NR511 Final Exam (Newest 2025/ 2026 Update)
Differential Diagnosis & Primary Care Practicum
Actual Exam Questions And Answers Graded A+
The clinician suspects that a client seen in the office has hyperthyroidism. Which
of the following tests should the clinician order on the initial visit?
a. thryoid stimulating hormone (TSH) and free T4
b. TSH and thyrotoxin antibodies
•High sensitivity thyroid stimulating hormone TSH and free T4
• Free T4 and serum calcium - ANSWER -a. thryoid stimulating hormone (TSH)
and free T4
Cat bites are commonly associated with which of the following pathogens?
a. pasteurella multocida
b. vibri vulnificus
c. group B streptococcus
d. Group A beta hemolytic streptococcus - ANSWER -a. pasteurella multocida
The 56 year old man with chronic prostatitis should be treated with trimethoprim
80mg-sulfamethoxazole 400 (TMP-SMX, Bactrim) for how long?
a. 3-7 days
b. 14-21 days
c. 3-6 weeks
d 6-12 weeks - ANSWER -d 6-12 weeks
The A in SNAPPS stands for Assessment
a. true
b. false - ANSWER -b. false
,A patient is diagnosed with Giardia after backpacking trip in the mountains.
Which of the following would be the appropriate treatement?
a. Vancomycin
b. Penicillin
c. Metronidazole
d. Bactrim - ANSWER -c. Metronidazole
The most cost effective screening test to determine HIV status is which of the
following?
a. western blot
b. enzyme-linked immunosorbent assay (ELISA)
c. venereal disease research laboratory test (VDRL)
d. Viral load - ANSWER -b. enzyme-linked immunosorbent assay (ELISA)
The clinician sees a patient who is 5 feet tall and weighs 150 pounds (:BMI 29.3).
How would the clinician classify this patient?
a. overweight
b. Mild Obesity
c. Moderate Obesity
d. morbid obesity - ANSWER -b. Mild Obesity
One of the initial steps in assessing patients with musculoskeletal complaints is to
determine whether the complaint is articular or nonarticular in origin. Which of the
following is an example of an articular srtucture?
A. Fascia
B. Bone
C. Synovium
D. Tendons - ANSWER -C. Synovium
Jennifer is an 18-year-old girl who comes to the emergency room after a fall
during a soccer game. Jennifer explains that she fell on her left side and kept her
arm out straight to break her fall. She has been experiencing severe pain and
, limited range of motion in her left shoulder. The clinician has diagnosed Jennifer
with a dislocated shoulder. Which of the following statements are true concerning
shoulder dislocation?
a. posterior dislocations are more common than anterior dislocations
b. there is a risk of neurovascular and neurosensory trauma, so the clinician should
check for distal pulses - ANSWER -b. there is a risk of neurovascular and
neurosensory trauma, so the clinician should check for distal pulses
Which of the following types of cellulitis is a streptococcal infection of the
superficial layers of the skin which does not involve the subcutaneous layers?
a. necrotizing fascitis
b. periorbital cellulitis
c. erysipelas
d. flesh eating bacteria - ANSWER -c. erysipelas
A 76 year old man is seen in the office for complaints of urinary incontinence. The
clinican should suspect which of these causes of incontinence in men?
a. urethral polyps
b,. urinary tract infection (UTI)
c. anticholinergic medications
d. all of the above - ANSWER -d. all of the above
Sally, aged 25, presents with impetigo that has been diagnosed as infected with
staphylococcus. The clinical presentation is pruritic tender, red vesicles surrounded
by erythema with a rash that is ulcerating. She has not been adequately treated
recently. Which type of impetigo is this?
a. Bullous impetigo
b. Staphylococcal scalded skin syndrome (SSSS)
c. Nonbullous impetigo
d. Ecthyma - ANSWER -d. Ecthyma
Differential Diagnosis & Primary Care Practicum
Actual Exam Questions And Answers Graded A+
The clinician suspects that a client seen in the office has hyperthyroidism. Which
of the following tests should the clinician order on the initial visit?
a. thryoid stimulating hormone (TSH) and free T4
b. TSH and thyrotoxin antibodies
•High sensitivity thyroid stimulating hormone TSH and free T4
• Free T4 and serum calcium - ANSWER -a. thryoid stimulating hormone (TSH)
and free T4
Cat bites are commonly associated with which of the following pathogens?
a. pasteurella multocida
b. vibri vulnificus
c. group B streptococcus
d. Group A beta hemolytic streptococcus - ANSWER -a. pasteurella multocida
The 56 year old man with chronic prostatitis should be treated with trimethoprim
80mg-sulfamethoxazole 400 (TMP-SMX, Bactrim) for how long?
a. 3-7 days
b. 14-21 days
c. 3-6 weeks
d 6-12 weeks - ANSWER -d 6-12 weeks
The A in SNAPPS stands for Assessment
a. true
b. false - ANSWER -b. false
,A patient is diagnosed with Giardia after backpacking trip in the mountains.
Which of the following would be the appropriate treatement?
a. Vancomycin
b. Penicillin
c. Metronidazole
d. Bactrim - ANSWER -c. Metronidazole
The most cost effective screening test to determine HIV status is which of the
following?
a. western blot
b. enzyme-linked immunosorbent assay (ELISA)
c. venereal disease research laboratory test (VDRL)
d. Viral load - ANSWER -b. enzyme-linked immunosorbent assay (ELISA)
The clinician sees a patient who is 5 feet tall and weighs 150 pounds (:BMI 29.3).
How would the clinician classify this patient?
a. overweight
b. Mild Obesity
c. Moderate Obesity
d. morbid obesity - ANSWER -b. Mild Obesity
One of the initial steps in assessing patients with musculoskeletal complaints is to
determine whether the complaint is articular or nonarticular in origin. Which of the
following is an example of an articular srtucture?
A. Fascia
B. Bone
C. Synovium
D. Tendons - ANSWER -C. Synovium
Jennifer is an 18-year-old girl who comes to the emergency room after a fall
during a soccer game. Jennifer explains that she fell on her left side and kept her
arm out straight to break her fall. She has been experiencing severe pain and
, limited range of motion in her left shoulder. The clinician has diagnosed Jennifer
with a dislocated shoulder. Which of the following statements are true concerning
shoulder dislocation?
a. posterior dislocations are more common than anterior dislocations
b. there is a risk of neurovascular and neurosensory trauma, so the clinician should
check for distal pulses - ANSWER -b. there is a risk of neurovascular and
neurosensory trauma, so the clinician should check for distal pulses
Which of the following types of cellulitis is a streptococcal infection of the
superficial layers of the skin which does not involve the subcutaneous layers?
a. necrotizing fascitis
b. periorbital cellulitis
c. erysipelas
d. flesh eating bacteria - ANSWER -c. erysipelas
A 76 year old man is seen in the office for complaints of urinary incontinence. The
clinican should suspect which of these causes of incontinence in men?
a. urethral polyps
b,. urinary tract infection (UTI)
c. anticholinergic medications
d. all of the above - ANSWER -d. all of the above
Sally, aged 25, presents with impetigo that has been diagnosed as infected with
staphylococcus. The clinical presentation is pruritic tender, red vesicles surrounded
by erythema with a rash that is ulcerating. She has not been adequately treated
recently. Which type of impetigo is this?
a. Bullous impetigo
b. Staphylococcal scalded skin syndrome (SSSS)
c. Nonbullous impetigo
d. Ecthyma - ANSWER -d. Ecthyma
