Maryville NR 622 Primary Care II Exam 1 With Actual 120 Questions & Verified Answers,Plus Rationales/Expert Verified For Guaranteed Pass Graded A+/ 2025/2026 /Latest Update/Instant Download Pdf

Maryville NR 622 Primary Care II Exam
1 With Actual 120 Questions &
Verified Answers,Plus
Rationales/Expert Verified For
Guaranteed Pass Graded A+/
2025/2026 /Latest Update/Instant
Download Pdf

Maryville NR 622 – Primary Care II

1. A 56-year-old male presents with chest pain relieved by rest and nitroglycerin. What
is the most likely diagnosis?
a. Stable angina
b. Unstable angina
c. Myocardial infarction
d. Pericarditis
a. Stable angina
Stable angina is predictable, occurs with exertion, and is relieved by rest or
nitroglycerin. Unstable angina is new, worsening, or occurs at rest.

2. A patient with type 2 diabetes has a hemoglobin A1c of 9.2%. What is the best initial
management change?
a. Continue current therapy
b. Add basal insulin
c. Discontinue all medications
d. Switch to diet alone
b. Add basal insulin
An A1c >9% often requires initiation of insulin for tighter glucose control.

3. A 44-year-old presents with dysuria and frequency. Urinalysis reveals positive
leukocyte esterase and nitrites. Best treatment?
a. Ciprofloxacin 3 days

, b. Nitrofurantoin 5 days
c. No antibiotics
d. Amoxicillin 10 days
b. Nitrofurantoin 5 days
First-line therapy for uncomplicated UTI in women is nitrofurantoin for 5 days unless
contraindicated.

4. A 70-year-old man with COPD presents with worsening cough and sputum. Which
antibiotic is most appropriate?
a. Azithromycin
b. Penicillin V
c. Cephalexin
d. Amoxicillin-clavulanate
a. Azithromycin
Azithromycin is recommended for acute COPD exacerbations to cover common
pathogens.

5. A 28-year-old woman complains of irregular menses and hirsutism. Labs show
elevated testosterone. Likely diagnosis?
a. Hypothyroidism
b. Polycystic ovarian syndrome
c. Addison’s disease
d. Premature ovarian failure
b. Polycystic ovarian syndrome
PCOS presents with menstrual irregularity, hirsutism, and elevated androgens.

6. Which of the following vaccines is recommended for a 65-year-old without prior
pneumococcal vaccination?
a. PCV13 only
b. PPSV23 only
c. PCV13 followed by PPSV23
d. Influenza only
c. PCV13 followed by PPSV23
Adults ≥65 should receive both PCV13 and PPSV23 in sequence.

7. Which is the best diagnostic test for suspected deep vein thrombosis?
a. MRI
b. Venous duplex ultrasound
c. D-dimer only
d. CT scan
b. Venous duplex ultrasound
Ultrasound is the diagnostic test of choice for DVT.

, 8. Which antihypertensive is contraindicated in pregnancy?
a. Methyldopa
b. Labetalol
c. ACE inhibitors
d. Hydralazine
c. ACE inhibitors
ACE inhibitors are teratogenic and contraindicated in pregnancy.

9. A 35-year-old female presents with exophthalmos and weight loss. What is the most
likely diagnosis?
a. Hypothyroidism
b. Graves’ disease
c. Hashimoto’s thyroiditis
d. Thyroid cancer
b. Graves’ disease
Graves’ disease is the most common cause of hyperthyroidism and presents with
exophthalmos.

10. Which lab test is best to confirm iron deficiency anemia?
a. Hematocrit
b. Ferritin
c. Vitamin B12
d. Reticulocyte count
b. Ferritin
Low ferritin is the most specific test for iron deficiency anemia.



11. Which of the following is first-line for generalized anxiety disorder?
a. Benzodiazepines
b. SSRIs
c. Beta-blockers
d. Buspirone only
b. SSRIs
SSRIs are first-line for GAD; benzodiazepines are used short-term only.

12. A 54-year-old with hypertension develops a persistent dry cough. Which medication
is the likely cause?
a. Beta-blocker
b. ACE inhibitor
c. ARB
d. Diuretic