NSG5003 Exam Questions With Complete Solutions
. Essential parts of a health history include all of the following
except: Correct Answer Current vital signs
. Which test is the clinical standard for the assessment of aortic
stenosis? Correct Answer Echocardiography
1. It is important to not dilate the eye if ____ is suspected.
Correct Answer Acute closed-angle glaucoma
65-year-old man, presents to your primary care office for the
evaluation of chest pain and left-sided shoulder pain. Pain
begins after strenuous activity, including walking. Pain is
characterized as dull, aching; 8/10 during activity, otherwise
0/10. Began a few months ago, intermittent, aggravated by
exercise, and relieved by rest. Has occasional nausea. Pain is
retrosternal, radiating to left shoulder, definitely affects quality
of life by limiting activity. Pain is worse today; did not go away
after he stopped walking. BP 120/80. Pulse 72 and regular.
Normal heart sounds, S1 and S2, no murmurs. Which of the
following differential diagnoses would be most likely? Correct
Answer Coronary artery disease with angina pectoris
A 17-year-old male complains of severe right knee pain. He was
playing football when he heard a "pop" at the moment of being
tackled and his knee "gave away" from under him. On physical
examination, there is right knee swelling and decreased range of
motion. There is a positive anterior drawer sign. These findings
indicate: Correct Answer Knee ligament injury
,A 20-year-old engineering student complains of episodes of
abdominal discomfort, bloating, and episodes of diarrhea. The
symptoms usually occur after eating, and pain is frequently
relieved with bowel movement. She is on a "celiac diet" and the
episodic symptoms persist. Physical examination and diagnostic
tests are negative. Colonoscopy is negative for any
abnormalities. This is a history and physical consistent with:
Correct Answer Irritable bowel syndrome
A 20-year-old male construction worker is experiencing new
onset of knee pain. He complains of right knee pain when
kneeling, squatting, or walking up and down stairs. On physical
examination, there is swelling and crepitus of the right knee and
obvious pain with resisted range of motion of the knee. He is
unable to squat due to pain. Which of the following disorders
should be considered in the differential diagnosis? Correct
Answer Joint infection
Chondromalacia patella
Prepatellar bursitis
All of the above
A 22-year-old female comes to your office with complaints of
right lower quadrant abdominal pain, which has been worsening
over the last 24 hours. On examination of the abdomen, there is
a palpable mass and rebound tenderness over the right lower
quadrant. The clinician should recognize the importance of
Correct Answer Pelvic examination
A 23-year-old patient who has had bronchiectasis since
childhood is likely to have which of the following Correct
Answer Clubbing
,A 24-year-old patient presents to the emergency department
after sustaining multiple traumatic injuries after a motorcycle
accident. Upon examination, you note tachypnea, use of
intercostal muscles to breathe, asymmetric chest expansion, and
no breath sounds over the left lower lobe. It is most important to
suspect Correct Answer Pneumothorax
A 26-year-old female who gave birth 1 month ago presents with
sudden development of fever, neck pain, sore throat with
dysphagia, and radiation of pain to the ear. Which of the
following conditions is most important to consider Correct
Answer Thyroiditis
A 26-year-old, non-smoker, male presented to your clinic with
SOB with exertion. This could be due to Correct Answer
Alpha-1 deficiency
A 27-year-old male comes in to the clinic for symptoms of
dysuria, urinary frequency, as well as urgency and perineal pain.
Transrectal palpation of the prostate reveals a very tender,
boggy, swollen prostate. The clinician should recognize these as
signs of: Correct Answer Prostatitis
A 33-year-old female patient visits the clinic multiple times over
the last year complaining of dysuria, frequency, urgency,
suprapubic pain, and dyspareunia. Her physical examination,
including a pelvic exam, is normal. Urinalysis and urine culture
is repeatedly negative. Her intravenous pyelogram is also
normal. The clinician should recognize that this presentation is
, consistent with symptoms of: Correct Answer Interstitial
cystitis
A 33-year-old female reports general malaise, fatigue, stiffness,
and pain in multiple joints of the body. There is no history of
systemic disease and no history of trauma. On physical
examination, the patient has no swelling or decreased range of
motion in any of the joints. She indicates specific points on the
neck and shoulders that are particularly affected. She complains
of tenderness upon palpation of the neck, both shoulders, hips,
and medial regions of the knees. The clinician should include
the following disorder in the list of potential diagnoses Correct
Answer Fibromyalgia
A 34-year-old female presents with fever, general malaise,
fatigue, arthralgias and rash for the last 2 weeks. On physical
examination, you note facial erythema across the nose and
cheeks. Serum diagnostic tests reveal positive antinuclear
antibodies, anti-DNA antibodies, elevated C-reactive protein and
erythrocyte sedimentation rate. The clinician should include the
following disorder in the list of potential problems Correct
Answer Systemic lupus erythematosus
A 43-year-old female was in a bicycling accident and complains
of severe pain of the right foot. The patient limps into the
emergency room. On physical examination, there is no point
tenderness over the medial or lateral ankle malleolus. There is
no foot tenderness except at the base of the fifth metatarsal bone.
