NR EXAM zm
Exam Solution zm
NR 511 Differential Diagnosis and Primary Care Final
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Exam Review 2026 A+ GRADE ASSURED COMPLETE SO
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LUTIONS AND VERIFIED ANSWERS (3032E) zm zm zm zm
QUESTION 1 zm
GI Disorders
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ANSWER
....
QUESTION 2 zm
A 38-year-
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old male patient has recently had an ileostomy for ulcerative colitis. Which self-
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care measures should the clinician teach him about to relieve food blockage?
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ANSWER
massage the peristomal area zm zm zm
QUESTION 3 zm
Which of the following is true regarding diverticula
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ANSWER
obesity is correlated zm zm
QUESTION 4 zm
Left lower quadrant abdominal pain for 2 days, the pain started suddenly and then fe
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ver, chills, anorexia, nausea and painless bloody stools.
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ANSWER
Acute diverticulitis
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,QUESTION 5 zm
An 82-year-
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old female has been diagnosed with irritable bowel, chronic constipation, and divertic
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ulosis following a colonoscopy. Which pharmacological agent should the clinician reco
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mmend?
ANSWER
bulk laxative
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QUESTION 6 zm
Which of the following is part of the treatment plan for the patient with irritable bow
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el syndrome?
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ANSWER
High fiber diet
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QUESTION 7 zm
A 35-year-
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old female patent is seen in the clinic complaining of abdominal pain. Which of the fol
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lowing should be included in the history and physical exam?
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ANSWER
digital rectal exam, Sexual history, Pelvic exam
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QUESTION 8 zm
A 28-year-
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old patent is seen in the clinic with colicky abdominal pain, particularly with meals. S
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he has frequent constipation, flatulence, and abdominal distension. Which of the data
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make a diagnosis of diverticulitis unlikely?
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ANSWER
Her agezm
QUESTION 9 zm
A 67-year-
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old female on multiple medications for chronic conditions was just diagnosed with gas
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,troesophageal reflux disease (GERD). In teaching the patient about the disease, what
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medication should the clinician recommend that the patient refrain from using?
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ANSWER
nonsteroidal anti-inflammatory drugs zm zm
QUESTION 10 zm
The patient with gastro esophageal reflux disease (GERD) should be instructed to elim
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inate which of these activities?
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ANSWER
Weight lifting zm
QUESTION 11 zm
A patient is diagnosed with Giardia after a backpacking trip in the mountains. Which
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of the following would be the appropriate treatment?
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ANSWER
Metrinidazole
QUESTION 12 zm
A patient is seen in the clinic with right upper quadrant (RUQ) pain that is radiating t
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o the middle of the back. The clinician suspects acute cholelithiasis. The clinician shou
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ld expect which of the following laboratory findings?
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ANSWER
Elevated alkaline phosphatase
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QUESTION 13 zm
A patient is diagnosed with gastroesophageal reflux disease (GERD), and his endoscopi
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c report reveals the presence of Barretts epithelium. Which of the following informati
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on should the clinician include in the explanation of the pathology
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ANSWER
This is a premalignant tissue, This tissue is resistant to gastric acid, This tissue supports healing of t
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he esophagus: All of the above
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QUESTION 14 zm
, Mark has necrotizing fasciitis of his left lower extremity. Pressure on the skin reveals
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crepitus due to gas production by which anaerobic bacteria?
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ANSWER
Clostridium perfringens zm
QUESTION 15 zm
A patient is diagnosed with GERD, the clinician knows that she misunderstands the te
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aching when she says: zm zm zm
ANSWER
stop smoking eat smaller meals -have a snack before retiring for bed.
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QUESTION 16 zm
a patient presents to the clinic with a dry cough, non smoker, for 5 weeks. the cough i
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ncreases at night, he reports episodes of heartburn after meals. what should the differ
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ential include? zm
ANSWER
GERD
QUESTION 17 zm
Mr. J. K., 38 years old, is 5 feet 8 inches tall and weighs 189 pounds. He reports that
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he has had intermittent heartburn for several months for which he takes Tums with t
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emporary relief. He has been waking during the night with a burning sensation in his
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chest. Which additional information's would lead you to believe that gastro esophagea
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l reflux disease (GERD) is the cause of his pain?
