercise. Pelvic exam reveals a single, very large mass. Which of the following
diagnostic tests should the clinician order first? - CORRECT ANSWER -
Transvaginal ultrasound
A diabetic patient asks the clinician why he needs to check
his blood sugar at home even when he feels good. Which of the following
responses would be most appropriate? - CORRECT ANSWER - Control of
glucose will help postpone or delay
complications."
"Regularly checking blood sugar will help establish a routine."
"Monitoring glucose will promote a sense of control."
ALL OF THE ABOVE
A 25-year-old patient presents to the clinic with fatigue, cold
intolerance, weight gain, and constipation for the past 3 months. On physical
examination, the clinician notices a sinus bradycardia; muscular stiffness;
coarse, dry hair; and a delay in relaxation in deep tendon reflexes. Which of the
following tests should be ordered next? - CORRECT ANSWER - TSH
Which of the following medications for type 2 diabetes
mellitus should not be prescribed during pregnancy? - CORRECT ANSWER -
Glucotrol
During a DRE on a 75-year-old man, the clinician suspects
,the patient has prostate cancer. What physical finding should make the clinician
suspicious? - CORRECT ANSWER - An enlarged rubbery gland
Eddie, age 4, presents to the ED with a live insect trapped in
his ear canal causing a lot of distress. What should be your first step? -
CORRECT ANSWER - Immobilize the insect with 2% lidocaine.
What is the most common cause of microcytic anemia? - CORRECT
ANSWER - Iron-deficiency anemia
An 82-year-old man is seen in the primary care office with
complaints of dribbling urine and difficulty starting his stream. Which of the
following should be included in the list of differential diagnoses? - CORRECT
ANSWER - Benign prostatic hyperplasia (BPH)
Parkinson's disease Prostate cancer
All of theabove
Early rheumatoid disease is characterized by: - CORRECT ANSWER - Joint
swelling and immobility on rising
A 70-year-old female has fallen 2 weeks ago and developed
immediate pain in her left wrist. She thought she just bruised it but is worried
because it has not improved. She has used Tylenol® and ice at home, and that
has helped slightly. You examine her and find she has moderate swelling and
ecchymosis but no overtly obvious deformity. Her ROM is uncomfortable and
severely diminished due to the pain. No crepitus is heard or felt. Her fingers are
warm; her pulse is strong; and capillary refill is less than 2 seconds. What
should you do? - CORRECT ANSWER - Obtain a wrist x-ray and place her
wrist in a splint or
prescribe a splint
, The criteria for diagnosing generalized anxiety disorder in
the American Psychiatric Association's Diagnostic and Statistical Manual of
Mental Disorders, 5th edition (text revision) state that excessive worry or
apprehension must be present more days than not for at least: - CORRECT
ANSWER - 6 months
A 60-year-old man presents with an enlarged scrotum. The
clinician uses a penlight to transilluminate the scrotum. In a patient with a
hydrocele, what would the clinician expect to find? - CORRECT ANSWER -
the scrotum will appear light pink or yellow.
According to Kübler-Ross, the stages of grief occur in which
order? - CORRECT ANSWER - Denial, anger, bargaining, depression,
acceptance
Reuben, age 24, has HIV and just had a routine viral load
test done. The results show a falling viral load. What does this indicate? -
CORRECT ANSWER - A favorable prognostic trend
The exanthem of Lyme disease is - CORRECT ANSWER - Erythema migrans
You have detected the presence of crepitus on examination
of a patient with a musculoskeletal complaint. Additionally, there is limited
range of motion (ROM) with both active and passive movement. These findings
suggest that the origin of the musculoskeletal complaint is: - CORRECT
ANSWER - Articular
What is the recommended daily calcium intake for adults
over the age of 50 with low bone mass? - CORRECT ANSWER - 1,500
mg/day
CARE PRACTICUM QUESTIONS AND ANSWERS | VERIFIED
ANSWERS GRADED A+ | LATEST UPDATE
The most cost-effective screening test for determining HIV status is which of
the following? - CORRECT ANSWER - Enzyme-linked immunosorbent assay
Which blood test is a nonspecific method and most helpful
for evaluating the severity and course of aninflammatory process? -
CORRECT ANSWER - C-reactive protein (CRP
Cocaine acts as a stimulant by blocking the reuptake of
which neurotransmitter? - CORRECT ANSWER - Dopamine
Mrs. Thomas was seen in the office complaining of pain and
point tenderness in the area of her elbow. The pain has increased following a
day of gardening one week ago. A physical finding that differentiates the
diagnosis and is most consistent with lateral epicondylitis (tennis elbow) is: -
CORRECT ANSWER - Pain at the elbow with resisted movements at the wrist
and forearm
Which of the following statements concerning the
musculoskeletal examination is true? - CORRECT ANSWER - The
uninvolved side should be examined initially and then compared to the involved
side.
Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain? - CORRECT ANSWER -
Morning stiffness
,Which causes the greatest percentage of mammalian bites? - CORRECT
ANSWER - Dogs
A 48-year-old woman is seen in the clinic with complaints of
prolonged heavy menstrual periods. She is pale and states she can no longer
exercise. Pelvic exam reveals a single, very large mass. Which of the following
diagnostic tests should the clinician order first? - CORRECT ANSWER -
Transvaginal ultrasound
A diabetic patient asks the clinician why he needs to check
his blood sugar at home even when he feels good. Which of the following
responses would be most appropriate? - CORRECT ANSWER - Control of
glucose will help postpone or delay
complications."
"Regularly checking blood sugar will help establish a routine."
"Monitoring glucose will promote a sense of control."
ALL OF THE ABOVE
A 25-year-old patient presents to the clinic with fatigue, cold
intolerance, weight gain, and constipation for the past 3 months. On physical
examination, the clinician notices a sinus bradycardia; muscular stiffness;
coarse, dry hair; and a delay in relaxation in deep tendon reflexes. Which of the
following tests should be ordered next? - CORRECT ANSWER - TSH
Which of the following medications for type 2 diabetes
mellitus should not be prescribed during pregnancy? - CORRECT ANSWER -
Glucotrol
During a DRE on a 75-year-old man, the clinician suspects
,the patient has prostate cancer. What physical finding should make the clinician
suspicious? - CORRECT ANSWER - An enlarged rubbery gland
Eddie, age 4, presents to the ED with a live insect trapped in
his ear canal causing a lot of distress. What should be your first step? -
CORRECT ANSWER - Immobilize the insect with 2% lidocaine.
What is the most common cause of microcytic anemia? - CORRECT
ANSWER - Iron-deficiency anemia
An 82-year-old man is seen in the primary care office with
complaints of dribbling urine and difficulty starting his stream. Which of the
following should be included in the list of differential diagnoses? - CORRECT
ANSWER - Benign prostatic hyperplasia (BPH)
Parkinson's disease Prostate cancer
All of theabove
Early rheumatoid disease is characterized by: - CORRECT ANSWER - Joint
swelling and immobility on rising
A 70-year-old female has fallen 2 weeks ago and developed
immediate pain in her left wrist. She thought she just bruised it but is worried
because it has not improved. She has used Tylenol® and ice at home, and that
has helped slightly. You examine her and find she has moderate swelling and
ecchymosis but no overtly obvious deformity. Her ROM is uncomfortable and
severely diminished due to the pain. No crepitus is heard or felt. Her fingers are
warm; her pulse is strong; and capillary refill is less than 2 seconds. What
should you do? - CORRECT ANSWER - Obtain a wrist x-ray and place her
wrist in a splint or
prescribe a splint
, The criteria for diagnosing generalized anxiety disorder in
the American Psychiatric Association's Diagnostic and Statistical Manual of
Mental Disorders, 5th edition (text revision) state that excessive worry or
apprehension must be present more days than not for at least: - CORRECT
ANSWER - 6 months
A 60-year-old man presents with an enlarged scrotum. The
clinician uses a penlight to transilluminate the scrotum. In a patient with a
hydrocele, what would the clinician expect to find? - CORRECT ANSWER -
the scrotum will appear light pink or yellow.
According to Kübler-Ross, the stages of grief occur in which
order? - CORRECT ANSWER - Denial, anger, bargaining, depression,
acceptance
Reuben, age 24, has HIV and just had a routine viral load
test done. The results show a falling viral load. What does this indicate? -
CORRECT ANSWER - A favorable prognostic trend
The exanthem of Lyme disease is - CORRECT ANSWER - Erythema migrans
You have detected the presence of crepitus on examination
of a patient with a musculoskeletal complaint. Additionally, there is limited
range of motion (ROM) with both active and passive movement. These findings
suggest that the origin of the musculoskeletal complaint is: - CORRECT
ANSWER - Articular
What is the recommended daily calcium intake for adults
over the age of 50 with low bone mass? - CORRECT ANSWER - 1,500
mg/day
