NR511 Midterm and Final Exam Review With
Key Concepts and Verified Answer Strategies
A patient is diagnosed with gastroesophageal reflux disease (GERD), and his endoscopic report reveals
the presence of Barrett's epithelium. Which of the following information should the clinician include
in the explanation of the pathology report?
A) This is a premalignant tissue.
B) This tissue is resistant to gastric acid.
C) This tissue supports healing of the esophagus.
D) All of the above
Answer D
On further questioning, the 21-year-old patient with the chief complaints of fatigue, headache,
anorexia, and a runny nose explains that she is sexually active only with her boyfriend, does not use
injectable drugs, and works as an aide in a day-care center. Which of the following tests would be
most helpful in confirming your diagnosis?
HAV IgM
Which statement about adenocarcinoma of the lung is accurate?
It is the most prevalent carcinoma of the lung in both sexes and in nonsmokers, representing 35% to
40% of all tumors.
Marci has a wart on her hand. She says she heard something about "silver duct tape therapy." What
do you tell her about his?
It is a simple treatment that should be tried first.
Which patient is more likely to have a cluster headache?
A 45-year-old male awakened at night
Tinea unguium is also known as:
Onychomycosis.
, Which of the following medications used in the treatment of glaucoma works by constricting the
pupils to open the angle and allow aqueous fluid to escape?
Pilocarpine
George has cardiovascular disease (CVD), is 64 years old, has a total cholesterol of 280 mg/dL, has a
systolic blood pressure (BP) of 158, and is being treated for hypertension. You are doing a
Framingham Risk Assessment on him. Which assessment factor would give him the highest number of
points on the scale?
His cholesterol level
Which of the following is "a linear crack extending from the epidermis to the dermis"?
A fissure
A patient is seen in the office with complaints of six to seven liquid bowel movements per day. Which
of the following assessment findings would lead the clinician to a diagnosis of inflammatory bowel
disease?
History of international travel
Which of the following is associated with celiac disease (celiac sprue)?
Malabsorption
In which of the following situations would referral to a specialist be needed for sinusitis?
A) Recurrent sinusitis
B) Allergic sinusitis
C) Sinusitis that is refractory to antibiotic therapy
D) All of the above
Answer D
Heart valve damage resulting from acute rheumatic fever is a long-term sequelae resulting from
infection with which of the following pathogens?
Group A streptococcus
A bulla is:
A vesicle larger than 1 cm in diameter.
An example of ecchymosis is:
A bruise
Severe pain associated with acute otitis media signifies perforation of the tympanic membrane.
False
A patient is seen in the office complaining of severe flank pain. The clinician should assess this patient
for which risk factors for kidney stones?
Key Concepts and Verified Answer Strategies
A patient is diagnosed with gastroesophageal reflux disease (GERD), and his endoscopic report reveals
the presence of Barrett's epithelium. Which of the following information should the clinician include
in the explanation of the pathology report?
A) This is a premalignant tissue.
B) This tissue is resistant to gastric acid.
C) This tissue supports healing of the esophagus.
D) All of the above
Answer D
On further questioning, the 21-year-old patient with the chief complaints of fatigue, headache,
anorexia, and a runny nose explains that she is sexually active only with her boyfriend, does not use
injectable drugs, and works as an aide in a day-care center. Which of the following tests would be
most helpful in confirming your diagnosis?
HAV IgM
Which statement about adenocarcinoma of the lung is accurate?
It is the most prevalent carcinoma of the lung in both sexes and in nonsmokers, representing 35% to
40% of all tumors.
Marci has a wart on her hand. She says she heard something about "silver duct tape therapy." What
do you tell her about his?
It is a simple treatment that should be tried first.
Which patient is more likely to have a cluster headache?
A 45-year-old male awakened at night
Tinea unguium is also known as:
Onychomycosis.
, Which of the following medications used in the treatment of glaucoma works by constricting the
pupils to open the angle and allow aqueous fluid to escape?
Pilocarpine
George has cardiovascular disease (CVD), is 64 years old, has a total cholesterol of 280 mg/dL, has a
systolic blood pressure (BP) of 158, and is being treated for hypertension. You are doing a
Framingham Risk Assessment on him. Which assessment factor would give him the highest number of
points on the scale?
His cholesterol level
Which of the following is "a linear crack extending from the epidermis to the dermis"?
A fissure
A patient is seen in the office with complaints of six to seven liquid bowel movements per day. Which
of the following assessment findings would lead the clinician to a diagnosis of inflammatory bowel
disease?
History of international travel
Which of the following is associated with celiac disease (celiac sprue)?
Malabsorption
In which of the following situations would referral to a specialist be needed for sinusitis?
A) Recurrent sinusitis
B) Allergic sinusitis
C) Sinusitis that is refractory to antibiotic therapy
D) All of the above
Answer D
Heart valve damage resulting from acute rheumatic fever is a long-term sequelae resulting from
infection with which of the following pathogens?
Group A streptococcus
A bulla is:
A vesicle larger than 1 cm in diameter.
An example of ecchymosis is:
A bruise
Severe pain associated with acute otitis media signifies perforation of the tympanic membrane.
False
A patient is seen in the office complaining of severe flank pain. The clinician should assess this patient
for which risk factors for kidney stones?