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ANSWER
He awakens at night coughing with a bad taste in his mouth
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QUESTION 18 zm
Which of the following dietary information's should be given to a patent with gastroes
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ophageal reflux disease (GERD) zm zm zm
ANSWER
Stop coffee zm
Exam Solution zm
NR 511 Differential Diagnosis and Primary Care Final
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Exam Review 2026 A+ GRADE ASSURED COMPLETE SO
zm zm zm zm zm zm zm
LUTIONS AND VERIFIED ANSWERS (3032E) zm zm zm zm
QUESTION 1 zm
GI Disorders
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ANSWER
....
QUESTION 2 zm
A 38-year-
zm
old male patient has recently had an ileostomy for ulcerative colitis. Which self-
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care measures should the clinician teach him about to relieve food blockage?
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ANSWER
massage the peristomal area zm zm zm
QUESTION 3 zm
Which of the following is true regarding diverticula
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ANSWER
obesity is correlated zm zm
QUESTION 4 zm
Left lower quadrant abdominal pain for 2 days, the pain started suddenly and then fe
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ver, chills, anorexia, nausea and painless bloody stools.
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ANSWER
Acute diverticulitis
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,QUESTION 5 zm
An 82-year-
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old female has been diagnosed with irritable bowel, chronic constipation, and divertic
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ulosis following a colonoscopy. Which pharmacological agent should the clinician reco
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mmend?
ANSWER
bulk laxative
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QUESTION 6 zm
Which of the following is part of the treatment plan for the patient with irritable bow
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el syndrome?
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ANSWER
High fiber diet
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QUESTION 7 zm
A 35-year-
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old female patent is seen in the clinic complaining of abdominal pain. Which of the fol
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lowing should be included in the history and physical exam?
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ANSWER
digital rectal exam, Sexual history, Pelvic exam
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QUESTION 8 zm
A 28-year-
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old patent is seen in the clinic with colicky abdominal pain, particularly with meals. S
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he has frequent constipation, flatulence, and abdominal distension. Which of the data
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make a diagnosis of diverticulitis unlikely?
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ANSWER
Her agezm
QUESTION 9 zm
A 67-year-
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old female on multiple medications for chronic conditions was just diagnosed with gas
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,troesophageal reflux disease (GERD). In teaching the patient about the disease, what
zm zm zm zm zm zm zm zm zm zm zm zm
medication should the clinician recommend that the patient refrain from using?
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ANSWER
nonsteroidal anti-inflammatory drugs zm zm
QUESTION 10 zm
The patient with gastro esophageal reflux disease (GERD) should be instructed to elim
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inate which of these activities?
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ANSWER
Weight lifting zm
QUESTION 11 zm
A patient is diagnosed with Giardia after a backpacking trip in the mountains. Which
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of the following would be the appropriate treatment?
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ANSWER
Metrinidazole
QUESTION 12 zm
A patient is seen in the clinic with right upper quadrant (RUQ) pain that is radiating t
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o the middle of the back. The clinician suspects acute cholelithiasis. The clinician shou
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ld expect which of the following laboratory findings?
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ANSWER
Elevated alkaline phosphatase
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QUESTION 13 zm
A patient is diagnosed with gastroesophageal reflux disease (GERD), and his endoscopi
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c report reveals the presence of Barretts epithelium. Which of the following informati
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on should the clinician include in the explanation of the pathology
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ANSWER
This is a premalignant tissue, This tissue is resistant to gastric acid, This tissue supports healing of t
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he esophagus: All of the above
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QUESTION 14 zm
, Mark has necrotizing fasciitis of his left lower extremity. Pressure on the skin reveals
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crepitus due to gas production by which anaerobic bacteria?
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ANSWER
Clostridium perfringens zm
QUESTION 15 zm
A patient is diagnosed with GERD, the clinician knows that she misunderstands the te
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aching when she says: zm zm zm
ANSWER
stop smoking eat smaller meals -have a snack before retiring for bed.
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QUESTION 16 zm
a patient presents to the clinic with a dry cough, non smoker, for 5 weeks. the cough i
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ncreases at night, he reports episodes of heartburn after meals. what should the differ
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ential include? zm
ANSWER
GERD
QUESTION 17 zm
Mr. J. K., 38 years old, is 5 feet 8 inches tall and weighs 189 pounds. He reports that
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he has had intermittent heartburn for several months for which he takes Tums with t
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emporary relief. He has been waking during the night with a burning sensation in his
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chest. Which additional information's would lead you to believe that gastro esophagea
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l reflux disease (GERD) is the cause of his pain?
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ANSWER
He awakens at night coughing with a bad taste in his mouth
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QUESTION 18 zm
Which of the following dietary information's should be given to a patent with gastroes
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ophageal reflux disease (GERD) zm zm zm
ANSWER
Stop coffee zm
