NR511 with correct answers 2026
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.-gastroc nemius-weakness
b.-reduced-or-absent-ankle-refles
c.-numbness-of-the-lateral-foot
d.-paresthesia-of-the-perineum-and-buttocks---correct-answers--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---correct-answers--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---correct-answers--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.---correct-
answers--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---correct-answers--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---correct-answers--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---correct-answers--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---correct-answers--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?
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.-gastroc nemius-weakness
b.-reduced-or-absent-ankle-refles
c.-numbness-of-the-lateral-foot
d.-paresthesia-of-the-perineum-and-buttocks---correct-answers--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---correct-answers--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---correct-answers--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.---correct-
answers--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---correct-answers--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---correct-answers--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---correct-answers--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---correct-answers--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?
