NR-511 Differential Diagnosis & Primary Care Practicum

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. lOMoARcPSD| 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 lOMoARcPSD| 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. 16: Most nosocomial pneumonias are caused by Ans: Gram-negative bacteria 17: Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain? Ans: Morning stiffness. 18: A patient presents to the clinician with a sore throat, fever, of 100.7f and tender anterior cervical lymphadenopathy. The clinician suspect strep throat and performed a rapid strep test that is negative. What would the nest step be? Ans: A throat culture should be performed to confirm the result of the rapid strep test. 19:Most Nosocomial pneumonias are caused by……. Ans: ? lOMoARcPSD| 20: A patient is diagnosed with Giardia after a backpacking trip in the mountains. Which of the following would be the appropriate treatment? Ans: Metrinidazole. 21: Which causes the greatest percentage of mammalian bites? Ans: Dog 22: One of the initial steps in assessing patient with musculoskeletal complaints is to determine whether the complaint is articular or non-articular in origin. Which of the following is an example of an articular structure? Ans: Synovium 23: Cat bites are commonly associated with which of the following pathogens? Ans: Pasteurella Multocida 24:Which of the following should be considered in a patient presenting with erectile dysfunction? Ans: DM, HTN, Atherosclerosis All of the above 25: Tori is on systemic antifungals for a tines infect. You understand that serum labs monitored for Ans: Hepatotoxicity 26:Fluctuation and reductions in estrogen may be a contributing factor in which type of rhinitis? Ans: Vasomotor rhinitis 27: Severe pain associated with acute otitis media signifies perforation of the tympanic membrane Ans: False lOMoARcPSD| 28: The Patient is diagnosed with overactive bladder (OAB).Which of the following instructions should be given to the woman? Ans: Eliminate caffeine from your diet 29: Sally aged 25, present with impetigo that has been diagnosed as infected with staphylococcus. The clinical presentation in pruritic, tender, red vesicles surrounded y erythema with a rash that is ulcerating. Which types of impetigo is this? Ans: Ecthyma 30: Which of the following instructions should be given to the patient with nephrolithiasis? Ans: Take Ibuprofen 600mg every 8 hours 31: A 63 years old man is seen in the clinic with a chief complaint of nocturia . Which of the following should be included in the differential diagnosis? Ans: Benign prostatic hypertrophy 32: Which of the following are predisposing factors for pyelonephritis? Ans: Pregnancy 33: Which of the following statements is true regarding the treatment of carpal tunnel syndrome? Ans: All of the above ===34: A patient is diagnosed with Giardia after a backpacking trip in the mountains. Which of the following would be the appropriate treatment?