NR 511 MIDTERM QUESTIONS WITH ACCURATE
ANSWERS
18-year-old male presents to the office with his mother with complaints of itchy
and red eyes for one day he reports watering drainage in both eyes associated
with repetitive itching he has no fever or constitutional symptoms the patient has
a sibling with that just started daycare recently upon examination vision is 2020
with glasses he has mild to moderate conjunctival hyperemia with Balletto
preauricular lymph nodes that are inflamed what is the patient's diagnosis correct
answer Viral conjunctivitis
52 year old female as suspected of having a gastric ulcer and will undergo an EGD
she's concerned because she heard that gastric ulcers can be malignant how
should the clinician respond correct answer About 95% of gastric ulcers are Banan
even though they seem to like a malignant on x-ray
54-year-old female presents to Primerica office for routing reevaluation of GERD
she has been treated with that modifications in six weeks of omeprazole without
improvement of her symptoms what is the next step in the management of his
patients GERD correct answer Order an endoscopy
54. You have seen a client who has tested positive forsyphilis. You have treated
the client; tested the client for other potential sexually transmitted diseases,
including human immunodeficiency virus (HIV); counseled the client a bout sa fe
sexualpractices; and scheduled the client to retum at 3 and 6 months for repeat
serologic testing. The tests at those times demonstrated that no further syphilis
was present. Should you have taken any other action? correct answer Yes you
must report the case to the local health department. Syphlis is reportsble and
easily treatable
,75-year-old African-American male presents your family practice complaining of
visual impairment he has worn corrective lenses for many years but has noticed
that his vision has gotten progressively worse over the six months he denies pain
he states his vision is worse in both eyes in the peripheral aspect of his visual field
he also knows trouble driving at night and halos around street lights at night you
test is intraocular pressure and it's 23 mmHg what is his most likely diagnosis
correct answer Open angle glaucoma
75-year-old female presence to office complaining of dizziness and herring loss
The patient states that she woke yesterday with dizziness what she described as
feeling the room spinning she also notes in a minute ringing in her ears and
physical exam the patient has lateralization of hearing loss due to the artifact ear
Rontae shows air condition last longer than Bell connection what is the next step
and helping this patient symptoms correct answer Start the patient on low salt
low café dad and give her meclizine for vertigo attack
84-year-old male presents to your pediatric clinic with his mother complaining of
an itchy rash mostly between his fingers this is been going on for multiple days
and has been getting worse the patient recently started a new daycare on
physical exam the patient is afebrile and has multiple small one to two MM read
papules and sets of three located on the web spaces between his fingers he also
has signs of excoriation what is the treatment of the problem correct answer
Permethrin lotion For the patient and also his family members
1944 was given a diagnosis of blue one day ago and wants to start the new flea
medicine right away what do you tell her correct answer I'll start you on the
Tamiflu today it may shorten the course of the disease and perhaps lessen the
severity of your symptoms
A 10 year old male in the fifth grade presents to the pediatric office with his
mother complaining of itchy and red hots for one day the patient complains of
,water drainage in both eyes associated with repetitive itching physical exam he
has no fever or constitutional symptoms his vision vision is normal with no
decrease in extraocular movements the patient has a Sim blame it just started
daycare he also has bilateral preauricular lymph nodes that are inflamed what is
the patient's diagnosis correct answer Viral conjunctivitis
A 10-year-old male in the fifth grade percent to a pediatric office with his mother
complaining of itchy and red eye for one day the patient complains of water re-
drainage and both eyes associated with repetitive itching on physical exam he has
no fever or constitutional symptoms his vision is formal with no decrease an
extra-ocular movement as the patient has a sibling that just started daycare he
also has bilateral preauricular lymph nodes that are inflamed was the patient's
diagnosis correct answer Viral conjunctivitis
A 16-year-old female presist to your office he was sent by an orthopedist he had
recently had surgical fixation of a humorous fracture the patient has been going
to physical therapy and has been developing a rash on his arm after therapy that
disappears shortly after returning home he does not have the rash prior to
therapy the patient denies fever chills and his decision as well he with with no
signs of infection of know the patient has been experiencing more hand edema
than the average patient and has had a deem wraps used at the end of therapy to
help with the swe the wraps are made of a synthetic plarial the the that gets a he
is and not raised upper extremity what is the most likely diagnosis correct answer
Contact dermatitis
A 20-year-old male presents for your primary care clinic but this patient is a
student he complains of fatigue sore throat and low-grade fever for three days on
physical exam he has a temperature of 100.7 his ear exam is normal his nose and
throat exam shows mild erythema of a nasal mucosa entertainment is enlarged
heart cells by lottery with everything of the pharyngeal wall and tonsillar exudate
he has a plane posterior cervical lymph nodes he has mild nonproductive cough
and clear long exam what is his most likely diagnosis correct answer Mono
, A 20-year-old male presents to your office in summer complaining of chest
discoloration he is a lifeguard and has been out in the sun without a shirt for a
long period of time his physical exam so small flat circular hypopigmented
macules on his chest that he states are mildly paretic what is the treatment
choice for this diagnosis correct answer Selenium sulfide shampoo
A 21-year-old female patient presents to the clinic for pre-operative
tonsillectomy clearance. She has heard about permanent taste
changes after a tonsillectomy and is concerned. What should the
clinician tell her? correct answer Although some clients report a significant
subjective drop in
taste function following surgery, none have ongoing taste
dysfunction.
A 22-year-old African-American female presents to your family practice office
complaining of progressive skin discoloration she is adopted and has no family
history of skin problems the patient notes non-palpable patches of skin loss and
blanching on her for head in both hands and feet it has developed over a period
of six months and appears to have stopped it is non-pruritic and there is no
erythema or sign of infectious ideology what is the most likely diagnosis correct
answer Vitiligo
A 22-year-old college student presents to your urgent care clinic complaining of a
rash she was recently on spring break and spent every night in the hot tub at her
hotel on physical exam she has multiple small areas of 1 to 2 erythematous
pustules that present mostly wear her bathing suit covered her buttocks what is
the most likely pathogen causing these lesions correct answer Pseudomonas
Aeruginosa
ANSWERS
18-year-old male presents to the office with his mother with complaints of itchy
and red eyes for one day he reports watering drainage in both eyes associated
with repetitive itching he has no fever or constitutional symptoms the patient has
a sibling with that just started daycare recently upon examination vision is 2020
with glasses he has mild to moderate conjunctival hyperemia with Balletto
preauricular lymph nodes that are inflamed what is the patient's diagnosis correct
answer Viral conjunctivitis
52 year old female as suspected of having a gastric ulcer and will undergo an EGD
she's concerned because she heard that gastric ulcers can be malignant how
should the clinician respond correct answer About 95% of gastric ulcers are Banan
even though they seem to like a malignant on x-ray
54-year-old female presents to Primerica office for routing reevaluation of GERD
she has been treated with that modifications in six weeks of omeprazole without
improvement of her symptoms what is the next step in the management of his
patients GERD correct answer Order an endoscopy
54. You have seen a client who has tested positive forsyphilis. You have treated
the client; tested the client for other potential sexually transmitted diseases,
including human immunodeficiency virus (HIV); counseled the client a bout sa fe
sexualpractices; and scheduled the client to retum at 3 and 6 months for repeat
serologic testing. The tests at those times demonstrated that no further syphilis
was present. Should you have taken any other action? correct answer Yes you
must report the case to the local health department. Syphlis is reportsble and
easily treatable
,75-year-old African-American male presents your family practice complaining of
visual impairment he has worn corrective lenses for many years but has noticed
that his vision has gotten progressively worse over the six months he denies pain
he states his vision is worse in both eyes in the peripheral aspect of his visual field
he also knows trouble driving at night and halos around street lights at night you
test is intraocular pressure and it's 23 mmHg what is his most likely diagnosis
correct answer Open angle glaucoma
75-year-old female presence to office complaining of dizziness and herring loss
The patient states that she woke yesterday with dizziness what she described as
feeling the room spinning she also notes in a minute ringing in her ears and
physical exam the patient has lateralization of hearing loss due to the artifact ear
