NR 511 FINAL EXAM
The most cost-effective screening test for determining HIV status is which of the
following? - ANSWER Enzyme-linked immunosorbent assay
Which blood test is a nonspecific method and most helpful
for evaluating the severity and course of aninflammatory process? - ANSWER C-
reactive protein (CRP
Cocaine acts as a stimulant by blocking the reuptake of
which neurotransmitter? - ANSWER Dopamine
Mrs. Thomas was seen in the office complaining of pain and
point tenderness in the area of her elbow. The pain has increased following a day of
gardening one week ago. A physical finding that differentiates the diagnosis and is
most consistent with lateral epicondylitis (tennis elbow) is: - ANSWER Pain at the
elbow with resisted movements at the wrist and forearm
Which of the following statements concerning the
musculoskeletal examination is true? - ANSWER The uninvolved side should be
examined initially and then compared to the involved side.
Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain? - ANSWER Morning sti ffness
Which causes the greatest percentage of mammalian bites? - ANSWER Dogs
A 48-year-old woman is seen in the clinic with complaints of
prolonged heavy menstrual periods. She is pale and states she can no longer
exercise. Pelvic exam reveals a single, very large mass. Which of the following
diagnostic tests should the clinician order first? - ANSWER Transvaginal ultrasound
A diabetic patient asks the clinician why he needs to check
his blood sugar at home even when he feels good. Which of the following responses
would be most appropriate? - ANSWER Control of glucose will help postpone or
delay
complications."
"Regularly checking blood sugar will help establish a routine."
"Monitoring glucose will promote a sense of control."
ALL OF THE ABOVE
A 25-year-old patient presents to the clinic with fatigue, cold
intolerance, weight gain, and constipation for the past 3 months. On physical
examination, the clinician notices a sinus bradycardia; muscular sti ffness; coarse,
dry hair; and a delay in relaxation in deep tendon reflexes. Which of the following
tests should be ordered next? - ANSWER TSH
Which of the following medications for type 2 diabetes
mellitus should not be prescribed during pregnancy? - ANSWER Glucotrol
, During a DRE on a 75-year-old man, the clinician suspects
the patient has prostate cancer. What physical finding should make the clinician
suspicious? - ANSWER An enlarged rubbery gland
Eddie, age 4, presents to the ED with a live insect trapped in
his ear canal causing a lot of distress. What should be your first step? - ANSWER
Immobilize the insect with 2% lidocaine.
What is the most common cause of microcytic anemia? - ANSWER Iron-deficiency
anemia
An 82-year-old man is seen in the primary care o ffice with
complaints of dribbling urine and difficulty starting his stream. Which of the following
should be included in the list of differential diagnoses? - ANSWER Benign prostatic
hyperplasia (BPH)
Parkinson's disease Prostate cancer
All of theabove
Early rheumatoid disease is characterized by: - ANSWER Joint swelling and
immobility on rising
A 70-year-old female has fallen 2 weeks ago and developed
immediate pain in her left wrist. She thought she just bruised it but is worried
because it has not improved. She has used Tylenol® and ice at home, and that has
helped slightly. You examine her and find she has moderate swelling and
ecchymosis but no overtly obvious deformity. Her ROM is uncomfortable and
severely diminished due to the pain. No crepitus is heard or felt. Her fingers are
warm; her pulse is strong; and capillary refill is less than 2 seconds. What should you
do? - ANSWER Obtain a wrist x-ray and place her wrist in a splint or
prescribe a splint
The criteria for diagnosing generalized anxiety disorder in
the American Psychiatric Association's Diagnostic and Statistical Manual of Mental
Disorders, 5th edition (text revision) state that excessive worry or apprehension must
be present more days than not for at least: - ANSWER 6 months
A 60-year-old man presents with an enlarged scrotum. The
clinician uses a penlight to transilluminate the scrotum. In a patient with a hydrocele,
what would the clinician expect to find? - ANSWER the scrotum will appear light
pink or yellow.
