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Exam (elaborations)

Differential Diagnosis and Primary Care Practicum – Clinical Reasoning Notes and Practicum Preparation Material

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This document covers core concepts of differential diagnosis within a primary care practicum setting, focusing on clinical reasoning, patient assessment, and decision-making. It includes structured notes on common primary care conditions, diagnostic approaches, and management strategies relevant to day-to-day practice. The material is suitable for students preparing for primary care practicums or applied clinical assessments.

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Differential Diagnosis And Primary Care Practicum
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Institution
Differential Diagnosis and Primary Care Practicum
Course
Differential Diagnosis and Primary Care Practicum

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Uploaded on
January 22, 2026
Number of pages
51
Written in
2025/2026
Type
Exam (elaborations)
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NR 511 / NR511 Final Exam V1
(Latest Update )
Differential Diagnosis and Primary
Care Practicum | Questions and
Answers | 100% correct| Grade A -
Chamberlain


The patient taking desiccated thyroid (e.g., Armour Thyroid) should be switched to what
medication?

levothyroxine, the synthetic form of T4, as the preferred treatment for hypothyroidism. The
hormone content in desiccated thyroid can vary between batches, leading to inconsistent
therapeutic effects and potential overtreatment or undertreatment. Levothyroxine provides a
stable, standardized, and predictable dose, ensuring better control of thyroid hormone levels.




who should definitely not receive desiccated thyroid medications?

They should not be used for patients with underlying cardiac disease, given the varied
concentrations of highly active T3, which poses a greater risk of overreplacement and iatrogenic
thyrotoxicosis.




For a patient experiencing unpredictable blood glucose readings and an increase in
hypoglycemic episodes while using Novolin N (NPH insulin) twice daily, a good alternative would
be a ?

a long-acting basal insulin such as insulin glargine (Lantus, Basaglar)

, NR 511 / NR511 Final Exam V1
(Latest Update )
Differential Diagnosis and Primary
Care Practicum | Questions and
Answers | 100% correct| Grade A -
Chamberlain


The oral diabetic agent most likely causing hypoglycemia is ?

a sulfonylurea, such as glipizide




Haloperidol given for psychotic-like crisis can cause ?

involuntary muscle contractions of his neck, jaw, and tongue muscles




RUQ location problems

gallbladder liver right kidney




LLQ PROBLEMS

Sigmoid, lef t ovary/tube




LUQ problems

, NR 511 / NR511 Final Exam V1
(Latest Update )
Differential Diagnosis and Primary
Care Practicum | Questions and
Answers | 100% correct| Grade A -
Chamberlain
Spleen stomach pancreas




RLQ PROBLEMS

appendix, cecum, right ovary-tube




rebound tenderness may suggest

peritoneal irritation like with perforated appendicitis




murphys sign

pain with palpation of RUQ DURING inhalation suggesting cholecystisits




rovsings sign

pain in RLQ while palpating LLQ suggesting appendicitis

, NR 511 / NR511 Final Exam V1
(Latest Update )
Differential Diagnosis and Primary
Care Practicum | Questions and
Answers | 100% correct| Grade A -
Chamberlain
tenderness to percussion means

peritonitis




tympany means

bowel obstruction or pneumoperitoneum




elevated amylase/lipase may suggest

pancreatitis




ct scan

first line for diagnosing appendicitis, diverticulitis, and bowel obstruction




x-ray can help diagnose? (abdominal)

can help diagnose free air(perforation)
R298,20
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