NR 511: Differential Diagnosis and
Primary Care Midterm Exam Practice –
Chamberlain Primar, Exams of Nursing
relived on testicular elevation c. testicle very low in the scrotum d. swollen
scrotum with a red dot sign - ANSWER//a. absent cremasteric reflux Most
nosocomial pneumonias are caused by: a. Fungi. b. Viruses c. Gram-negative
bacteria. d. Pneumococcal pneumonia. - ANSWER//c. Gram-negative
bacteria. A family practice office for all 5 of your clinical rotations will
guarantee that you will gain the required pediatric exposure a. true b. false -
ANSWER//b. false The most common precancerous skin lesion found in
Caucasians is a. skin tags b. actinic keratosis c. melanoma d. basal skin
lesion - ANSWER//b. actinic keratosis Which obstructive lung disease is
classified as reversible? a. Asthma b. Chronic bronchitis c. Emphysema d.
COPD - ANSWER//a. Asthma Which of the following is an example of an
articular structure a. bone b. synovium c. tendons d. fascia - ANSWER//b.
synovium Jennifer is an 18-year-old girl who comes to the emergency room
after a fall during a soccer game. Jennifer explains that she fell on her left side
and kept her arm out straight to break her fall. She has been experiencing
severe pain and limited range of motion in her left shoulder. The clinician has
diagnosed Jennifer with a dislocated shoulder. Which of the following
statements are true concerning shoulder dislocation? a. posterior dislocations
are more common than anterior dislocations b. there is a risk of neurovascular
and neurosensory trauma, so the clinician should check for distal pulses -
ANSWER//b. there is a risk of neurovascular and neurosensory trauma, so
the clinician should check for distal pulses Which of the following statements
is true concerning the management of the client with a herniated disc? a.
muscle relaxants and narcotics can be used to control moderate pain but
should be discontinued after 3 weeks of use b. an epidural injection is helpful
in reducing leg pain that has persisted for at least 3 weeks after the herniation
occurred. c. intolerable pain for more than 3 months is an indication for
surgical intervention d. all
Janet is a 30 year old woman who has been recently diagnosed with a
herniated disc at the level of L5-S1. She is currently in the emergency room
with suspician of cauda equna compression. Which of the following is a sign
or symptom of cauda equina compression? a. gastrocnemius weakness b.
reduced or absent ankle refles c. numbness of the lateral foot d. paresthesia
of the perineum and buttocks - ANSWER//d. paresthesia of the perineum and
buttocks The patient has acute pancreatitis with 7 of the diagnostic criteria
from Ranson's Criteria. In order to plan care, the clinician understands that
this criteria score has which of the following meanings? a. a high mortality rate
b. an increased chance of recurrence c. 7% chance of the disease becoming
chronic d. all of the above - ANSWER//a. a high mortality rate 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. a favorable diagnostic trend b. disease
, progression c. the need to be more aggressive with Reuben's medications d.
the eradication of the HIV - ANSWER//a. a favorable diagnostic trend Which is
the differentiating symptom mbetween labyrinthitis and vestibular neuritis? a.
symptoms with vestibular neuritis are usually acute in onset, whereas with
labyrinthitis the onet is more gradual b. hearing loss may be associated with
vestibular neuritis, but not with labyrinthitis c. symptoms with labyrinthitis are
usually acute in onset, ,whereas with vesticular neuritis the onset is more
gradual d. hearing loss may be associated with labyrinthitis ,but not with
vestibular neuritis. - ANSWER//d. hearing loss may be associated with
labyrinthitis ,but not with vestibular neuritis. A 27 year old female presents
with a chief complaint of burning and pain on urination. She has no previous
history of urinary tract infection. what are some additional symptoms
consistant with a diagnosis of lower UTI? a. back and abdominal pain b. fever,
chills, costovertebral angle (CVA) tenderness c. blood in urine and frequency
d. foul-smelling discharge, perineal itch - ANSWER//c. blood in urine and
frequency The differential diagnosis for vertigo can be classified into which of
the following categories: a. peripheral vestibular disease b. CNS disorders c.
