NR 511 Differential Diagnosis And
Primary Care Practicum
NR 511 Week 7 Exam Questions and answers
Mrs. Jameson complains of unilateral blurry vision and partial blindness in the left eye. On physical
examination, you find decreased peripheral vision on her left side. Funduscopic examination reveals
cotton wool spots. Your most likely diagnosis is:
Cytomegalovirus infection.
Which is the best serum test for spotting an iron deficiency early, before it progresses to full-blown
anemia?
Ferritin.
Your client George, age 60, presents with pruritus and complains of lymphadenopathy in his neck. He
also complains of night sweats and has noticed a low-grade fever. He has not lost any weight and
otherwise feels well. He is widowed and has been dating a new woman recently. On physical exam, you
find enlarged supraclavicular nodes. You suspect:
Hodgkin lymphoma.
Which of the following is the most common cause of megaloblastic anemia?
Pernicious anemia.
Your client Mrs. Young, age 64, is here to see you because she has pain in her left breast. She reports no
pain in her right breast and no noted lesions or masses on breast self-exam, which she performs
monthly. You know that:
She must be sent for a mammogram as soon as possible.
,Which of the following tests is the most specific for diagnosing rheumatoid arthritis?
Anticyclic citrullinated peptide (anti-CCP).
Robin has human immunodeficiency virus (HIV) and is having a problem with massive diarrhea. You
suspect the cause is:
Cryptosporidiosis.
You are referring a 73-year-old client for management of his prostate cancer with hormonal therapy. It
is understood that goserelin acetate (Zoladex) acts as a method of androgen ablation by:
Blocking the release of follicle-stimulating hormone (FSH) and luteinizing hormone (LH).
Bernard, age 59, presents to the emergency department with a diagnosis of priapism. Despite
application of cold compresses and pain medications, relief is unsuccessful. What is the treatment of
choice?
Phenylephrine 0.3 to 0.5 mL injected into the corpora cavernosa.
You have a new client, Robert, age 67, who presents with generalized lymphadenopathy. You know that
this is indicative of:
Disseminated malignancy, particularly of the hematologic system.
You are examining Joseph, age 9 months, and note a palpable right supraclavicular lymph node. You
know that this finding is suspicious for:
Lymphoma of the mediastinum.
, Sam is being worked up for pancreatic cancer. He states the doctor wants to put a "scope" in and inject
dye into his ducts. He wants to know more about this. What procedure is he referring to?
Endoscopic retrograde cholangiopancreatography (ERCP).
Jan is having biological therapy for her pancreatic cancer. What kind of treatment is this?
Immunotherapy.
Sara comes today with numerous petechiae on her arms. You know she is not taking warfarin
(Coumadin). What other drugs do you ask her about?
Aspirin or aspirin compounds.
Caroline, 65, is homeless and has iron deficiency anemia. She smokes and drinks when she can and has a
stomach ulcer. Which of the following is not one of her risk factors for iron deficiency anemia?
Smoking.
Maria, age 35, asks if being obese predisposes her to cancer. How do you respond?
"Yes, you have an increased risk of hormone-dependent cancers because of your obesity."
A 28-year-old female presents to your primary care office for an annual physical. She denies any
complaints other than heavy menstrual bleeding, which is something she has experienced her whole life.
On routine complete blood count (CBC) evaluation, her hemoglobin is 11.0. Other pertinent values
include a decreased serum ferritin and elevated total iron-binding capacity (TIBC). Her mean corpuscular
volume (MCV) is 75. Which of the following is the likely cause of her anemia?
Iron deficiency anemia.
Primary Care Practicum
NR 511 Week 7 Exam Questions and answers
Mrs. Jameson complains of unilateral blurry vision and partial blindness in the left eye. On physical
examination, you find decreased peripheral vision on her left side. Funduscopic examination reveals
cotton wool spots. Your most likely diagnosis is:
Cytomegalovirus infection.
Which is the best serum test for spotting an iron deficiency early, before it progresses to full-blown
anemia?
Ferritin.
Your client George, age 60, presents with pruritus and complains of lymphadenopathy in his neck. He
also complains of night sweats and has noticed a low-grade fever. He has not lost any weight and
otherwise feels well. He is widowed and has been dating a new woman recently. On physical exam, you
find enlarged supraclavicular nodes. You suspect:
Hodgkin lymphoma.
Which of the following is the most common cause of megaloblastic anemia?
Pernicious anemia.
Your client Mrs. Young, age 64, is here to see you because she has pain in her left breast. She reports no
pain in her right breast and no noted lesions or masses on breast self-exam, which she performs
monthly. You know that:
She must be sent for a mammogram as soon as possible.
,Which of the following tests is the most specific for diagnosing rheumatoid arthritis?
Anticyclic citrullinated peptide (anti-CCP).
Robin has human immunodeficiency virus (HIV) and is having a problem with massive diarrhea. You
suspect the cause is:
Cryptosporidiosis.
You are referring a 73-year-old client for management of his prostate cancer with hormonal therapy. It
is understood that goserelin acetate (Zoladex) acts as a method of androgen ablation by:
Blocking the release of follicle-stimulating hormone (FSH) and luteinizing hormone (LH).
Bernard, age 59, presents to the emergency department with a diagnosis of priapism. Despite
application of cold compresses and pain medications, relief is unsuccessful. What is the treatment of
choice?
Phenylephrine 0.3 to 0.5 mL injected into the corpora cavernosa.
You have a new client, Robert, age 67, who presents with generalized lymphadenopathy. You know that
this is indicative of:
Disseminated malignancy, particularly of the hematologic system.
You are examining Joseph, age 9 months, and note a palpable right supraclavicular lymph node. You
know that this finding is suspicious for:
Lymphoma of the mediastinum.
, Sam is being worked up for pancreatic cancer. He states the doctor wants to put a "scope" in and inject
dye into his ducts. He wants to know more about this. What procedure is he referring to?
Endoscopic retrograde cholangiopancreatography (ERCP).
Jan is having biological therapy for her pancreatic cancer. What kind of treatment is this?
Immunotherapy.
Sara comes today with numerous petechiae on her arms. You know she is not taking warfarin
(Coumadin). What other drugs do you ask her about?
Aspirin or aspirin compounds.
Caroline, 65, is homeless and has iron deficiency anemia. She smokes and drinks when she can and has a
stomach ulcer. Which of the following is not one of her risk factors for iron deficiency anemia?
Smoking.
Maria, age 35, asks if being obese predisposes her to cancer. How do you respond?
"Yes, you have an increased risk of hormone-dependent cancers because of your obesity."
A 28-year-old female presents to your primary care office for an annual physical. She denies any
complaints other than heavy menstrual bleeding, which is something she has experienced her whole life.
On routine complete blood count (CBC) evaluation, her hemoglobin is 11.0. Other pertinent values
include a decreased serum ferritin and elevated total iron-binding capacity (TIBC). Her mean corpuscular
volume (MCV) is 75. Which of the following is the likely cause of her anemia?
Iron deficiency anemia.
