NR 511 Final Exam Study Guide (Weeks 5-8) 2026 Chamberlain
1. A 25-year-old patient presents with a single, 3 cm oval, salmon-colored patch
on the trunk, followed by a generalized eruption in a ‘Christmas tree’ pattern.
What is the most likely diagnosis?
A. Tinea Corporis
B. Psoriasis
C. Pityriasis Rosea
D. Secondary Syphilis
Answer: C
Rationale: Pityriasis Rosea is characterized by an initial herald patch followed by a
Christmas tree distribution of smaller lesions.
2. Which of the following is the primary diagnostic criteria for Chronic
Obstructive Pulmonary Disease (COPD) using spirometry?
A. Total Lung Capacity < 80% predicted
B. FEV1 increase of 12% after albuterol
C. Post-bronchodilator FEV1/FVC ratio < 0.70
D. Peak Expiratory Flow rate variability > 20%
Answer: C
Rationale: A post-bronchodilator FEV1/FVC ratio of less than 0.70 confirms the presence
of persistent airflow limitation, diagnostic of COPD.
,3. A patient presents with ‘honey-colored’ crusted lesions around the mouth.
What is the most likely causative organism?
A. Pseudomonas aeruginosa
B. Candida albicans
C. Herpes Simplex Virus
D. Staphylococcus aureus
Answer: D
Rationale: Non-bullous impetigo, characterized by honey-colored crusts, is most
commonly caused by Staphylococcus aureus or Streptococcus pyogenes.
4. Which physical exam maneuver is used to diagnose Benign Paroxysmal
Positional Vertigo (BPPV)?
A. Dix-Hallpike maneuver
B. Lachman test
C. Epley maneuver
D. Phalen’s maneuver
Answer: A
Rationale: The Dix-Hallpike maneuver is the gold standard for diagnosing BPPV, while the
Epley maneuver is used for treatment.
5. In the treatment of Community-Acquired Pneumonia (CAP) in a healthy adult
with no comorbidities, what is the first-line antibiotic choice according to
current guidelines?
A. Amoxicillin or Doxycycline
B. Levofloxacin
C. Ciprofloxacin
D. Cephalexin
Answer: A
, Rationale: For healthy outpatients without risk factors for MRSA or Pseudomonas,
Amoxicillin (1g TID) or Doxycycline is recommended.
6. A 60-year-old male presents with a pearly papule on his nose with
telangiectasia and a central ulceration. This is most suspicious for:
A. Basal Cell Carcinoma
B. Malignant Melanoma
C. Squamous Cell Carcinoma
D. Actinic Keratosis
Answer: A
Rationale: Basal Cell Carcinoma typically presents as a pearly, waxy papule with
telangiectatic vessels, often on sun-exposed areas.
7. According to the Centor Criteria, which of the following increases the
likelihood of Group A Beta-Hemolytic Streptococcal (GABHS) pharyngitis?
A. Presence of a cough
B. Tonsillar exudates
C. Rhinorrhea
D. Diarrhea
Answer: B
Rationale: Centor criteria include: fever, tonsillar exudates, tender anterior cervical
lymphadenopathy, and absence of cough.
8. Which medication is the preferred ‘reliever’ therapy for all asthma patients
according to current GINA guidelines?
A. SABA (Albuterol) alone
B. Oral Prednisone
C. Low-dose ICS-formoterol
D. Salmeterol
Answer: C
1. A 25-year-old patient presents with a single, 3 cm oval, salmon-colored patch
on the trunk, followed by a generalized eruption in a ‘Christmas tree’ pattern.
What is the most likely diagnosis?
A. Tinea Corporis
B. Psoriasis
C. Pityriasis Rosea
D. Secondary Syphilis
Answer: C
Rationale: Pityriasis Rosea is characterized by an initial herald patch followed by a
Christmas tree distribution of smaller lesions.
2. Which of the following is the primary diagnostic criteria for Chronic
Obstructive Pulmonary Disease (COPD) using spirometry?
A. Total Lung Capacity < 80% predicted
B. FEV1 increase of 12% after albuterol
C. Post-bronchodilator FEV1/FVC ratio < 0.70
D. Peak Expiratory Flow rate variability > 20%
Answer: C
Rationale: A post-bronchodilator FEV1/FVC ratio of less than 0.70 confirms the presence
of persistent airflow limitation, diagnostic of COPD.
,3. A patient presents with ‘honey-colored’ crusted lesions around the mouth.
What is the most likely causative organism?
A. Pseudomonas aeruginosa
B. Candida albicans
C. Herpes Simplex Virus
D. Staphylococcus aureus
Answer: D
Rationale: Non-bullous impetigo, characterized by honey-colored crusts, is most
commonly caused by Staphylococcus aureus or Streptococcus pyogenes.
4. Which physical exam maneuver is used to diagnose Benign Paroxysmal
Positional Vertigo (BPPV)?
A. Dix-Hallpike maneuver
B. Lachman test
C. Epley maneuver
D. Phalen’s maneuver
Answer: A
Rationale: The Dix-Hallpike maneuver is the gold standard for diagnosing BPPV, while the
Epley maneuver is used for treatment.
5. In the treatment of Community-Acquired Pneumonia (CAP) in a healthy adult
with no comorbidities, what is the first-line antibiotic choice according to
current guidelines?
A. Amoxicillin or Doxycycline
B. Levofloxacin
C. Ciprofloxacin
D. Cephalexin
Answer: A
, Rationale: For healthy outpatients without risk factors for MRSA or Pseudomonas,
Amoxicillin (1g TID) or Doxycycline is recommended.
6. A 60-year-old male presents with a pearly papule on his nose with
telangiectasia and a central ulceration. This is most suspicious for:
A. Basal Cell Carcinoma
B. Malignant Melanoma
C. Squamous Cell Carcinoma
D. Actinic Keratosis
Answer: A
Rationale: Basal Cell Carcinoma typically presents as a pearly, waxy papule with
telangiectatic vessels, often on sun-exposed areas.
7. According to the Centor Criteria, which of the following increases the
likelihood of Group A Beta-Hemolytic Streptococcal (GABHS) pharyngitis?
A. Presence of a cough
B. Tonsillar exudates
C. Rhinorrhea
D. Diarrhea
Answer: B
Rationale: Centor criteria include: fever, tonsillar exudates, tender anterior cervical
lymphadenopathy, and absence of cough.
8. Which medication is the preferred ‘reliever’ therapy for all asthma patients
according to current GINA guidelines?
A. SABA (Albuterol) alone
B. Oral Prednisone
C. Low-dose ICS-formoterol
D. Salmeterol
Answer: C
