NR511 FINAL EXAM Latest 2020 MAY all 100 questions all graded

NR511 Differential Diagnosis and Primary Care

FINAL EXAM

 

Question :           The most cost-e?ective screening test for determining HIV        

                status is which of the following?              

                Western blot    

                Enzyme-linked immunosorbent assay   

                Venereal Disease Research Laboratory test        

:               Viral load            

               

Comments:                       

Question 2.Question :    Which blood test is a nonspecific method and most helpful         

                for evaluating the severity and course of an inflammatory           

                process?             

                Erythrocyte sedimentation rate

                White blood cell count  

                Polymorphonuclear cells             

                C-reactive protein (CRP)              

 

 

:              

Comments:                       

Question 3.Question :    Cocaine acts as a stimulant by blocking the reuptake of 

                which neurotransmitter?            

                GABA   

                Acetylcholine    

                Dopamine          

:               Serotonin           

               

Comments:                       

Question 4.Question :    Mrs. Thomas was seen in the o?ce 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 di?erentiates the diagnosis and is most      

                consistent with lateral epicondylitis (tennis elbow) is:    

                Ecchymosis, edema, and erythema over the lateral        

                epicondyle         

                Pain at the elbow with resisted movements at the wrist               

                and forearm      

                Inability to supinate and pronate the arm            

:               Inability to flex or extend the elbow against resistance 

               

Comments:                       

Question 5.Question :    Which of the following statements concerning the          

                musculoskeletal examination is true?    

                The uninvolved side should be examined initially and then          

                compared to the involved side.

                The part of the body that is causing the patient pain       

                should be examined first.           

                When possible, the patient should not be asked to         

                perform active range-of-motion (ROM) exercises to avoid          

                causing pain.     

                Radiographs should always be obtained prior to               

:               examination so as not to cause further injury to the patient.      

                               

Comments:                       

Question 6.Question :    Which of the following signs or symptoms indicate an    

 

 

                inflammatory etiology to musculoskeletal pain?

                Decreased C-reactive protein    

                Hyperalbuminemia        

                Morning sti?ness            

:               Weight gain       

                               

Comments:                       

Question 7.Question :    Which causes the greatest percentage of mammalian bites?      

                Dogs     

                Cats      

                Humans              

:               Rodents              

                               

Comments:                       

Question 8.Question :    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? 

                Transvaginal ultrasound               

                Endometrial biopsy        

                MRI       

:               Abdominal computed tomography scan               

                               

Comments:                       

Question 9.Question :    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?    

                "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               

                               

Comments:                       

 

 

 

 

Question 10.Question : 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?ness; coarse, dry hair; and a       

                delay in relaxation in deep tendon reflexes. Which of the            

                following tests should be ordered next?              

                Serum calcium  

                TSH       

                Electrolytes       

:               Urine specific gravity     

                               

Comments:                       

Question 11.Question : Which of the following medications for type 2 diabetes

                mellitus should not be prescribed during pregnancy?     

                Insulin  

                Metformin         

                Glucotrol            

:               Precose               

                               

Comments:                       

Question 12.Question : 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?    

                An enlarged rubbery gland         

                A hard irregular gland    

                A tender gland 

:               A boggy gland   

                               

Comments:                       

Question 13.Question : 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?           

                Remove the insect with tweezers.          

                Immobilize the insect with 2% lidocaine.              

                Sedate Eddie with diazepam.    

:               Shine a light in the ear for the insect to "find its way out."            

                               

Comments:                       

 

 

Question 14.Question : What is the most common cause of microcytic anemia?

                Anemia of chronic disease          

                Sideroblastic anemia     

                Iron-deficiency anemia

:               Thalassemia      

                               

Comments:                       

Question 15.Question : An 82-year-old man is seen in the primary care o?ce with           

                complaints of dribbling urine and di?culty starting his   

                stream. Which of the following should be included in the list      

                of di?erential diagnoses?            

                Benign prostatic hyperplasia (BPH)         

                Parkinson's disease        

                Prostate cancer

:               All of the above               

                               

Comments:                       

Question 16.Question : Early rheumatoid disease is characterized by:    

                Pain and swelling in both small and large peripheral        

                joints    

                Rigid joints with diminished range of motion      

                Joint swelling and immobility on rising   

:               A cardiac rub or pulmonary friction rub 

                               

Comments:                       

Question 17.Question : 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?

                Make an immediate referral for an orthopedic evaluation           

                without further assessment.     

                Tell her that it takes time for these bruises to improve, so           

                she should be patient.  

                Obtain a wrist x-ray and place her wrist in a splint or       

 

 

                prescribe a splint.           

                Send her to the emergency room for reduction of this  

:               obvious wrist fracture. 

                               

Comments:                       

Question 18.Question : 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:              

                1 month              

                3 months            

                6 months            

:               12 months          

                               

Comments:                       

Question 19.Question : 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?     

                The scrotum will be dark.            

                The scrotum will appear light pink or yellow.      

                The scrotum will appear milky white.     

:               The internal structures will be clearly visible.      

                               

Comments:                       

Question 20.Question : According to Kübler-Ross, the stages of grief occur in which        

                order? 

                Anger, denial, depression, bargaining, acceptance          

                Anger, denial, bargaining, acceptance, depression          

                Denial, anger, depression, bargaining, acceptance           

:               Denial, anger, bargaining, depression, acceptance           

                               

Comments:                       

Question 21.Question : 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?    

                A favorable prognostic trend     

 

 

                Disease progression      

                The need to be more aggressive with Reuben's

                medications      

:               The eradication of the HIV          

                               

Comments:                       

Question 22.Question : The exanthem of Lyme disease is:          

                Erythema infectiosum  

                Laterothoracic exanthem            

                Erythema migrans          

:               Morbilli exanthem          

                               

Comments:                       

Question 23.Question : You have detected the presence of crepitus on examination     

                of a patient with a musculoskeletal complaint. Additionally,        

                there is limited range of motion (ROM) with both active and      

                passive movement. These findings suggest that the origin of     

                the musculoskeletal complaint is:            

                Articular              

                Inflammatory   

                Nonarticular      

:               A and B

                               

Comments:                       

Question 24.Question : What is the recommended daily calcium intake for adults            

                over the age of 50 with low bone mass?               

                1,200 mg/day    

                1,000 mg/day    

                1,300 mg/day    

:               1,500 mg/day    

                               

Comments:                       

Question 25.Question : When assessing a woman for infertility, which of the     

                following tests should be done first?     

                Analysis of partner's sperm        

                Magnetic resonance imaging (MRI)        

                Hysterosalpingogram    

 

 

:               Estrogen level  

                               

Comments:                       

Question 26.Question : Which type of burn injury results in destruction of the  

                epidermis with most of the dermis, yet the epidermal cells         

                lining hair follicles and sweat glands remain intact?          

               

                Lead     

                Carbon monoxide           

:               Strychnine         

                               

Comments:                       

Question 51.Question : Basic human needs are identified as:     

                Autonomy and feeling valued by others               

                Exhilaration and productivity     

                Spirituality          

:               Career success and material rewards     

                               

Comments:                       

Question 52.Question : The clinician sees a patient who is 5 feet tall and weighs 150       

                pounds. How would the clinician classify this patient?    

                Overweight       

                Mild obesity      

                Moderate obesity          

:               Morbid obesity

                               

 

 

Question 100.Question :               A 45-year-old woman is seen in the clinic with abnormal

                uterine bleeding and pain during intercourse. The clinician          

                should consider which of the following diagnoses?         

                Leiomyoma       

                Pregnancy          

                Ovarian cancer 

:               All of the above               

                               

Comments: