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1. Janet is a 30 year old woman who has been recently d. paresthesia of the per-
diagnosed with a herniated disc at the level of L5-S1. ineum and buttocks
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
2. The patient has acute pancreatitis with 7 of the diag- a. a high mortality rate
nostic 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
3. Reuben, age 24, has HIV and just had a routine viral a. a favorable diagnostic
load test done. The results show a falling viral load trend
What does this indicate
a. a favorable diagnostic trend
b. disease progression
c. the need to be more aggressive with Reuben's med-
ications
d. the eradication of the HIV
4. Which is the differentiating symptom mbetween d. hearing loss may be
labyrinthitis and vestibular neuritis? associated with labyrinthi-
, NR511 Final exam
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tis ,but not with vestibular
a. symptoms with vestibular neuritis are usually acute neuritis.
in onset, whereas with labyrinthitis the onet is more
gradual
b. hearing loss may be associated with vestibular neu-
ritis, but not with labyrinthitis
c. symptoms with labyrinthitis are usually acute in on-
set, ,whereas with vesticular neuritis the onset is more
gradual
d. hearing loss may be associated with labyrinthitis
,but not with vestibular neuritis.
5. A 27 year old female presents with a chief complaint c. blood in urine and fre-
of burning and pain on urination. She has no previous quency
history of urinary tract infection. what are some addi-
tional 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
6. The differential diagnosis for vertigo can be classified d. all of the above
into which of the following categories:
a. peripheral vestibular disease
b. CNS disorders
c. Systemic disorders
d. all of the above
7. Sam is a 25-year-old man who has been diagnosed b. unilateral radicular pain
with low back strain based on his history of localized symptoms that extend be-
, NR511 Final exam
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low back pain and muscle spasm along with a normal low the knee and are equal
neurological examination. As the clinician, you explain to or greater than the back
to Sam that low back pain is a diagnosis of exclusion. pain
Which of the following symptoms would alert the clini-
cian to the more serious finding of a herniated nucleus
pulposus or ruptured disc?
a. morning stiffness and limited mobility of the lumbar
spine
b. unilateral radicular pain symptoms that extend be-
low the knee and are equal to or greater than the back
pain
c. Fever, chills, and elevated erythrocyte sedimentation
rate
d. pathologic fractures, severe night pain, weight loss
and fatigue
8. Preceptors must always see the patients that the stu- a. true
dents see in the clinical setting
a. true
b. false
9. An 82 year old man is seen in the primary care of- d. all of the above
fice with complaints of dribbling urine and difficulty
starting his stream. Which of the following should be
included in the list of differentials?
a. BPH
b. Prostate cancer
c. UTI
d. all of the above