NSG 6440 PRACTICE TEST ASSESSMENT
QUESTIONS AND ANSWERS ACCURATE VERIFIED
Mrs. Thomas was seen in the office complaining of pain and
Point tenderness in the area of her elbow. The pain has increased following a day of
gardening one week ago. A physical finding that differentiates the diagnosis and is most
consistent with lateral epicondylitis (tennis elbow) is:
Ecchymosis, edema, and erythema over the lateral epicondyle
Pain at the elbow with resisted movements at the wrist and forearm
Inability to supinate and pronate the arm
,Inability to flex or extend the elbow against resistance - answer pain at the elbow with
resisted movements at the wrist and forearm
Which of the following statements concerning the
Musculoskeletal examination is true?
The uninvolved side should be examined initially and then compared to the involved
side.
The part of the body that is causing the patient pain should be examined first.
When possible, the patient should not be asked to perform active range-of-motion
(ROM) exercises to avoid causing pain.
Radiographs should always be obtained prior to examination so as not to cause further
injury to the patient. - answer the uninvolved side should be examined initially and then
compared to the involved side.
Which of the following signs or symptoms indicate an
Inflammatory etiology to musculoskeletal pain?
Decreased C-reactive protein
Hyperalbuminemia
Morning stiffness
Weight gain - answer morning stiffness
Which causes the greatest percentage of mammalian bites?
Dogs
Cats
Humans
Rodents - answer dogs
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?
Transvaginal ultrasound
,Endometrial biopsy MRI
Abdominal computed tomography scan - answer transvaginal ultrasound
A diabetic 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?
"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 - answer all of the above
"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."
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?
Serum calcium
TSH
Electrolytes
Urine specific gravity – answer tsh
Which of the following medications for type 2 diabetes
Mellitus should not be prescribed during pregnancy?
Insulin
Metformin
, Glucotrol
Precose - answer Glucotrol
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?
An enlarged rubbery gland
A hard irregular gland
A tender gland
A boggy gland - answer an enlarged rubbery gland
Eddie, age 4, presents to the ED with a live insect trapped in
His ear canal causing a lot of distress. What should be your first step?
Remove the insect with tweezers.
Immobilize the insect with 2% lidocaine.
Sedate Eddie with diazepam.
Shine a light in the ear for the insect to "find its way out." - answer immobilize the insect
with 2% lidocaine.
What is the most common cause of microcytic anemia?
Anemia of chronic disease
Sideroblastic anemia
Iron-deficiency anemia Thalassemia - answer iron-deficiency anemia
An 82-year-old man is seen in the primary care office with
Complaints of dribbling urine and difficulty starting his stream. Which of the following
should be included in the list of differential diagnoses?
Benign prostatic hyperplasia (BPH)
Parkinson's disease Prostate cancer
All of the above - answer all of the above
Early rheumatoid disease is characterized by:
QUESTIONS AND ANSWERS ACCURATE VERIFIED
Mrs. Thomas was seen in the office complaining of pain and
Point tenderness in the area of her elbow. The pain has increased following a day of
gardening one week ago. A physical finding that differentiates the diagnosis and is most
consistent with lateral epicondylitis (tennis elbow) is:
Ecchymosis, edema, and erythema over the lateral epicondyle
Pain at the elbow with resisted movements at the wrist and forearm
Inability to supinate and pronate the arm
,Inability to flex or extend the elbow against resistance - answer pain at the elbow with
resisted movements at the wrist and forearm
Which of the following statements concerning the
Musculoskeletal examination is true?
The uninvolved side should be examined initially and then compared to the involved
side.
The part of the body that is causing the patient pain should be examined first.
When possible, the patient should not be asked to perform active range-of-motion
(ROM) exercises to avoid causing pain.
Radiographs should always be obtained prior to examination so as not to cause further
injury to the patient. - answer the uninvolved side should be examined initially and then
compared to the involved side.
Which of the following signs or symptoms indicate an
Inflammatory etiology to musculoskeletal pain?
Decreased C-reactive protein
Hyperalbuminemia
Morning stiffness
Weight gain - answer morning stiffness
Which causes the greatest percentage of mammalian bites?
Dogs
Cats
Humans
Rodents - answer dogs
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?
Transvaginal ultrasound
,Endometrial biopsy MRI
Abdominal computed tomography scan - answer transvaginal ultrasound
A diabetic 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?
"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 - answer all of the above
"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."
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?
Serum calcium
TSH
Electrolytes
Urine specific gravity – answer tsh
Which of the following medications for type 2 diabetes
Mellitus should not be prescribed during pregnancy?
Insulin
Metformin
, Glucotrol
Precose - answer Glucotrol
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?
An enlarged rubbery gland
A hard irregular gland
A tender gland
A boggy gland - answer an enlarged rubbery gland
Eddie, age 4, presents to the ED with a live insect trapped in
His ear canal causing a lot of distress. What should be your first step?
Remove the insect with tweezers.
Immobilize the insect with 2% lidocaine.
Sedate Eddie with diazepam.
Shine a light in the ear for the insect to "find its way out." - answer immobilize the insect
with 2% lidocaine.
What is the most common cause of microcytic anemia?
Anemia of chronic disease
Sideroblastic anemia
Iron-deficiency anemia Thalassemia - answer iron-deficiency anemia
An 82-year-old man is seen in the primary care office with
Complaints of dribbling urine and difficulty starting his stream. Which of the following
should be included in the list of differential diagnoses?
Benign prostatic hyperplasia (BPH)
Parkinson's disease Prostate cancer
All of the above - answer all of the above
Early rheumatoid disease is characterized by:
