NR511 / NR 511 Final Exam (Latest 2023 / 2024): Differential Diagnosis & Primary Care Practicum

NR-511 Differential Diagnosis & Primary Care Practicum NR511 – Final Exam (Week 8) 1: which test is used to confirm a diagnosis of epididymitis? Ans: Ultrasound of the scrotum. 2: Which of the following is part of the treatment plan for the patient with irritable bowel syndrome? Ans; High fiber diet 3: Reuben, age 24 years old has HIV and just had a routine viral load test done. The results show a falling viral load. What does this indicates? Ans: A favorable diagnostic trend 4: The patient with gastro esophageal reflux disease (GERD) should be instructed to eliminate which of these activities? Ans: Weight lifting 5: you have detected the presence of crepitus on examination of a patient with a musculoskeletal complaint. Additionally, there is limited range of motion with both active and passive movement. These findings suggest that the origin of the musculoskeletal complaint is Ans: Articular 6: A 25 years old patient presents to the clinic with fatigue, cold intolerance, weight gain and constipation for the past 3 months. On physical exam, the clinician notice a sinus bradycardia, muscular stiffness, coarse, dry hair, and a delay in relaxation in deep tendon reflexes (DTRs). Which of the following test should be ordered next? Ans: Thyroid Stimulating Hormone (TSH) 7: Sam is a 25years old man who has been diagnosis with low back stain based on his history of localized low back pain and muscle spasm along with a normal numerological examination. As the clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the following symptoms would alert the clinician to the more serious finding of a herniated nucleus pulposus or ruptured disc? Ans: Unilateral radicular pain symptoms that extend below the knee and are equal to or greater than the back pain. 8: Which of the following data is indication of testicular torsion? Ans: Asecnt cremasteric reflex 9: What is the recommended daily calcium intake for adults over the age of 50 with low bone mass? Ans: 1500mg /day 10: A 14 years old is seen with complaint of severe testicular pain. The clinician suspect testicular torsion. Which of the following is the appropriate action? Ans: Send the patient to the emergency room 11: Which of the following data are indicative of testicular torsion? Ans: Absent cremasteric reflex 12: A patient is seen with a sudden onset of flank pain accompanied by nausea, vomiting, and diaphoresis, in addition to nephrolithiasis, which of the following should be added to the list of differential diagnoses? Ans: Pancreatitis, peptic ulcer disease, diverticulitis, All of the above 13: The patient is seen in the office complaining flank pain. The clinician should assess this patient for which risk factor for kidney stones? Ans: Hypertension 14: A 76 years old man is seen in the office for complaint of urinary incontinence. The clinician should suspect which causes of incontinence in men? Ans; Urinary Tract Infection (UTI) 14: Harvey has a rubbery smooth, round mass on his chest which is compressible and has a soft to to very firm texture. What do you diagnose this as? Ans: Lipoma 15: The patient is prescribed radioactive iodine (RA) and asks the clinician how this drug works. The clinician’s response should include which of the following data? Ans: RAI destroys thyroid tissue.