NR 511 Differential Diagnosis And
Primary Care Practicum
NR 511 Week 8 Final Exam
1. Harriet, age 62, has type 1 diabetes that is well controlled by insulin. Recently, she has been
having marital difficulties that have left her emotionally upset. As a result of this stress, it is
possible that she will
have an increased blood sugar
2. Mason, age 52, has diabetes mellitus (DM) and is overweight. You now find that he is
hypertensive. How should you treat his hypertension?
You should treat it very aggressively, preferably with angiotensin-converting enzyme (ACE) inhibitors.
3. When you inspect the integumentary system of clients with endocrine disorders, a finding of
coarse hair may be an indicator of:
Hypothyroidism.
4. Dan, age 45, is obese and has type 2 diabetes. He has been having trouble getting his
glycohemoglobin under control. He's heard that exenatide (Byetta) causes weight loss and wants
to try it. What do you tell him?
"Let's try it. You're glycohemoglobin will be lowered and you may lose weight."
5. Which of the following is not a risk factor for diabetes mellitus type 2?
Caucasian race.
6. Bill, age 43, appears with a tender, ulcerated, exudative, papular lesion on his penis. It has an
erythematous halo, surrounding edema, and friable base. The nurse practitioner should suspect:
A chancroid.
7. Josh and Martha have 5 children and do not want any more. Josh said he heard about a no-scalpel
vasectomy (NSV) and asks the nurse practitioner how it works. What would be the best response?
1; All student are subject to review of clinical logs to ensure that
they have received a well-rounded experience
Ans True
2; Josh, aged 22 has tinea vesicolor. Which description is the
most likely for this condition?
Ans: There are round hypo pigmented macules on his back
3; A pt present with the following signs and symptoms gradual
onset of low-grade fever, marked fatgue, severe score throat, and
posterior cervical lymphadenopathy. Based on the signs and
symptoms alone which patient the following conditions are most
likely the cause?
Ans: Mononucleosis
,4; Cydney was just diagnosed with mild, intermittent asthma.
Which is the most appropriate medication foe her?
Ans: Short acting beta-agonist as needed
5; which is the differentiating symptom between labyrinthitis and
vestibular neuritis?
Ans: Hearing loss may be associated with labyrinthitis. But
not with vestibular neuritis
6; An 86 years old woman is seen in the clinic for recurrent
hematuria. The provider suspect bladder cancer. Which of the
following information from the history would be considered a risk
factor for this type of cancer?
Ans: 65 years old smoking history
7; which of the following statement is true concerning the
musculoskeletal exam?
llOMoA
ARcPSD
D| 2
1 857
6 30 415
7 6313
Ans: The uninvolved side should be examined initially and
compared to the involved
8; The differential diagnosis for vertigo can be classified into
which of the following categories
Ans: Peripheral vestibular disease, CNC disorders, Systemic
Disorders. All of the Above
9; Which statement about HIV post-exposure prophylaxis (PEP)
for health-care workers is most accurate?
Ans: PEP should be stated within hours after the exposure
10;Your patient has decided to give Chantix a try to quit smoking.
You are discussing his quit date and he will begin taking the
medication starting tomorrow. When should he plan to quit smoking?
,Ans: His quit date should be in 1 week.
11; An 82 years 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
differentials?
Ans: All of the above
12;A 22-year-old is seen complaining of vague belly pain. This
type of pain is seen at what point in appendicitis?
Ans: Very early
13;In which of the following situations would referral to a
specialist be needed for sinusitis?
Ans All of the above
llOMoA
ARcPSD
D| 2
1 857
6 30 415
76
14: A 76 years old man is seen in the office for complaint of urinary
incontinence. The clinician should suspect which causes of
incontinence in men?
Ans; Urinary Tract Infection (UTI)
14: Harvey has a rubbery smooth, round mass on his chest
which is compressible and has a soft to to very firm texture.
What do you diagnose this as?
Ans: Lipoma
15: The patient is prescribed radioactive iodine (RA) and asks the
clinician how this drug works. The clinician’s response should
include which of the following data?
Ans: RAI destroys thyroid tissue.
16: Most nosocomial pneumonias are caused by
Ans: Gram-negative bacteria
17: Which of the following signs or symptoms indicate an
, inflammatory etiology to musculoskeletal pain?
Ans: Morning stiffness.
18: A patient presents to the clinician with a sore throat, fever,
of 100.7f and tender anterior cervical lymphadenopathy. The
clinician suspect strep throat and performed a rapid strep test
that is negative. What would the nest step be?
Ans: A throat culture should be performed to confirm the
result of the rapid strep test.
19:Most Nosocomial pneumonias are caused by…….
Ans: ?
llOMoA
ARcPSD
D| 2
1 857
6 30 415
7 6313
20: A patient is diagnosed with Giardia after a backpacking trip in
the mountains. Which of the following would be the appropriate
treatment?
Ans: Metrinidazole.
21: Which causes the greatest percentage of mammalian bites?
Ans: Dog
22: One of the initial steps in assessing patient with
musculoskeletal complaints is to determine whether the
complaint is articular or non-articular in origin. Which of the
following is an example of an articular structure?
Ans: Synovium
23: Cat bites are commonly associated with which of the following
pathogens?
