NR511 Week 8 Differential Diagnosis
and Primary Care Final Exam Questions
and Answers
1. 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?
Answer A favorable prognostic trend
2. Cost-effective screening test for HIV status
Answer enzyme-linked immunosorbent assay (ELISA)
3. Nonspecific blood test for inflammatory process severity
Answer C-reactive protein
4. Neurotransmitter blocked by cocaine, causing stimulation
Answer Dopamine
5. Mrs. Thomas was seen in the office complaining of pain and point
tendernes s in the area ofce complaining of pain and point
tenderness in the area of he r elbow. The pain has increased
following a day of gardening one week ago.
A physical finding that differentiates the diagnosis and is most
consistent wi th lateral epicondylitiserentiates the diagnosis and is
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18
,most consistent with later al epicondylitis (tenniselbow)is
Answer
pain at the elbow with resisted movements at the wrist and forearm
6. Which of the following statements concerning the musculoskeletal
examination is true?
Answer The uninvolved side should be examined initially and then compared to the
involved side
7. Sign of inflammatory etiology in musculoskeletal pain
Answer Morning stittness
8. Cause the greatest percentage of mammalian bites
Answer dogs
9. 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?
Answer Transvaginal ultrasound
10. Adiabetic 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?
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18
, 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
11. 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?
Answer TSH
12. Type 2 diabetes medication not prescribed during pregnancy
Answer c. Glucotrol
13. 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?
Answer An enlarged rubbery gland
14. Initial step for a child with an insect in the ear canal
Answer Immobilize the insect with 2% lidocaine
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18
and Primary Care Final Exam Questions
and Answers
1. 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?
Answer A favorable prognostic trend
2. Cost-effective screening test for HIV status
Answer enzyme-linked immunosorbent assay (ELISA)
3. Nonspecific blood test for inflammatory process severity
Answer C-reactive protein
4. Neurotransmitter blocked by cocaine, causing stimulation
Answer Dopamine
5. Mrs. Thomas was seen in the office complaining of pain and point
tendernes s in the area ofce complaining of pain and point
tenderness in the area of he r elbow. The pain has increased
following a day of gardening one week ago.
A physical finding that differentiates the diagnosis and is most
consistent wi th lateral epicondylitiserentiates the diagnosis and is
1/
18
,most consistent with later al epicondylitis (tenniselbow)is
Answer
pain at the elbow with resisted movements at the wrist and forearm
6. Which of the following statements concerning the musculoskeletal
examination is true?
Answer The uninvolved side should be examined initially and then compared to the
involved side
7. Sign of inflammatory etiology in musculoskeletal pain
Answer Morning stittness
8. Cause the greatest percentage of mammalian bites
Answer dogs
9. 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?
Answer Transvaginal ultrasound
10. Adiabetic 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?
2/
18
, 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
11. 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?
Answer TSH
12. Type 2 diabetes medication not prescribed during pregnancy
Answer c. Glucotrol
13. 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?
Answer An enlarged rubbery gland
14. Initial step for a child with an insect in the ear canal
Answer Immobilize the insect with 2% lidocaine
3/
18
