NR 511 Differential Diagnosis and Primary
Care Practicum Final Examination &
Comprehensive | Questions Across
Versions
🩺 NR 511 Differential Diagnosis
FINAL EXAM + STUDY GUIDE (Set)
Q1: A 55-year-old male presents with chest pain radiating to the left arm.
What is the priority diagnosis to rule out?
A) GERD
B) Anxiety
C) Myocardial infarction
D) Costochondritis
Answer: C
Rationale: Always rule out life-threatening causes first (MI).
Q2: Which symptom is most specific for myocardial infarction?
A) Chest discomfort after meals
B) Crushing chest pain with diaphoresis
C) Sharp pain on inspiration
D) Pain relieved by position
Answer: B
Q3: A patient with GERD typically presents with:
A) Crushing chest pain
B) Burning epigastric pain
,C) Radiating arm pain
D) Sudden dyspnea
Answer: B
Q4: Which finding suggests pulmonary embolism?
A) Gradual chest pain
B) Sudden dyspnea and tachycardia
C) Productive cough
D) Fever only
Answer: B
Q5: Which condition presents with wheezing and reversible airflow
obstruction?
A) COPD
B) Asthma
C) Pneumonia
D) PE
Answer: B
Q6: COPD is most commonly caused by:
A) Infection
B) Smoking
C) Genetics only
D) Exercise
Answer: B
Q7: A diabetic patient presents with polyuria, polydipsia, and polyphagia.
Diagnosis?
,A) Hypoglycemia
B) Hyperthyroidism
C) Diabetes mellitus
D) Cushing’s syndrome
Answer: C
Q8: Which lab confirms diabetes?
A) HbA1c ≥ 6.5%
B) WBC count
C) Sodium level
D) Hemoglobin
Answer: A
Q9: A patient with hypothyroidism presents with:
A) Weight loss
B) Heat intolerance
C) Fatigue and cold intolerance
D) Tachycardia
Answer: C
Q10: Hyperthyroidism causes:
A) Bradycardia
B) Weight gain
C) Heat intolerance
D) Constipation
Answer: C
Q11: RUQ pain after fatty meals suggests:
A) GERD
B) Cholelithiasis
, C) Pancreatitis
D) IBS
Answer: B
Q12: McBurney’s point tenderness indicates:
A) Gastritis
B) Appendicitis
C) Hepatitis
D) IBS
Answer: B
Q13: Which condition presents with rebound tenderness?
A) IBS
B) Peritonitis
C) GERD
D) Constipation
Answer: B
Q14: Bloody diarrhea suggests:
A) Viral infection
B) IBS
C) Inflammatory bowel disease
D) GERD
Answer: C
Q15: Which rash is associated with Lyme disease?
A) Vesicular rash
B) Bullseye rash
C) Maculopapular rash
D) Petechiae
Care Practicum Final Examination &
Comprehensive | Questions Across
Versions
🩺 NR 511 Differential Diagnosis
FINAL EXAM + STUDY GUIDE (Set)
Q1: A 55-year-old male presents with chest pain radiating to the left arm.
What is the priority diagnosis to rule out?
A) GERD
B) Anxiety
C) Myocardial infarction
D) Costochondritis
Answer: C
Rationale: Always rule out life-threatening causes first (MI).
Q2: Which symptom is most specific for myocardial infarction?
A) Chest discomfort after meals
B) Crushing chest pain with diaphoresis
C) Sharp pain on inspiration
D) Pain relieved by position
Answer: B
Q3: A patient with GERD typically presents with:
A) Crushing chest pain
B) Burning epigastric pain
,C) Radiating arm pain
D) Sudden dyspnea
Answer: B
Q4: Which finding suggests pulmonary embolism?
A) Gradual chest pain
B) Sudden dyspnea and tachycardia
C) Productive cough
D) Fever only
Answer: B
Q5: Which condition presents with wheezing and reversible airflow
obstruction?
A) COPD
B) Asthma
C) Pneumonia
D) PE
Answer: B
Q6: COPD is most commonly caused by:
A) Infection
B) Smoking
C) Genetics only
D) Exercise
Answer: B
Q7: A diabetic patient presents with polyuria, polydipsia, and polyphagia.
Diagnosis?
,A) Hypoglycemia
B) Hyperthyroidism
C) Diabetes mellitus
D) Cushing’s syndrome
Answer: C
Q8: Which lab confirms diabetes?
A) HbA1c ≥ 6.5%
B) WBC count
C) Sodium level
D) Hemoglobin
Answer: A
Q9: A patient with hypothyroidism presents with:
A) Weight loss
B) Heat intolerance
C) Fatigue and cold intolerance
D) Tachycardia
Answer: C
Q10: Hyperthyroidism causes:
A) Bradycardia
B) Weight gain
C) Heat intolerance
D) Constipation
Answer: C
Q11: RUQ pain after fatty meals suggests:
A) GERD
B) Cholelithiasis
, C) Pancreatitis
D) IBS
Answer: B
Q12: McBurney’s point tenderness indicates:
A) Gastritis
B) Appendicitis
C) Hepatitis
D) IBS
Answer: B
Q13: Which condition presents with rebound tenderness?
A) IBS
B) Peritonitis
C) GERD
D) Constipation
Answer: B
Q14: Bloody diarrhea suggests:
A) Viral infection
B) IBS
C) Inflammatory bowel disease
D) GERD
Answer: C
Q15: Which rash is associated with Lyme disease?
A) Vesicular rash
B) Bullseye rash
C) Maculopapular rash
D) Petechiae
