1
NR 511 FINAL
1. The most cost-effective screening test for determining HIV status is which of
the following?
Enzyme linked immunosorbent assay
2. Which blood test is a nonspecific method and most helpful for evaluating the
severity and course of an inflammatory process?
C -Reactive Protein ( CRP)
3. Cocaine acts as a stimulant by blocking the reuptake of which neurotransmitter?
Dopamine
4. Mrs. Thomas was seen in the office complaining of pain and
point tenderness in the area of her elbow. The pain has increased following a
dayof gardening one week ago. A physical finding that differentiates the
diagnosis and is most consistent with lateral epicondylitis (tennis elbow) is:
Pain at the elbow with resisted movements at the wrist and forearm
5. Which of the following statements concerning the musculoskeletal examination
istrue?
The uninvolved side should be examined initially and then compare to the
involved side.
6. Which of the following signs or symptoms indicate an inflammatory
etiology tomusculoskeletal pain?
Morning stiffness
7. Which causes the greatest percentage of mammalian bites?
Dogs
8. A 48-year-old woman is seen in the clinic with complaints of prolonged heavy
menstrual periods. She is pale and states she can no longer exercise. Pelvic
exam reveals a single, very large mass. Which of the following diagnostic tests
should the clinician order first?
transvaginal ultrasound
9. A diabetic patient asks the clinician why he needs to check his blood sugar at
home even when he feels good. Which of the following responses would be
most appropriate?
All of the above ( control of glucose, regularyly check blood sugar and
monitoring glucose)
10.A 25- year old patient presents to the clinic with fatigue, cold intolerance,
weight gain, and constipation for the past 3 months on physical examination ,
the clinician notices sinus bradycardia; muscular spiffiness; course , dry hair;
and delay in relaxation in deep tendon reflexes. Which of the follow test
should be ordered next?
TSH
,2
11.Which of the following medications for type 2 diabetes mellitus should not
be prescribed during pregnancy?
Glucotrol
12.During a DRE on a 75-year-old man, the clinician suspects the patient has
prostate cancer. What physical finding should make the clinician suspicious?
Enlarged rubbery gland
13.Eddie, age 4, presents to the ED with a live insect trapped in his ear canal
causing a lot of distress. What should be your first step? IMMOBILIZE THE
Insect with 2% lidocaine
14. What is the most common cause of microcytic anemia? IRON DEFICIENCY
Anemia
15.An 82-year-old man is seen in the primary care office with complaints of
dribbling urine and difficulty starting his stream. Which of the following should
be included in the list of differential diagnoses?
All of the above ( Pbh, Parkinson’s and prostate cancer)
16. Early rheumatoid disease is characterized by:
Joint swelling and immobility on rising
17.A 70-year-old female has fallen 2 weeks ago and developed immediate pain in
her left wrist. She thought she just bruised it but is worried because it has not
improved. She has used Tylenol and ice at home, and that has helped slightly.
You examine her and find she has
, 3
moderate swelling and ecchymosis but no overtly obvious deformity. Her ROM is
uncomfortable and severely diminished due to the pain. No crepitus is heard or felt.
Her fingers are warm; her pulse is strong; and capillary refill is less than 2 seconds.
What should you do?
Obtain a wrist x-ray and place her wrist in a splint or prescribe a spint
18.The criteria for diagnosing generalized anxiety disorder in the American
Psychiatric Association's Diagnostic and Statistical Manual of Mental
Disorders, 5th edition (text revision) state that excessive worry or
apprehension must be present more days than not for at least:
6 MONTHS
19.A 60-year-old man presents with an enlarged scrotum. The clinician uses a
penlight to transilluminate the scrotum. In a patient with a hydrocele, what
would the clinician expect to find?
The scrotum will appear light pink or yellow
20.According to Kübler-Ross, the stages of grief occur in which order?
Denial, anger, bargaining, depression, acceptance
21.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 favorable prognostic trend
22. The exanthem of Lyme disease is
Erthema migrans
23.You have detected the presence of crepitus on examination of a patient with a
musculoskeletal complaint. Additionally, there is limited range of motion
(ROM) with both active and passive movement. These findings suggest that
the origin of the musculoskeletal complaint is:
Articular
24.What is the recommended daily calcium intake for adults over the age of 50
with low bone mass?
1,500 mg/day
25.When assessing a woman for infertility, which of the following tests should
be done first?
Analysis of partner’s sperm
26.Which type of burn injury results in destruction of the epidermis with most of
the dermis, yet the epidermal cells lining hair follicles and sweat glands
remain intact?
