[NRNP 6531 WEEK 8 KNOWLEDGE CHECK GASTROINTESTINAL
GENITOURINARY ENDOCRINE AND HEMATOLOGIC CONDITIONS
FALL] QUESTIONS AND ANSWERS ALREADY GRADED A+. 100%
VERIFIED SOLUTIONS | UPDATED PER LATEST GUIDELINES | GRADED
A+
Question 1
A 45-year-old male presents with epigastric pain that is worse 2-3 hours after meals and is relieved by eating.
He reports taking over-the-counter antacids with minimal relief. Which of the following is the most likely
diagnosis?
A. Gastritis
B. Duodenal ulcer
C. Gastric ulcer
D. GERD
🟢 Correct Answer: B. Duodenal ulcer
,🔴 RATIONALE: Duodenal ulcers typically present with epigastric pain that occurs 2-3 hours after meals and is
relieved by eating or taking antacids. Gastric ulcers present with pain that worsens with eating. Gastritis presents
with diffuse epigastric discomfort, and GERD presents with heartburn and regurgitation.
Question 2
A 55-year-old female presents with fatigue, weight gain, cold intolerance, and constipation. On examination,
she has a bradycardia and a non-pitting edema. Which laboratory finding would confirm the diagnosis?
A. Elevated TSH and low T4
B. Low TSH and elevated T4
C. Normal TSH and elevated T3
D. Elevated TSH and elevated T4
🟢 Correct Answer: A. Elevated TSH and low T4
🔴 RATIONALE: The patient's symptoms of fatigue, weight gain, cold intolerance, constipation, and bradycardia
are classic for hypothyroidism, which is confirmed by elevated TSH and low T4. Low TSH and elevated T4
indicate hyperthyroidism.
,Question 3
A 62-year-old male with a history of hypertension presents with sudden onset of severe, tearing chest pain
radiating to the back. He reports the pain is constant and has not improved over the past hour. Which of the
following is the most likely diagnosis?
A. Myocardial infarction
B. Aortic dissection
C. Pulmonary embolism
D. Pericarditis
🟢 Correct Answer: B. Aortic dissection
🔴 RATIONALE: Acute aortic dissection presents with sudden onset of severe, tearing chest pain radiating to
the back, often in patients with a history of hypertension. Myocardial infarction pain is pressure-like, pulmonary
embolism presents with dyspnea and pleuritic chest pain, and pericarditis pain is sharp and positional.
Question 4
A 38-year-old female presents with a 3-month history of fatigue, joint pain, and a malar rash that worsens after
sun exposure. Which of the following laboratory findings is most specific for the diagnosis?
A. Antinuclear antibody (ANA)
, B. Anti-double-stranded DNA (anti-dsDNA)
C. Rheumatoid factor
D. Erythrocyte sedimentation rate (ESR)
🟢 Correct Answer: B. Anti-double-stranded DNA (anti-dsDNA)
🔴 RATIONALE: Anti-dsDNA antibodies are highly specific for systemic lupus erythematosus. ANA is sensitive
but not specific, rheumatoid factor is associated with rheumatoid arthritis, and ESR is a non-specific marker of
inflammation.
Question 5
A 50-year-old male presents with a 2-month history of progressive difficulty swallowing, weight loss, and a
sensation of food getting stuck. Which of the following is the most likely diagnosis?
A. Gastroesophageal reflux disease (GERD)
B. Esophageal cancer
C. Peptic ulcer disease
D. Hiatal hernia
🟢 Correct Answer: B. Esophageal cancer
GENITOURINARY ENDOCRINE AND HEMATOLOGIC CONDITIONS
FALL] QUESTIONS AND ANSWERS ALREADY GRADED A+. 100%
VERIFIED SOLUTIONS | UPDATED PER LATEST GUIDELINES | GRADED
A+
Question 1
A 45-year-old male presents with epigastric pain that is worse 2-3 hours after meals and is relieved by eating.
He reports taking over-the-counter antacids with minimal relief. Which of the following is the most likely
diagnosis?
A. Gastritis
B. Duodenal ulcer
C. Gastric ulcer
D. GERD
🟢 Correct Answer: B. Duodenal ulcer
,🔴 RATIONALE: Duodenal ulcers typically present with epigastric pain that occurs 2-3 hours after meals and is
relieved by eating or taking antacids. Gastric ulcers present with pain that worsens with eating. Gastritis presents
with diffuse epigastric discomfort, and GERD presents with heartburn and regurgitation.
Question 2
A 55-year-old female presents with fatigue, weight gain, cold intolerance, and constipation. On examination,
she has a bradycardia and a non-pitting edema. Which laboratory finding would confirm the diagnosis?
A. Elevated TSH and low T4
B. Low TSH and elevated T4
C. Normal TSH and elevated T3
D. Elevated TSH and elevated T4
🟢 Correct Answer: A. Elevated TSH and low T4
🔴 RATIONALE: The patient's symptoms of fatigue, weight gain, cold intolerance, constipation, and bradycardia
are classic for hypothyroidism, which is confirmed by elevated TSH and low T4. Low TSH and elevated T4
indicate hyperthyroidism.
,Question 3
A 62-year-old male with a history of hypertension presents with sudden onset of severe, tearing chest pain
radiating to the back. He reports the pain is constant and has not improved over the past hour. Which of the
following is the most likely diagnosis?
A. Myocardial infarction
B. Aortic dissection
C. Pulmonary embolism
D. Pericarditis
🟢 Correct Answer: B. Aortic dissection
🔴 RATIONALE: Acute aortic dissection presents with sudden onset of severe, tearing chest pain radiating to
the back, often in patients with a history of hypertension. Myocardial infarction pain is pressure-like, pulmonary
embolism presents with dyspnea and pleuritic chest pain, and pericarditis pain is sharp and positional.
Question 4
A 38-year-old female presents with a 3-month history of fatigue, joint pain, and a malar rash that worsens after
sun exposure. Which of the following laboratory findings is most specific for the diagnosis?
A. Antinuclear antibody (ANA)
, B. Anti-double-stranded DNA (anti-dsDNA)
C. Rheumatoid factor
D. Erythrocyte sedimentation rate (ESR)
🟢 Correct Answer: B. Anti-double-stranded DNA (anti-dsDNA)
🔴 RATIONALE: Anti-dsDNA antibodies are highly specific for systemic lupus erythematosus. ANA is sensitive
but not specific, rheumatoid factor is associated with rheumatoid arthritis, and ESR is a non-specific marker of
inflammation.
Question 5
A 50-year-old male presents with a 2-month history of progressive difficulty swallowing, weight loss, and a
sensation of food getting stuck. Which of the following is the most likely diagnosis?
A. Gastroesophageal reflux disease (GERD)
B. Esophageal cancer
C. Peptic ulcer disease
D. Hiatal hernia
🟢 Correct Answer: B. Esophageal cancer
