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Differential Diagnosis and Primary Care – Clinical Reasoning and Patient Assessment Lecture Summary

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This document covers the core principles of differential diagnosis within primary care, focusing on clinical reasoning, symptom analysis, and patient assessment. It explains how to distinguish between common and serious conditions, apply diagnostic frameworks, and make evidence-based decisions in a primary care setting. The material is suitable for medical and healthcare students preparing for exams or clinical practice.

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

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Uploaded on
January 23, 2026
Number of pages
48
Written in
2025/2026
Type
Exam (elaborations)
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NR 511 / NR511 Final Exam (Latest
Update ) Differential
Diagnosis and Primary Care
Practicum | Questions and Answers |
100% correct| Grade A - Chamberlain


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



a. gastrocnemius weakness

b. reduced or absent ankle refles

c. numbness of the lateral foot

d. paresthesia of the perineum and buttocks

d. paresthesia of the perineum and buttocks




The patient has acute pancreatitis with 7 of the diagnostic criteria from Ranson's Criteria. In
order to plan care, the clinician understands that this criteria score has which of the following
meanings?



a. a high mortality rate

b. an increased chance of recurrence

c. 7% chance of the disease becoming chronic

d. all of the above

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




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



a. a favorable diagnostic trend

b. disease progression

c. the need to be more aggressive with Reuben's medications

d. the eradication of the HIV

a. a favorable diagnostic trend




Which is the differentiating symptom mbetween labyrinthitis and vestibular neuritis?



a. symptoms with vestibular neuritis are usually acute in onset, whereas with labyrinthitis the
onet is more gradual

b. hearing loss may be associated with vestibular neuritis, but not with labyrinthitis

c. symptoms with labyrinthitis are usually acute in onset, ,whereas with vesticular neuritis the
onset is more gradual

d. hearing loss may be associated with labyrinthitis ,but not with vestibular neuritis.

, NR 511 / NR511 Final Exam (Latest
Update ) Differential
Diagnosis and Primary Care
Practicum | Questions and Answers |
100% correct| Grade A - Chamberlain
d. hearing loss may be associated with labyrinthitis ,but not with vestibular neuritis.




A 27 year old female presents with a chief complaint of burning and pain on urination. She has
no previous history of urinary tract infection. what are some additional symptoms consistant
with a diagnosis of lower UTI?



a. back and abdominal pain

b. fever, chills, costovertebral angle (CVA) tenderness

c. blood in urine and frequency

d. foul-smelling discharge, perineal itch

c. blood in urine and frequency




The differential diagnosis for vertigo can be classified into which of the following categories:



a. peripheral vestibular disease

b. CNS disorders

c. Systemic disorders

d. all of the above

d. all of the above

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


Sam is a 25-year-old man who has been diagnosed with low back strain based on his history of
localized low back pain and muscle spasm along with a normal neurological examination. As the
clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the
following symptoms would alert the clinician to the more serious finding of a herniated nucleus
pulposus or ruptured disc?



a. morning stiffness and limited mobility of the lumbar spine

b. unilateral radicular pain symptoms that extend below the knee and are equal to or greater
than the back pain

c. Fever, chills, and elevated erythrocyte sedimentation rate

d. pathologic fractures, severe night pain, weight loss and fatigue

b. unilateral radicular pain symptoms that extend below the knee and are equal to or greater
than the back pain




Preceptors must always see the patients that the students see in the clinical setting



a. true

b. false

a. true
R298,20
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