NR511 / NR 511 Final Exam Study Guide b b b b b b b
Differential Diagnosis & Primary Care Practicum b b b b b
Questions and Answers (Verified Answers) b b b b
1. 1. The remodeling of a scar can take how long?
b b b b b b b b b
a. 6 months.
b
b. 3 months.
b
c. 1 month.
b
d. 2 weeks.
b
: A. 6 months
b b b
2. Question 1. A 13-year- b b b
old obese (body mass index [BMI] above the 95th percentile) boy reports low-
b b b b b b b b b b b b
grade left knee pain for the past 2 months. He denies antecedent trauma but ad
b b b b b b b b b b b b b b
mits to frequent "horseplay" with his friends.The pain has progressively worse
b b b b b b b b b b b
ned, and he is now unable to bear weight atall on his left leg. His current compl
b b b b b b b b b b b b b b b b b
aints include left groin, thigh, and medialknee pain and tenderness. His exami
b b b b b b b b b b b b
nation demonstrates negative drawer, Lachman, and McMurray tests; left hip
b b b b b b b b b b
with decreased internal rotation and abduction; and external hip rotation with
b b b b b b b b b b b
knee flexion. Based on the above scenario, the nurse practitioner should susp
b b b b b b b b b b b
ect:
1b/b48
,1. A left meniscal tear.
b b b
2. A left anterior cruciate ligament (ACL) tear.
b b b b b b
3. A slipped capital femoral epiphysis (SCFE).
b b b b b
4. Osgood-Schlatter disease. b
: 3. A slipped capital femoral epiphysis (SCFE).
b b b b b b b
3. Question 2. In assessing the skeletal muscles, the nurse practitioner turnsth
b b b b b b b b b b b b
e patient's forearm so that the palm is up. This is called:
b b b b b b b b b b b
1. Supination.
2. Pronation.
3. Abduction.
4. Eversion.
: 1. Supination
b b
4. Question 3. Cass, age 67, tells the nurse practitioner (NP) that she has been
b b b b b b b b b b b b b b b
diagnosed with a condition that causes sudden flares of pain, swelling,and red
b b b b b b b b b b b b
ness of the joints in her toes. She cannot remember the name of the diagnosis,
b b b b b b b b b b b b b b
b but she knows it is caused by urate crystals that "get stuck in thejoint and cau
b b b b b b b b b b b b b b b b
se pain." She is on hydrochlorothiazide (HCTZ) for managementof her hyperte
b b b b b b b b b b b
nsion. The NP should suspect a diagnosis of:
b b b b b b b
1. Septic arthritis. b
2. Gout.
3. Rheumatoid arthritis. b
4. Charcot neuro-osteoarthropathy. b
2b/b48
, : 2. Gout
b b
5. Question 4. Matthew, age 52, is a chef who just severed 2 of his fingers witha
b b b b b b b b b b b b b b b b b
meat cutter. You would recommend that he:
b b b b b b
1. Wrap the severed fingers tightly in a dry towel for transport to the emergencyde
b b b b b b b b b b b b b b
partment with him. b b
2. Leave the severed fingers at the scene because fingers cannot be reat-
b b b b b b b b b b b
3b/b48
, tached.
3. Immediately freeze the severed fingers for reattachment in the near future.
b b b b b b b b b b
4. Wrap the fingers in a clean, damp cloth; seal them in a plastic bag; and placeth
b b b b b b b b b b b b b b b b
e bag in an ice water bath.
b b b b b b
: 4. Wrap the fingers in a clean, damp cloth; seal themin a plastic bag; and place the ba
b b b b b b b b b b b b b b b b b b b
g in an ice water bath.
b b b b b
6. Question 5. Marsha, age 34, presents with symptoms resembling both fibro
b b b b b b b b b b b
myalgia and chronic fatigue syndrome, which have many similarities. Which
b b b b b b b b b b
of the following is more characteristic of fibromyalgia than of chronicfatigue s
b b b b b b b b b b b b
yndrome?