According to Kübler-Ross, the stages of grief occur in which
order? - ANSWER Denial, anger, bargaining, depression, acceptance
Reuben, age 24, has HIV and just had a routine viral load
test done. The results show a falling viral load. What does this indicate? - ANSWER
A favorable prognostic trend
The exanthem of Lyme disease is - ANSWER Erythema migrans
The most cost-effective screening test for determining HIV status is which of the
following? - ANSWER Enzyme-linked immunosorbent assay
Which blood test is a nonspecific method and most helpful
for evaluating the severity and course of aninflammatory process? - ANSWER C-
reactive protein (CRP
Cocaine acts as a stimulant by blocking the reuptake of
which neurotransmitter? - ANSWER Dopamine
Mrs. Thomas was seen in the office complaining of pain and
point tenderness in the area of her elbow. The pain has increased following a day of
gardening one week ago. A physical finding that differentiates the diagnosis and is
most consistent with lateral epicondylitis (tennis elbow) is: - ANSWER Pain at the
elbow with resisted movements at the wrist and forearm
Which of the following statements concerning the
musculoskeletal examination is true? - ANSWER The uninvolved side should be
examined initially and then compared to the involved side.
Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain? - ANSWER Morning sti ffness
Which causes the greatest percentage of mammalian bites? - ANSWER Dogs
A 48-year-old woman is seen in the clinic with complaints of
prolonged heavy menstrual periods. She is pale and states she can no longer
exercise. Pelvic exam reveals a single, very large mass. Which of the following
diagnostic tests should the clinician order first? - ANSWER Transvaginal ultrasound
A diabetic patient asks the clinician why he needs to check
his blood sugar at home even when he feels good. Which of the following responses
would be most appropriate? - ANSWER Control of glucose will help postpone or
delay
complications."
"Regularly checking blood sugar will help establish a routine."
"Monitoring glucose will promote a sense of control."
ALL OF THE ABOVE
A 25-year-old patient presents to the clinic with fatigue, cold
intolerance, weight gain, and constipation for the past 3 months. On physical
examination, the clinician notices a sinus bradycardia; muscular sti ffness; coarse,
dry hair; and a delay in relaxation in deep tendon reflexes. Which of the following
tests should be ordered next? - ANSWER TSH
Which of the following medications for type 2 diabetes
mellitus should not be prescribed during pregnancy? - ANSWER Glucotrol
, During a DRE on a 75-year-old man, the clinician suspects
the patient has prostate cancer. What physical finding should make the clinician
suspicious? - ANSWER An enlarged rubbery gland
Eddie, age 4, presents to the ED with a live insect trapped in
his ear canal causing a lot of distress. What should be your first step? - ANSWER
Immobilize the insect with 2% lidocaine.
What is the most common cause of microcytic anemia? - ANSWER Iron-deficiency
anemia
An 82-year-old man is seen in the primary care o ffice with
complaints of dribbling urine and difficulty starting his stream. Which of the following
should be included in the list of differential diagnoses? - ANSWER Benign prostatic
hyperplasia (BPH)
Parkinson's disease Prostate cancer
All of theabove
Early rheumatoid disease is characterized by: - ANSWER Joint swelling and
immobility on rising
A 70-year-old female has fallen 2 weeks ago and developed
immediate pain in her left wrist. She thought she just bruised it but is worried
because it has not improved. She has used Tylenol® and ice at home, and that has
helped slightly. You examine her and find she has moderate swelling and
ecchymosis but no overtly obvious deformity. Her ROM is uncomfortable and
severely diminished due to the pain. No crepitus is heard or felt. Her fingers are
warm; her pulse is strong; and capillary refill is less than 2 seconds. What should you
do? - ANSWER Obtain a wrist x-ray and place her wrist in a splint or
prescribe a splint
The criteria for diagnosing generalized anxiety disorder in
the American Psychiatric Association's Diagnostic and Statistical Manual of Mental
Disorders, 5th edition (text revision) state that excessive worry or apprehension must
be present more days than not for at least: - ANSWER 6 months
A 60-year-old man presents with an enlarged scrotum. The
clinician uses a penlight to transilluminate the scrotum. In a patient with a hydrocele,
what would the clinician expect to find? - ANSWER the scrotum will appear light
pink or yellow.
According to Kübler-Ross, the stages of grief occur in which
order? - ANSWER Denial, anger, bargaining, depression, acceptance
Reuben, age 24, has HIV and just had a routine viral load
test done. The results show a falling viral load. What does this indicate? - ANSWER
A favorable prognostic trend
The exanthem of Lyme disease is - ANSWER Erythema migrans
