NR324 MID-TERM TEST SCRIPT 2026
QUESTIONS WITH FULL ANSWERS GRADED A+
◉ You suspect your patient has PMR and now are concerned that
they may have Giant Cell Arteritis too. Which of the following 2
symptoms are most indicative of GCA and PMR. Answer: Scalp
tenderness and aching in shoulder and pelvic girdle
◉ 63 yo Caucasian patient with PMR will begin tx corticosteroids
until the condition has resolved. You look over her records and it has
been 2 years since her last physical exam and any labs or diagnostic
tests as she relocated and had not yet ID'd a provider. In prioritizing
your management plan your first orders should include. Answer:
Duel energy X-ray scan and updating immunizations
◉ Which of the following DD for patients presenting with PMR can
be ruled out with a muscle biopsy. Answer: Polymyositis
◉ In reviewing lab results for patients with suspected PMR, you
realize there is no definitive test to diagnose PMR, rather clinical
response to treatment. Results you would expect to see include:.
Answer: ESR >50
,◉ Which of the following is the most appropriate lab test for
monitoring gout therapy over the long-term. Answer: Serum urate
level
◉ In providing health teaching related to dietary restrictions, you
should advise a patient with gout to avoid which of the following
dietary items. Answer: Beer, sausage, fried seafood
◉ The best method of verifying gout diagnosis in a joint is which of
the following. Answer: Joint aspiration and polarized light
microscopy
◉ The most appropriate first line treatment for acute gout flare,
assuming no kidney disease or elevated bleeding risk. Answer:
Indomethacin 50mg TID x2 days, then 25mg TID x3 days
◉ You order bilateral wrist XR on 69 yo man with c/o both wrists x6
weeks, not related to any known trauma. You suspect early RA. The
initial XR finding in apatien with elderly onset RA would be. Answer:
Soft tissue swelling
◉ A 72 female has been diagnosed with gout. She also has chronic
HF. The most likely contributing factor to development of gout in
this older female is. Answer: Thiazide diuretics
, ◉ Which of the following statements about OA is true. Answer: It
affects primarily weight bearing joints
◉ In considering the specificity of lab data, the most reliable
diagnostic test listed below would be. Answer: Synovial fluid
analysis to differentiate between infectious versus inflammatory
infusion
◉ When examining the spine of an older adult you notice a
curvature with a sharp angle. This is referred to as. Answer: Gibbus
◉ The prevalence of depression in nursing home residents is
__________________ greater than adults living in the community. Answer:
3-4 times
◉ The majority of depressed older adults remain untreated because
of. Answer: Misdiagnosis, social stigma, environmental barriers
◉ Symptoms of depression distinct to the elderly include. Answer:
Lack of emotions
◉ The justification for ordering CBC, TSH, serum B12 for a patient
you may suspect have clinical depression is. Answer: Because of
overlapping symptoms with anemia, thyroid dysfunction, and
nutritional deficiencies
QUESTIONS WITH FULL ANSWERS GRADED A+
◉ You suspect your patient has PMR and now are concerned that
they may have Giant Cell Arteritis too. Which of the following 2
symptoms are most indicative of GCA and PMR. Answer: Scalp
tenderness and aching in shoulder and pelvic girdle
◉ 63 yo Caucasian patient with PMR will begin tx corticosteroids
until the condition has resolved. You look over her records and it has
been 2 years since her last physical exam and any labs or diagnostic
tests as she relocated and had not yet ID'd a provider. In prioritizing
your management plan your first orders should include. Answer:
Duel energy X-ray scan and updating immunizations
◉ Which of the following DD for patients presenting with PMR can
be ruled out with a muscle biopsy. Answer: Polymyositis
◉ In reviewing lab results for patients with suspected PMR, you
realize there is no definitive test to diagnose PMR, rather clinical
response to treatment. Results you would expect to see include:.
Answer: ESR >50
,◉ Which of the following is the most appropriate lab test for
monitoring gout therapy over the long-term. Answer: Serum urate
level
◉ In providing health teaching related to dietary restrictions, you
should advise a patient with gout to avoid which of the following
dietary items. Answer: Beer, sausage, fried seafood
◉ The best method of verifying gout diagnosis in a joint is which of
the following. Answer: Joint aspiration and polarized light
microscopy
◉ The most appropriate first line treatment for acute gout flare,
assuming no kidney disease or elevated bleeding risk. Answer:
Indomethacin 50mg TID x2 days, then 25mg TID x3 days
◉ You order bilateral wrist XR on 69 yo man with c/o both wrists x6
weeks, not related to any known trauma. You suspect early RA. The
initial XR finding in apatien with elderly onset RA would be. Answer:
Soft tissue swelling
◉ A 72 female has been diagnosed with gout. She also has chronic
HF. The most likely contributing factor to development of gout in
this older female is. Answer: Thiazide diuretics
, ◉ Which of the following statements about OA is true. Answer: It
affects primarily weight bearing joints
◉ In considering the specificity of lab data, the most reliable
diagnostic test listed below would be. Answer: Synovial fluid
analysis to differentiate between infectious versus inflammatory
infusion
◉ When examining the spine of an older adult you notice a
curvature with a sharp angle. This is referred to as. Answer: Gibbus
◉ The prevalence of depression in nursing home residents is
__________________ greater than adults living in the community. Answer:
3-4 times
◉ The majority of depressed older adults remain untreated because
of. Answer: Misdiagnosis, social stigma, environmental barriers
◉ Symptoms of depression distinct to the elderly include. Answer:
Lack of emotions
◉ The justification for ordering CBC, TSH, serum B12 for a patient
you may suspect have clinical depression is. Answer: Because of
overlapping symptoms with anemia, thyroid dysfunction, and
nutritional deficiencies
