NR511 / NR 511 FINAL EXAM Q & A (LATEST 2025/ 2026):
DIFFERENTIAL DIAGNOSIS & PRIMARY CARE PRACTICUM
UPDATED AND REVISED IN 2025-2026 DECEMBER
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 of the above - ANSWER ->c. intolerable pain for more than 3
months is an indication for surgical intervention
After 6 months of synthroid therapy, the clinician should expect which
of the following in the repeat thyroid studies?
a. elevated TSH
,b. normal TSH
c. low TSH
d. undetectable TSH - ANSWER ->b. normal TSH
The clinician suspects that a client seen in the office has
hyperthyroidism. Which of the following tests should the clinician order
on the initial visit?
a. thryoid stimulating hormone (TSH) and free T4
b. TSH and thyrotoxin antibodies
•High sensitivity thyroid stimulating hormone TSH and free T4 •
Free T4 and serum calcium - ANSWER ->a. thryoid stimulating
hormone (TSH) and free T4
Cat bites are commonly associated with which of the following
pathogens?
a. pasteurella multocida
b. vibri vulnificus
c. group B streptococcus
d. Group A beta hemolytic streptococcus - ANSWER ->a. pasteurella
multocida
The 56 year old man with chronic prostatitis should be treated with
trimethoprim 80mg-sulfamethoxazole 400 (TMP-SMX, Bactrim) for how
long?
a. 3-7 days
b. 14-21 days
c. 3-6 weeks d 6-12 weeks - ANSWER ->d 6-12 weeks
, The A in SNAPPS stands for Assessment
a. true
b. false - ANSWER ->b. false
A patient is diagnosed with Giardia after backpacking trip in the
mountains. Which of the following would be the appropriate
treatement?
a. Vancomycin
b. Penicillin
c. Metronidazole
d. Bactrim - ANSWER ->c. Metronidazole
The most cost effective screening test to determine HIV status is which
of the following?
a. western blot
b. enzyme-linked immunosorbent assay (ELISA)
c. venereal disease research laboratory test (VDRL)
d. Viral load - ANSWER ->b. enzyme-linked immunosorbent assay
(ELISA)
The clinician sees a patient who is 5 feet tall and weighs 150 pounds
(:BMI 29.3). How would the clinician classify this patient?
a. overweight
b. Mild Obesity
c. Moderate Obesity
DIFFERENTIAL DIAGNOSIS & PRIMARY CARE PRACTICUM
UPDATED AND REVISED IN 2025-2026 DECEMBER
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 of the above - ANSWER ->c. intolerable pain for more than 3
months is an indication for surgical intervention
After 6 months of synthroid therapy, the clinician should expect which
of the following in the repeat thyroid studies?
a. elevated TSH
,b. normal TSH
c. low TSH
d. undetectable TSH - ANSWER ->b. normal TSH
The clinician suspects that a client seen in the office has
hyperthyroidism. Which of the following tests should the clinician order
on the initial visit?
a. thryoid stimulating hormone (TSH) and free T4
b. TSH and thyrotoxin antibodies
•High sensitivity thyroid stimulating hormone TSH and free T4 •
Free T4 and serum calcium - ANSWER ->a. thryoid stimulating
hormone (TSH) and free T4
Cat bites are commonly associated with which of the following
pathogens?
a. pasteurella multocida
b. vibri vulnificus
c. group B streptococcus
d. Group A beta hemolytic streptococcus - ANSWER ->a. pasteurella
multocida
The 56 year old man with chronic prostatitis should be treated with
trimethoprim 80mg-sulfamethoxazole 400 (TMP-SMX, Bactrim) for how
long?
a. 3-7 days
b. 14-21 days
c. 3-6 weeks d 6-12 weeks - ANSWER ->d 6-12 weeks
, The A in SNAPPS stands for Assessment
a. true
b. false - ANSWER ->b. false
A patient is diagnosed with Giardia after backpacking trip in the
mountains. Which of the following would be the appropriate
treatement?
a. Vancomycin
b. Penicillin
c. Metronidazole
d. Bactrim - ANSWER ->c. Metronidazole
The most cost effective screening test to determine HIV status is which
of the following?
a. western blot
b. enzyme-linked immunosorbent assay (ELISA)
c. venereal disease research laboratory test (VDRL)
d. Viral load - ANSWER ->b. enzyme-linked immunosorbent assay
(ELISA)
The clinician sees a patient who is 5 feet tall and weighs 150 pounds
(:BMI 29.3). How would the clinician classify this patient?
a. overweight
b. Mild Obesity
c. Moderate Obesity
