NR511 DIFFERENTIAL DIAGNOSIS AND
PRIMARY CARE PRACTICUM EXAM 2025-2026
Which of the following data are indicative of
testicular torsion?
a. absent cremasteric reflux
b. pain relived on testicular elevation
c. testicle very low in the scrotum
d. swollen scrotum with a red dot sign -
answer-a. absent cremasteric reflux
Janet is a 30 year old woman who has been
recently diagnosed with a herniated disc at the
level of L5-S1. She is currently in the
emergency room with suspician of cauda
equna compression. Which of the following is a
sign or symptom of cauda equina
compression?
,a. gastrocnemius weakness
b. reduced or absent ankle refles
c. numbness of the lateral foot
d. paresthesia of the perineum and buttocks -
answer-d. paresthesia of the perineum and
buttocks
The patient has acute pancreatitis with 7 of the
diagnostic criteria from Ranson's Criteria. In
order to plan care, the clinician understands
that this criteria score has which of the
following meanings?
a. a high mortality rate
b. an increased chance of recurrence
c. 7% chance of the disease becoming chronic
d. all of the above - answer-a. a high mortality
rate
,Reuben, age 24, has HIV and just had a routine
viral load test done. The results show a falling
viral load What does this indicate
a. a favorable diagnostic trend
b. disease progression
c. the need to be more aggressive with
Reuben's medications
d. the eradication of the HIV - answer-a. a
favorable diagnostic trend
Which is the differentiating symptom
mbetween labyrinthitis and vestibular neuritis?
a. symptoms with vestibular neuritis are
usually acute in onset, whereas with
labyrinthitis the onet is more gradual
b. hearing loss may be associated with
vestibular neuritis, but not with labyrinthitis
, c. symptoms with labyrinthitis are usually
acute in onset, ,whereas with vesticular
neuritis the onset is more gradual
d. hearing loss may be associated with
labyrinthitis ,but not with vestibular neuritis. -
answer-d. hearing loss may be associated with
labyrinthitis ,but not with vestibular neuritis.
A 27 year old female presents with a chief
complaint of burning and pain on urination. She
has no previous history of urinary tract
infection. what are some additional symptoms
consistant with a diagnosis of lower UTI?
a. back and abdominal pain
b. fever, chills, costovertebral angle (CVA)
tenderness
c. blood in urine and frequency
d. foul-smelling discharge, perineal itch -
answer-c. blood in urine and frequency
PRIMARY CARE PRACTICUM EXAM 2025-2026
Which of the following data are indicative of
testicular torsion?
a. absent cremasteric reflux
b. pain relived on testicular elevation
c. testicle very low in the scrotum
d. swollen scrotum with a red dot sign -
answer-a. absent cremasteric reflux
Janet is a 30 year old woman who has been
recently diagnosed with a herniated disc at the
level of L5-S1. She is currently in the
emergency room with suspician of cauda
equna compression. Which of the following is a
sign or symptom of cauda equina
compression?
,a. gastrocnemius weakness
b. reduced or absent ankle refles
c. numbness of the lateral foot
d. paresthesia of the perineum and buttocks -
answer-d. paresthesia of the perineum and
buttocks
The patient has acute pancreatitis with 7 of the
diagnostic criteria from Ranson's Criteria. In
order to plan care, the clinician understands
that this criteria score has which of the
following meanings?
a. a high mortality rate
b. an increased chance of recurrence
c. 7% chance of the disease becoming chronic
d. all of the above - answer-a. a high mortality
rate
,Reuben, age 24, has HIV and just had a routine
viral load test done. The results show a falling
viral load What does this indicate
a. a favorable diagnostic trend
b. disease progression
c. the need to be more aggressive with
Reuben's medications
d. the eradication of the HIV - answer-a. a
favorable diagnostic trend
Which is the differentiating symptom
mbetween labyrinthitis and vestibular neuritis?
a. symptoms with vestibular neuritis are
usually acute in onset, whereas with
labyrinthitis the onet is more gradual
b. hearing loss may be associated with
vestibular neuritis, but not with labyrinthitis
, c. symptoms with labyrinthitis are usually
acute in onset, ,whereas with vesticular
neuritis the onset is more gradual
d. hearing loss may be associated with
labyrinthitis ,but not with vestibular neuritis. -
answer-d. hearing loss may be associated with
labyrinthitis ,but not with vestibular neuritis.
A 27 year old female presents with a chief
complaint of burning and pain on urination. She
has no previous history of urinary tract
infection. what are some additional symptoms
consistant with a diagnosis of lower UTI?
a. back and abdominal pain
b. fever, chills, costovertebral angle (CVA)
tenderness
c. blood in urine and frequency
d. foul-smelling discharge, perineal itch -
answer-c. blood in urine and frequency