Systemic disorders d. all of the above - ANSWER//d. all of the above Sam is a
25-year-old man who has been diagnosed with low back strain based on his
history of localized low back pain and muscle spasm along with a normal
neurological examination. As the clinician, you explain to Sam that low back
pain is a diagnosis of exclusion. Which of the following symptoms would alert
the clinician to the more serious finding of a herniated nucleus pulposus or
ruptured disc? a. morning stiffness and limited mobility of the lumbar spine b.
unilateral radicular pain symptoms that extend below the knee and are equal
to or greater than the back pain c. Fever, chills, and elevated erythrocyte
sedimentation rate d. pathologic fractures, severe night pain, weight loss and
fatigue - ANSWER//b. unilateral radicular pain symptoms that extend below
the knee and are equal to or greater than the back pain Preceptors must
always see the patients that the students see in the clinical setting a. true b.
false - ANSWER//a. true 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 differentials? a. BPH b. Prostate
cancer c. UTI d. all of the above - ANSWER//d. all of the above Which causes
the greatest percentage of mammalian bites? a. dogs b. cats c. humans d.
rodents - ANSWER//a. dogs Endoscopic report reveals the presents of
Barrett's epithelium. Which of the following information should the clinician
include in the explaination 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. all of the above Which of the
following data are indicative of testicular torsion? a. absent cremasteric reflux
b. pain relived on testicular elevation c. testicle very low in the scrotum d.
swollen scrotum with a red dot sign - ANSWER//a. absent cremasteric reflux
Most nosocomial pneumonias are caused by: a. Fungi. b. Viruses c. Gram-
negative bacteria. d. Pneumococcal pneumonia. - ANSWER//c. Gram-
negative bacteria. A family practice office for all 5 of your clinical rotations will
guarantee that you will gain the required pediatric exposure a. true b. false -
ANSWER//b. false The most common precancerous skin lesion found in
Caucasians is a. skin tags b. actinic keratosis c. melanoma d. basal skin
lesion - ANSWER//b. actinic keratosis Which obstructive lung disease is
Primary Care Midterm Exam Practice –
Chamberlain Primar, Exams of Nursing
relived on testicular elevation c. testicle very low in the scrotum d. swollen
scrotum with a red dot sign - ANSWER//a. absent cremasteric reflux Most
nosocomial pneumonias are caused by: a. Fungi. b. Viruses c. Gram-negative
bacteria. d. Pneumococcal pneumonia. - ANSWER//c. Gram-negative
bacteria. A family practice office for all 5 of your clinical rotations will
guarantee that you will gain the required pediatric exposure a. true b. false -
ANSWER//b. false The most common precancerous skin lesion found in
Caucasians is a. skin tags b. actinic keratosis c. melanoma d. basal skin
lesion - ANSWER//b. actinic keratosis Which obstructive lung disease is
classified as reversible? a. Asthma b. Chronic bronchitis c. Emphysema d.
COPD - ANSWER//a. Asthma Which of the following is an example of an
articular structure a. bone b. synovium c. tendons d. fascia - ANSWER//b.
synovium Jennifer is an 18-year-old girl who comes to the emergency room
after a fall during a soccer game. Jennifer explains that she fell on her left side
and kept her arm out straight to break her fall. She has been experiencing
severe pain and limited range of motion in her left shoulder. The clinician has
diagnosed Jennifer with a dislocated shoulder. Which of the following
statements are true concerning shoulder dislocation? a. posterior dislocations
are more common than anterior dislocations b. there is a risk of neurovascular
and neurosensory trauma, so the clinician should check for distal pulses -
ANSWER//b. there is a risk of neurovascular and neurosensory trauma, so
the clinician should check for distal pulses Which of the following statements
is true concerning the management of the client with a herniated disc? a.
muscle relaxants and narcotics can be used to control moderate pain but
should be discontinued after 3 weeks of use b. an epidural injection is helpful
in reducing leg pain that has persisted for at least 3 weeks after the herniation
occurred. c. intolerable pain for more than 3 months is an indication for
surgical intervention d. all
Janet is a 30 year old woman who has been recently diagnosed with a
herniated disc at the level of L5-S1. She is currently in the emergency room
with suspician of cauda equna compression. Which of the following is a sign
or symptom of cauda equina compression? a. gastrocnemius weakness b.
