NR511 DIFFERENTIAL DIAGNOSIS AND PRIMARY
CARE PRACTICUM FINAL EXAM WITH BEST
SOLUTIONS
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
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.
, 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
CARE PRACTICUM FINAL EXAM WITH BEST
SOLUTIONS
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
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.
, 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