Deep partial thickness burns
NR 511 FINAL
1. The most cost-effective screening test for determining HIV status is which of
the following?
Enzyme linked immunosorbent assay
2. Which blood test is a nonspecific method and most helpful for evaluating the
severity and course of an inflammatory process?
C -Reactive Protein ( CRP)
3. Cocaine acts as a stimulant by blocking the reuptake of which neurotransmitter?
Dopamine
4. Mrs. Thomas was seen in the office complaining of pain and
point tenderness in the area of her elbow. The pain has increased following a
dayof gardening one week ago. A physical finding that differentiates the
diagnosis and is most consistent with lateral epicondylitis (tennis elbow) is:
Pain at the elbow with resisted movements at the wrist and forearm
5. Which of the following statements concerning the musculoskeletal examination
istrue?
The uninvolved side should be examined initially and then compare to the
involved side.
6. Which of the following signs or symptoms indicate an inflammatory
etiology tomusculoskeletal pain?
Morning stiffness
7. Which causes the greatest percentage of mammalian bites?
Dogs
8. A 48-year-old woman is seen in the clinic with complaints of prolonged heavy
menstrual periods. She is pale and states she can no longer exercise. Pelvic
exam reveals a single, very large mass. Which of the following diagnostic tests
should the clinician order first?
transvaginal ultrasound
9. A diabetic patient asks the clinician why he needs to check his blood sugar at
home even when he feels good. Which of the following responses would be
most appropriate?
All of the above ( control of glucose, regularyly check blood sugar and
monitoring glucose)
10.A 25- year old patient presents to the clinic with fatigue, cold intolerance,
weight gain, and constipation for the past 3 months on physical examination ,
the clinician notices sinus bradycardia; muscular spiffiness; course , dry hair;
and delay in relaxation in deep tendon reflexes. Which of the follow test
should be ordered next?
TSH
,2
11.Which of the following medications for type 2 diabetes mellitus should not
be prescribed during pregnancy?
Glucotrol
12.During a DRE on a 75-year-old man, the clinician suspects the patient has
prostate cancer. What physical finding should make the clinician suspicious?
Enlarged rubbery gland
13.Eddie, age 4, presents to the ED with a live insect trapped in his ear canal
causing a lot of distress. What should be your first step? IMMOBILIZE THE
Insect with 2% lidocaine
14. What is the most common cause of microcytic anemia? IRON DEFICIENCY
Anemia
15.An 82-year-old man is seen in the primary care office with complaints of
dribbling urine and difficulty starting his stream. Which of the following should
be included in the list of differential diagnoses?
All of the above ( Pbh, Parkinson’s and prostate cancer)
16. Early rheumatoid disease is characterized by:
Joint swelling and immobility on rising
17.A 70-year-old female has fallen 2 weeks ago and developed immediate pain in
her left wrist. She thought she just bruised it but is worried because it has not
improved. She has used Tylenol and ice at home, and that has helped slightly.
You examine her and find she has
, 3
moderate swelling and ecchymosis but no overtly obvious deformity. Her ROM is
uncomfortable and severely diminished due to the pain. No crepitus is heard or felt.
Her fingers are warm; her pulse is strong; and capillary refill is less than 2 seconds.
What should you do?
Obtain a wrist x-ray and place her wrist in a splint or prescribe a spint
18.The criteria for diagnosing generalized anxiety disorder in the American
Psychiatric Association's Diagnostic and Statistical Manual of Mental
Disorders, 5th edition (text revision) state that excessive worry or
apprehension must be present more days than not for at least:
6 MONTHS
19.A 60-year-old man presents with an enlarged scrotum. The clinician uses a
penlight to transilluminate the scrotum. In a patient with a hydrocele, what
would the clinician expect to find?
The scrotum will appear light pink or yellow
20.According to Kübler-Ross, the stages of grief occur in which order?
Denial, anger, bargaining, depression, acceptance
21.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 favorable prognostic trend
22. The exanthem of Lyme disease is
Erthema migrans
23.You have detected the presence of crepitus on examination of a patient with a
musculoskeletal complaint. Additionally, there is limited range of motion
(ROM) with both active and passive movement. These findings suggest that
the origin of the musculoskeletal complaint is:
Articular
24.What is the recommended daily calcium intake for adults over the age of 50
with low bone mass?
1,500 mg/day
25.When assessing a woman for infertility, which of the following tests should
be done first?
Analysis of partner’s sperm
26.Which type of burn injury results in destruction of the epidermis with most of
the dermis, yet the epidermal cells lining hair follicles and sweat glands
remain intact?
Deep partial thickness burns
