NR576 / NR 576 Final Exam | Differential
Diagnosis in Adult-Gerontology Primary Care |
Questions and Answers | Grade A | 100%
Correct | Chamberlain | Latest Update 2026 /
2027
Identify the population most affected by testicular cancer
- Correct Answer - Males between the ages of 15 and 35
Explain spinal stenosis
- Correct Answer - Narrowing of the spinal canal w/ compression of
nerve roots
- Congenital or acquired (age)
- Most commonly from enlarging osteophytes at the facet joints,
hypertrophy of the ligamentum flavum and protrusion/buldging of the
intervertebral discs
- May produce symptoms by directly pushing on nerve or interrupting the
blood supply to nerve
Common source of chronic low back pain, seen most with aging. All
older people have some degree of this
Discuss common characteristics (subjective findings) of patients with
lumbar spinal stenosis
,- Correct Answer - - Radicular complaints in calves, buttocks, upper
thighs
- Pain w/ walking or prolonged standing
o Vascular claudication - pain stops w/ rest
o Psuedoclaudication - pain doesn't stop immediately at rest
- Short term relief by leaning forward/stooping
- Sometimes relief w/ sitting
- Pain in back/leg when sleeping on back at night
- Pain w/ walking/standing
8. Discuss common characteristics (objective findings) of patients with
lumbar spinal stenosis
- Correct Answer - - Muscle weakness
- Impaired proprioception
- Diminished reflexes
- Sensory changes (numbness/tingling)
- Bowel or bladder symptoms
o Sphincter tone decreased
o Don't confuse w/ prostate problems in older men
Identify the red flags associated with back and neck complaints which
warrant further investigation
- Correct Answer - T-Trauma
U-Unexplained weight loss
N-Neurologic symptoms
A-Age>50
F-Fever
I-Iv Drug user
,S-steroid use
H-Hx of CA (prostate, renal, breat, lung)
Define chronic pain
- Correct Answer - • Pain that extends beyond the expected period of
healing
• Pain > 3 months in duration
• More generalized, less localized to the site of injury/initial complaint
• Referral patterns can shift in location, intensity, frequency & quality
• Pain does not change with movement, rest or time
• Usually reported as constant/continuous (less likely intermittent)
• Mood or current psychological status tends to affect/worsen c/o pain
What is sensorineural hearing loss
- Correct Answer - Results from deterioration of cochlea
-Loss of hair cells form the organ of Corti
-Gradual and progressive
-Not correctable but preventable
What is conductive hearing loss
- Correct Answer - Obstruction between middle and outer ear
-Most types are reversible
Triad symptoms associated with Meniere's disease
- Correct Answer - Sensory disorder of labyrinth (semi-circular canal
system) and cochlea
-S/S: -Vertigo
-Hearing loss
, -Tinnitus
Symptoms associated with peritonsillar abscess
- Correct Answer - Increasing unilateral ear and throat pain ipsilateral to
the affected tonsil
-Dysphagia
-Drooling
-Trismus
-Erythema
-Edema of the soft palate with fluctuance on palpation
Most common cause of viral pharyngitis
- Correct Answer - Adenovirus: MOST common -RSV
-Influenza A&B -Epstein-Barr
-coxsackie -enteroviruses
-herpes simplex
Most common cause of acute N/V
- Correct Answer - Gastroenteritis
The importance of obtaining an abdominal xray to rule out perforation or
obstruction even though the diagnosis of diverticulitis can be made
clinically
- Correct Answer - Abdominal xray films should be obtained on all
patients with suspected diverticulitis to look for free air (indicating
perforation), ileus, or obstruction
Discuss colon cancer screening recommendations relative to certain
populations
Diagnosis in Adult-Gerontology Primary Care |
Questions and Answers | Grade A | 100%
Correct | Chamberlain | Latest Update 2026 /
2027
Identify the population most affected by testicular cancer
- Correct Answer - Males between the ages of 15 and 35
Explain spinal stenosis
- Correct Answer - Narrowing of the spinal canal w/ compression of
nerve roots
- Congenital or acquired (age)
- Most commonly from enlarging osteophytes at the facet joints,
hypertrophy of the ligamentum flavum and protrusion/buldging of the
intervertebral discs
- May produce symptoms by directly pushing on nerve or interrupting the
blood supply to nerve
Common source of chronic low back pain, seen most with aging. All
older people have some degree of this
Discuss common characteristics (subjective findings) of patients with
lumbar spinal stenosis
,- Correct Answer - - Radicular complaints in calves, buttocks, upper
thighs
- Pain w/ walking or prolonged standing
o Vascular claudication - pain stops w/ rest
o Psuedoclaudication - pain doesn't stop immediately at rest
- Short term relief by leaning forward/stooping
- Sometimes relief w/ sitting
- Pain in back/leg when sleeping on back at night
- Pain w/ walking/standing
8. Discuss common characteristics (objective findings) of patients with
lumbar spinal stenosis
- Correct Answer - - Muscle weakness
- Impaired proprioception
- Diminished reflexes
- Sensory changes (numbness/tingling)
- Bowel or bladder symptoms
o Sphincter tone decreased
o Don't confuse w/ prostate problems in older men
Identify the red flags associated with back and neck complaints which
warrant further investigation
- Correct Answer - T-Trauma
U-Unexplained weight loss
N-Neurologic symptoms
A-Age>50
F-Fever
I-Iv Drug user
,S-steroid use
H-Hx of CA (prostate, renal, breat, lung)
Define chronic pain
- Correct Answer - • Pain that extends beyond the expected period of
healing
• Pain > 3 months in duration
• More generalized, less localized to the site of injury/initial complaint
• Referral patterns can shift in location, intensity, frequency & quality
• Pain does not change with movement, rest or time
• Usually reported as constant/continuous (less likely intermittent)
• Mood or current psychological status tends to affect/worsen c/o pain
What is sensorineural hearing loss
- Correct Answer - Results from deterioration of cochlea
-Loss of hair cells form the organ of Corti
-Gradual and progressive
-Not correctable but preventable
What is conductive hearing loss
- Correct Answer - Obstruction between middle and outer ear
-Most types are reversible
Triad symptoms associated with Meniere's disease
- Correct Answer - Sensory disorder of labyrinth (semi-circular canal
system) and cochlea
-S/S: -Vertigo
-Hearing loss
, -Tinnitus
Symptoms associated with peritonsillar abscess
- Correct Answer - Increasing unilateral ear and throat pain ipsilateral to
the affected tonsil
-Dysphagia
-Drooling
-Trismus
-Erythema
-Edema of the soft palate with fluctuance on palpation
Most common cause of viral pharyngitis
- Correct Answer - Adenovirus: MOST common -RSV
-Influenza A&B -Epstein-Barr
-coxsackie -enteroviruses
-herpes simplex
Most common cause of acute N/V
- Correct Answer - Gastroenteritis
The importance of obtaining an abdominal xray to rule out perforation or
obstruction even though the diagnosis of diverticulitis can be made
clinically
- Correct Answer - Abdominal xray films should be obtained on all
patients with suspected diverticulitis to look for free air (indicating
perforation), ileus, or obstruction
Discuss colon cancer screening recommendations relative to certain
populations