1. Musculoskeletal pain. b
2. Difficulty sleeping. b
3. Depression.
4. Fatigue.
: 1. Musculoskeletal pain
b b b
7. Question 6. Mrs. Kelly, age 80, has a curvature of the spine. This is likely toind
b b b b b b b b b b b b b b b b b
icate which age-related change?b b b
1. Lordosis.
2. Dorsal kyphosis. b
3. Scoliosis.
4. Kyphoscoliosis.
4b/b48
Differential Diagnosis & Primary Care Practicum b b b b b
Questions and Answers (Verified Answers) b b b b
1. 1. The remodeling of a scar can take how long?
b b b b b b b b b
a. 6 months.
b
b. 3 months.
b
c. 1 month.
b
d. 2 weeks.
b
: A. 6 months
b b b
2. Question 1. A 13-year- b b b
old obese (body mass index [BMI] above the 95th percentile) boy reports low-
b b b b b b b b b b b b
grade left knee pain for the past 2 months. He denies antecedent trauma but ad
b b b b b b b b b b b b b b
mits to frequent "horseplay" with his friends.The pain has progressively worse
b b b b b b b b b b b
ned, and he is now unable to bear weight atall on his left leg. His current compl
b b b b b b b b b b b b b b b b b
aints include left groin, thigh, and medialknee pain and tenderness. His exami
b b b b b b b b b b b b
nation demonstrates negative drawer, Lachman, and McMurray tests; left hip
b b b b b b b b b b
with decreased internal rotation and abduction; and external hip rotation with
b b b b b b b b b b b
knee flexion. Based on the above scenario, the nurse practitioner should susp
b b b b b b b b b b b
ect:
1b/b48
,1. A left meniscal tear.
b b b
2. A left anterior cruciate ligament (ACL) tear.
b b b b b b
3. A slipped capital femoral epiphysis (SCFE).
b b b b b
4. Osgood-Schlatter disease. b
: 3. A slipped capital femoral epiphysis (SCFE).
b b b b b b b
3. Question 2. In assessing the skeletal muscles, the nurse practitioner turnsth
b b b b b b b b b b b b
e patient's forearm so that the palm is up. This is called:
b b b b b b b b b b b
1. Supination.
2. Pronation.
3. Abduction.
4. Eversion.
: 1. Supination
b b
4. Question 3. Cass, age 67, tells the nurse practitioner (NP) that she has been
b b b b b b b b b b b b b b b
diagnosed with a condition that causes sudden flares of pain, swelling,and red
b b b b b b b b b b b b
ness of the joints in her toes. She cannot remember the name of the diagnosis,
b b b b b b b b b b b b b b
b but she knows it is caused by urate crystals that "get stuck in thejoint and cau
b b b b b b b b b b b b b b b b
se pain." She is on hydrochlorothiazide (HCTZ) for managementof her hyperte
b b b b b b b b b b b
nsion. The NP should suspect a diagnosis of:
b b b b b b b
1. Septic arthritis. b
2. Gout.
3. Rheumatoid arthritis. b
4. Charcot neuro-osteoarthropathy. b
2b/b48
, : 2. Gout
b b
5. Question 4. Matthew, age 52, is a chef who just severed 2 of his fingers witha
b b b b b b b b b b b b b b b b b
meat cutter. You would recommend that he:
b b b b b b
1. Wrap the severed fingers tightly in a dry towel for transport to the emergencyde
b b b b b b b b b b b b b b
partment with him. b b
2. Leave the severed fingers at the scene because fingers cannot be reat-
b b b b b b b b b b b
3b/b48
, tached.
3. Immediately freeze the severed fingers for reattachment in the near future.
b b b b b b b b b b
4. Wrap the fingers in a clean, damp cloth; seal them in a plastic bag; and placeth
b b b b b b b b b b b b b b b b
e bag in an ice water bath.
b b b b b b
: 4. Wrap the fingers in a clean, damp cloth; seal themin a plastic bag; and place the ba
b b b b b b b b b b b b b b b b b b b
g in an ice water bath.
b b b b b
6. Question 5. Marsha, age 34, presents with symptoms resembling both fibro
b b b b b b b b b b b
myalgia and chronic fatigue syndrome, which have many similarities. Which
b b b b b b b b b b
of the following is more characteristic of fibromyalgia than of chronicfatigue s
b b b b b b b b b b b b
yndrome?
1. Musculoskeletal pain. b
2. Difficulty sleeping. b
3. Depression.
4. Fatigue.
: 1. Musculoskeletal pain
b b b
7. Question 6. Mrs. Kelly, age 80, has a curvature of the spine. This is likely toind
b b b b b b b b b b b b b b b b b
icate which age-related change?b b b
1. Lordosis.
2. Dorsal kyphosis. b
3. Scoliosis.
4. Kyphoscoliosis.
4b/b48
