CHAMBERL AIN COLLEGE OF NURSING
NR511 Midterm Exam
Differential Diagnosis & Primary Care
NR511 — Complete Question Bank
Academic Year: 2026/2027 Verified Answers with Rationales
Question 1
Meniere's disease classic triad:
A. Vertigo, tinnitus, hearing loss
B. Vertigo, nystagmus, ataxia
C. Tinnitus, hearing loss, ear pain
D. Hearing loss, ear fullness, fever
CORRECT ANSWER A. Vertigo, tinnitus, hearing loss
RATIONALE: Meniere's disease is characterized by the classic triad of episodic vertigo, tinnitus, and hearing
loss.
,Question 2
A patient with tinnitus should be screened for which comorbidity according to guidelines?
A. Depression
B. Hypertension
C. Diabetes
D. COPD
CORRECT ANSWER A. Depression
RATIONALE: Patients with tinnitus should be screened for depression due to the significant psychological
impact.
Question 3
A man develops an itchy, blistering rash after poison ivy exposure. Diagnosis?
A. Atopic dermatitis
B. Allergic contact dermatitis
C. Irritant contact dermatitis
D. Psoriasis
CORRECT ANSWER B. Allergic contact dermatitis
RATIONALE: Allergic contact dermatitis is a type IV hypersensitivity reaction to allergens such as poison ivy,
presenting with pruritic, blistering rash.
,Question 4
First-line management for chronic atopic dermatitis?
A. Topical steroids
B. Regular emollients
C. Oral antihistamines
D. Systemic immunosuppressants
CORRECT ANSWER B. Regular emollients
RATIONALE: Regular use of emollients is the first-line management for chronic atopic dermatitis to restore the
skin barrier and prevent flares.
Question 5
A PASI score of 18 indicates:
A. Mild
B. Moderate
C. Severe
D. Remission
CORRECT ANSWER C. Severe
RATIONALE: A PASI score greater than 10 is generally considered severe psoriasis.
, Question 6
A cholesteatoma is suspected when there is foul-smelling drainage and:
A. Granulation tissue + TM perforation
B. Normal TM
C. Clear drainage
D. Fever
CORRECT ANSWER A. Granulation tissue + TM perforation
RATIONALE: Cholesteatoma is suspected with foul-smelling otorrhea, granulation tissue, and tympanic
membrane perforation.
Question 7
First-line treatment for allergic rhinitis:
A. Intranasal corticosteroids
B. Oral antihistamines
C. Oral decongestants
D. Leukotriene inhibitors
CORRECT ANSWER A. Intranasal corticosteroids
RATIONALE: Intranasal corticosteroids are the first-line treatment for allergic rhinitis.
NR511 Midterm Exam
Differential Diagnosis & Primary Care
NR511 — Complete Question Bank
Academic Year: 2026/2027 Verified Answers with Rationales
Question 1
Meniere's disease classic triad:
A. Vertigo, tinnitus, hearing loss
B. Vertigo, nystagmus, ataxia
C. Tinnitus, hearing loss, ear pain
D. Hearing loss, ear fullness, fever
CORRECT ANSWER A. Vertigo, tinnitus, hearing loss
RATIONALE: Meniere's disease is characterized by the classic triad of episodic vertigo, tinnitus, and hearing
loss.
,Question 2
A patient with tinnitus should be screened for which comorbidity according to guidelines?
A. Depression
B. Hypertension
C. Diabetes
D. COPD
CORRECT ANSWER A. Depression
RATIONALE: Patients with tinnitus should be screened for depression due to the significant psychological
impact.
Question 3
A man develops an itchy, blistering rash after poison ivy exposure. Diagnosis?
A. Atopic dermatitis
B. Allergic contact dermatitis
C. Irritant contact dermatitis
D. Psoriasis
CORRECT ANSWER B. Allergic contact dermatitis
RATIONALE: Allergic contact dermatitis is a type IV hypersensitivity reaction to allergens such as poison ivy,
presenting with pruritic, blistering rash.
,Question 4
First-line management for chronic atopic dermatitis?
A. Topical steroids
B. Regular emollients
C. Oral antihistamines
D. Systemic immunosuppressants
CORRECT ANSWER B. Regular emollients
RATIONALE: Regular use of emollients is the first-line management for chronic atopic dermatitis to restore the
skin barrier and prevent flares.
Question 5
A PASI score of 18 indicates:
A. Mild
B. Moderate
C. Severe
D. Remission
CORRECT ANSWER C. Severe
RATIONALE: A PASI score greater than 10 is generally considered severe psoriasis.
, Question 6
A cholesteatoma is suspected when there is foul-smelling drainage and:
A. Granulation tissue + TM perforation
B. Normal TM
C. Clear drainage
D. Fever
CORRECT ANSWER A. Granulation tissue + TM perforation
RATIONALE: Cholesteatoma is suspected with foul-smelling otorrhea, granulation tissue, and tympanic
membrane perforation.
Question 7
First-line treatment for allergic rhinitis:
A. Intranasal corticosteroids
B. Oral antihistamines
C. Oral decongestants
D. Leukotriene inhibitors
CORRECT ANSWER A. Intranasal corticosteroids
RATIONALE: Intranasal corticosteroids are the first-line treatment for allergic rhinitis.