According to the Ottawa foot rules, should an X-ray of the feet
be ordered Correct Answer A. Yes, there is tenderness over the
fifth metatarsal
. Essential parts of a health history include all of the following
except: Correct Answer Current vital signs
. Which test is the clinical standard for the assessment of aortic
stenosis? Correct Answer Echocardiography
1. It is important to not dilate the eye if ____ is suspected.
Correct Answer Acute closed-angle glaucoma
65-year-old man, presents to your primary care office for the
evaluation of chest pain and left-sided shoulder pain. Pain
begins after strenuous activity, including walking. Pain is
characterized as dull, aching; 8/10 during activity, otherwise
0/10. Began a few months ago, intermittent, aggravated by
exercise, and relieved by rest. Has occasional nausea. Pain is
retrosternal, radiating to left shoulder, definitely affects quality
of life by limiting activity. Pain is worse today; did not go away
after he stopped walking. BP 120/80. Pulse 72 and regular.
Normal heart sounds, S1 and S2, no murmurs. Which of the
following differential diagnoses would be most likely? Correct
Answer Coronary artery disease with angina pectoris
A 17-year-old male complains of severe right knee pain. He was
playing football when he heard a "pop" at the moment of being
tackled and his knee "gave away" from under him. On physical
examination, there is right knee swelling and decreased range of
motion. There is a positive anterior drawer sign. These findings
indicate: Correct Answer Knee ligament injury
,A 20-year-old engineering student complains of episodes of
abdominal discomfort, bloating, and episodes of diarrhea. The
symptoms usually occur after eating, and pain is frequently
relieved with bowel movement. She is on a "celiac diet" and the
episodic symptoms persist. Physical examination and diagnostic
tests are negative. Colonoscopy is negative for any
abnormalities. This is a history and physical consistent with:
Correct Answer Irritable bowel syndrome
A 20-year-old male construction worker is experiencing new
onset of knee pain. He complains of right knee pain when
kneeling, squatting, or walking up and down stairs. On physical
examination, there is swelling and crepitus of the right knee and
obvious pain with resisted range of motion of the knee. He is
unable to squat due to pain. Which of the following disorders
should be considered in the differential diagnosis? Correct
Answer Joint infection
Chondromalacia patella
Prepatellar bursitis
All of the above
A 22-year-old female comes to your office with complaints of
right lower quadrant abdominal pain, which has been worsening
over the last 24 hours. On examination of the abdomen, there is
a palpable mass and rebound tenderness over the right lower
quadrant. The clinician should recognize the importance of
Correct Answer Pelvic examination
A 23-year-old patient who has had bronchiectasis since
childhood is likely to have which of the following Correct
Answer Clubbing
,A 24-year-old patient presents to the emergency department
after sustaining multiple traumatic injuries after a motorcycle
accident. Upon examination, you note tachypnea, use of
intercostal muscles to breathe, asymmetric chest expansion, and
no breath sounds over the left lower lobe. It is most important to
suspect Correct Answer Pneumothorax
A 26-year-old female who gave birth 1 month ago presents with
sudden development of fever, neck pain, sore throat with
dysphagia, and radiation of pain to the ear. Which of the
following conditions is most important to consider Correct
Answer Thyroiditis
A 26-year-old, non-smoker, male presented to your clinic with
SOB with exertion. This could be due to Correct Answer
Alpha-1 deficiency
A 27-year-old male comes in to the clinic for symptoms of
dysuria, urinary frequency, as well as urgency and perineal pain.
Transrectal palpation of the prostate reveals a very tender,
boggy, swollen prostate. The clinician should recognize these as
signs of: Correct Answer Prostatitis
A 33-year-old female patient visits the clinic multiple times over
the last year complaining of dysuria, frequency, urgency,
suprapubic pain, and dyspareunia. Her physical examination,
including a pelvic exam, is normal. Urinalysis and urine culture
is repeatedly negative. Her intravenous pyelogram is also
normal. The clinician should recognize that this presentation is
, consistent with symptoms of: Correct Answer Interstitial
cystitis
A 33-year-old female reports general malaise, fatigue, stiffness,
and pain in multiple joints of the body. There is no history of
systemic disease and no history of trauma. On physical
examination, the patient has no swelling or decreased range of
motion in any of the joints. She indicates specific points on the
neck and shoulders that are particularly affected. She complains
of tenderness upon palpation of the neck, both shoulders, hips,
and medial regions of the knees. The clinician should include
the following disorder in the list of potential diagnoses Correct
Answer Fibromyalgia
A 34-year-old female presents with fever, general malaise,
fatigue, arthralgias and rash for the last 2 weeks. On physical
examination, you note facial erythema across the nose and
cheeks. Serum diagnostic tests reveal positive antinuclear
antibodies, anti-DNA antibodies, elevated C-reactive protein and
erythrocyte sedimentation rate. The clinician should include the
following disorder in the list of potential problems Correct
Answer Systemic lupus erythematosus
A 43-year-old female was in a bicycling accident and complains
of severe pain of the right foot. The patient limps into the
emergency room. On physical examination, there is no point
tenderness over the medial or lateral ankle malleolus. There is
no foot tenderness except at the base of the fifth metatarsal bone.
According to the Ottawa foot rules, should an X-ray of the feet
be ordered Correct Answer A. Yes, there is tenderness over the
fifth metatarsal