reduced or absent ankle refles c. numbness of the lateral foot d. paresthesia
of the perineum and buttocks - ANSWER//d. paresthesia of the perineum and
buttocks The patient has acute pancreatitis with 7 of the diagnostic criteria
from Ranson's Criteria. In order to plan care, the clinician understands that
this criteria score has which of the following meanings? a. a high mortality rate
b. an increased chance of recurrence c. 7% chance of the disease becoming
chronic d. all of the above - ANSWER//a. a high mortality rate 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. a favorable diagnostic trend b. disease
, progression c. the need to be more aggressive with Reuben's medications d.
the eradication of the HIV - ANSWER//a. a favorable diagnostic trend Which is
the differentiating symptom mbetween labyrinthitis and vestibular neuritis? a.
symptoms with vestibular neuritis are usually acute in onset, whereas with
labyrinthitis the onet is more gradual b. hearing loss may be associated with
vestibular neuritis, but not with labyrinthitis c. symptoms with labyrinthitis are
usually acute in onset, ,whereas with vesticular neuritis the onset is more
gradual d. hearing loss may be associated with labyrinthitis ,but not with
vestibular neuritis. - ANSWER//d. hearing loss may be associated with
labyrinthitis ,but not with vestibular neuritis. A 27 year old female presents
with a chief complaint of burning and pain on urination. She has no previous
history of urinary tract infection. what are some additional symptoms
consistant with a diagnosis of lower UTI? a. back and abdominal pain b. fever,
chills, costovertebral angle (CVA) tenderness c. blood in urine and frequency
d. foul-smelling discharge, perineal itch - ANSWER//c. blood in urine and
frequency The differential diagnosis for vertigo can be classified into which of
the following categories: a. peripheral vestibular disease b. CNS disorders c.
Systemic disorders d. all of the above - ANSWER//d. all of the above Sam is a
25-year-old man who has been diagnosed with low back strain based on his
history of localized low back pain and muscle spasm along with a normal
neurological examination. As the clinician, you explain to Sam that low back
pain is a diagnosis of exclusion. Which of the following symptoms would alert
the clinician to the more serious finding of a herniated nucleus pulposus or
ruptured disc? a. morning stiffness and limited mobility of the lumbar spine b.
unilateral radicular pain symptoms that extend below the knee and are equal
to or greater than the back pain c. Fever, chills, and elevated erythrocyte
sedimentation rate d. pathologic fractures, severe night pain, weight loss and
fatigue - ANSWER//b. unilateral radicular pain symptoms that extend below
the knee and are equal to or greater than the back pain Preceptors must
always see the patients that the students see in the clinical setting a. true b.
false - ANSWER//a. true 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 differentials? a. BPH b. Prostate
cancer c. UTI d. all of the above - ANSWER//d. all of the above Which causes
the greatest percentage of mammalian bites? a. dogs b. cats c. humans d.
rodents - ANSWER//a. dogs Endoscopic report reveals the presents of
Barrett's epithelium. Which of the following information should the clinician
include in the explaination 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. all of the above Which of the
following data are indicative of testicular torsion? a. absent cremasteric reflux
b. pain relived on testicular elevation c. testicle very low in the scrotum d.
swollen scrotum with a red dot sign - ANSWER//a. absent cremasteric reflux
Most nosocomial pneumonias are caused by: a. Fungi. b. Viruses c. Gram-
negative bacteria. d. Pneumococcal pneumonia. - ANSWER//c. Gram-
negative bacteria. A family practice office for all 5 of your clinical rotations will
guarantee that you will gain the required pediatric exposure a. true b. false -
ANSWER//b. false The most common precancerous skin lesion found in
Caucasians is a. skin tags b. actinic keratosis c. melanoma d. basal skin
lesion - ANSWER//b. actinic keratosis Which obstructive lung disease is