Ans: Pasteurella Multocida
24:Which of the following should be considered in a patient
Primary Care Practicum
NR 511 Week 8 Final Exam
1. Harriet, age 62, has type 1 diabetes that is well controlled by insulin. Recently, she has been
having marital difficulties that have left her emotionally upset. As a result of this stress, it is
possible that she will
have an increased blood sugar
2. Mason, age 52, has diabetes mellitus (DM) and is overweight. You now find that he is
hypertensive. How should you treat his hypertension?
You should treat it very aggressively, preferably with angiotensin-converting enzyme (ACE) inhibitors.
3. When you inspect the integumentary system of clients with endocrine disorders, a finding of
coarse hair may be an indicator of:
Hypothyroidism.
4. Dan, age 45, is obese and has type 2 diabetes. He has been having trouble getting his
glycohemoglobin under control. He's heard that exenatide (Byetta) causes weight loss and wants
to try it. What do you tell him?
"Let's try it. You're glycohemoglobin will be lowered and you may lose weight."
5. Which of the following is not a risk factor for diabetes mellitus type 2?
Caucasian race.
6. Bill, age 43, appears with a tender, ulcerated, exudative, papular lesion on his penis. It has an
erythematous halo, surrounding edema, and friable base. The nurse practitioner should suspect:
A chancroid.
7. Josh and Martha have 5 children and do not want any more. Josh said he heard about a no-scalpel
vasectomy (NSV) and asks the nurse practitioner how it works. What would be the best response?
1; All student are subject to review of clinical logs to ensure that
they have received a well-rounded experience
Ans True
2; Josh, aged 22 has tinea vesicolor. Which description is the
most likely for this condition?
Ans: There are round hypo pigmented macules on his back
3; A pt present with the following signs and symptoms gradual
onset of low-grade fever, marked fatgue, severe score throat, and
posterior cervical lymphadenopathy. Based on the signs and
symptoms alone which patient the following conditions are most
likely the cause?
Ans: Mononucleosis
,4; Cydney was just diagnosed with mild, intermittent asthma.
Which is the most appropriate medication foe her?
Ans: Short acting beta-agonist as needed
5; which is the differentiating symptom between labyrinthitis and
vestibular neuritis?
Ans: Hearing loss may be associated with labyrinthitis. But
not with vestibular neuritis
6; An 86 years old woman is seen in the clinic for recurrent
hematuria. The provider suspect bladder cancer. Which of the
following information from the history would be considered a risk
factor for this type of cancer?
Ans: 65 years old smoking history
7; which of the following statement is true concerning the
musculoskeletal exam?
llOMoA
ARcPSD
D| 2
1 857
6 30 415
7 6313
Ans: The uninvolved side should be examined initially and
compared to the involved
8; The differential diagnosis for vertigo can be classified into
which of the following categories
Ans: Peripheral vestibular disease, CNC disorders, Systemic
Disorders. All of the Above
9; Which statement about HIV post-exposure prophylaxis (PEP)
for health-care workers is most accurate?
Ans: PEP should be stated within hours after the exposure
10;Your patient has decided to give Chantix a try to quit smoking.
You are discussing his quit date and he will begin taking the
medication starting tomorrow. When should he plan to quit smoking?
,Ans: His quit date should be in 1 week.
11; An 82 years 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
differentials?
Ans: All of the above
12;A 22-year-old is seen complaining of vague belly pain. This
type of pain is seen at what point in appendicitis?
Ans: Very early
13;In which of the following situations would referral to a
specialist be needed for sinusitis?
Ans All of the above
llOMoA
ARcPSD
D| 2
1 857
6 30 415
76
14: A 76 years old man is seen in the office for complaint of urinary
incontinence. The clinician should suspect which causes of
incontinence in men?
Ans; Urinary Tract Infection (UTI)
14: Harvey has a rubbery smooth, round mass on his chest
which is compressible and has a soft to to very firm texture.
What do you diagnose this as?
Ans: Lipoma
15: The patient is prescribed radioactive iodine (RA) and asks the
clinician how this drug works. The clinician’s response should
include which of the following data?
Ans: RAI destroys thyroid tissue.
16: Most nosocomial pneumonias are caused by
Ans: Gram-negative bacteria
17: Which of the following signs or symptoms indicate an
, inflammatory etiology to musculoskeletal pain?
Ans: Morning stiffness.
18: A patient presents to the clinician with a sore throat, fever,
of 100.7f and tender anterior cervical lymphadenopathy. The
clinician suspect strep throat and performed a rapid strep test
that is negative. What would the nest step be?
Ans: A throat culture should be performed to confirm the
result of the rapid strep test.
19:Most Nosocomial pneumonias are caused by…….
Ans: ?
llOMoA
ARcPSD
D| 2
1 857
6 30 415
7 6313
20: A patient is diagnosed with Giardia after a backpacking trip in
the mountains. Which of the following would be the appropriate
treatment?
Ans: Metrinidazole.
21: Which causes the greatest percentage of mammalian bites?
Ans: Dog
22: One of the initial steps in assessing patient with
musculoskeletal complaints is to determine whether the
complaint is articular or non-articular in origin. Which of the
following is an example of an articular structure?
Ans: Synovium
23: Cat bites are commonly associated with which of the following
pathogens?
Ans: Pasteurella Multocida
24:Which of the following should be considered in a patient
