©SIRJOEL EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
Diagnostic Reasoning Exam Questions And
Answers
What is inductive reasoning? - Answers✔Moving from specific finding or complaint to more general.
What does diagnostic reasoning allow the NP to do? - Answers✔Focus on what needs to be asked and
examined
Cluster abnormal findings
Develop differential diagnoses
Analyze and interpret findings
What may the differential diagnosis of a cough include? - Answers✔Viral syndrome.
bronchitis/pneumonia
Chronic condition: asthma, COPD, heart failure
GERD
Allergic rhinitis, sinusitis, cancer
What are the differential diagnoses of dyspnea? - Answers✔Copd
Heart failure
Anemia
Asthma, poor conditioning
, ©SIRJOEL EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
Acute = PE or foreign body aspiration, anaphylaxis, pneumothorax, epiglottitis, asthma
The differential diagnoses of rhinitis/congestion may include? - Answers✔Sinusitis
Allergic Rhinitis
Abuse of nasal decongestants (no discharge just congestion)
URI
Why do we take a history? - Answers✔Gather information/clues to help you make the diagnosis
Begins the therapeutic relationship
Determines patient goals
What type of questions should be asked in the interview?
What is the Chief Complaint?
What type of information do you collect for the HPI? - Answers✔Open-ended. Tell me about .....
The reason the patient states they are here for a visit, use quotes
OLD CART
Onset, location, duration, character, aggravating or associating symptoms, releving, treatment
What is the ROS?
When is it completed?
, ©SIRJOEL EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
How many areas do you focus on for symptomatic/acute visit? - Answers✔Review of systems
Ask any pertinent question related to new information using OLDCART
At the end of the subjective portion
Look at the big 5
What order is correct to complete a patient visit? - Answers✔Chief complaint
HPI
Past medical history
Social history
Family History
ROS
Physical Exam
Diagnostic Tests
Assessment
Plan
What order is correct to complete the hands on portion of the patient physical exam? - Answers✔Start
from the Head to toe (top to bottom). Can do Neuro and MSK at the beginning or end
Skin
HEENT
Respiratory
Cardiac
GI
GU
Neuro
MSK
ALL RIGHTS RESERVED.
Diagnostic Reasoning Exam Questions And
Answers
What is inductive reasoning? - Answers✔Moving from specific finding or complaint to more general.
What does diagnostic reasoning allow the NP to do? - Answers✔Focus on what needs to be asked and
examined
Cluster abnormal findings
Develop differential diagnoses
Analyze and interpret findings
What may the differential diagnosis of a cough include? - Answers✔Viral syndrome.
bronchitis/pneumonia
Chronic condition: asthma, COPD, heart failure
GERD
Allergic rhinitis, sinusitis, cancer
What are the differential diagnoses of dyspnea? - Answers✔Copd
Heart failure
Anemia
Asthma, poor conditioning
, ©SIRJOEL EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
Acute = PE or foreign body aspiration, anaphylaxis, pneumothorax, epiglottitis, asthma
The differential diagnoses of rhinitis/congestion may include? - Answers✔Sinusitis
Allergic Rhinitis
Abuse of nasal decongestants (no discharge just congestion)
URI
Why do we take a history? - Answers✔Gather information/clues to help you make the diagnosis
Begins the therapeutic relationship
Determines patient goals
What type of questions should be asked in the interview?
What is the Chief Complaint?
What type of information do you collect for the HPI? - Answers✔Open-ended. Tell me about .....
The reason the patient states they are here for a visit, use quotes
OLD CART
Onset, location, duration, character, aggravating or associating symptoms, releving, treatment
What is the ROS?
When is it completed?
, ©SIRJOEL EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
How many areas do you focus on for symptomatic/acute visit? - Answers✔Review of systems
Ask any pertinent question related to new information using OLDCART
At the end of the subjective portion
Look at the big 5
What order is correct to complete a patient visit? - Answers✔Chief complaint
HPI
Past medical history
Social history
Family History
ROS
Physical Exam
Diagnostic Tests
Assessment
Plan
What order is correct to complete the hands on portion of the patient physical exam? - Answers✔Start
from the Head to toe (top to bottom). Can do Neuro and MSK at the beginning or end
Skin
HEENT
Respiratory
Cardiac
GI
GU
Neuro
MSK
