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NR 511 FINAL EXAM LATEST 2024/2025 ALL 100
QUESTIONS AND CORRECT ANSWERS GRADED A+
CHAMBERLAIN/ NR 511 DIFFERENTIAL DIAGNOSIS &
PRIMARY CARE PRACTICUM FINAL EXAM (WEEK 8)
Question 1. The most cost-effective screening test for determining HIV status is which of the following?
Student Answer: Western blot
Enzyme-linked immunosorbent assay Venereal Disease Research Laboratory test Viral load
Points Received: 0 of 2
Comments:
Question 2.Question : Which blood test is a nonspecific method and most helpful
for evaluating the severity and course of an inflammatory process?
Student Answer: Erythrocyte sedimentation rate
White blood cell count Polymorphonuclear cells C-reactive protein (CRP)
Points Received: 0 of 2
Question 3.Question : Cocaine acts as a stimulant by blocking the reuptake of
which neurotransmitter?
Student Answer: GABA
Acetylcholine Dopamine Serotonin
Points Received: 0 of 2
Question 4.Question : 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:
Student Answer: Ecchymosis, edema, and erythema over the 1 / 4
pg. 2 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 Points Received: 2 of 2
Comments:
Question 5.Question : Which of the following statements concerning the
musculoskeletal examination is true?
Student Answer: The uninvolved side should be examined initially
andthen 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.
Points Received: (not graded)
Comments:
Question 6.Question : Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain?
Student Answer: Decreased C-reactive protein
Hyperalbuminemia Morning stiffness Weight gain
Points Received: (not graded)
Comments:
Question 7.Question : Which causes the greatest percentage of mammalian
bites?
Student Answer: Dogs
Cats Humans Rodents
Points Received: (not graded)
Comments:
Question 8.Question : A 48-year-old woman is seen in the clinic with complaints 2 / 4
pg. 3 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?
Student Answer: Transvaginal ultrasound
Endometrial biopsy MRI Abdominal computed tomography
scan Points Received: (not graded)
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?
Student 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
Points Received: (not graded)
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 stiffness; coarse, dry hair; and a delay in relaxation in deep tendon reflexes. Which of the following tests should be ordered next?
Student Answer: Serum
calcium TSH Electrolytes Urine specific
gravity Points Received: (not graded)
Comments:
Question 11.Question : Which of the following medications for type 2 diabetes
mellitus should not be prescribed during pregnancy?
Student Answer: Insulin 3 / 4
pg. 4 Metformin Glucotrol Precose
Points Received: (not graded)
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?
Student Answer: An enlarged rubbery gland
A hard irregular gland A tender gland A boggy gland
Points Received: (not graded)
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?
Student Answer: 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." Points Received: (not graded)
Comments:
Question 14.Question : What is the most common cause of microcytic anemia?
Student Answer: Anemia of chronic disease
Sideroblastic anemia Iron-deficiency anemia Thalassemia
Points Received: (not graded)
Comments:
Question 15.Question : An 82-year-old man is seen in the primary care office with complaints of dribbling urine and difficulty starting his stream. Which of the following should be included in the list of differential diagnoses?
Student Answer: Benign prostatic hyperplasia (BPH)
Parkinson's disease
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