NR601 Final Exam With Correct And
Verified Answers
You order bilat wrist XR on a 69yo man c/o pain in both wrists for 6wks not related to
known trauma. You suspect elderly onset rheumatoid arthritis. To guide tx, you look for
which radiographic finding?
a. Symmetric joint space narrowing
b. Soft tissue swelling
c. Subluxation of joints
d. Joint erosions - ANS D
The leading cause of disability worldwide is:
a. Depression
b. Lung Ca
c. Heart dz
d. DM - ANS A
In differentiating OA from chronic gout, pseudogout, or septic arthritis, the most valuable
diagnostic study would be:
a. CBC
b. CRP
c. Synovial fluid analysis
d. ESR - ANS C
Symptoms of depression distinct to elderly include:
,a. Loss of pleasure in usual activities
b. Lack of emotions
c. Flat affect
d. Appetite/wt disturbances - ANS B
You ordered a CBC for pt you suspect has PMR. Which 2 findings are common in pt's
with PMR?
a. Normochromic, normocytic anemia and thrombocytosis
b. Macrocytic, hyperchromic anemia and leukocytopenia
c. Neutropenia and hypochromic, normocytic anemia
d. Microcytic, hypochromic anemia and reticulocytopenia - ANS A
An example of secondary prevention you could recommend/order for elderly would be
to:
a. Provide foot care for DM pt
b. Check for fecal occult blood
c. Administer tetanus shot
d. Wear seat belts - ANS B
When you recommend exercise for sedentary older adult, which of the following pieces
of advice should be considered for all types of exercise?
a. Focus only on one type of exercise for the first few months
b. Only use equipment recommended by physical trainers
c. Only group exercise is beneficial to someone who has not been active in a long time
d. Start low and go slow - ANS D
, You're reviewing CXR report on 56yo male who presented w/increasing SOB. You
suspect COPD. You know the dx can be made with a high degree of accuracy if 2 of the
following criteria are met:
1. Flattening of diaphragm w/blunting of costophrenic angle on PA film
2. Upper zone redistribution of pulmonary blood flow (cephalization)
3. Abnormally enlarged retrosternal space
4. Signs of interstitial edema - ANS 1 and 3
You have completed the first follow up visit for a new COPD pt who is in stable
condition. The pt asks how often he needs to follow up for COPD. You state that stable
COPD pts should return for follow up eval:
a. Yearly
b. Monthly
c. Every 3-6mo
d. Every 2mo - ANS C
When examining the spine of an older adult, you notice a curvature with a sharp angle.
This is referred to as a:
a. Pectus excavation
b. Scoliosis
c. Kyphosis
d. Lordosis - ANS C
(more specifically, this is called a Gibbus, which is a specific condition in regards to
kyphosis, but Gibbus wasn't an option)
An effective exercise therapy for RA is:
a. Yoga and/or Pilates
Verified Answers
You order bilat wrist XR on a 69yo man c/o pain in both wrists for 6wks not related to
known trauma. You suspect elderly onset rheumatoid arthritis. To guide tx, you look for
which radiographic finding?
a. Symmetric joint space narrowing
b. Soft tissue swelling
c. Subluxation of joints
d. Joint erosions - ANS D
The leading cause of disability worldwide is:
a. Depression
b. Lung Ca
c. Heart dz
d. DM - ANS A
In differentiating OA from chronic gout, pseudogout, or septic arthritis, the most valuable
diagnostic study would be:
a. CBC
b. CRP
c. Synovial fluid analysis
d. ESR - ANS C
Symptoms of depression distinct to elderly include:
,a. Loss of pleasure in usual activities
b. Lack of emotions
c. Flat affect
d. Appetite/wt disturbances - ANS B
You ordered a CBC for pt you suspect has PMR. Which 2 findings are common in pt's
with PMR?
a. Normochromic, normocytic anemia and thrombocytosis
b. Macrocytic, hyperchromic anemia and leukocytopenia
c. Neutropenia and hypochromic, normocytic anemia
d. Microcytic, hypochromic anemia and reticulocytopenia - ANS A
An example of secondary prevention you could recommend/order for elderly would be
to:
a. Provide foot care for DM pt
b. Check for fecal occult blood
c. Administer tetanus shot
d. Wear seat belts - ANS B
When you recommend exercise for sedentary older adult, which of the following pieces
of advice should be considered for all types of exercise?
a. Focus only on one type of exercise for the first few months
b. Only use equipment recommended by physical trainers
c. Only group exercise is beneficial to someone who has not been active in a long time
d. Start low and go slow - ANS D
, You're reviewing CXR report on 56yo male who presented w/increasing SOB. You
suspect COPD. You know the dx can be made with a high degree of accuracy if 2 of the
following criteria are met:
1. Flattening of diaphragm w/blunting of costophrenic angle on PA film
2. Upper zone redistribution of pulmonary blood flow (cephalization)
3. Abnormally enlarged retrosternal space
4. Signs of interstitial edema - ANS 1 and 3
You have completed the first follow up visit for a new COPD pt who is in stable
condition. The pt asks how often he needs to follow up for COPD. You state that stable
COPD pts should return for follow up eval:
a. Yearly
b. Monthly
c. Every 3-6mo
d. Every 2mo - ANS C
When examining the spine of an older adult, you notice a curvature with a sharp angle.
This is referred to as a:
a. Pectus excavation
b. Scoliosis
c. Kyphosis
d. Lordosis - ANS C
(more specifically, this is called a Gibbus, which is a specific condition in regards to
kyphosis, but Gibbus wasn't an option)
An effective exercise therapy for RA is:
a. Yoga and/or Pilates