Rontae shows air condition last longer than Bell connection what is the next step
and helping this patient symptoms correct answer Start the patient on low salt
low café dad and give her meclizine for vertigo attack
84-year-old male presents to your pediatric clinic with his mother complaining of
an itchy rash mostly between his fingers this is been going on for multiple days
and has been getting worse the patient recently started a new daycare on
physical exam the patient is afebrile and has multiple small one to two MM read
papules and sets of three located on the web spaces between his fingers he also
has signs of excoriation what is the treatment of the problem correct answer
Permethrin lotion For the patient and also his family members
1944 was given a diagnosis of blue one day ago and wants to start the new flea
medicine right away what do you tell her correct answer I'll start you on the
Tamiflu today it may shorten the course of the disease and perhaps lessen the
severity of your symptoms
A 10 year old male in the fifth grade presents to the pediatric office with his
mother complaining of itchy and red hots for one day the patient complains of
,water drainage in both eyes associated with repetitive itching physical exam he
has no fever or constitutional symptoms his vision vision is normal with no
decrease in extraocular movements the patient has a Sim blame it just started
daycare he also has bilateral preauricular lymph nodes that are inflamed what is
the patient's diagnosis correct answer Viral conjunctivitis
A 10-year-old male in the fifth grade percent to a pediatric office with his mother
complaining of itchy and red eye for one day the patient complains of water re-
drainage and both eyes associated with repetitive itching on physical exam he has
no fever or constitutional symptoms his vision is formal with no decrease an
extra-ocular movement as the patient has a sibling that just started daycare he
also has bilateral preauricular lymph nodes that are inflamed was the patient's
diagnosis correct answer Viral conjunctivitis
A 16-year-old female presist to your office he was sent by an orthopedist he had
recently had surgical fixation of a humorous fracture the patient has been going
to physical therapy and has been developing a rash on his arm after therapy that
disappears shortly after returning home he does not have the rash prior to
therapy the patient denies fever chills and his decision as well he with with no
signs of infection of know the patient has been experiencing more hand edema
than the average patient and has had a deem wraps used at the end of therapy to
help with the swe the wraps are made of a synthetic plarial the the that gets a he
is and not raised upper extremity what is the most likely diagnosis correct answer
Contact dermatitis
A 20-year-old male presents for your primary care clinic but this patient is a
student he complains of fatigue sore throat and low-grade fever for three days on
physical exam he has a temperature of 100.7 his ear exam is normal his nose and
throat exam shows mild erythema of a nasal mucosa entertainment is enlarged
heart cells by lottery with everything of the pharyngeal wall and tonsillar exudate
he has a plane posterior cervical lymph nodes he has mild nonproductive cough
and clear long exam what is his most likely diagnosis correct answer Mono
, A 20-year-old male presents to your office in summer complaining of chest
discoloration he is a lifeguard and has been out in the sun without a shirt for a
long period of time his physical exam so small flat circular hypopigmented
macules on his chest that he states are mildly paretic what is the treatment
choice for this diagnosis correct answer Selenium sulfide shampoo
A 21-year-old female patient presents to the clinic for pre-operative
tonsillectomy clearance. She has heard about permanent taste
changes after a tonsillectomy and is concerned. What should the
clinician tell her? correct answer Although some clients report a significant
subjective drop in
taste function following surgery, none have ongoing taste
dysfunction.
A 22-year-old African-American female presents to your family practice office
complaining of progressive skin discoloration she is adopted and has no family
history of skin problems the patient notes non-palpable patches of skin loss and
blanching on her for head in both hands and feet it has developed over a period
of six months and appears to have stopped it is non-pruritic and there is no
erythema or sign of infectious ideology what is the most likely diagnosis correct
answer Vitiligo
A 22-year-old college student presents to your urgent care clinic complaining of a
rash she was recently on spring break and spent every night in the hot tub at her
hotel on physical exam she has multiple small areas of 1 to 2 erythematous
pustules that present mostly wear her bathing suit covered her buttocks what is
the most likely pathogen causing these lesions correct answer Pseudomonas
Aeruginosa
