Exam (elaborations) NR 511 Differential Diagnosis & Primary Care

NR-511 CEA Exam 2025 with Actual Exam
Questions (Chamberlain University)
1. A 24-year-old female presents with dysuria, frequency, and suprapubic pain. She denies
vaginal discharge or fever. What is the most likely diagnosis?
A. Pyelonephritis
B. Uncomplicated urinary tract infection
C. Pelvic inflammatory disease
D. Interstitial cystitis



2. A 55-year-old male complains of a sudden onset of severe chest pain radiating to his back. His
BP is significantly higher in the right arm than the left. What is the most likely diagnosis?
A. Acute myocardial infarction
B. Pulmonary embolism
C. Aortic dissection
D. Gastroesophageal reflux



3. A 6-year-old boy presents with a barking cough and inspiratory stridor. What is the most
likely diagnosis?
A. Bronchiolitis
B. Croup (laryngotracheobronchitis)
C. Asthma
D. Epiglottitis



4. A patient presents with fatigue, cold intolerance, weight gain, and dry skin. Lab results reveal
elevated TSH and low free T4. What is the diagnosis?
A. Hyperthyroidism
B. Primary hypothyroidism
C. Secondary hypothyroidism
D. Anemia



5. A 19-year-old sexually active woman presents with lower abdominal pain and cervical motion
tenderness. What is the most likely diagnosis?
A. Ectopic pregnancy
B. Appendicitis

,C. Pelvic inflammatory disease (PID)
D. Ovarian torsion



6. A patient complains of right upper quadrant abdominal pain, nausea, and vomiting after eating
fatty foods. Murphy's sign is positive. What is the most likely diagnosis?
A. Hepatitis A
B. Acute cholecystitis
C. Gastritis
D. Peptic ulcer disease



7. A 68-year-old man presents with new onset of confusion, fever, and productive cough. Lung
exam reveals crackles in the right lower lobe. What is the likely diagnosis?
A. Bronchitis
B. CHF exacerbation
C. Community-acquired pneumonia
D. COPD



8. A 45-year-old obese female presents with left lower extremity swelling, warmth, and
tenderness. Which is the most appropriate next step?
A. Start antibiotics
B. Order a venous duplex ultrasound
C. Refer to orthopedics
D. Perform joint aspiration



9. A 5-year-old presents with a "slapped cheek" rash followed by a lacy rash on the arms. What
is the most likely diagnosis?
A. Measles
B. Erythema infectiosum (Fifth disease)
C. Rubella
D. Scarlet fever



10. A 32-year-old female presents with unilateral breast pain, redness, and fever while
breastfeeding. What is the most likely diagnosis?
A. Breast abscess
B. Ductal carcinoma

, C. Mastitis
D. Fibrocystic changes



11. A 50-year-old male smoker presents with hematuria but no pain. What is the most
appropriate next diagnostic step?
A. UA and treat empirically
B. Refer for cystoscopy
C. CT abdomen and pelvis
D. Start antibiotics



12. A 30-year-old with a history of asthma presents with wheezing, prolonged expiratory phase,
and cough. What is the best first-line treatment?
A. Oral corticosteroids
B. Leukotriene receptor antagonist
C. Short-acting beta agonist (SABA)
D. Long-acting beta agonist (LABA)



13. A 65-year-old man complains of urinary hesitancy, weak stream, and incomplete bladder
emptying. What is the most likely diagnosis?
A. Urinary tract infection
B. Bladder cancer
C. Benign prostatic hyperplasia (BPH)
D. Neurogenic bladder



14. A patient presents with stabbing chest pain that is relieved by sitting up and worsens when
lying down. ECG shows diffuse ST elevations. What is the likely diagnosis?
A. Myocardial infarction
B. GERD
C. Pericarditis
D. Aortic stenosis



15. A 17-year-old presents with sudden right lower quadrant abdominal pain, nausea, and
anorexia. McBurney’s point is tender. What is the most likely diagnosis?
A. Ovarian torsion
B. Ectopic pregnancy