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NURS 6531 FINAL EXAM

Question 2. Which of the following is a potential acquired cause of thrombophilia?

Homocysteinuria


Protein C deficiency


Factor V Leiden


Antiphospholipid
antibodies


Question 3
Phalen’s test, 90°wrist flexion for 60 seconds, reproduces symptoms of:

Ulnar tunnel
syndrome


Carpal tunnel
syndrome


Tarsal tunnel
syndrome


Myofascial pain
syndrome


Question 4
Which patient would benefit most from screening for type 2 diabetes?

A 30 year old female with unintended weight
loss.


A 25 year old male with family history of type
1 diabetes


An obese female with recurrent vaginitis


A 50 year old hyperlipidemic male


Question 5

,NURS 6531 FINAL EXAM

A 72 year old female patient reports a 6 month history of gradually progressive swollen and
painful distal interphalangeal (DIP) joints of one hand. She has no systemic symptoms but
the erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor
(RF) are all minimally elevated. What is the most likely diagnosis?

Rheumatoid arthritis
(RA)


Osteoarthritis (OA)


Lupus


Peripheral
neuropathy


Question 6
A 32 year old male patient complains of urinary frequency and burning on urination for 3
days. Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection. The
initial treatment should be:

Trimethoprim-sulfamethoxazole for
3 days


Ciprofloxacin for 7-10 days


Trimethoprim-sulfamethoxazole for
14 days


Ciprofloxacin for 3 days

A thymectomy is usually recommended in the early treatment of which disease?

Parkinson’s
disease


Multiple
sclerosis


Myasthenia
gravis


Huntington’s

,NURS 6531 FINAL EXAM


chorea


Question 8
The diagnosis of human papilloma virus (HPV) infection in males is usually made by:

Clinical
appearance


Viral culture


Tzanck smear


KOH prep


Question 9
The most effective intervention(s) to prevent stroke is (are):

81 mg of aspirin daily


Carotid endarterectomy for patients with high-grade
carotid lesions


Routine screening for carotid artery stenosis with
auscultation for bruits


Smoking cessation and treatment of hypertension


Question 10
What is the most common cause of Cushing’s syndrome?

Excessive ACTH production


Administration of a glucocorticoid or ACTH


Pituitary adenoma or a non-pituitary ACTH-
producing tumor


Autonomous cortisol production from adrenal
tissue

, NURS 6531 FINAL EXAM


Question 11
Diagnostic radiological studies are indicated for low back pain:

Routinely after 3 weeks of low back pain symptoms.


To screen for spondylolithiasis in patients less than 20 years of age with 2 weeks of
more of low back pain.


When there is a suspicion of a space-occupying lesion, fracture, cauda equina, or
infection.


As a part of a pre-employment physical when heavy lifting is included in the job
description.


Question 12
After treating a patient for Helicobacter pylori infection, what test do you order to see if it
has been cured?

An enzyme-linked immunosorbent
assay titer

A urea breath test

A rapid urease test


A repeat endoscopy


Question 13
Which appropriate test for the initial assessment of Alzheimer’s disease provides the
performance ratings on 10 complex, higher order activities?

MMSE


CAGE questionnaire


FAQ – Functional Activities
Questionnaire


Holmes and Rahe social
readjustment scale


Question 14
Major depression occurs most often in which of the following conditions?

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