NR 511 FINAL EXAM QUESTIONS &
CORRECT ANSWERS
The most cost-effective screening test for determining HIV status is which of the
following? - ANSWEREnzyme-linked immunosorbent assay
Which blood test is a nonspecific method and most helpful
for evaluating the severity and course of aninflammatory process? - ANSWERC-
reactive protein (CRP
Cocaine acts as a stimulant by blocking the reuptake of
which neurotransmitter? - ANSWERDopamine
Mrs. Thomas was seen in the office complaining of pain and
point tenderness in the area of her elbow. The pain has increased following a day of
gardening one week ago. A physical finding that differentiates the diagnosis and is most
consistent with lateral epicondylitis (tennis elbow) is: - ANSWERPain at the elbow with
resisted movements at the wrist and forearm
Which of the following statements concerning the
musculoskeletal examination is true? - ANSWERThe uninvolved side should be
examined initially and then compared to the involved side.
Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain? - ANSWERMorning sti ffness
Which causes the greatest percentage of mammalian bites? - ANSWERDogs
A 48-year-old woman is seen in the clinic with complaints of
prolonged heavy menstrual periods. She is pale and states she can no longer exercise.
Pelvic exam reveals a single, very large mass. Which of the following diagnostic tests
should the clinician order first? - ANSWERTransvaginal ultrasound
A diabetic patient asks the clinician why he needs to check
his blood sugar at home even when he feels good. Which of the following responses
would be most appropriate? - ANSWERControl of glucose will help postpone or delay
complications."
"Regularly checking blood sugar will help establish a routine."
"Monitoring glucose will promote a sense of control."
ALL OF THE ABOVE
A 25-year-old patient presents to the clinic with fatigue, cold
intolerance, weight gain, and constipation for the past 3 months. On physical
examination, the clinician notices a sinus bradycardia; muscular sti ffness; coarse, dry
, hair; and a delay in relaxation in deep tendon reflexes. Which of the following tests
should be ordered next? - ANSWERTSH
Which of the following medications for type 2 diabetes
mellitus should not be prescribed during pregnancy? - ANSWERGlucotrol
During a DRE on a 75-year-old man, the clinician suspects
the patient has prostate cancer. What physical finding should make the clinician
suspicious? - ANSWERAn enlarged rubbery gland
Eddie, age 4, presents to the ED with a live insect trapped in
his ear canal causing a lot of distress. What should be your first step? -
ANSWERImmobilize the insect with 2% lidocaine.
What is the most common cause of microcytic anemia? - ANSWERIron-deficiency
anemia
An 82-year-old man is seen in the primary care o ffice with
complaints of dribbling urine and difficulty starting his stream. Which of the following
should be included in the list of differential diagnoses? - ANSWERBenign prostatic
hyperplasia (BPH)
Parkinson's disease Prostate cancer
All of theabove
Early rheumatoid disease is characterized by: - ANSWERJoint swelling and immobility
on rising
A 70-year-old female has fallen 2 weeks ago and developed
immediate pain in her left wrist. She thought she just bruised it but is worried because it
has not improved. She has used Tylenol® and ice at home, and that has helped slightly.
You examine her and find she has moderate swelling and ecchymosis but no overtly
obvious deformity. Her ROM is uncomfortable and severely diminished due to the pain.
No crepitus is heard or felt. Her fingers are warm; her pulse is strong; and capillary refill
is less than 2 seconds. What should you do? - ANSWERObtain a wrist x-ray and place
her wrist in a splint or
prescribe a splint
The criteria for diagnosing generalized anxiety disorder in
the American Psychiatric Association's Diagnostic and Statistical Manual of Mental
Disorders, 5th edition (text revision) state that excessive worry or apprehension must be
present more days than not for at least: - ANSWER6 months
Sam is a 25-year-old 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
CORRECT ANSWERS
The most cost-effective screening test for determining HIV status is which of the
following? - ANSWEREnzyme-linked immunosorbent assay
Which blood test is a nonspecific method and most helpful
for evaluating the severity and course of aninflammatory process? - ANSWERC-
reactive protein (CRP
Cocaine acts as a stimulant by blocking the reuptake of
which neurotransmitter? - ANSWERDopamine
Mrs. Thomas was seen in the office complaining of pain and
point tenderness in the area of her elbow. The pain has increased following a day of
gardening one week ago. A physical finding that differentiates the diagnosis and is most
consistent with lateral epicondylitis (tennis elbow) is: - ANSWERPain at the elbow with
resisted movements at the wrist and forearm
Which of the following statements concerning the
musculoskeletal examination is true? - ANSWERThe uninvolved side should be
examined initially and then compared to the involved side.
Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain? - ANSWERMorning sti ffness
Which causes the greatest percentage of mammalian bites? - ANSWERDogs
A 48-year-old woman is seen in the clinic with complaints of
prolonged heavy menstrual periods. She is pale and states she can no longer exercise.
Pelvic exam reveals a single, very large mass. Which of the following diagnostic tests
should the clinician order first? - ANSWERTransvaginal ultrasound
A diabetic patient asks the clinician why he needs to check
his blood sugar at home even when he feels good. Which of the following responses
would be most appropriate? - ANSWERControl of glucose will help postpone or delay
complications."
"Regularly checking blood sugar will help establish a routine."
"Monitoring glucose will promote a sense of control."
ALL OF THE ABOVE
A 25-year-old patient presents to the clinic with fatigue, cold
intolerance, weight gain, and constipation for the past 3 months. On physical
examination, the clinician notices a sinus bradycardia; muscular sti ffness; coarse, dry
, hair; and a delay in relaxation in deep tendon reflexes. Which of the following tests
should be ordered next? - ANSWERTSH
Which of the following medications for type 2 diabetes
mellitus should not be prescribed during pregnancy? - ANSWERGlucotrol
During a DRE on a 75-year-old man, the clinician suspects
the patient has prostate cancer. What physical finding should make the clinician
suspicious? - ANSWERAn enlarged rubbery gland
Eddie, age 4, presents to the ED with a live insect trapped in
his ear canal causing a lot of distress. What should be your first step? -
ANSWERImmobilize the insect with 2% lidocaine.
What is the most common cause of microcytic anemia? - ANSWERIron-deficiency
anemia
An 82-year-old man is seen in the primary care o ffice with
complaints of dribbling urine and difficulty starting his stream. Which of the following
should be included in the list of differential diagnoses? - ANSWERBenign prostatic
hyperplasia (BPH)
Parkinson's disease Prostate cancer
All of theabove
Early rheumatoid disease is characterized by: - ANSWERJoint swelling and immobility
on rising
A 70-year-old female has fallen 2 weeks ago and developed
immediate pain in her left wrist. She thought she just bruised it but is worried because it
has not improved. She has used Tylenol® and ice at home, and that has helped slightly.
You examine her and find she has moderate swelling and ecchymosis but no overtly
obvious deformity. Her ROM is uncomfortable and severely diminished due to the pain.
No crepitus is heard or felt. Her fingers are warm; her pulse is strong; and capillary refill
is less than 2 seconds. What should you do? - ANSWERObtain a wrist x-ray and place
her wrist in a splint or
prescribe a splint
The criteria for diagnosing generalized anxiety disorder in
the American Psychiatric Association's Diagnostic and Statistical Manual of Mental
Disorders, 5th edition (text revision) state that excessive worry or apprehension must be
present more days than not for at least: - ANSWER6 months
Sam is a 25-year-old 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
